Thyroid, Obstetrics and Gynecology FAQ

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Understanding Thyroid Issues During Pregnancy: Risks and Recovery

Thyroid dysfunction? Hello doctor, I had a health check-up before pregnancy and was diagnosed with hypothyroidism (TSH 4.9). During my pregnancy, I informed my obstetrician about this condition. Later, at 30 weeks, I was tested for thyroid function again due to anemia, and the do...


Dr. Cao Guotao Reply:
Hello, you have been supplemented. Please have a pediatrician examine the baby after birth. Wishing you good health.

[Read More] Understanding Thyroid Issues During Pregnancy: Risks and Recovery


Understanding Menopause Symptoms: Navigating Hormonal Changes and Health Issues

Menopausal issues Hello, I have been suffering from autonomic nervous system dysfunction for over ten years, and I have uterine fibroids with heavy menstrual bleeding. My hemoglobin levels are often low, and I struggle to maintain them with iron supplements. For the past two year...


Dr. Cao Guotao Reply:
Hello, your blood test results are not yet indicative of menopause, but you are approaching that age. If other methods have not improved your condition, you might consider trying hormone replacement therapy to see if it helps. Wishing you good health.

[Read More] Understanding Menopause Symptoms: Navigating Hormonal Changes and Health Issues


Understanding Post-Pill Bleeding and Pregnancy Risks After Unprotected Sex

Menstruation occurs the day after taking emergency contraception? Hello Doctor: On March 9th at 6 PM, I had my first sexual intercourse (it was my first time). The next two times were at midnight and on March 10th at 10 AM. All three times, we used condoms, and I ejaculated insid...


Dr. Cao Guotao Reply:
Hello, it should be related to the emergency contraceptive pill; just monitor the situation. Wishing you good health.

[Read More] Understanding Post-Pill Bleeding and Pregnancy Risks After Unprotected Sex


Managing Hypothyroidism During Pregnancy: Expert Insights and Recommendations

Hypothyroidism during pregnancy Hello Doctor, I am currently 11 weeks pregnant. Before pregnancy, I was diagnosed with hypothyroidism, with a TSH level of 5.392. I started taking Levothyroxine 100 micrograms from the beginning of my pregnancy until the ninth week. At nine weeks, ...


Dr. Cao Guotao Reply:
Hello, an endocrinologist may have a clearer understanding. You can follow the treatment methods suggested by your internist and then have blood tests done after a while. Wishing you good health.

[Read More] Managing Hypothyroidism During Pregnancy: Expert Insights and Recommendations


Understanding Your Infertility Test Results: A Guide for Women

Infertility test results? Hello Doctor: I am currently 25 years old and have been experiencing irregular menstruation (missed periods). My husband and I have been trying to conceive for two years without success, so I underwent some blood tests. I would like your help in reviewin...


Dr. Cao Guotao Reply:
Hello, the hormonal levels are fine. For more detailed information, you may want to consult your obstetrician-gynecologist. Wishing you good health.

[Read More] Understanding Your Infertility Test Results: A Guide for Women


Does High AMH Affect Fertility and Uterine Fibroids?

A high AMH (Anti-Müllerian Hormone) level can affect fertility and may be associated with uterine fibroids? Hello Doctor, I recently received my health check report which indicated that my AMH level is elevated (4.28 ng/ml) and it suggested that I seek medical attention. However,...


Dr. Cao Guotao Reply:
Hello, it doesn't seem like polycystic ovary syndrome. Since you haven't conceived for three years, I recommend seeing a fertility specialist. Wishing you good health.

[Read More] Does High AMH Affect Fertility and Uterine Fibroids?


Pregnancy Concerns: Is Povidone-Iodine Safe for Expecting Mothers?

Medication Consultation Hello, doctor. I am currently 27 weeks pregnant and have recently caught a cold with a very sore throat. Before my pregnancy, I had a habit of using Povidone-iodine (0.45% w/v) for colds, and I naturally used it this time as well. However, after using it, ...


Dr. Chen Zhiyu Reply:
Contraindications: Individuals with thyroid disorders, those allergic to iodine products, pregnant women, breastfeeding mothers, and children under 6 years of age are advised to consult a physician in an outpatient setting. Thank you.

[Read More] Pregnancy Concerns: Is Povidone-Iodine Safe for Expecting Mothers?


Thyroid Issues During Pregnancy: When to Seek Further Testing?

Thyroid issues? Two years ago, during my pregnancy, I had a thyroid report showing TSH < 0.005 and T4 1.570, which were within the normal range. At that time, my obstetrician mentioned that it might be related to the pregnancy. Should I have any special examinations for this? ...


Dr. Cao Guotao Reply:
Hello, you can consult an endocrinologist regarding thyroid issues. An MCV less than 80 may indicate thalassemia trait; as long as your husband is normal, there is no need to worry. Wishing you good health!

[Read More] Thyroid Issues During Pregnancy: When to Seek Further Testing?


Thyroid Issues and Menstrual Irregularities: What You Need to Know

Menstrual Thyroid Issues Hello, Doctor! I was diagnosed with hyperthyroidism in February, which transitioned to hypothyroidism by April. Recently, my treatment has been stabilizing, and my values are normal! The endocrinologist has advised me to have regular follow-ups for manage...


Dr. Cai Yonglong Reply:
Hypothyroidism is one of the common causes of amenorrhea, but it typically does not cause lower back pain, lower abdominal pain, or increased discharge. It is advisable to consider the possibility of a gynecological infection and to seek a complete evaluation and treatment at a n...

