Understanding Uterine Adenomyosis: Treatment Options and Considerations
Uterine adenomyosis 1. My wife is 35 years old and was diagnosed with an adenomyoma measuring 2.5 cm at a gynecological clinic. Does she need to have it surgically removed? 2. What size of an adenomyoma typically necessitates surgical removal? 3. From my research, I understand ...
Dr. Cao Guotao Reply:
Hello, for general gynecological patients with tumors larger than 5 centimeters, surgery should be considered. If there are symptoms such as dysmenorrhea or heavy menstrual bleeding, surgery is also a consideration. For patients approaching menopause, observation may be advisable...[Read More] Understanding Uterine Adenomyosis: Treatment Options and Considerations
Is It Normal to Experience Side Abdominal Pain Before Menstruation?
Menstruation Is it normal to experience cramping on both sides of the lower abdomen about a week before menstruation?
Dr. Yang Wangjun Reply:
Hello: (1) Premenstrual syndrome (PMS) typically begins one week before menstruation and resolves once menstruation starts. It recurs with each cycle. Symptoms include both psychological and physiological aspects. Psychological symptoms mainly consist of mood swings, irritability...[Read More] Is It Normal to Experience Side Abdominal Pain Before Menstruation?
Understanding Abdominal Pain After Menstruation: Causes and Concerns
Menstruation is almost over, but there is still significant abdominal pain? The patient is inquiring about a situation that occurred on October 7, when she had unprotected sexual intercourse with her boyfriend for the first time, during which he ejaculated outside. She is concern...
Dr. Dong Yuhong Reply:
Hello: You are experiencing physical discomfort, and it is recommended that you see a gynecologist to check for possible conditions such as unintended pregnancy, ectopic pregnancy, infection, or tumors. Your physician will discuss your potential issues with you based on the exami...[Read More] Understanding Abdominal Pain After Menstruation: Causes and Concerns
Managing Severe Menstrual Pain: Seeking Effective Solutions
Dysmenorrhea that cannot be alleviated? Hello, Dr. Lin. I have had menstrual pain since I was young, and it has been severe enough to prevent me from attending classes or work, though not to the point of fainting. Earlier this year, following my gynecologist's advice, I had ...
Dr. Dong Yuhong Reply:
Hello: After your treatment, your dysmenorrhea symptoms have improved, but recently the abdominal pain has intensified. Given this situation, it is recommended to visit a gynecologist for an evaluation. Ultrasound and blood tests can be performed to check for any tumors in the ut...[Read More] Managing Severe Menstrual Pain: Seeking Effective Solutions
Understanding Lower Abdominal Pain: When to See a Gynecologist
Lower abdominal pain? Hello, doctor: If I have a dull pain in my lower abdomen, which specialty should I see? If it's gynecological, I would like to schedule an appointment with you. The other day, I went to the night market with my sister and wanted to eat salty crispy chic...
Dr. Lin Wenbin Reply:
There are many causes for lower abdominal discomfort. It is advisable to first consult a gynecologist; if no issues are found, it may be necessary to see a gastroenterologist or other specialists. There are no documented reports indicating that consuming salty fried chicken leads...[Read More] Understanding Lower Abdominal Pain: When to See a Gynecologist
Should You Get a CA-125 Blood Test for an Ovarian Cyst?
Is it necessary to perform a CA-125 blood test when an ovarian cyst is discovered? I had an ultrasound examination in the obstetrics and gynecology department yesterday, which revealed a 3.6 cm cyst on my left ovary. However, the doctor only advised me to return for a follow-up i...
Dr. Dong Yuhong Reply:
Hello: Most ovarian cysts smaller than 4 centimeters are functional cysts, so the doctor has recommended a follow-up appointment in three months to monitor any changes in the cyst. Functional cysts have the potential to resolve on their own. For ovarian tumors that may arise due ...[Read More] Should You Get a CA-125 Blood Test for an Ovarian Cyst?
