Thyroid, Obstetrics and Gynecology FAQ

Impact of Hypothyroidism During Pregnancy: Concerns and Considerations

Will there be any issues? I would like to ask the doctor a question. I am currently about 7 months pregnant, nearing 8 months, with a due date of March 1 next year. Early in my pregnancy (less than a month in), I had a mild fever due to a cold, but I didn't see a doctor and ...

Dr. Huang Jianxun Reply:
Hello: Welcome to the obstetrics and gynecology outpatient clinic. After reviewing your medical history, we will provide appropriate recommendations. In principle, thyroid dysfunction should be treated and monitored regularly during pregnancy. Sincerely, Dr. Huang Chien-Hsun, Obs...

Should You Regulate Your Menstrual Cycle Before Trying to Conceive?

If you want to conceive but have irregular menstrual cycles, should you first regulate your menstrual cycle? On November 16, my menstrual period started, but it has not arrived since then. I visited a gynecologist and confirmed that I am not pregnant. The doctor advised that if I...

Dr. Wei Fumao Reply:
Due to the complexity of the issue and the fact that the approach may vary depending on the case, it is advisable to wait and observe for now. If there is a lack of confidence in the primary care physician, it is recommended to seek assistance from a specialized infertility cente...

Menopause Concerns at 70: What to Know and Where to Seek Help

Is it possible to have menopause issues at the age of 70? Hello Dr. Lin, my mother is 70 years old and has been taking medication for hyperthyroidism for over two years. She stopped taking her medication on her own earlier this year and felt unwell, so she resumed her medication ...

Dr. Lin Zhaopei Reply:
Approximately 60% of menopausal women experience symptoms of menopausal syndrome; however, most of these symptoms resolve within 2 to 5 years. Nonetheless, about 15% of women may have symptoms that persist for over 10 years, meaning that a small number of women may still face men...

Managing Hyperthyroidism and Gestational Diabetes During Pregnancy

Hyperthyroidism and gestational diabetes? Before pregnancy, I had hyperthyroidism and I am currently taking 100 mg of PTU daily. Now at 28 weeks of pregnancy, I have been diagnosed with gestational diabetes. Does having both conditions increase the risk of problems for the baby? ...

Dr. Li Guanghan Reply:
Hello: 1. Both of these conditions can cause fetal abnormalities, but if well-managed, the impact can be minimized. 2. Regular movement is more like the vibrations from your own abdominal aorta pulsating, which can stimulate the uterus. Hsinchu City Hospital, Department of Obstet...

Why Can't Taiwan Test for Natural Killer Cells in Fertility Cases?

Why is it that NK testing is not available in Taiwan (even for self-payment)? (Forwarded from the Director's mailbox) Why can't we find hospitals in Taiwan that test for NK cells to prevent the following conditions? This has become a common examination in the United Sta...

Dr. Li Guanghan Reply:
Hello: Recurrent miscarriage is defined as having three consecutive miscarriages. It is generally recommended that both partners undergo blood tests for chromosomal analysis. If the results are normal, the female partner should be tested for potential autoimmune diseases. If any ...

Understanding Irregular Periods: Hormonal Treatments and Their Effects

Irregular menstrual cycle? Hello, Doctor. I would like to ask a question. I am 30 years old and have not had my period since April (not pregnant). Recently, I visited a gynecologist, and the doctor advised me to track my basal body temperature and prescribed half a dose of estrog...

Dr. Li Guanghan Reply:
Hello: 1. Generally, menstrual induction starts with progesterone; if ineffective, estrogen can be added to the progesterone. 2. Besides pregnancy and menstrual irregularities (i.e., functional disorders), a small number of cases may be caused by elevated prolactin levels, hypoth...

Navigating Pregnancy Decisions: Seeking Guidance on Abortion Options

I'm sorry, but I need more context or specific content to assist you with the translation. Please provide I'm currently over four months pregnant, but due to recent circumstances, I need to divorce my husband. I do not want to keep the fetus because I believe that once ...

