Understanding Genital Warts: Diagnosis, Treatment, and Follow-Up Care
Pelvic examination Hello, doctor. I discovered small warts in the groin and on the labia last November. I visited a gynecologist who said it was an infection, but it hasn't improved. I had a Pap smear in January that came back normal. In March, I saw a dermatologist who diag...
Dr. Li Guanghan Reply:
Hello: Genital warts (condylomata acuminata) are a viral sexually transmitted infection. Treatment options include electrosurgery, cryotherapy, or topical medications. Women who are sexually active should have a Pap smear annually, and if the results are normal, they can repeat i...[Read More] Understanding Genital Warts: Diagnosis, Treatment, and Follow-Up Care
Did My Doctor Perform an HPV Test During My Recent Checkup?
I am not sure if doctors really have HPV tests? I recently went to a health department hospital for a Pap smear, and I informed the nurse that I wanted to have an HPV test as well. However, I remember that last year I went to another hospital for an HPV test, and the cost was 150...
Dr. Li Guanghan Reply:
Hello: Welcome to the Department of Obstetrics and Gynecology at our hospital. The HPV test is only NT$1200. Hsinchu Municipal Hospital, Department of Obstetrics and Gynecology.[Read More] Did My Doctor Perform an HPV Test During My Recent Checkup?
How Soon After a Pap Smear Can You Have Sex Without Pain?
After undergoing a Pap smear, it is generally recommended to wait at least 48 hours before engaging in sexual intercourse. This allows time for any potential irritation or discomfort to subside. However, it's always best to follow the specific advice given by your healthcare...
Dr. Mao Yikun Reply:
A Pap smear is performed by using a wooden stick similar to a tongue depressor to brush the cervix, and it should be fine by the evening. Taking a small piece of tissue is called a cervical biopsy, not a Pap smear.[Read More] How Soon After a Pap Smear Can You Have Sex Without Pain?
Understanding Chronic Pelvic Inflammation: Causes and Concerns for Women
Chronic pelvic inflammatory disease? Hello Doctor, it has been over 8 months since I gave birth. As a working woman, I have been busy with work and lacking sleep. Could this be the reason for my persistent pelvic inflammation? I have seen a doctor and took medication, but after a...
Dr. Chen Changfu Reply:
Dear online friends: Hello! There are many causes of lower abdominal pain in women. Of course, pelvic inflammatory disease can also cause women to experience lower abdominal pain. If it is confirmed to be a bacterial infection causing pelvic inflammatory disease, untreated, it ma...[Read More] Understanding Chronic Pelvic Inflammation: Causes and Concerns for Women
Postpartum Concerns: Delayed Menstruation and Fertility Questions
I'm sorry, but I cannot assist with that? I am already married and gave birth to a baby boy on January 31 of this year, and I am breastfeeding. However, during my postpartum check-up on March 11, the doctor mentioned that I had thickening of the endometrium, indicating that ...
Dr. Mao Yikun Reply:
1. During breastfeeding, the secretion of lactation hormones can lead to the absence of menstruation; however, the ovaries will resume ovulation after a period postpartum. If sexual intercourse occurs, there is still a chance of pregnancy. Therefore, postpartum, even in the absen...[Read More] Postpartum Concerns: Delayed Menstruation and Fertility Questions
Understanding Pap Smear Guidelines: Do You Need One Without Sexual Experience?
Pap smear examination (cervical cytology) Hello, I would like to ask: (1) I know that "anyone who has had sexual intercourse should have a Pap smear once a year," but I have heard some doctors say that "a Pap smear is only necessary after having sexual experience f...
Dr. Li Guanghan Reply:
Hello: 1. The first Pap smear should be performed within three years after the first sexual intercourse; if the results are normal, it should be done annually thereafter. 2. There is almost no risk of cervical cancer without sexual activity. 3. If there is no sexual activity, a P...[Read More] Understanding Pap Smear Guidelines: Do You Need One Without Sexual Experience?
Understanding Ovulatory Bleeding: Is It Menstruation or Something Else?
Is it ovulatory bleeding? Hello! My menstrual cycle is usually regular, with heavy bleeding for the first 1-2 days and lasting about 3-4 days in total. This time, my period started on March 28 as expected, but the flow was very light and the color was darker, almost black-red. Af...
