Understanding Dark Brown Discharge Before Menstruation: Causes and Concerns
Increased dark brown discharge before menstruation? Hello, doctor. I have been experiencing discharge before or after my period for one to two years, but it's not every month, and the amount varies each time. This time, however, it has been particularly heavy. My last menstr...
Dr. Lü Lizheng Reply:
In response to the increased secretion, inflammation should be prioritized as a consideration, followed by endometrial hyperplasia or the presence of polyps. The influence of ovulation and hormonal secretion abnormalities should also be taken into account. Please visit a gynecolo...[Read More] Understanding Dark Brown Discharge Before Menstruation: Causes and Concerns
Does Thyroid Medication Affect Ovulation and Menstrual Cycles?
Is there a relationship between thyroid medication and ovulatory bleeding? Hello Doctor: My usual menstrual cycle is typically 26 to 27 days. Occasionally, when my routine changes or I experience significant stress, I have ovulation bleeding, but this is not common. For the past ...
Dr. Lü Lizheng Reply:
1. The treatment for hyperthyroidism can interfere with ovarian ovulation, thereby affecting the production of female hormones and progesterone, which in turn can impact menstruation. 2. After the treatment is completed, ovulatory function typically returns to normal, and menstru...[Read More] Does Thyroid Medication Affect Ovulation and Menstrual Cycles?
Understanding Abnormal Menstrual Cycles: Causes and Concerns
Menstrual irregularities Hello Doctor: I started my menstrual period on February 1st, had sexual intercourse on February 23rd, and then my period came on February 28th, but it was lighter than usual and darker in color. It lasted for a week and then decreased to a small amount of...
Dr. Lü Lizheng Reply:
The most likely cause of this issue is hormonal instability, which leads to an uneven and incomplete structure of the endometrium. As a result, when menstruation occurs, the endometrium does not shed uniformly, causing unstable and prolonged bleeding. The underlying reasons for h...[Read More] Understanding Abnormal Menstrual Cycles: Causes and Concerns
Can Women with Low E2 Levels and Fibroids Safely Use Estrogen?
If E2 is less than 5.00 and there are fibroids present, is it advisable to supplement with estrogen? Hormone test results: FSH: 54.40, E2 < 5.00 indicate that menopause has been reached, with one month of amenorrhea. Currently, there are no hot flashes, but there is some dizzi...
Dr. Zhang Kunmin Reply:
Hello, based on your description, if your uterine fibroids are larger than 6 centimeters, it is recommended to avoid hormone supplementation for six months after menopause to prevent stimulating the growth of the fibroids. It is advisable to consume more legumes, engage in recrea...[Read More] Can Women with Low E2 Levels and Fibroids Safely Use Estrogen?
Understanding Light Menstrual Flow: Possible Causes and Concerns
Menstrual flow is very light? Based on the menstrual cycle dates you provided (October 9, November 16, December 18, with the last period ending on December 23), it appears that your girlfriend has irregular cycles, with the last cycle being 38 days long. You mentioned that you ha...
Dr. Lin Wenbin Reply:
According to your description of contraception, it seems that the chances of pregnancy are low. However, if menstruation is delayed, it is still necessary to take a pregnancy test for accuracy. (Even during non-fertile periods, condoms should always be used for safety. It is reco...[Read More] Understanding Light Menstrual Flow: Possible Causes and Concerns
Weight Loss and Menstrual Cycle: Understanding the Connection
Weight and Menstrual Cycle Hello Dr. Lin: Recently, I have lost some weight, possibly due to emotional factors, worries, and stress. The weight loss has been significant, and I am wondering if this could be the reason for my delayed menstrual cycle. The last time, I also experien...
Dr. Lin Wenbin Reply:
Weight loss, insufficient sleep, and excessive stress can all lead to delayed or irregular menstrual cycles. Ovarian cysts need to be monitored in an outpatient setting; generally, these cysts should resolve on their own during or before the onset of menstruation. If a cyst has n...[Read More] Weight Loss and Menstrual Cycle: Understanding the Connection
Early Pregnancy Concerns: Bleeding, Discomfort, and Thyroid Medication
Early pregnancy Hello Doctor: I am currently 7 weeks pregnant and have experienced light bleeding about 4.5 times. The doctor advised me to stay on bed rest. I have no appetite but I am forcing myself to eat a little. However, my abdomen feels bloated and sometimes painful. Could...
