Thyroid, Obstetrics and Gynecology FAQ - Page 7

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Can Women Self-Check for Infertility? Essential Tests Explained

Regarding infertility? Hello, I would like to ask if a woman can independently go to a hospital to check for infertility? What are the methods of examination? Thank you!


Dr. Yang Wangjun Reply:
Hello: The evaluation of female infertility involves a series of examinations from the highest organ to the terminal organ: hypothalamus → pituitary gland → ovaries → uterus → cervix. (1) Cervical issues such as inflammation, poor mucus quality, or the presence of sperm antibodie...

[Read More] Can Women Self-Check for Infertility? Essential Tests Explained


Understanding Irregular Periods: Possible Causes and Next Steps

Menstruation has not occurred for half a month? Hello, I would like to ask a question regarding my friend. She is 22 years old and mentioned that her menstrual period has not occurred for six months. She has consulted both gynecologists and traditional Chinese medicine practition...


Dr. Chen Xuhui Reply:
There are many possible reasons for not having a menstrual period for six months. The pituitary tumor you mentioned could be associated with hyperprolactinemia, and if the uterus has not fully developed, an ultrasound examination is necessary. Excessive stress may warrant hormone...

[Read More] Understanding Irregular Periods: Possible Causes and Next Steps


Can You Get Pregnant While Taking Inderal for Hyperthyroidism?

Medication Consultation You have hyperthyroidism and are taking Inderal (10 mg) three times a day. Is it safe to become pregnant? Will it affect the fetus? Thank you.


Dr. Zhang Yongxuan Reply:
1. Inderal (10 mg), which is propranolol, is a beta-adrenergic blocker that is effective in treating arrhythmias. 2. Since 1965, this class of medications (beta-blocking agents) has been used alone or in combination with antithyroid drugs in pregnant women with hyperthyroidism, ...

[Read More] Can You Get Pregnant While Taking Inderal for Hyperthyroidism?


Concerns About Chronic Infections and Fertility in Women

excuse me? I have been experiencing abnormal vaginal discharge for the past two to three years. When I took medication, it temporarily resolved, but it returned after a while. Over the past year or two, I have also frequently had inflammation of the uterus and cervix. Since I am ...


Dr. Chen Changfu Reply:
Pelvic inflammatory disease (PID) may recur and can also be reinfected; the causes of infection are complex and may involve multiple bacterial infections. Avoiding complex sexual relationships is a good method to prevent recurrent infections and inflammation of the pelvic cavity.

[Read More] Concerns About Chronic Infections and Fertility in Women


Understanding Decreased Menstrual Flow: Causes and Solutions for Women

Menstrual flow reduction Dr. Chen: Hello! I started my menstruation at the age of 11-12, and I am now 38 years old, unmarried, and have never had children. My menstrual cycle is typically 24-28 days. Over the past year, I have noticed a decrease in menstrual flow, approximately o...


Dr. Chen Xuhui Reply:
Common causes of reduced menstrual flow include uterine adhesions after miscarriage, thyroid dysfunction, elevated prolactin levels, use of contraceptives, advanced age, and hormonal deficiencies. Please consult a physician for diagnosis and treatment.

[Read More] Understanding Decreased Menstrual Flow: Causes and Solutions for Women


Understanding Excess Male Hormones: A Guide for Women with Irregular Cycles

Excessive male hormones??? Hello Doctor, I have been suffering from irregular menstruation since childhood, and for the past 2 to 3 years, I have been worried about whether my period will come at all. I previously visited a gynecology clinic where I received medication to induce...


Dr. Wu Zinan Reply:
There are many causes of amenorrhea, such as thyroid disorders, prolactin levels, ovarian function, and psychiatric medications, among others. Excess male hormones may require further evaluation at a medical center's gynecology or endocrinology department.

[Read More] Understanding Excess Male Hormones: A Guide for Women with Irregular Cycles


Understanding Low Menstrual Flow: Causes and Concerns for Women's Health

Hypomenorrhea Hello, I would like to ask how to determine if menstrual flow is too light. My menstrual flow has been decreasing over the past few months; could this indicate a potential health issue?