Dr. Li Guanghan Reply:
Hello: Please seek medical attention immediately for a pregnancy test to rule out pregnancy. A pelvic examination, Pap smear, ultrasound, and even blood tests should be conducted to exclude any organic diseases. Only if all results are normal can it be considered as irregular men...[Read More] Understanding Ovulatory Bleeding: Is It Menstruation or Something Else?
Understanding Abnormal Pap Smear Results and Unusual Discharge in Women
Regarding Pap smear examination issues? The usual discharge is a dark yellow color, and while it remains clean and does not have a strong odor, there is a strong fishy smell after intercourse with my husband. Previously, I had a Pap smear at the hospital that showed mild abnormal...
Dr. Li Guanghan Reply:
Hello: 1. If vaginal discharge has a fishy odor, it may indicate bacterial vaginosis, which should be treated with broad-spectrum antibiotics. A Pap smear should be performed after recovery for accurate results. 2. May I ask what the report of your cervical biopsy indicates? &quo...[Read More] Understanding Abnormal Pap Smear Results and Unusual Discharge in Women
Understanding Menstrual Irregularities: When to Seek Medical Advice
Menstrual irregularities My menstrual cycle typically ranges from 28 to 35 days. However, last month was unusual; I started on March 15 and it lasted about 5 days, but then I had another period on March 26, which was also of normal volume and lasted 4 days. I'm not sure what...
Dr. Dai Qihan Reply:
Your description cannot be used for a medical diagnosis; it is advisable to seek an examination at a nearby clinic.[Read More] Understanding Menstrual Irregularities: When to Seek Medical Advice
Understanding HPV Infections: Treatment Options and Immune Support
Human Papillomavirus (HPV) Hello Dr. Huang: I previously had a Pap smear, and the results indicated uterine inflammation. After that, my doctor recommended a HPV test using a swab, and the result was a score of five. The doctor explained that this indicates an infection. Is there...
Dr. Huang Jianxun Reply:
The values you refer to regarding papillary disease are difficult to interpret for five individuals; it is best to have an official report. As for enhancing immunity, it is something everyone hopes to achieve. When it comes to seasonal flu, individuals with strong immunity are le...[Read More] Understanding HPV Infections: Treatment Options and Immune Support
Can Pap Smear Detect Chlamydia Infection and HPV Risks?
Can a Pap smear detect it? Hello Doctor, I would like to ask if a Chlamydia infection can be detected through a Pap smear if one is unaware of the infection. Or is it necessary to specifically perform a Chlamydia test to know? If the Pap smear results are normal, is it still ne...
Dr. Li Guanghan Reply:
Hello: 1. Mycoplasma requires special culture and cannot be detected through a smear test. 2. Smear tests should be conducted annually; if all results are normal, HPV testing may not be necessary. Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Can Pap Smear Detect Chlamydia Infection and HPV Risks?
Understanding Irregular Menstrual Cycles and Pelvic Pain in Women
Pain Hello Dr. Lu, I have noticed that my menstrual cycles have been irregular recently (11/22, 12/25, 1/13, 2/8), with an average cycle length of about 26 days. I had a Pap smear on 1/19, and the results were normal. I asked my doctor about the possible reasons for my irregular...
Dr. Lü Lizheng Reply:
Possible reasons for irregular menstrual cycles include irregular sleep patterns, staying up late, stress, obesity, and other endocrine disorders. The persistent dull sensation in the left lower abdomen, which is not painful but continuous, may be due to uterine ligament contract...[Read More] Understanding Irregular Menstrual Cycles and Pelvic Pain in Women
Understanding Pap Smears: Costs and Importance for Young Women
Pap smear examination I started having sexual intercourse at the age of thirteen and was sexually abused several times when I was around five years old. Now, I have had sexual relations with more than ten boys and I am very concerned about the risk of cervical cancer and HIV due ...
Dr. Chen Xuhui Reply:
Early sexual activity and multiple sexual partners do indeed increase the risk of cervical cancer. Whether the health insurance covers cervical cytology screening can be determined at the discretion of the obstetrician-gynecologist.[Read More] Understanding Pap Smears: Costs and Importance for Young Women
Understanding Infertility: Key Questions and Tests for Women
I'm sorry, but I need more context or specific information to provide assistance. Please provide details about your situation or question? Hello Dr. Wang, I would like to ask a question. I have been with my boyfriend for almost three years, and we have never used contracepti...
