Understanding Irregular Menstrual Cycles: Causes and Solutions
Menstrual cycle is very irregular? My first menstruation occurred around the age of 12 or 13, and since then, at 26 years old, my menstrual cycle has been very irregular. Sometimes it takes a long time for my period to come (three to four months, or even six months), while at oth...
Dr. Dai Qihan Reply:
I can only suggest that you cooperate with your physician and not give up halfway.[Read More] Understanding Irregular Menstrual Cycles: Causes and Solutions
Understanding Postpartum Discharge: Is It Menstruation or Normal Recovery?
Regarding postpartum lochia and discharge..? Hello Doctor: I had a natural delivery, and on the 23rd day postpartum, I suddenly experienced a flow similar to the first day of my menstrual period, which then returned to the form of lochia. During my postpartum check-up at four wee...
Dr. Xu Junzheng Reply:
The conditions you described are all normal, thank you![Read More] Understanding Postpartum Discharge: Is It Menstruation or Normal Recovery?
Understanding Abnormal Bleeding in Women: Causes and Concerns
Bleeding issues Hello, I participated in a family health check-up on May 6, and the Pap smear report indicated inflammation. Since May 29, I have been experiencing intermittent bleeding, which has continued until now (June 9). My menstrual cycle started on May 12. What could be c...
Dr. Li Guanghan Reply:
Hello: 1. If there is inflammation in the Pap smear, it is advisable to undergo examination and appropriate treatment, and then repeat the Pap smear after three months. 2. There are many causes of abnormal bleeding, including menopause, displacement of the intrauterine device, or...[Read More] Understanding Abnormal Bleeding in Women: Causes and Concerns
Managing Hormone Therapy: Balancing Treatments for Vaginal Atrophy
Hormone I have been using hormones for over a decade, which has improved my bone density, but my Pap smear results indicate atrophic vaginitis. I usually take Premarin, one tablet a day; another doctor prescribed Estriol gel and Progesterone. My question is: Is it too much to use...
Dr. Lin Zhaopei Reply:
The local smear report indicates atrophic vaginitis. Treatment with hormonal suppositories may be more effective than oral medications. However, the smear is primarily a screening test for cervical pre-cancerous lesions, and atrophic vaginitis is not a significant concern. Taking...[Read More] Managing Hormone Therapy: Balancing Treatments for Vaginal Atrophy
Understanding Pap Smear Results: Mild Inflammation and Cervical Cancer Concerns
Regarding the smear test? Hello Doctor, I would like to ask about my Pap smear test that I had on May 13. I received a call from the hospital on May 22 informing me that there was mild inflammation. Could you please explain what this means? Is there any relation to cervical cance...
Dr. Xu Junzheng Reply:
Inflammation in a Pap smear is not related to cervical cancer, so there is no need to worry. Thank you![Read More] Understanding Pap Smear Results: Mild Inflammation and Cervical Cancer Concerns
Is My Menstrual Cycle Normal? Understanding Unusual Bleeding Patterns
Is this normal? I would like to consult a physician: My menstrual cycle is consistently about 30 days, but my period lasts around 10 days (which seems long). We are planning to conceive, and after having intercourse with my husband a week after my period, I experienced bleeding. ...
Dr. Wei Fumao Reply:
Post-coital bleeding can have several possible causes: 1. Bleeding from the male partner. 2. Frictional injury to the vagina or cervix. 3. Ovulation occurring at the time, which may lead to intrauterine bleeding that is expelled due to uterine contractions during intercourse. Ple...[Read More] Is My Menstrual Cycle Normal? Understanding Unusual Bleeding Patterns
Understanding Atypical Squamous Cells in Pap Smear Results
Pap smear examination (atypical squamous cells) The presence of atypical squamous cells in a Pap smear indicates that there are abnormal changes in the squamous cells of the cervix. This finding may suggest a potential precancerous condition or the presence of an infection. Furth...
