Understanding PCOS: Effects of Medications on Menstrual Cycle and Fertility
Polycystic Ovary Syndrome (PCOS) Blood tests confirmed polycystic ovary syndrome (PCOS) and elevated androgen levels (testosterone at 59.50), along with mild hypothyroidism (the endocrinologist mentioned that medication is not yet necessary). My gynecologist prescribed oral metfo...
Dr. Huang Jianzhong Reply:
Blood tests confirmed polycystic ovary syndrome (PCOS) and elevated androgen levels (testosterone at 59.50), along with mild hypothyroidism (the endocrinologist stated that medication is not yet necessary). I have irregular menstrual cycles, and my gynecologist prescribed oral me...[Read More] Understanding PCOS: Effects of Medications on Menstrual Cycle and Fertility
Understanding PCOS Treatment and Its Impact on Fertility and Pregnancy
Polycystic Ovary Syndrome (PCOS) Regarding the treatment for polycystic ovary syndrome (PCOS), it typically involves lifestyle modifications, such as weight management through diet and exercise, as well as medical treatments. Medications like metformin can help improve insulin se...
Dr. Huang Jianzhong Reply:
Is the chance of pregnancy low with polycystic ovary syndrome (PCOS)? You mentioned that with treatment, it won't be too low. What are the treatments for PCOS? Answer: Currently, in infertility clinics, medications such as Metformin and Clomiphene Citrate are used. Does th...[Read More] Understanding PCOS Treatment and Its Impact on Fertility and Pregnancy
Understanding Low T4 Levels During Pregnancy: Impacts and Concerns
At 12 weeks of pregnancy, the T3 levels are normal, while the T4 levels are very low (0.4)? Hello doctor, before the IVF procedure, I had a thyroid function test, and the values were normal, but Anti-TPO was positive. I started taking half a tablet of Onthexin daily from the thir...
Dr. Huang Jianzhong Reply:
Before the IVF procedure, thyroid function tests were performed, and the results were normal; however, Anti-TPO was positive. Starting from the third day of menstruation, half a tablet of Antithyroid medication was taken daily until the 12th week of pregnancy, at which point the ...[Read More] Understanding Low T4 Levels During Pregnancy: Impacts and Concerns
Managing Mild Pulmonary Hypertension During Early Pregnancy: What to Know
Shortness of breath in early pregnancy, diagnosed with mild pulmonary hypertension through echocardiography? Hello Doctor: I am currently six weeks pregnant, and this is my first pregnancy. Not long before I became pregnant, I noticed that I was more easily short of breath while ...
Dr. Huang Jianzhong Reply:
I am currently six weeks pregnant, and this is my first pregnancy. Not long before I became pregnant, I noticed that I was easily short of breath while talking, eating, and exercising. When using the treadmill for half an hour, my heart rate exceeded 160 beats per minute, and I f...[Read More] Managing Mild Pulmonary Hypertension During Early Pregnancy: What to Know
Understanding Irregular Menstrual Cycles: Causes and Solutions
Menstrual issues I apologize for the inconvenience, but I would like to ask about my irregular menstrual cycle. It has been inconsistent for some time; sometimes it comes regularly every month, while other times it occurs every two to three months. Each time, the flow is very lig...
Dr. Huang Yiwen Reply:
Hello, Miss An: It is quite common for women to experience irregular menstrual cycles occasionally, so there is no need to worry too much. Generally, this is often caused by hormonal imbalances in the ovaries rather than issues with the uterus. A normal menstrual cycle typically ...[Read More] Understanding Irregular Menstrual Cycles: Causes and Solutions
Understanding Prolonged Bleeding After Endometriosis Treatment with Birth Control
Prolonged bleeding after using contraceptive pills to treat endometriosis? Hello Doctor, I was recently diagnosed with mild endometriosis and started taking Microgynon 30 (Levonorgestrel 150 micrograms, Ethinylestradiol 30 micrograms) for a total treatment duration of 63 days. Du...
Dr. Huang Jianzhong Reply:
Mild endometriosis, started taking Microgynon 30 (Levonorgestrel 150 micrograms, Ethinylestradiol 30 micrograms), total treatment duration of 63 days. During the process, there were no special sensations or discomfort, but on the fifty-fifth day of treatment, I started experienci...[Read More] Understanding Prolonged Bleeding After Endometriosis Treatment with Birth Control
Thyroid Issues and Intrauterine Drug Delivery Systems in Women
Thyroid issues, intrauterine drug delivery system? I have been diagnosed with Sjögren's syndrome and have had autoimmune thyroiditis for 3 years. I have had two implants over a total of 6 years. My doctor mentioned that after thyroiditis, there is a possibility of developing...