Dr. Lü Lizheng Reply:
Hello: This indeed puts you in a difficult position. I suggest reaching out to the Social Affairs Bureau or organizations like the Lifeline Foundation for assistance. In Taiwan, abortion is legal, and the main decision rests on your own considerations. You could choose to carry t...

Concerns of a Pregnant Mother: Understanding Symptoms and Risks

A worried mother? Hello, I am currently 16 weeks pregnant. Since the beginning of my pregnancy, I have felt some discomfort in my abdomen, similar to the feeling before menstruation. Last week, I noticed about a 3 cm blood stain on my underwear, but I haven't had any bleedin...

Dr. Li Guanghan Reply:
Hello: 1. Experiencing bleeding and a cervical dilation of one centimeter at just 16 weeks of pregnancy is indeed a sign of a potential miscarriage. It is advisable to rest and seek medical evaluation regarding the need for medications to support the pregnancy and whether a cervi...

Understanding Menstrual Issues: Ovarian Health and CA-125 Testing

Menstrual irregularities Hello Doctor: I have two questions I would like to ask you..................1. I received a menstrual induction injection and have been taking birth control pills for about a month, but I still haven't had my period. I had an ultrasound, and everythi...

Dr. Li Guanghan Reply:
Hello: 1. There are many reasons for missed menstruation, including pregnancy, chronic anovulation, elevated prolactin levels, thyroid abnormalities, and the use of psychiatric medications. Please come to the clinic for an examination. 2. If you want to use CA125 to check for ova...

Can You Get Pregnant with a History of Thyroid Autoimmunity?

Can a person with a history of thyroid autoimmune disease conceive? Can a person with a history of thyroid autoimmune disease become pregnant? If so, will it be hereditary?

Dr. Jian Hongmou Reply:
1. Hyperthyroidism does not prevent pregnancy. 2. Hyperthyroidism is related to excessive secretion of thyroid hormones and is associated with factors such as genetics, stress, pituitary gland disorders, and autoimmune system dysfunction.

Impact of Antithyroid Medications on Birth Control Effectiveness

Birth control pills and antithyroid medications? Hello Doctor, I would like to ask you a question. I have hyperthyroidism and was not taking medication initially, but it has recently relapsed, and I need to start medication again. I would like to consult with you regarding this. ...

Dr. Li Guanghan Reply:
Hello: The contraceptive effectiveness of birth control pills is not 100%. If taken consistently, you can achieve up to a 98% effectiveness rate. If you are concerned, you may also use condoms for added protection. Hsinchu City Hospital, Department of Obstetrics and Gynecology.

Understanding Short Menstrual Cycles and Their Impact on Fertility

Infertility A short menstrual period lasting about 2-3 days with light flow, where only one day is heavier, and irregular cycles occurring every month or every couple of months, may indicate a thinner endometrial lining, which could affect fertility. Thank you.

Dr. Li Guanghan Reply:
Hello: Irregular menstruation and low menstrual flow are usually caused by poor ovulation or even anovulation. This may be triggered by stress, anxiety, or lack of sleep, and it can also be due to medical conditions such as thyroid disorders or polycystic ovary syndrome. Please s...

Understanding Breathing Difficulties During Pregnancy: Causes and Concerns

Difficulty breathing during pregnancy? Hello, I am currently 12 weeks pregnant and sometimes feel that my breathing is not very smooth. Yesterday, I suddenly experienced difficulty breathing for 2-3 minutes, along with shaking and sweating. Could this be caused by pressure from t...

Dr. Li Guanghan Reply:
Hello: Please promptly visit the cardiology department to check for any potential heart, thyroid, or other organ diseases. Thank you! Hsinchu City Hospital, Department of Obstetrics and Gynecology.