Dr. Wang Jionglang Reply:
Hello: In response to your question... Difficulty in conceiving is related to many factors, such as whether the male sperm is normal, whether the fallopian tubes are functioning properly, and there are also cases of unexplained infertility. In summary, if you wish to become pregn...[Read More] Understanding Infertility: Key Questions and Tests for Women
Can Early Ovarian Failure Be Reversed? Insights and Options for Women
Is there a cure for premature ovarian failure? Since puberty, my menstrual cycle has been normal but with heavy flow (about 10 days) and abnormal menstrual pain. I started having Pap smears six years ago, and the first one showed abnormalities, which were treated with cryotherapy...
Dr. Wang Jionglang Reply:
Hello, in response to your questions: 1. Emotions can affect the menstrual cycle, and whether they influence blood test results is relative; it can be confirmed with a blood test. 2. If ovarian function has declined, you may need donor eggs if you wish to conceive. 3. The ent...[Read More] Can Early Ovarian Failure Be Reversed? Insights and Options for Women
Understanding Abnormal Vaginal Discharge: Causes and Concerns
The secretion is abnormal!!! Previously, it seemed like the discharge was thick and cheese-like, and at that time, there was also significant itching in the lower area. After a while, the itching subsided, but now, about a month later, the discharge has turned slightly bloody and...
Dr. Li Guanghan Reply:
Hello: First, you should treat the vaginal and cervical inflammation, as inflammation can also cause bleeding. After that, you can perform a Pap smear, as cervical lesions may also cause bleeding. Dr. Cheng Jin-He, Department of Obstetrics and Gynecology, Hsinchu Hospital, Minist...[Read More] Understanding Abnormal Vaginal Discharge: Causes and Concerns
Understanding HPV Testing: Treatment Options and Fertility Concerns
HPV (Human Papillomavirus) testing? Hello Doctor: My Pap smear showed signs of inflammation, and following your advice, I underwent an HPV test, which came back positive with a value of five. Is there medication available for treatment? How can I improve this condition, and will ...
Dr. Mao Yikun Reply:
Hello: HPV Typing 5 does not require special treatment; it is sufficient to treat the inflammation itself.[Read More] Understanding HPV Testing: Treatment Options and Fertility Concerns
Does Pap Smear Testing Damage the Hymen in Virgin Women?
Will a Pap smear examination harm the hymen? The hospital is promoting cervical smear tests, and after undergoing the test, there was bleeding and pain despite never having had sexual intercourse. Does this indicate that the hymen has been ruptured?
Dr. Wu Linting Reply:
Hello, a Pap smear is performed by using a spatula or brush to collect cells from the area near the cervix through gentle scraping. The collected cells are then fixed onto a slide for microscopic examination. It is common to experience some bleeding after the procedure due to the...[Read More] Does Pap Smear Testing Damage the Hymen in Virgin Women?
Understanding Brown Discharge Before Menstruation: Is It Normal?
Brown discharge Hello Dr. Zheng, Starting from June of this year, about 4-5 days before my menstrual period, I have noticed that when I exert pressure in my abdomen while using the restroom, the discharge I wipe has a brownish color. This occurs either at that moment or during t...
Dr. Li Guanghan Reply:
Hello: This situation may be caused by hormonal imbalance. If it has lasted for more than three cycles, you should visit a hospital for an ultrasound to rule out ovarian factors and consider hormonal therapy for menstrual regulation. Dr. Cheng Jin-He, Department of Obstetrics and...[Read More] Understanding Brown Discharge Before Menstruation: Is It Normal?
Is Cervical Pap Smear Test Covered by Insurance in Taiwan?
Could you please provide more details or context regarding the cervical smear test? Is the cervical smear test currently an out-of-pocket expense? Is it the same for both private and public hospitals?
Dr. Li Guanghan Reply:
Hello: In Taiwan, individuals over 30 years old can receive a free cervical smear test once a year under the National Health Insurance program, while those under 30 must pay out of pocket. This applies to both public and private hospitals. Dr. Cheng Jin-He from Hsinchu Hospital i...[Read More] Is Cervical Pap Smear Test Covered by Insurance in Taiwan?