Dr. Chen Xuhui Reply:
A normal menstrual period lasts between 2 to 7 days and a volume of 20 to 60 ml is considered normal. Light menstrual flow is often a subjective symptom, accompanied by a decrease in the number of days of menstruation. Causes of reduced menstrual flow may include the use of contr...

[Read More] Understanding Low Menstrual Flow: Causes and Concerns for Women's Health


Is Unusual Bleeding After Your Period Normal? Understanding the Risks

Is this bleeding normal? Could it be dangerous? I would like to ask you a question. My menstrual cycle has always been regular, typically around 27 to 28 days. Occasionally, due to stress or psychological factors, it may come a few days early or late (but never more than five day...


Dr. Chen Changfu Reply:
High stress and irregular schedules can potentially lead to abnormal menstrual cycles in women. Based on your detailed description, your menstrual cycle is approximately 24 to 26 days. Therefore, the slight vaginal bleeding you experienced from October 11 to October 14 is likely ...

[Read More] Is Unusual Bleeding After Your Period Normal? Understanding the Risks


Is High Prolactin Level a Sign of Early Pregnancy?

Is it normal for prolactin levels to be elevated shortly after conception? Hello, doctor. I would like to ask you about my previous pregnancy. I breastfed my baby who was born in May 2005. My last menstrual cycle started on April 18. Since May 7, I have been experiencing persiste...


Dr. Wu Zinan Reply:
Dear Mama: 1. Prolactin is secreted by the pituitary gland, with normal levels being <20 ng/ml. Elevated levels can occur due to physiological factors such as stress, breast stimulation, exercise, and sexual activity. 2. Pathological causes include pituitary tumors, hypothyroi...

[Read More] Is High Prolactin Level a Sign of Early Pregnancy?


Understanding Irregular Menstrual Cycles and Their Connection to Anemia

Irregular menstruation Menstrual irregularities can occur for various reasons, including hormonal imbalances, stress, changes in weight, or underlying medical conditions. It's not uncommon for periods to be delayed for 1 to 2 months and then return to a regular cycle. Anemia...


Dr. Chen Fuhao Reply:
"Hello! The so-called normal menstruation occurs under conditions of normal female endocrine function, characterized by periodic and regular ovulation, followed by the shedding of the endometrium and bleeding. The typical cycle ranges from 21 to 35 days. Dysfunctional uterin...

[Read More] Understanding Irregular Menstrual Cycles and Their Connection to Anemia


Is It Normal Not to Have Periods While Breastfeeding After Giving Birth?

I'm sorry Is it normal that I haven't had my period since giving birth in June of last year while I am still breastfeeding?


Dr. Li Guanghan Reply:
Hello: During the lactation period, it is possible to experience physiological amenorrhea. However, we recommend that you come in for an examination to rule out other potential causes of missed menstruation, such as pregnancy, thyroid disorders, etc. Hsinchu City Hospital, Depart...

[Read More] Is It Normal Not to Have Periods While Breastfeeding After Giving Birth?


Understanding Vulvar Issues: Symptoms, Treatments, and Concerns

Vulvar issues Hello, I went to the hospital today for a Pap smear. However, I have been experiencing vulvar itching for a long time without seeing a doctor, and I have been self-medicating. The doctor told me that my vulva has turned white and suggested trying medication first. I...


Dr. Chen Fuhao Reply:
Hello, regarding the issue you raised about the vulva, specifically "long-standing vulvar itching with whitening, and the physician has suggested a biopsy." Although I have not performed a gynecological examination on you, based on my clinical experience, I can generall...

[Read More] Understanding Vulvar Issues: Symptoms, Treatments, and Concerns


Essential Pre-Pregnancy Health Checks for Expecting Couples

What tests should be done before pregnancy? After being married for a year and planning to have a baby, it's important to undergo certain medical checks before pregnancy. Yes, it is recommended to receive the rubella (German measles) vaccination if you are unsure whether you...


Dr. Xu Junzheng Reply:
Generally, there is no need for special examinations. To determine whether there are antibodies for rubella, you can simply go to a hospital for a blood test. Thank you!

[Read More] Essential Pre-Pregnancy Health Checks for Expecting Couples


Understanding the Consequences of Missed Periods: What You Need to Know

Missed menstruation? I would like to ask what complications may arise from not having my period. I have taken a pregnancy test and confirmed that I am not pregnant, and it has been almost 2 months since my last period.