Dr. Dong Yuhong Reply:
Hello: Any discomfort symptoms during pregnancy should be discussed with your obstetrician. The doctor will provide appropriate explanations and management (including necessary medication) based on your symptoms and the findings during examinations. You should inform your obstetr...[Read More] Early Pregnancy Concerns: Bleeding, Discomfort, and Thyroid Medication
Understanding Infertility: Symptoms and Concerns for Women
I think I might have infertility! I have been in a relationship with my boyfriend for three years, and we have had numerous sexual encounters, often with ejaculation inside, but I have not become pregnant. I experience vaginal discharge; sometimes I have it, and sometimes I don&#...
Dr. Yang Wangjun Reply:
Hello: (1) Infertility is defined as the inability to conceive after one year of regular sexual intercourse (approximately 2-3 times per week). (2) Infertility is a syndrome. There are many diseases or causes that can lead to infertility. Therefore, the symptoms of infertility ca...[Read More] Understanding Infertility: Symptoms and Concerns for Women
Understanding Polycystic Ovary Syndrome: Symptoms, Treatments, and Management
Polycystic Ovary Syndrome (PCOS) I am currently 167 cm tall and weigh 51.5 kg. I started my menstruation at the age of 13 (October 1998). From October to January 1999, my menstrual cycle was very irregular, and I did not have my period from January to October 1999. After visiting...
Dr. Dong Yuhong Reply:
Hello; during adolescence, menstrual irregularities are more common. Treatment should involve a comprehensive assessment that includes general ultrasound, hormonal evaluation, and physiological development. You can discuss specific treatment plans further with your attending phys...[Read More] Understanding Polycystic Ovary Syndrome: Symptoms, Treatments, and Management
Understanding Feedback Mechanisms of Glands Related to the Pituitary Gland
The glands that have feedback mechanisms with the pituitary gland include the following: 1. Thyroid gland 2. Adrenal glands 3. Gonads (ovaries and testes) 4. Pancreas (specifically in relation to insulin and glucagon regulation) These glands interact with the pituitary gland ...
Dr. Zhang Kunmin Reply:
Hello, the questions you asked have been summarized and answered as follows: 1. A certain hormone secreted by the anterior pituitary may exert its effects on the hypothalamus through a negative feedback pathway, reducing its secretion. Additionally, hormones secreted by endocrin...[Read More] Understanding Feedback Mechanisms of Glands Related to the Pituitary Gland
Understanding Menstrual Issues and Hormonal Imbalances: What You Need to Know
Are menstrual problems related to endocrine disorders? I'm concerned because my boyfriend cheated on me, and I'm worried about the symptoms that the other girl has. She has been menstruating for over three weeks, and there is bleeding during intercourse with my boyfrien...
Dr. Zhang Yongxuan Reply:
Menstrual issues during puberty are primarily due to 1. the immaturity of the hypothalamic-pituitary regulation, 2. mild hypothyroidism, and 3. psychological factors. It is common for young women to experience secondary amenorrhea and dysfunctional uterine bleeding due to psychol...[Read More] Understanding Menstrual Issues and Hormonal Imbalances: What You Need to Know
High-Risk Pregnancy After C-Section and Ectopic Surgery: Key Concerns
After a cesarean section, shortly after, there was an ectopic pregnancy, and then I became pregnant again..? Hello, Director Chen: I am an older expectant mother. After struggling to conceive for several years without any assisted reproductive technologies or dietary changes, I f...
Dr. Chen Changfu Reply:
Due to an ectopic pregnancy, laparoscopic surgery was performed to remove the right fallopian tube. This has no adverse effects or negative impact on future intrauterine pregnancies. Additionally, this pregnancy is nearly a year apart from the previous cesarean delivery, so pleas...[Read More] High-Risk Pregnancy After C-Section and Ectopic Surgery: Key Concerns
Understanding Hormonal Levels in Women's Health: A Guide to Fertility
Please consult the examination values? Hello Doctor: My girlfriend (27 years old) has had her blood drawn three times from last year to now, with the following values: (1) Situation: Hospital A, May last year, missed her period by 25 days, blood drawn on "day 3" of her ...
Dr. Lü Lizheng Reply:
Dear Mr. Wang, It is recommended to have a blood test for progesterone a few days before your expected menstruation or to undergo an ultrasound one or two days before your expected ovulation to assist in determining the ovulation status. Wishing you health and safety. Sincerel...[Read More] Understanding Hormonal Levels in Women's Health: A Guide to Fertility
Can Finger Stimulation Disrupt Menstrual Cycles? Understanding the Impact
Irregular menstrual cycle? Hello, doctor. I would like to ask if using fingers for a woman’s self-stimulation until orgasm can disrupt her menstrual cycle. My girlfriend has been experiencing irregular periods, sometimes not coming for two months. Could this be the reason, or are...
