Understanding Irregular Menstrual Patterns: Causes and Concerns
Menstrual issues Dear Dr. Mao, thank you for your prompt response last time. It alleviated my anxiety, but I have another situation I would like to consult you about. My menstrual cycle has been a bit unusual for the past two months. It starts with bright red blood for the first ...
Dr. Mao Yikun Reply:
Hello; if you experience irregular menstruation once, you can observe it. However, if it happens again during your next cycle, you should visit a hospital for an examination.[Read More] Understanding Irregular Menstrual Patterns: Causes and Concerns
Post-Intercourse Bleeding: Understanding Causes and Solutions
I experience bleeding every time I have intercourse with my husband! Hello Dr. Cheng, I have been married for over ten years and have two children. I undergo Pap smear tests every year, and the results have always been normal. The doctor mentioned that I have a retroverted uteru...
Dr. Li Guanghan Reply:
Hello: A retroverted uterus may lead to discomfort or abdominal pain during intercourse due to potential collision with the partner's genitalia, especially in deeper positions. Additionally, a retroverted uterus may make it more difficult to completely expel menstrual blood,...[Read More] Post-Intercourse Bleeding: Understanding Causes and Solutions
Understanding Pap Smear Discomfort: Is Pain During the Procedure Normal?
Pap smear examination Hello Dr. Cheng: Today I went to a gynecology clinic for a Pap smear, and I admit I was really nervous since I had never done it before. I even asked my mom beforehand if it would hurt, and she said it wouldn’t. However, the experience was quite different; I...
Dr. Li Guanghan Reply:
Hello: A Pap smear should not be painful. It is possible that you were too tense and squeezed the vaginal speculum too tightly, which may have pinched the tissue of your vaginal wall. Inserting the Pap smear swab should not cause pain; it may have scraped the tissue caught at the...[Read More] Understanding Pap Smear Discomfort: Is Pain During the Procedure Normal?
Understanding Vaginal Discharge: What Does Foamy Urine Mean?
Vaginal discharge Hello, I have recently noticed a lot of foam when urinating. It seems to be caused by vaginal discharge, but there is no itching. The discharge is milky white, almost transparent, and viscous, expelled along with urine. Is this normal? If it is not normal, what ...
Dr. Zhao Chengxiang Reply:
If there is bubbly discharge, it is advisable to visit an outpatient clinic for further examination, such as a Pap smear.[Read More] Understanding Vaginal Discharge: What Does Foamy Urine Mean?
Understanding Abnormal Bleeding After Masturbation: Causes and Concerns
Hemorrhage Hello, doctor. I would like to ask you a few questions. Recently, I have experienced bleeding after masturbation, although there was no vaginal penetration. The amount of blood is not much, but sometimes there are blood clots. Last month, I bled for 9 days without stop...
Dr. Chen Nengjin Reply:
Hello, Zero: Abnormal vaginal bleeding may be caused by the following three conditions: 1. Trauma 2. Inflammatory changes 3. Tumor changes. To ensure accurate diagnosis and treatment, please take the time to visit our obstetrics and gynecology outpatient clinic for further evalua...[Read More] Understanding Abnormal Bleeding After Masturbation: Causes and Concerns
Understanding Cancer Risks and Overcoming Fear of Medical Exams
Fearful of having cancer? My grandmother had cervical cancer during her lifetime. My father recently passed away due to colon cancer. My sister has also had ovarian cysts and endometriosis. Does this mean that our family has a higher risk of developing cancer? Additionally, I wan...
Dr. Zhao Chengxiang Reply:
Your grandmother had cervical cancer before she passed away, and your father was recently diagnosed with colorectal cancer. This family history may slightly increase your risk of developing cancer. If you have been sexually active, it is advisable to have a Pap smear every year. ...[Read More] Understanding Cancer Risks and Overcoming Fear of Medical Exams
Understanding Uterine Hydrosalpinx: Causes, Symptoms, and Treatment Options
Hydrosalpinx Hello, I had my first Pap smear, and the results were normal. The doctor then recommended that I undergo an ultrasound, which revealed that I have hydrosalpinx. He explained that the dark area on the screen indicates fluid accumulation. He prescribed me medication fo...