Dr. Li Guanghan Reply:
Hello: The most important step in addressing the absence of menstruation in non-pregnant individuals is to determine the underlying cause, such as elevated prolactin levels, hypothyroidism, premature ovarian failure, or simply anovulation. After identifying the cause, appropriate...

[Read More] Understanding the Consequences of Missed Periods: What You Need to Know


Thyroid Concerns During Pregnancy: Risks and Impacts on Your Baby

Thyroid issues I am currently 16 weeks pregnant, but my thyroid index has recently risen to 2.4. I am concerned about the potential significant effects on the fetus. If I do not take medication, will the baby be born with developmental issues? If I do take medication, is there a ...


Dr. Li Guanghan Reply:
Hello: Both hyperthyroidism and hypothyroidism can adversely affect fetal development. Please come in for a consultation. Our obstetricians and endocrinologists will work together to care for you and your baby. If medication is necessary, we will choose drugs that do not pose a r...

[Read More] Thyroid Concerns During Pregnancy: Risks and Impacts on Your Baby


Thyroid Medications During Pregnancy: Safety for You and Your Baby

Thyroid medication during pregnancy? Hello, doctor. I have a thyroid condition and have already informed my physician. The doctor prescribed me two medications, and I would like to know if they could affect my baby. I am currently almost 3 months pregnant. The first medication is...


Dr. Jian Hongmou Reply:
The treatment you are currently receiving is the safest and most commonly used method for managing hyperthyroidism in pregnant women. However, it is still important to have regular outpatient check-ups and monitor thyroid function.

[Read More] Thyroid Medications During Pregnancy: Safety for You and Your Baby


Effects of Ovulation Medications on Menstrual Symptoms and Fertility

The effects of ovulation medications? Hello, I became pregnant in March of this year, but the embryo was lost naturally before reaching four weeks. I started taking ovulation medication in May and June, but I have not conceived. However, I noticed that since taking the ovulation ...


Dr. Cao Guotao Reply:
Hello! Before menstruation, experiencing breast or abdominal tenderness is a normal response caused by hormonal changes leading to increased blood flow in the breast or abdominal vessels. If you feel very uncomfortable, taking some pain relievers can help. Generally, infertility ...

[Read More] Effects of Ovulation Medications on Menstrual Symptoms and Fertility


Understanding Pregnancy Chances with Hypothyroidism: Key Insights and Tips

What is the likelihood of becoming pregnant with hypothyroidism? Hello Dr. Tsao: I have been diagnosed with hypothyroidism for over 10 years and have been taking medication regularly until last year. This year, I stopped taking the medication because I am concerned that it might ...


Dr. Cao Guotao Reply:
Hello, Ms. Xiao: The thyroid gland is an endocrine gland that regulates many systems in the body. Both hyperthyroidism and hypothyroidism can affect ovulation and fertility. Therefore, if you have a history of thyroid issues, it is best to continue treatment with an endocrinologi...

[Read More] Understanding Pregnancy Chances with Hypothyroidism: Key Insights and Tips


Do Patients with Hypothyroidism Need Iron Supplements?

Do individuals with hypothyroidism need to take iron supplements? I haven't had my period for six months, so a friend suggested that I visit a gynecologist for an examination. I made an appointment at the gynecology clinic with my health insurance card. On the day of the app...


Dr. Xu Junzheng Reply:
Patients with hypothyroidism need to supplement with thyroid hormone, but do not require iron supplements. Thank you!

[Read More] Do Patients with Hypothyroidism Need Iron Supplements?


Understanding Hypothyroidism During Pregnancy: Risks and Management

Hypothyroidism during pregnancy? Doctor: I am currently 5 months pregnant. Recently, during my prenatal check-up, the doctor informed me that my blood test results from 4 months ago showed TSH at 12.182, FREE T3 at 2.79, and FREE thyroxine at 0.84. The first and third values indi...


Dr. Li Guanghan Reply:
Hello: In the past, there may have been various influences, but I believe no physician can provide a definitive answer. I recommend that you work closely with an endocrinologist to ensure your thyroid function is maintained within the normal range. The medications you are taking ...

[Read More] Understanding Hypothyroidism During Pregnancy: Risks and Management


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