Dr. Zhong Yipei Reply:
Hello, the behavior you mentioned is unlikely to cause menstrual irregularities. There are many reasons for irregular periods, including age, genetic predisposition, stress, lifestyle factors, and other endocrine disorders (such as polycystic ovary syndrome, thyroid issues, and p...[Read More] Can Finger Stimulation Disrupt Menstrual Cycles? Understanding the Impact
Understanding Irregular Periods: Tips for a Healthier Uterus
Missed menstruation? Hello, doctor. I previously took ovulation medication for four months, and my menstrual cycle came around the same day each month. I had my period for the next two months as well, but this month it hasn't arrived. The doctor advised me to exercise more. ...
Dr. Zhang Kunmin Reply:
Hello Rose: Irregular menstruation can have many causes, including age, genetic predisposition, stress, lifestyle factors, and other endocrine disorders such as polycystic ovary syndrome, thyroid issues, and prolactin abnormalities. It is recommended that you first undergo a basi...[Read More] Understanding Irregular Periods: Tips for a Healthier Uterus
Understanding Anovulatory Menstrual Cycles: What You Need to Know
Anovulatory menstruation Hello, doctor. I would like to ask if there is such a thing as an anovulatory menstrual cycle. What does this mean? Isn't it true that women ovulate first before having menstrual bleeding? How can there be a concept of an anovulatory menstrual cycle?...
Dr. Zhang Kunmin Reply:
Hello Rose, Strictly speaking, what is referred to as anovulatory menstruation actually pertains to anovulatory dysfunctional uterine bleeding. This occurs due to the absence of normal ovulation, leading to stimulation of the endometrium by estrogen and progesterone, resulting i...[Read More] Understanding Anovulatory Menstrual Cycles: What You Need to Know
Understanding Galactorrhea: Normal Prolactin Levels and Fertility Concerns
Normal prolactin levels but experiencing issues with lactation? Hello, doctor. I have been experiencing persistent galactorrhea for a long time. My menstrual flow has been normal, but recently my cycles have become irregular (I had a normal period on August 8, a significant decre...
Dr. Dong Yuhong Reply:
Hello, Xiao Ru: You are experiencing issues with lactation and menstrual irregularities. Your prolactin level is 8.23 and TSH is 7.96 (units omitted). The prolactin level is within the normal range, so a breast examination by a surgeon is recommended to rule out any potential les...[Read More] Understanding Galactorrhea: Normal Prolactin Levels and Fertility Concerns
Understanding Fatigue During Pregnancy: Causes and Solutions
Pregnancy Is fatigue common during pregnancy?
Dr. Yang Wangjun Reply:
Hello: Most pregnant women experience fatigue during the first trimester, especially with their first pregnancy. This is due to increased progesterone, bodily changes, and symptoms such as nausea, vomiting, heartburn, and frequent urination, which can lead to significant stress, ...[Read More] Understanding Fatigue During Pregnancy: Causes and Solutions
Two Months Post-Abortion: When to Seek Gynecological Care?
It has been two months since the menstrual period after the abortion? Hello, doctor. I underwent a medical abortion on May 1st, and the doctor informed me that my next menstrual period might take 60 days to arrive. I started experiencing symptoms of menstruation, such as breast t...
Dr. Chen Changfu Reply:
It has been over two months since the abortion, and menstruation has not yet returned. It is essential to visit a gynecologist to determine the possible reasons for the delayed period and any necessary treatment.[Read More] Two Months Post-Abortion: When to Seek Gynecological Care?
Essential Preconception Health Checkups for Future Parents
Preconception Health Checkup Hello, doctor: I would like to inquire about the "preconception health checkup." What are the "essential" items that need to be included? Most hospitals offer "pre-marital checkups," which do not meet my needs, and I am n...
Dr. Zhang Yongxuan Reply:
The items you listed are almost all included, such as gonorrhea, hepatitis B, and chest X-ray. However, semen analysis is not part of the tests. Generally, infertility evaluations are more necessary after one year of marriage. It is certainly advisable to conduct tests if needed....[Read More] Essential Preconception Health Checkups for Future Parents