Dr. Cai Yonglong Reply:
The intrauterine drug delivery system Mirena has an effective duration of 5 years. It should be removed after six years, so please visit the obstetrics and gynecology clinic.[Read More] Thyroid Issues and Intrauterine Drug Delivery Systems in Women
Understanding Severe Menstrual Irregularities: Causes and Solutions
Irregular and heavy menstruation? Hello Dr. Lin, I would like to ask about my severe menstrual irregularities. Since I started my period in sixth grade until now in my second year of graduate school, my menstrual cycle has never been regular (it often gets delayed for a long time...
Dr. Lin Manying Reply:
Dear Miss Hsia, If the aforementioned examinations (ultrasound, hormone, endocrine tests, etc.) show normal results and your weight is within the normal range, and you do not have a history of chronic mental illness or night shift work, it is most likely that you are experienci...[Read More] Understanding Severe Menstrual Irregularities: Causes and Solutions
Understanding Thyroid Function During Pregnancy: Hyperthyroidism or Hypothyroidism?
Could you please provide me with your test results or specific values so I can help determine whether your thyroid function indicates hyperthyroidism or hypothyroidism? Hello Dr. Chen Li-Chin, I am an immunocompromised mother currently 30 weeks and 4 days pregnant. I have autoimm...
Dr. Chen Liqin Reply:
Hello C.Y, during the second and third trimesters of pregnancy, it is recommended that TSH levels be below 3.0 mIU/L. Therefore, during pregnancy, while free thyroid hormones are within the normal range, the thyroid-stimulating hormone (TSH) is slightly elevated, indicating mild ...[Read More] Understanding Thyroid Function During Pregnancy: Hyperthyroidism or Hypothyroidism?
Understanding Pregnancy Chances and Menstrual Delays: Key Insights
Chance of pregnancy My last menstrual period started on September 17, and my next one was expected on October 15, but it has not arrived. I had unprotected intercourse on October 22, and I took pregnancy tests on the 25th and 31st, both showing one line. However, I have been expe...
Dr. Huang Jianzhong Reply:
The last menstrual period was on September 17, and the next one was expected on October 15, but it has not arrived. Unprotected intercourse occurred on October 22, and pregnancy tests on the 25th and 31st showed one line. However, there has been left lower abdominal discomfort fo...[Read More] Understanding Pregnancy Chances and Menstrual Delays: Key Insights
Abnormal Bleeding and Lower Abdominal Pain After Menstrual Delay Medication
Abnormal bleeding and lower abdominal pain after taking emergency contraceptive pills? Hello, I would like to ask about a situation I have been experiencing. I took a medication for menstrual regulation for about two months without any issues, but recently I have started experien...
Dr. Lin Manying Reply:
Dear Ms. Hsiao-Yu, I am not sure why you need to take menstrual regulation medication for two months, as this medication can disrupt your menstrual cycle and may sometimes cause abnormal bleeding. Additionally, hyperthyroidism can also affect your menstrual cycle. I recommend t...[Read More] Abnormal Bleeding and Lower Abdominal Pain After Menstrual Delay Medication
Understanding Ovulation Induction Medications and Their Interactions
Polycystic Ovary Syndrome (PCOS) Medication Consultation Could you please explain how to take ovulation induction agents? Can these be taken with enzymes, and will it affect the efficacy of the medication? Is there a need to space them out by hours? Thank you! Additionally, I w...
Dr. Huang Jianzhong Reply:
1. Ovulation induction agents are taken to stimulate ovulation. It is safe to take enzymes while using these agents, and it will not affect the efficacy of the medication. There is no need to space them out by hours. Thank you! 2. Additionally, I would like to ask if the gyneco...[Read More] Understanding Ovulation Induction Medications and Their Interactions
When to Start Birth Control Pills After Abortion: A Guide for Women
The timing of taking contraceptive pills? Hello, I underwent an abortion on July 25th, and my recovery has been fine. However, as of September 3rd, my period has not yet arrived. I have never taken oral contraceptive pills before and would like to inquire about the appropriate ti...
Dr. Huang Jianzhong Reply:
On July 25, an abortion procedure was performed, and recovery has been fine. However, as of September 3, menstruation has not yet occurred. I have never taken oral contraceptive pills before and would like to inquire about the appropriate timing to start using them. Should I foll...[Read More] When to Start Birth Control Pills After Abortion: A Guide for Women
Understanding Irregular Periods: Causes and When to Seek Help
Menstrual delay Hello doctor, my menstrual cycle has never been regular. During my senior year of high school, it would sometimes be delayed by a month. I thought it was due to late nights and the pressure of college entrance exams. Now that I'm in my first year of college, ...
