Does Working in a Health Screening Clinic Affect Fetal Development?
Does the work environment during health check-ups affect the fetus? I would like to ask about my work at a health examination clinic where I perform X-rays and bone density tests daily. Recently, I have been considering preparing for pregnancy and am concerned about the potential...
Dr. Cao Guotao Reply:
Hello, generally, examination units have radiation protection measures in place, so there should not be any issues. Wishing you good health.[Read More] Does Working in a Health Screening Clinic Affect Fetal Development?
Understanding Premature Ovarian Failure: Causes, Diagnosis, and Recovery Options
Premature Ovarian Insufficiency (POI) Hello, doctor. In September 2022, I was diagnosed with a low-grade sarcoma in the left thigh groin area and underwent radiation therapy. Due to my young age, I opted for a more precise radiation treatment that was self-funded, which lasted fr...
Dr. Cao Guotao Reply:
Hello, the blood test results indicate premature ovarian failure. Let's hold off on medication and see if menstruation occurs. If it doesn't come at all, it is likely premature ovarian failure. Wishing you good health.[Read More] Understanding Premature Ovarian Failure: Causes, Diagnosis, and Recovery Options
Understanding Ovarian Insufficiency After Radiation Therapy: Key Insights
Premature Ovarian Failure (POF) Hello, doctor. In September 2022, I was diagnosed with a low-grade sarcoma in the left thigh groin area and underwent radiation therapy. Due to my young age, I opted for a self-paid option for more precise radiation targeting. The treatment period ...
Dr. Cao Guotao Reply:
Hello, I have already responded to the questions you mentioned earlier. Wishing you good health.[Read More] Understanding Ovarian Insufficiency After Radiation Therapy: Key Insights
Exploring Non-Surgical Treatment Options for Early Stage Endometrial Cancer
Treatment approaches for endometrial cancer and consultation on non-surgical therapies? Hello, Doctor. My mother is 60 years old and has recently experienced abnormal bleeding, so she went to a nearby large hospital for medical attention. After examination, the doctor initially d...
Dr. Huang Yuande Reply:
1. Unless there is still a desire for fertility, the primary approach should be surgical removal. If the condition is in the early stage or precancerous lesions, hormonal therapy or chemotherapy may be considered after endometrial curettage, but the risk of recurrence is higher. ...[Read More] Exploring Non-Surgical Treatment Options for Early Stage Endometrial Cancer
Understanding HPV Screening and Prevention for Men: Key Insights
Male HPV screening and Dear Director Huang, I would like to explain my experience with gynecological outpatient visits. a. In 2019 and 2020, I underwent Pap smear tests, and the results were negative for intraepithelial lesion or malignancy, with findings indicating reactive c...
Dr. Huang Yuande Reply:
1. HPV may not necessarily be present at that time; even if HPV is present, regular Pap smears are sufficient. 2. It is possible, but the chances are very low. 3. The same local sampling applies. 4. After receiving the vaccine, maintaining local hygiene and having regular Pap sme...[Read More] Understanding HPV Screening and Prevention for Men: Key Insights
Understanding Endometrial Cancer: Concerns and Next Steps for Patients
Mom has been diagnosed with endometrial cancer? Dear Doctor, My mother is 52 years old. Last month, she experienced an increase in menstrual flow, and she has been bleeding for ten days. We went to the hospital for an examination, and an ultrasound revealed that her endometrium ...
Dr. Lin Xinwang Reply:
Hello, Xiaolin: If endometrial cancer is confirmed, it is recommended to conduct a preoperative assessment and proceed with surgery (staging surgery) as soon as possible. After determining the stage, we can evaluate whether further treatment, such as radiation therapy or chemothe...[Read More] Understanding Endometrial Cancer: Concerns and Next Steps for Patients
Understanding Treatment Options for Metastatic Cervical Cancer
Please provide information on the treatment for metastatic cervical cancer? Dear Doctor: My mother was diagnosed with stage IIB cervical cancer in September 2017 and underwent chemotherapy (cisplatin) and radiation therapy (both internal and external). In March 2020, after discov...