Understanding Premature Ovarian Failure: Symptoms and Solutions for Women

Ovarian failure Hello, I am 30 years old and have been married for six months. My menstrual cycle has always been regular—29 days with a duration of five days. However, I have experienced heavy menstrual bleeding with blood clots due to iron deficiency anemia. My doctor suggested...

Dr. Wu Zongcheng Reply:
Dear Sunflower, According to your description, experiencing bleeding five days after your menstrual period is likely ovulatory bleeding. This suggests that there may be insufficient or delayed secretion of progesterone, which can result in the already thickened endometrium being...

Understanding Menstrual Irregularities and Fertility Concerns

Menstruation I have a cousin who is in her second year of high school. She has had her period once or twice, but it has not returned since then. A doctor mentioned that she might have ovarian atrophy. Does this mean she will be unable to have children? Are there treatment options...

Dr. Mao Yikun Reply:
Primary amenorrhea is defined as the absence of menstruation in a girl who has normal growth and secondary sexual characteristics by age 16, or in a girl who does not exhibit normal growth and secondary sexual characteristics by age 14. There are numerous factors that can cause p...

Understanding Basal Body Temperature and Infertility Issues

Basal body temperature and infertility? Hello, Doctor: I would like to ask two questions: (1) I have been measuring my basal body temperature for the past two and a half months, and my temperatures have been very low (35.4 to 36.1 degrees Celsius). Additionally, my menstrual cycl...

Dr. Lü Lizheng Reply:
The following response indicates that the basal body temperature is very low, suggesting that ovulation is not occurring. Ovulation medication can be used to assist. TSH (Thyroid Stimulating Hormone) is at 3.801, which is close to the upper limit and may warrant further investiga...

Self-Care Tips for Managing Ovarian Cysts: A Guide for Women

How to practice self-care for uterine hydrosalpinx? Hello Director Wang, I was diagnosed with hyperthyroidism a year ago and am currently undergoing medication treatment. Recently, I had an ultrasound due to a delayed menstrual period and discovered a 5 x 5.5 cm cyst in my uterus...

Dr. Wang Gongliang Reply:
Hello, Miss Hsiao-Chuan: Based on your age, the reason for your delayed menstruation is generally related to approaching menopause and is less likely associated with hyperthyroidism treatment or uterine tumors. Typically, if there are tumor-related changes in the uterus, symptoms...

Pregnancy Concerns: Flu Vaccine and Medications Impact on Your Baby

I'm sorry I have confirmed my pregnancy with a home pregnancy test, but I would like to wait another week before visiting your clinic for a check-up. However, I currently have some questions: 1. I received a flu vaccine during the conception period. 2. I took medication for ...

Dr. Lü Lizheng Reply:
The influenza vaccine does not contain live virus components and has minimal impact. If you are taking medications for hyperthyroidism and sleep aids, please visit the outpatient clinic to inform them of the exact ingredients and your gestational age for proper assessment. Sincer...

Understanding Abnormal Menstrual Cycles: Causes and Solutions

Menstrual irregularities Hello Dr. Jan: Thank you for your previous answers! You mentioned going to a large hospital for an examination, but I have been seeing doctors at Changhua Hospital during this time. I have also asked the physician to conduct a thorough check-up, which inc...

Dr. Zhan Deqin Reply:
If all tests are normal, it may indicate that your lifestyle is irregular or that you are dieting. Additionally, you should check your thyroid function. If everything is normal, taking menstrual regulation medication for a few months should suffice.

Delaying Your Period: Safety, Birth Control, and Health Considerations

Delayed menstruation Hello Dr. Jan: I would like to ask you about my menstrual period, which is expected around June 30. Due to traveling abroad, I would like to postpone my period by 2-3 days. During this time, if I engage in sexual activity, would it still be considered a safe ...

Dr. Zhan Deqin Reply:
It is never absolutely safe at any time. Starting from the fifth day, it is sufficient to use a low estrogen content.

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