Dr. Li Guanghan Reply:
Hello: A Pap smear is a type of screening test. ASCUS is an abnormal Pap smear result, and it is recommended to arrange for a colposcopy and cervical biopsy. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Atypical Squamous Cells in Pap Smear Results
Understanding Left Ovarian Cysts: What You Need to Know Before Marriage
Multiple cysts in the left ovary? Hello Doctor: Recently, I underwent a premarital health check-up because I am getting married. On the day of the check-up, I was close to my ovulation period and had a Pap smear and a vaginal ultrasound. During the examination, the obstetrician i...
Dr. Xu Junzheng Reply:
It is possible that "left ovary nearing ovulation" was mistakenly recorded as "left ovarian multiple cysts." "Left ovary nearing ovulation" is a normal physiological phenomenon and does not require concern. Thank you![Read More] Understanding Left Ovarian Cysts: What You Need to Know Before Marriage
Understanding Uterine Fibroids: Symptoms, Diagnosis, and Treatment Options
Questions about uterine fibroids? Dear Doctor, Yesterday, I went to a small clinic for a Pap smear and a vaginal ultrasound. The doctor informed me that I have uterine leiomyomas (fibroids). He mentioned that surgery is not necessary, as the fibroid is somewhat large and located...
Dr. Li Guanghan Reply:
Hello: Most uterine fibroids are asymptomatic. The symptoms you found online are potential symptoms of fibroids, not definitive ones; conversely, the absence of these symptoms does not necessarily mean that fibroids are not present. You are welcome to visit us at the Hsinchu City...[Read More] Understanding Uterine Fibroids: Symptoms, Diagnosis, and Treatment Options
Managing Perineal Healing After Natural Birth: Concerns and Treatments
Issues with suturing the wound? Hello Dr. Chen, I gave birth naturally on April 21st, and this is my second child. After my first delivery, I developed a polyp at the site of the vaginal sutures, which was subsequently removed. Now, after my second delivery, I am experiencing s...
Dr. Chen Nengjin Reply:
It is recommended that you work closely with your obstetrician to receive optimal medical care.[Read More] Managing Perineal Healing After Natural Birth: Concerns and Treatments
Postpartum Pap Smear and HPV: Understanding Inflammation Causes
Pap Smear and Human Papillomavirus (HPV) Doctor, I would like to ask: After two and a half months postpartum, I had a Pap smear and a test for human papillomavirus (HPV). The results showed that the HPV test was normal, but the Pap smear indicated inflammation. Could this be due ...
Dr. Li Guanghan Reply:
Hello: Cervical inflammation indicated by a Pap smear refers to cervicitis and is not related to childbirth. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Postpartum Pap Smear and HPV: Understanding Inflammation Causes
Understanding Vaginal Inflammation and the Role of Suppositories
Vaginitis and Suppositories Dear Dr. Hsu, Two weeks ago, I had a Pap smear at your hospital, and the report indicated inflammation. When I called the hospital for further information, the staff advised me to use a vaginal suppository for treatment. I would like to ask two questi...
Dr. Xu Junzheng Reply:
1. The smear test report indicates inflammation; it is recommended to treat it with vaginal suppositories. 2. Specific bacteria will only be mentioned in the report if they are present. 3. It is possible, but three capsules may not be sufficient. Thank you.[Read More] Understanding Vaginal Inflammation and the Role of Suppositories
Understanding Low Libido and Related Symptoms in Women: A Guide for Couples
"Sexual interest deficiency!" Dear Dr. Lin, I have a few questions I would like to ask you: 1. I am 34 years old, married, and have two children. About three years ago, I started to lose interest in sex. Initially, I would avoid my husband, but now I straightforwardly...
Dr. Lin Zhaopei Reply:
1. Hypoactive sexual desire disorder can be primary, meaning it is due to psychological factors, or secondary, such as rejection due to abnormal bleeding, abdominal pain, or other factors. 2. Postcoital bleeding with a normal Pap smear is most likely due to endometrial instabil...[Read More] Understanding Low Libido and Related Symptoms in Women: A Guide for Couples
Understanding Inflammation from Pap Smear: Treatment and Next Steps
The smear test results indicate "inflammation." How should it be treated? In February, I had a Pap smear, and while previous reports were normal, this time it indicated "inflammation," which has made me very worried. However, the clinic doctor only advised me ...