Dr. Lin Xinwang Reply:
Hello, Feng: 1. First of all, imaging studies have their limitations; positron emission tomography (PET) may not detect very small metastatic cancer cells, and the same applies to computed tomography (CT). Therefore, clinical assessment is usually still necessary. Based on your...[Read More] Understanding Treatment Options for Metastatic Cervical Cancer
Tamoxifen and Menopause Injection: Managing Endometrial Health After Breast Cancer
Medication Consultation - Tamoxifen & Menopausal Injection Hello Doctor: I have stage 1 type A breast cancer, with ER: 95%, PR: 95%, HER-2: negative, and Ki67: 5%. I underwent surgery in September, did not receive chemotherapy, and completed radiation therapy in November. I a...
Dr. Huang Yuande Reply:
Tamoxifen is commonly used, but it can sometimes cause stimulation and thickening of the endometrium, so regular monitoring of endometrial thickness is necessary. Administering menopausal hormone therapy (such as medroxyprogesterone acetate) can indeed suppress the endometrium; h...[Read More] Tamoxifen and Menopause Injection: Managing Endometrial Health After Breast Cancer
Impact of Mild Illness on Sperm and Egg Genetic Health: What to Know
Issues related to the genetics of sperm and egg cells? Hello Dr. Chang: I would like to ask if my wife has a mild fever due to a cold (currently testing negative for COVID-19), and I also have a bit of a sore throat, would engaging in sexual intercourse under these circumstances ...
Dr. Zhang Kunmin Reply:
Hello, based on your description, the probability of impact is low. Genes are hereditary materials, and the main factors include: 1. Infectious Diseases: German measles is one of the most well-known infectious diseases that can lead to congenital defects in the fetus. The virus...[Read More] Impact of Mild Illness on Sperm and Egg Genetic Health: What to Know
Understanding Pap Smear Results While Preparing for Pregnancy
Cervical smear issues during preconception? Hello Doctor, I asked you a couple of days ago about whether the medications and supplements I am taking while trying to conceive would have any impact, and I appreciate your response, which has reassured me a lot. However, due to my an...
Dr. Cao Guotao Reply:
Hello, if there are no discomforts, a Pap smear once a year is sufficient. It is also safe to have a Pap smear during pregnancy. Wishing you good health![Read More] Understanding Pap Smear Results While Preparing for Pregnancy
Understanding Pap Smear Results and Preparing for Pregnancy
Pap smear and fertility concerns? Hello Doctor, I previously had a Pap smear, and the results showed reactive changes: inflammation, repair, radiation, and others. The doctor said that for the inflammation, medication and suppositories would suffice. Should the next Pap smear be ...
Dr. Cao Guotao Reply:
Hello, preparing for pregnancy next month will not have any negative effects. Wishing you good health.[Read More] Understanding Pap Smear Results and Preparing for Pregnancy
How Often Should You Get a Pap Smear After Inflammation?
How often should Pap smears be performed? Six months ago, the Pap smear showed inflammation with reactive changes: inflammation, repair, radiation, and others. I forgot whether I should have another Pap smear in six months or a year. Could you please advise me, doctor, on the typ...
Dr. Zhang Kunmin Reply:
Hello, based on your description, it is advisable to consult with a physician for examination. Depending on the inflammation status, the results of the smear report will indicate how often follow-up is needed. Thank you! Wishing you peace and health. Dr. Chang[Read More] How Often Should You Get a Pap Smear After Inflammation?
Is Birth Control Causing My Hair Loss? Understanding the Connection
Hair loss from birth control pills? Doctor, I have been taking Diane for about 3 to 4 years. I stopped taking it once before and I don't remember having any issues. This July, I decided to get vaccinated and stopped taking the medication for a month. During that time, I expe...
Dr. Zhang Kunmin Reply:
Hello, if you are experiencing abnormal hair conditions or excessive hair loss (such as losing more than 100 strands per day), it may be necessary to undergo an examination, as there are many potential causes for excessive hair loss. 1. Stress can lead to hair loss. 2. Thyroid...[Read More] Is Birth Control Causing My Hair Loss? Understanding the Connection
Does Intercourse Before Hysterosalpingography Affect Test Results?
Does having intercourse before a hysterosalpingography (HSG) affect the results? Hello, Doctor: I had intercourse the day before my hysterosalpingography (HSG) and have not yet completed two months of basal body temperature tracking, so I haven't returned for a follow-up to ...