[Read More] Thyroid Issues and Menstrual Irregularities: What You Need to Know


Understanding Amenorrhea: Blood Test Insights and Next Steps

Amenorrhea, blood test? Hello Doctor: I have been relying on Estrogen and Provera to induce my menstrual cycle for many years, so I wanted to have a blood test to check for any other underlying health conditions. However, after the blood test, I found that I do not have any issue...


Dr. Zhang Kunmin Reply:
Hello, the factors that can affect the menstrual cycle or cause intermenstrual bleeding are numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraception, diet, polycystic ovary syndrome, lesions of the uterus...

[Read More] Understanding Amenorrhea: Blood Test Insights and Next Steps


Should You Continue a Pregnancy After Taking Oral Accutane?

Should I keep the pregnancy after taking oral isotretinoin? Hello, doctor. Today, on June 18, I found out that I am 2 weeks pregnant (my last menstrual period was on May 2). However, I had been taking oral isotretinoin for two months, which I stopped at the end of April. Since or...


Dr. Lin Xinwang Reply:
Hello: Oral isotretinoin has teratogenic effects, and it is generally recommended to stop the medication three months before attempting to conceive. A high-level ultrasound is typically advised between 20 to 24 weeks of gestation. As of June 18, the gestational age should be arou...

[Read More] Should You Continue a Pregnancy After Taking Oral Accutane?


Understanding Ovulation Pain: When to Worry About Ovarian Cancer

Ovulation pain in the lower abdomen? Doctor, I usually experience consistent pain during my ovulation period, but this time the pain lasted longer than usual—about five days instead of three. However, the intensity of the pain has decreased. I recently had an ultrasound of my ova...


Dr. Cao Guotao Reply:
Hello, all tests are normal, so it is unlikely to be ovarian cancer. Wishing you good health.

[Read More] Understanding Ovulation Pain: When to Worry About Ovarian Cancer


Impact of Thyroid Medication Adjustment on Ovulatory Bleeding: What to Know

Ovulatory bleeding Hello, doctor. I would like to ask if adjustments to medication for hyperthyroidism can affect ovulation bleeding. I am currently taking Methimazole, and on the day I followed the doctor's advice to reduce the dosage by half, I happened to experience ovula...


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

[Read More] Impact of Thyroid Medication Adjustment on Ovulatory Bleeding: What to Know


Impact of Birth Control Pills on Cholesterol Levels: What You Need to Know

Birth control pills and cholesterol? Dear Director: I have been taking oral contraceptives and menstrual regulation medication for about three months. Recently, my blood test results showed elevated total cholesterol levels. The total cholesterol is 385 mg/dL, low-density lipopro...


Dr. Cao Guotao Reply:
Hello, the two are not closely related, and you can continue taking the contraceptive pill. Wishing you good health.

[Read More] Impact of Birth Control Pills on Cholesterol Levels: What You Need to Know


Determining the Most Likely Conception Date: A Guide for Women

Date of conception Hello Dr. Tsao, my menstrual cycle in October was from October 9 to 12, and my previous cycles were about 28 days, occasionally arriving earlier or later. I took emergency contraceptive pills for about 15 days at the end of August and beginning of September (fo...


Dr. Cao Guotao Reply:
Hello, it could be on October 13th or 17th. Wishing you good health.

[Read More] Determining the Most Likely Conception Date: A Guide for Women


Concerns About Medication Abortion: Safety and Health Considerations

Medication abortion issues The last menstrual period was on October 13, and by November 20, it still hadn't arrived. I bought a pregnancy test and the result showed one dark line and one faint line, so I believe I might be pregnant. Since I do not plan to have another child,...


Dr. Cao Guotao Reply:
Hello, it generally does not have an impact. Please consult with an obstetrician-gynecologist. It is recommended to practice contraception beforehand. Wishing you good health.

[Read More] Concerns About Medication Abortion: Safety and Health Considerations


Understanding Hormonal Imbalance: Effects of Birth Control Pills on Weight

Endocrine disorder Hello, doctor. Last week, I took oral contraceptive pills to regulate my menstrual cycle, but I have noticed a significant weight gain and changes in my body shape. Therefore, I am considering stopping the medication. I am wondering if the contraceptive pills m...


Dr. Wu Xianghui Reply:
Birth control pills may cause side effects in some individuals. Some people may experience mild and temporary side effects during the initial phase of taking oral contraceptives, such as dizziness, headaches, nausea, vomiting, gastrointestinal discomfort, spotting, weight gain, a...

[Read More] Understanding Hormonal Imbalance: Effects of Birth Control Pills on Weight


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


Understanding Delayed Periods: Pregnancy Chances and Concerns

A delay of 12 days in menstruation raises the possibility of pregnancy? Hello, Doctor. The app indicates that my period was due on August 7, but it has been delayed for 12 days. I purchased pregnancy tests on August 11 and 12, both showing negative results. I visited a gynecologi...


Dr. Wu Xianghui Reply:
1. For pregnancy concerns, please perform a home pregnancy test or visit a gynecologist for examination and evaluation four weeks after your most recent sexual intercourse. 2. The menstrual cycle can be influenced by various psychological and physiological factors. If your period...

[Read More] Understanding Delayed Periods: Pregnancy Chances and Concerns


Determining Conception Date: Insights for Expecting Parents

Date of conception Hello Doctor: My last menstrual period was on June 4 (cycle 28-30 days). The app indicated ovulation on June 20 (fertile window from June 15 to June 23). The expected date for my July period is between July 4 and July 7. In May, I had unprotected intercourse da...


Dr. Cao Guotao Reply:
Hello, it is possible to conceive around June 20th. Wishing you good health.

[Read More] Determining Conception Date: Insights for Expecting Parents


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