Placenta, Obstetrics and Gynecology FAQ

Understanding High-Risk Pregnancies: When to Seek Specialized Care

Advanced maternal age pregnancy Thank you, Dr. Liang, for your response on December 4, 1989. My wife has experienced three miscarriages due to placental atrophy, and the doctor we consulted only mentioned that it was bad luck. Should we go to a general hospital's obstetrics ...

Dr. Liang Yinpan Reply:
Hello Mr. Wang: To diagnose the causes of habitual miscarriage, it generally requires advanced laboratory equipment and specialized personnel. Most obstetrics and gynecology departments in general hospitals rely on referrals for results. Therefore, it is recommended that you and ...

Understanding Preterm Labor: Should You Get Extra Ultrasounds During Pregnancy?

Obstetrics and Gynecology What is [premenstrual syndrome]? I regularly have prenatal check-ups at National Taiwan University Hospital, but I only had an ultrasound when I was five months pregnant. I heard that large hospitals typically perform ultrasounds twice during pregnancy (...

Dr. Lin Zhaopei Reply:
Preeclampsia commonly occurs in the second or third trimester of pregnancy and is a condition closely related to gestation, with potential causes linked to the immune system. For the mother, symptoms may vary in severity and can include elevated blood pressure, edema, headaches, ...

Improving Fertility in Older Couples: Options for Assisted Reproductive Technology

Advanced maternal age pregnancy I have been married to my wife for a year and a half (I am 48 years old, and my wife is 40). We have been pregnant three times, but each time resulted in embryonic resorption (the doctor performed a transvaginal ultrasound and indicated that the em...

Dr. Liang Yinpan Reply:
Dear Mr. Wang, You and your spouse are considered to be in a high-risk category for advanced maternal age. Within a year and a half of your marriage, you have experienced three pregnancies, all of which unfortunately ended in miscarriage due to placental insufficiency. This alig...

Exploring the Benefits and Risks of Placenta Extract for Menopausal Headaches

Placental extract I have been experiencing headaches since 1995. Could this be related to menopause? A friend suggested that I could benefit from daily injections of placental extract (PLACENTA-H BIO-FARMA) at a dosage of 2ml intramuscularly. Dr. Wang, is there really such miracu...

Dr. Wang Hanzhou Reply:
If the cause of the headache cannot be identified, one might consider trying hormone replacement therapy, specifically female hormones. However, there is currently limited research on the use of placental extracts in obstetrics and gynecology, so it may be worth exploring, but be...

Understanding Placenta Previa: Should We Opt for Early Delivery?

Placenta previa My wife has been diagnosed with placenta previa by her obstetrician, who has recommended a cesarean section. We are currently at 36 weeks, but the fetus weighs only 2300g. The doctor advised that we should definitely have the cesarean at 38 weeks to avoid the risk...

Dr. Li Guanghan Reply:
Placenta previa occurs when the placenta implants in an abnormal position, leading to reduced nutrient supply to the fetus. By 36 weeks, a fetus may weigh approximately 2300 grams, which is about 400 grams less than expected. If the due date is accurate, this condition is classif...

Understanding High Blood Pressure During Pregnancy: Causes and Management

Pregnancy-induced hypertension Why does blood pressure increase during pregnancy? How can it be avoided or controlled?

Dr. Lin Zhaopei Reply:
Gestational hypertension accounts for 7% of all pregnancies. The main causes include: 1. Abnormal development of placental blood vessels 2. Abnormal immune response in the mother 3. Abnormal hormone metabolism 4. Family history of hypertension 5. Previous gestational hypertension...

Understanding Postpartum Complications: When to Worry About Bleeding

Obstetrics and Gynecology I gave birth a month ago, but I have been experiencing continuous lochia without interruption. For the past two days, I have felt slight abdominal pain, so I went to the hospital for an examination. The doctor said there is still blood and fluid in my ut...

Dr. Wang Hanzhou Reply:
Persistent postpartum lochia should be addressed immediately if there is a significant retention of placental or membrane tissue. Please maintain close communication with your physician; the bleeding is not related to the tubal ligation.

Understanding Bleeding During Pregnancy: Symptoms and Concerns

Bleeding during pregnancy I am currently 30 weeks pregnant and occasionally feel tightness in my lower abdomen, with my belly feeling hard. Sometimes, fetal movements are uncomfortable or even painful. Four days ago, I noticed dark red bleeding, and it has continued despite takin...

Dr. Wang Hanzhou Reply:
Occasional tightening in the lower abdomen is likely a natural contraction, but if there are regular contractions accompanied by pain, medical attention should be sought immediately. At 30 weeks of pregnancy, any bleeding should prompt an evaluation to rule out the possibility of...

Postpartum Bleeding: Understanding Causes and Concerns for New Mothers

Gynecological disorders I am a woman who gave birth two months ago, and I have been experiencing lochia that varies in color from bright red to brown. The amount of bleeding is not significant. I have been diagnosed with an ovarian cyst; could this be the reason for my persistent...

Dr. Liang Yinpan Reply:
Ms. Dorin: Generally, lochia should clear up within two to three weeks postpartum. If you are still experiencing lochia two months after delivery, possible reasons include: 1. Incomplete uterine involution: A pelvic exam or ultrasound may reveal an enlarged uterus with retained b...

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