Dr. Cao Guotao Reply:
Hello, it is recommended to ensure that you are not pregnant before undergoing a hysterosalpingography (HSG) examination. It is advisable to postpone the procedure until next month. Wishing you good health.[Read More] Does Intercourse Before Hysterosalpingography Affect Test Results?
Understanding Inflammation in Pap Smears: HPV Negative Results Explained
Pap smear inflammation, HPV negative? The smear report indicates inflammation, with cytopathology classified as 2 (Reactive changes: inflammation, repair, radiation, and others), and the HPV test result is negative. 1. The report suggests follow-up visits; could this be a case ...
Dr. Cao Guotao Reply:
Hello, only symptomatic treatment is needed, and a Pap smear should be done once a year. Wishing you good health.[Read More] Understanding Inflammation in Pap Smears: HPV Negative Results Explained
Choosing Between Cancer Treatment Options for an Elderly Parent
The choice of whether or not to undergo cancer treatment for my mother? Hello, my mother is 83 years old. She fell and fractured her femur on June 1, and during the treatment, she was diagnosed with stage 2A cervical cancer. The physician at Dalin Tzu Chi Hospital recommended rad...
Dr. Huang Yuande Reply:
The standard treatment for stage IIA cervical cancer is radical hysterectomy. If the patient's physical condition is poor, radiation therapy may also be considered. Radiation therapy typically does not cause significant discomfort at the time of treatment and still has a cer...[Read More] Choosing Between Cancer Treatment Options for an Elderly Parent
Impact of X-rays on Sperm: Should You Worry During Ovulation?
The effects of X-rays on sperm? Hello Doctor, during the company health check today, I had chest and abdominal X-rays, as well as a BMD (Bone Mineral Density) test for the lumbar spine. I suddenly realized that this week is my wife's ovulation period, and I'm feeling a ...
Dr. Zhang Kunmin Reply:
Hello, the examination items you mentioned generally pose minimal harm to individuals. Additionally, hospitals now have more protective measures in place for radiation equipment. If proper precautions are taken during the examination, the likelihood of any adverse effects is extr...[Read More] Impact of X-rays on Sperm: Should You Worry During Ovulation?
Does Resveratrol Affect the Effectiveness of Oral Contraceptives?
Taking dietary supplements and oral contraceptives? Do you know about a dietary supplement called resveratrol? Resveratrol is a type of polyphenolic antioxidant primarily found in fruits such as grapes, berries, and peanuts. It is a plant-derived compound that acts as an antivira...
Dr. Zhang Kunmin Reply:
Hello, the following medications may interact with oral contraceptives: 1. Antibiotics (Penicillin, Cephalosporins, Erythromycin, Sulfonamides, Bactrim, Chloramphenicol) - may reduce the gut flora that aids in absorption, thereby decreasing the effectiveness of contraceptives. 2....[Read More] Does Resveratrol Affect the Effectiveness of Oral Contraceptives?
Will My Past Actions Affect My Baby's Health During Pregnancy?
Will this have an impact on the fetus? Hello Doctor: I just confirmed that I am four weeks pregnant, and I am concerned about some behaviors from the past that might affect the health of my baby. I would like to ask a few questions: 1. About two to three years ago, I frequently u...
Dr. Cao Guotao Reply:
Hello, two to three years ago, I frequently used my laptop on my abdomen for extended periods. Electromagnetic waves do not remain. In January of this year, I had an X-ray due to kidney issues, which will not affect the fetus. In February, I received the German measles vaccine, a...[Read More] Will My Past Actions Affect My Baby's Health During Pregnancy?
Understanding Menopause: Is Ongoing Menstruation a Health Concern?
Perimenopause without menopause Hello, Doctor: I am 53 years old. Normally, this would be the time for menopause, but my menstrual periods have been regular so far. Does this increase my risk of developing breast cancer? I am not supplementing with hormones or consuming foods con...
Dr. Cai Yonglong Reply:
In general, Taiwanese women experience menopause around the age of 50. If you are still menstruating normally and wish to assess ovarian function, you can visit a gynecology clinic for a blood test to check vitamin E levels. The carcinogenic factors for breast cancer include radi...[Read More] Understanding Menopause: Is Ongoing Menstruation a Health Concern?