Dr. Chen Nengjin Reply:
Hello: I apologize for the delay in responding to your question due to administrative oversight. The term "hydrosalpinx" mentioned in your correspondence may have been a mistake, as the commonly used terms in obstetrics and gynecology are "ovarian cyst" or &qu...[Read More] Understanding Uterine Hydrosalpinx: Causes, Symptoms, and Treatment Options
Understanding Vaginal Bleeding: Causes and Concerns for Women
Vaginal bleeding Recently, I've been experiencing bleeding from the vagina when I have a bowel movement. What could this be? I'm a bit worried... Could it be cervical cancer?!
Dr. Chen Nengjin Reply:
Hello, thank you for your message: Abnormal vaginal bleeding should be evaluated by a healthcare professional to determine the underlying issue. Your condition requires you to visit a nearby medical facility for diagnosis and to undergo a Pap smear to ensure your health is mainta...[Read More] Understanding Vaginal Bleeding: Causes and Concerns for Women
Understanding Cervical Smear Tests and Hymen Examination: What to Expect
Pap smear test Hello, doctor: I am unsure if my hymen has ruptured. When I go for a consultation, can the doctor examine me right away? Is it also possible to have a Pap smear done immediately? Will there be out-of-pocket expenses for this? I am not familiar with the process!
Dr. Zhan Deqin Reply:
1. Yes. 2. A Pap smear can be performed if there has been sexual intercourse. 3. There is no need for out-of-pocket expenses; it is covered by health insurance.[Read More] Understanding Cervical Smear Tests and Hymen Examination: What to Expect
Understanding the Link Between Cervical Inflammation and Pelvic Pain
Cervical cancer or pelvic inflammatory disease? I have some questions for the doctor. I am married and have one child, with a stable partner. Recently, I have been experiencing vaginal dryness and occasional dull pain on both sides of my lower abdomen near the uterus. I previousl...
Dr. Li Guanghan Reply:
Hello: Recurrent cervicovaginitis and bilateral ovarian-tubal pain can easily lead to pelvic inflammatory disease, so you need to receive treatment at the hospital for a longer period. Additionally, ensure you get plenty of sleep and stay hydrated, and avoid wearing tight pants. ...[Read More] Understanding the Link Between Cervical Inflammation and Pelvic Pain
Understanding PCOS: Common Concerns and Questions for Young Women
Please let the doctor answer my question? Hello, doctor: I am 19 years old. I had sexual intercourse when I was 15, and since then, my menstrual cycle has been irregular, with periods coming nearly every 20 days, sometimes less than one or two weeks apart, and it has been continu...
Dr. Zhan Deqin Reply:
1. No. 2. This way, it will be clearer. 3. Yes. 4. The doctor will be able to tell; some girls have a thicker hymen, which makes it harder to rupture. 5. It is safer, and you will feel more at ease.[Read More] Understanding PCOS: Common Concerns and Questions for Young Women
Understanding Bleeding Issues During Masturbation: A Gynecological Perspective
Bleeding issues Hello, doctor. Since the end of June, I have noticed blood streaks whenever I masturbate, although I do not insert anything into the vagina. The blood streaks usually accompany discharge; sometimes it lasts for half a day, but other times it can last for a week. T...
Dr. Li Guanghan Reply:
Hello: Inflammation or laceration of the vagina or cervix, as well as the expulsion of blood during masturbation due to uterine contractions, can occur and are generally considered normal. Dr. Cheng Jin-He, Department of Obstetrics and Gynecology, Hsinchu Hospital, Ministry of He...[Read More] Understanding Bleeding Issues During Masturbation: A Gynecological Perspective
Understanding Uterine Necrosis: Symptoms, Healing, and Treatment Options
Uterine necrosis 1. Can uterine laceration cause bleeding? 2. Can uterine laceration heal on its own? 3. Is special treatment necessary?
Dr. Zhuang Zhijian Reply:
What you refer to as uterine erosion is likely cervical erosion. It has the potential to cause bleeding and may even be a precursor to cervical cancer. The chances of spontaneous healing are low, so it is best to seek medical treatment at a hospital. It is especially important to...[Read More] Understanding Uterine Necrosis: Symptoms, Healing, and Treatment Options
Understanding Abnormal Bleeding During Intercourse: Causes and Concerns
Abnormal bleeding Doctor, I have experienced heavy bleeding during intercourse twice, but the bleeding stops after intercourse. However, I do have abdominal pain. I am planning to get a Pap smear, but before the test, I would like to know if there is a possibility of cervical les...
