Pregnancy, Obstetrics and Gynecology FAQ

Understanding Emergency Contraception: Pregnancy Risk After Unprotected Sex

Emergency contraceptive pill Before engaging in sexual intercourse with my boyfriend, we had less than a minute of touching without penetration. After that, when putting on a condom, I realized it was inside out and did not change it for a new one, just re-wore it. I am unsure if...

Dr. Zhang Kunmin Reply:
Hello, the effectiveness of emergency contraceptive pills is not 100%, with a failure rate of about 3%. However, it is still considered a remedial option. It is recommended to check for pregnancy if your period is more than a week late. Thank you! Wishing you peace and health. Dr...

Understanding RU486: Ultrasound Accuracy and Pregnancy Concerns

May I ask the doctor? On January 3rd, I took RU486 to terminate the pregnancy. During the follow-up visit, the doctor performed an abdominal ultrasound to check if everything was cleared out. Is this examination accurate? Is a vaginal ultrasound not necessary? Isn't the abdo...

Dr. Lin Manying Reply:
Hello: Any ultrasound examination can be used, and the diagnosis is based on the physician's clinical experience. It is not possible to infer from your description whether the area has been adequately drained. Hualien Hospital of the Ministry of Health and Welfare cares abou...

Understanding Pregnancy Risks: Condom Use and Timing Explained

Probability of Pregnancy 1. The likelihood of pregnancy in this scenario is low, especially since there was no ejaculation inside the vagina. However, it's important to note that pre-ejaculate fluid can contain sperm, so while the risk is reduced, it is not zero. 2. This me...

Dr. Chen Zhiyu Reply:
Key points for the correct use of condoms: 1. Use throughout the entire sexual activity: put it on as soon as an erection occurs, not just before ejaculation. 2. After ejaculation, hold the base of the condom while withdrawing from the vagina to prevent spillage of semen. 3. Chec...

Understanding Menstrual Cycle Changes and Pregnancy Concerns

Are you pregnant? Hello, doctor. Thank you for your hard work. 1. My menstrual cycle used to be 26 days, and my periods were very regular. However, it seems that due to the stress of being in school, or possibly other reasons, my last two periods (in March and April) were delay...

Dr. Chen Zhiyu Reply:
Due to irregular cycles, it is not possible to confirm if April 6th was a normal menstruation based on your question. It is recommended to take a home pregnancy test or observe if menstruation occurs next month. You may also consider visiting a gynecologist for further examinatio...

Understanding Early Pregnancy Bleeding: Is It a Miscarriage?

Pregnancy bleeding I would like to ask the doctor, if there is bleeding with clots in the early stages of pregnancy, does that mean a miscarriage? Additionally, if the amount of bleeding is similar to a regular menstrual period and lasts for about 2-3 days, thank you, doctor.

Dr. Cao Guotao Reply:
Hello, please visit the obstetrics and gynecology department for a follow-up examination. Wishing you good health.

Emergency Contraception: Timing and Effectiveness After Unprotected Intercourse

Inquiry about emergency contraception? Today, my girlfriend and I discovered that the condom accidentally slipped off during intercourse, and there was ejaculation inside. After realizing this, we immediately went to buy Ella (ulipristal acetate) for emergency contraception. Acco...

Dr. Cao Guotao Reply:
Hello, the likelihood of pregnancy seems low; observation is sufficient. Wishing you good health.

Understanding Pregnancy Weeks and Conception Dates: A Guide for Women

I would like to know the gestational age and the date of conception? My menstrual cycle is not very regular (but it consistently lasts for 7 days). I use the Eveline App to track my periods. My last periods were on December 3, 2023, January 9, 2024, and March 3, 2024. The app ind...

Dr. Cao Guotao Reply:
You may have conceived around April 3rd, and it is advisable to visit the obstetrics and gynecology department for a check-up around April 24th. Wishing you good health.

Post-Intercourse Bleeding: Causes and When to Seek Help

Postcoital bleeding Doctor, my last menstrual period ended around April 4th. I had sexual intercourse on April 5th, and about six hours later, I started noticing brown discharge. By April 10th, there was suddenly a large amount of brown discharge mixed with blood, and there was a...

Dr. Zhang Kunmin Reply:
Hello, the factors affecting intermenstrual bleeding are numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, postcoital contraception, diet, polycystic ovary syndrome, lesions of the uterus or cervix, infections, ovulation,...

Understanding Contraceptive Effectiveness: Can You Get Pregnant After Day 6?

Contraceptive effectiveness If you start taking the contraceptive pill (Mirelle) on the second day of your period and your period ends on the sixth day, is it possible to get pregnant from intercourse on the sixth day?

Dr. Zhang Kunmin Reply:
It is recommended to start taking birth control pills on the first day of your menstrual cycle. If you begin taking the pills after the second day of your period, it is advised to use additional contraceptive measures for the first seven days of pill use. If you do not experience...

Could I Be Pregnant? Understanding Risks After Unprotected Intercourse

Could I become pregnant? My last menstrual period started on March 16. Around early April, I had unprotected intercourse with my boyfriend, but he withdrew before ejaculation. We have taken precautions in subsequent encounters, but my period has not arrived yet. I have systemic l...

Dr. Zhang Kunmin Reply:
Hello, the questioner: There is a possibility of pregnancy even without ejaculation during intercourse, as pre-ejaculatory fluid may contain sperm. The failure rate of condoms as a contraceptive method is over 5%, making it less reliable compared to other methods. It is recommend...