Dr. Lin Zhaopei Reply:
Generally, the female reproductive system is susceptible to ascending infections, which means that inflammation can start from the vagina, progress to the cervix, then to the uterus, and subsequently affect the fallopian tubes and ovaries. If not effectively treated, symptoms may...[Read More] Understanding Inflammation from Pap Smear: Treatment and Next Steps
Is Cervical Inflammation Normal During Early Pregnancy? What You Need to Know
Is it normal to have inflammation of the cervix after being pregnant for over a month? Hello: Recently, our unit provided cervical smear screening, and I mentioned to the doctor that I might be one month pregnant and asked if the test could be performed. He indicated that it is q...
Dr. Lin Zhaopei Reply:
The main purpose of the Pap smear test is to provide an early screening tool for cervical cancer or cervical epithelial cell abnormalities. Cervical inflammation is not necessarily related to the aforementioned conditions, so there is no need to be overly concerned. Generally, a ...[Read More] Is Cervical Inflammation Normal During Early Pregnancy? What You Need to Know
Understanding Atrophic Vaginitis: What It Means and How to Manage It
Pap smear test Hello, I am 64 years old and have been having regular Pap smears every year, which have always been normal. However, this year's results showed atrophic vaginitis. What does this mean? I don't quite understand. The report advised me to go to the hospital ...
Dr. Li Guanghan Reply:
Hello: If the Pap smear report indicates cellular atrophy, it suggests that the cervical cells are undergoing aging changes due to a lack of hormones. Appropriate treatment should be administered, and a repeat Pap smear should be performed afterward. You are welcome to visit Dr. ...[Read More] Understanding Atrophic Vaginitis: What It Means and How to Manage It
High HPV Levels: Should I Be Worried About Cancer?
Hello, doctor. I recently had my HPV levels tested, and they reached 2324.13? Hello, doctor. I recently tested my HPV levels, and they reached 2324.13. Am I in the late stages of cancer? I'm really worried because six months ago, my HPV test was only 11.5, and at that time, ...
Dr. Chen Nengjin Reply:
You should go to the original testing hospital for further screening to identify the issue.[Read More] High HPV Levels: Should I Be Worried About Cancer?
Understanding Pre-Menstrual Bleeding: Causes and Concerns
Premenstrual bleeding Hello, doctor. I am married, and my Pap smear report in January indicated inflammation. I would like to ask about my situation. My last menstrual period started on February 24, and I expect my next one around March 22 (my cycles are usually regular). However...
Dr. Li Guanghan Reply:
Hello; your suspicions are all possible. Please come in for a consultation. We will perform an ultrasound, blood tests, a pelvic exam, and a Pap smear. If all results are normal, it may just be luteal phase bleeding. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Pre-Menstrual Bleeding: Causes and Concerns
Severe Abdominal Pain Outside Menstrual Cycle: Causes and Solutions
Severe bilateral pain outside of the menstrual period? Hello, I would like to ask about experiencing severe pain on both sides outside of my menstrual period for the past six months. The pain is extremely intense. During this time, I visited a nearby gynecology clinic and En Chu ...
Dr. Li Guanghan Reply:
Hello: Physical examination, ultrasound, X-ray, blood tests, and if there has been sexual activity, add a pelvic exam and Pap smear. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Severe Abdominal Pain Outside Menstrual Cycle: Causes and Solutions
When to Start Cervical Pap Smear Tests: Guidelines and Considerations
Pap smear test Doctor, when should cervical smear tests begin, and are there any restrictions? Is it sufficient to have given birth to start the tests?
Dr. Chen Nengjin Reply:
1. All sexually active women are advised to undergo a Pap smear. However, health insurance only provides one free examination per year for women aged 30 and above. Women under 30 or those wishing to have a second examination within a year must register and pay for it themselves. ...[Read More] When to Start Cervical Pap Smear Tests: Guidelines and Considerations