Dr. Zhan Deqin Reply:
Post-coital bleeding can have many causes, including cervical lesions, which require a thorough examination for accurate diagnosis. However, given your age, the likelihood of cervical cancer is quite low.[Read More] Understanding Abnormal Bleeding During Intercourse: Causes and Concerns
Understanding Abnormal Bleeding Three Days After Menstruation
Abnormal bleeding three days after the end of menstruation? I am eighteen years old and have sexual experience. I started my period at fourteen, and my menstrual cycles have been regular. However, after my last period, which lasted seven days, I experienced bleeding three days la...
Dr. Zhong Wenzhen Reply:
Possible causes based on the description include: 1. Dysfunctional uterine bleeding 2. Bleeding from cervical polyps 3. Cervical erosion or post-coital bleeding 4. Other factors such as submucosal fibroids causing bleeding, or bleeding due to medication-induced inflammation. I re...[Read More] Understanding Abnormal Bleeding Three Days After Menstruation
Understanding Vaginal Bleeding: Causes and Concerns for Young Women
Vaginal bleeding Hello doctor, I am a 21-year-old female. I have noticed that after masturbation or intercourse, I sometimes experience a very small amount of blood discharge that lasts for about 2 to 3 days. The amount is really minimal, and it doesn't happen every time, bu...
Dr. Wu Linting Reply:
Postcoital bleeding may originate from the vagina, cervix, uterus, or endometrium, and a pelvic examination is necessary to determine the source. It is not necessarily cervical cancer, but a Pap smear can be performed to rule out this possibility.[Read More] Understanding Vaginal Bleeding: Causes and Concerns for Young Women
Timing for Second Cervical Biopsy: When is the Best Option?
When is it most appropriate to perform the second large resection surgery? Hello Doctor: I am 27 years old, unmarried, and have never given birth. On June 24, I underwent a Pap smear at a gynecology clinic near my home in Taichung, and the report indicated CIN II. I returned to t...
Dr. Wu Linting Reply:
If the last biopsy was performed using electrocautery or diathermy, it is advisable to wait 2-3 months to minimize tissue reaction that could affect interpretation before performing another biopsy. If the last biopsy did not involve electrocautery or diathermy, there are generall...[Read More] Timing for Second Cervical Biopsy: When is the Best Option?
Understanding Vaginal Odor and Discharge: When to Seek Medical Help
excuse me? Hello, I have a question. I have an unusual odor from my vagina, and my vaginal discharge is yellow but not itchy. What could be the reason for this? I have a regular sexual partner. Thank you! If I go to the hospital for an examination, what kind of tests will be done...
Dr. Zhan Deqin Reply:
(1) It is likely a manifestation of vaginitis. (2) A pelvic examination, Pap smear, vaginal irrigation, and if necessary, colposcopy should be performed. (3) It is necessary to...[Read More] Understanding Vaginal Odor and Discharge: When to Seek Medical Help
Heavy Menstrual Bleeding: Causes, Concerns, and Solutions for Women Over 40
Heavy menstrual bleeding? Hello, Doctor: I am 46 years old and had a Mirena IUD inserted about three years ago. I have been experiencing heavy menstrual bleeding, with a cycle of approximately 25 to 28 days, and my periods last around ten days, with lighter flow during the last 2...
Dr. Wu Zongcheng Reply:
Dr. Wu Zongcheng from the Tainan Hospital of the Department of Health, Executive Yuan, responded: 1. For heavy menstrual bleeding, first identify the cause (diagnosis): a. Uterine tumors (including fibroids and adenomas) can be evaluated through ultrasound and pelvic examin...[Read More] Heavy Menstrual Bleeding: Causes, Concerns, and Solutions for Women Over 40
Navigating Fertility Challenges: Seeking Answers and Next Steps
Want to get pregnant? Hello Dr. Jan, I have been married for over two years. Initially, I didn't have a strong desire to conceive, but I became proactive about it at the end of last year. However, there has been no progress, so I sought help from an obstetrics and gynecolog...
Dr. Zhan Deqin Reply:
A good physician should patiently and thoroughly explain the patient's condition and treatment plan. If you feel that her attitude is unsatisfactory, it may be worth considering a different doctor (for infertility, it is more appropriate to consult a reproductive endocrinolo...[Read More] Navigating Fertility Challenges: Seeking Answers and Next Steps