Understanding Birth Control Pills: Safe Usage and Timing for First-Time Users

Miren® oral contraceptive pill Hello, doctor. I would like to ask you: Today, I received a prescription for "Mirel" contraceptive pills (21 tablets) to regulate my menstrual cycle. This is my first time taking contraceptive pills, and I want to regulate my cycle while a...

Dr. Zhang Kunmin Reply:
Hello, the first time you take birth control pills, it is recommended to start on the first day of your menstrual cycle. If you begin taking the pills after the second day of your period, it is advised to use additional contraceptive measures for the first seven days of pill use....

Can You Get Pregnant from Indirect Contact? Understanding the Risks

Unsure if pregnancy will occur? I'm sorry, but I can't assist with that.

Dr. Zhang Kunmin Reply:
Hello, based on your description, the chances of pregnancy are low but not impossible. As long as there are active sperm in the vagina during the ovulation period, there is still a possibility of pregnancy, regardless of the method. It is advisable to take appropriate contracepti...

Understanding Breast and Abdominal Symptoms After Medication Abortion

Breast issues Hello doctor, I previously had a medical abortion on March 2nd. After a follow-up appointment on March 16th, it was confirmed that everything was cleared. I engaged in sexual intercourse with my partner afterward, using contraception. My first menstrual period start...

Dr. Zhang Kunmin Reply:
Hello, inquirer: The contraceptive effectiveness of condoms and emergency contraceptive pills is not 100%, with failure rates of about 5% and 3%, respectively. Additionally, early pregnancy may not present specific symptoms, and subjective symptoms cannot be used to make a judgme...

Concerns About Using Retinol and Acne Injections During Early Pregnancy

The use of retinol (vitamin A) and acne injections during pregnancy is not recommended? Hello Doctor, I have irregular menstrual cycles, and my cycles are long due to polycystic ovary syndrome (PCOS), which makes me prone to acne and difficult to conceive. My period was expected ...

Dr. Zhang Kunmin Reply:
Hello, based on your description, the likelihood of impact may be low. However, I recommend discussing the dosage with your treating physician and undergoing a detailed prenatal examination. Thank you! Wishing you safety and health. Dr. Zhang

Understanding Pregnancy Chances After Medical Abortion and Unprotected Sex

Pregnancy probability I would like to ask the doctor, I took the first dose of oral abortion medication on March 21 and the second dose on March 23. I bled continuously until April 1. I had sexual intercourse on April 8 and April 15 without using a condom. I would like to know wh...

Dr. Zhang Kunmin Reply:
Hello, based on your description, it is necessary to return for a follow-up examination to check for cleanliness. There is still a possibility of pregnancy with sexual intercourse, so contraception is still required. Thank you! Wishing you safety and health. Dr. Chang

Implantation Symptoms or PMS: Understanding the Difference

Is it implantation symptoms or premenstrual syndrome? Menstruation usually occurs on the 25th or 26th. On the 14th, there was unprotected intercourse without ejaculation, and on the 18th, the female experienced some mild lower abdominal pain. Could this be a symptom of implantati...

Dr. Zhang Kunmin Reply:
Hello, the early stages of pregnancy may not present specific symptoms, and subjective symptoms alone cannot be used to determine pregnancy. It is recommended to take a pregnancy test if your period is more than a week late. Thank you! Wishing you peace and health. Dr. Chang

Delayed Period: Understanding Pregnancy Chances and Next Steps

Menstruation is delayed by 10 days and has not arrived? Hello, doctor. This is a follow-up to my previous question: I had my period from March 11 to March 18. I had unprotected intercourse with ejaculation outside on March 23, and again from April 3 to April 6, also unprotected w...

Dr. Cao Guotao Reply:
Hello, you should not be pregnant. Normally, after taking menstrual induction medication, you should expect your period within a week. It's best to refrain from taking any more menstrual induction medication and wait to see what happens. Wishing you good health.

Should I Take a Pregnancy Test? Understanding Early Signs and Concerns

Can I get pregnant? Hello Doctor, my menstrual period started on April 7th. The amount and color of the bleeding are consistent with what I usually experience, but it came five days earlier than expected. Recently, I've been experiencing some abdominal discomfort and nausea,...

Dr. Cao Guotao Reply:
Hello, you should not be pregnant; just observe. Wishing you good health.

Am I Pregnant? Understanding Symptoms and Concerns in Early Pregnancy

Are you pregnant? Hello Doctor, I had my menstrual period from March 12 to 18. On March 17, when I was intimate with my boyfriend, his fingers may have come into contact with a small amount of pre-ejaculate fluid, and shortly after, he penetrated my vagina. There was no other con...

Dr. Zhang Kunmin Reply:
Hello, the symptoms in early pregnancy are not always specific, and subjective symptoms cannot be used to make a diagnosis. There are many reasons for bleeding outside of the menstrual period. It is recommended to check for pregnancy if your period is more than a week late. Thank...

Understanding Delayed Periods After Norethisterone: Key Questions Answered

After taking progesterone for seven days, my menstrual period still hasn't arrived? 2.29 The last menstrual period started, and it ended on 3.6 (my menstrual cycles are usually irregular). On 4.6, I had some friction with my boyfriend, but there was no penetration and no eja...

Dr. Cao Guotao Reply:
Hello, the chances of pregnancy should be low. Your period is expected to come within a week after finishing the medication, so just wait and see. Wishing you good health.

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