Dr. Huang Yiwen Reply:
Hello, Miss Hsiao-Yu: There are many causes of menstrual irregularities. Some individuals may have thyroid dysfunction, elevated prolactin levels, or issues related to being overweight or underweight, as well as irregular lifestyle habits. However, some people may undergo a serie...[Read More] Understanding Irregular Periods: Causes and When to Seek Help
Understanding Hypothyroidism in Late Pregnancy: Key Concerns and Questions
Hypothyroidism discovered in the late stages of pregnancy? Hello Doctor: I am currently 29 weeks and 2 days pregnant. On May 19, I went to Hospital A to check my thyroid function (I had no discomfort, I just wanted to understand my condition). On June 2, I received the following ...
Dr. Zhang Kunmin Reply:
Hello, 1. If hypothyroidism is diagnosed during pregnancy, it is essential to restore thyroid function to normal as quickly as possible. Adjust the T4 dosage to achieve and maintain serum thyroid-stimulating hormone (TSH) levels (using international standard measurement methods...[Read More] Understanding Hypothyroidism in Late Pregnancy: Key Concerns and Questions
Menopause and Neck Pain: Understanding the Connection and Solutions
Menopause-related shoulder and neck pain? Hello, doctor. I would like to ask if menopause can affect the shoulders and neck. Ever since I went through menopause nearly 8 years ago, I have been experiencing significant discomfort and pain in my shoulders and neck. Sometimes the pa...
Dr. Cao Guotao Reply:
Hello, it is generally not common. If menopause is suspected, hormone therapy can be tried. If there is improvement, it may be related to menopause; otherwise, it is likely not. Wishing you good health.[Read More] Menopause and Neck Pain: Understanding the Connection and Solutions
Understanding Low Menstrual Flow: Treatment Options and Considerations
Hypomenorrhea Since January of this year, my menstrual flow has decreased with each cycle after giving birth. I have been diagnosed with polycystic ovary syndrome (PCOS), and my doctor prescribed 28-day contraceptive pills to regulate my menstrual cycle. I have been taking them f...
Dr. Huang Jianzhong Reply:
In January of this year, I gave birth, and since then, my menstrual flow has decreased with each cycle. I have polycystic ovary syndrome, and my doctor prescribed 28-day contraceptive pills to regulate my menstruation. I have been taking them for two months, but my period still o...[Read More] Understanding Low Menstrual Flow: Treatment Options and Considerations
Understanding Low Menstrual Flow: Treatment Options and Considerations
Hypomenorrhea Since January of this year, my menstrual flow has decreased with each cycle after giving birth. I have polycystic ovary syndrome (PCOS), and my doctor prescribed 28-day contraceptive pills to regulate my menstrual cycle. I have been taking them for two months, but m...
Dr. Huang Jianzhong Reply:
In January of this year, I gave birth, and since then, my menstrual flow has decreased with each cycle. I have polycystic ovary syndrome, and my doctor prescribed 28-day birth control pills to regulate my menstruation. I have been taking them for two months, but my period still o...[Read More] Understanding Low Menstrual Flow: Treatment Options and Considerations
Understanding Anemia in Pregnancy: Why Iron Supplements May Fail
Anemia during pregnancy, where hemoglobin levels do not increase despite taking iron supplements? When I first became pregnant, my hemoglobin level was 11.6. Around 30 weeks, a blood test showed that my hemoglobin had dropped to 8.8. The doctor prescribed iron supplements (Iron C...
Dr. Huang Jianzhong Reply:
At the beginning of the pregnancy, the hemoglobin level was 11.6, but around 30 weeks, a blood test showed that the hemoglobin had dropped to 8.8. The doctor prescribed iron supplements (Iron Chewable Tablets) at a dosage of 100 mg daily. At 33 weeks, the hemoglobin remained at 8...[Read More] Understanding Anemia in Pregnancy: Why Iron Supplements May Fail
Thyroid Issues and Delayed Period: Pregnancy Concerns Explained
Hyperthyroidism or Hypothyroidism I recently had sexual intercourse with my boyfriend, and we used protection throughout. However, my period is now 6 days late. I have also recently taken medication that may have caused hypothyroidism. I'm not sure if I might be pregnant or ...
Dr. Huang Jianzhong Reply:
I recently had sexual intercourse with my boyfriend, and we used protection throughout. However, my period is now 6 days late. I have also been taking medication that may have caused hypothyroidism. I'm not sure if I might be pregnant or if the thyroid issue is causing my mi...[Read More] Thyroid Issues and Delayed Period: Pregnancy Concerns Explained