Understanding Prolonged Menstrual Bleeding: Causes and Solutions
Menorrhagia This month, my menstrual cycle has been very irregular. It was supposed to start on the 13th but didn't begin until the 26th. I initially thought I had ovulation bleeding, but it only lasted briefly and then stopped. Since then, I've experienced intermittent...
Dr. Yang Wangjun Reply:
Hello: (1) Abnormal vaginal bleeding requires a pregnancy test to rule out miscarriage or ectopic pregnancy as potential causes of bleeding. (2) Next, a pelvic examination should be performed to check for any vaginal or cervical lacerations or lesions that may be bleeding. An ult...[Read More] Understanding Prolonged Menstrual Bleeding: Causes and Solutions
Understanding Menstrual Delays: Should You Worry About Tumors?
Menstrual issues Hello doctor, I would like to ask about my situation. I have never had sexual experience, but my menstrual period is nearly a month late this time. Should I be concerned about the possibility of a tumor?
Dr. Dong Yuhong Reply:
Hello: An occasional delay in menstruation is often due to physiological factors, but it is advisable to visit a gynecologist for some basic gynecological examinations to understand your health status and to rule out any concerns. Thank you![Read More] Understanding Menstrual Delays: Should You Worry About Tumors?
Understanding Chronic Abdominal Pain and Its Connection to Back Pain
When will the abdominal pain get better? Hello, doctor. I apologize for bothering you. I have been experiencing lower abdominal pain for over a year, and recently I have started to have almost daily lower back pain and discomfort, which has also persisted for more than a year. I ...
Dr. Zhang Kunmin Reply:
Hello, the response to your question is as follows: 1. Most gynecological diseases can be diagnosed through the examinations you mentioned; however, a few conditions may require more invasive procedures such as laparoscopy or hysteroscopy for diagnosis. 2. Gynecological issues...[Read More] Understanding Chronic Abdominal Pain and Its Connection to Back Pain
Managing Severe Menstrual Pain: Seeking Solutions Beyond Medication
Menstrual pain Hello Dr. Liu: I have been experiencing menstrual pain for nine years. The first day is the most painful, with soreness in my legs, abdominal cramps, nausea, and vomiting. When I stand up, my vision becomes blurry. I have tried both traditional Chinese medicine and...
Dr. Liu Yuhong Reply:
If menstrual pain is diagnosed by a gynecologist and no tumors or conditions such as endometriosis are found in the pelvic cavity, the primary treatment remains oral analgesics. If oral pain relief is insufficient, other medications may be considered, or laparoscopic surgery may ...[Read More] Managing Severe Menstrual Pain: Seeking Solutions Beyond Medication
Understanding PMS Symptoms: Constipation, Breast Tenderness, and Cancer Myths
Constipation before menstruation? Hello Doctor, I would like to ask you: Recently, there has been a rumor online that breast tenderness, constipation, and dizziness before menstruation are signs of cancer. Is this true? I often experience breast tenderness before my period and th...
Dr. Liu Yuhong Reply:
1. Cancer is not a single disease; it refers to a variety of malignant tumors, approximately 200 different types. The symptoms exhibited by different cancers (malignant tumors) can vary widely, so it is important not to trust online rumors. 2. Normal women often experience cons...[Read More] Understanding PMS Symptoms: Constipation, Breast Tenderness, and Cancer Myths
Understanding CA-125 Testing for Long-term Abdominal Pain in Women
Blood draw issues I have been experiencing intermittent lower abdominal pain for a year. Is it unnecessary for my doctor to order a CA-125 test? Is the CA-125 test out-of-pocket or covered by insurance? What does the CA-125 test check for? What is its accuracy? When is the best t...
Dr. Zhang Kunmin Reply:
Hello, the CA-125 test requires a relevant clinical diagnosis for insurance coverage, typically performed when there are tumors related to the uterus or ovaries. If the cause of abdominal pain does not have a related diagnosis, testing may not be necessary. It is advisable to dis...[Read More] Understanding CA-125 Testing for Long-term Abdominal Pain in Women
Understanding Recent Nipple Pain: Causes and Concerns for Women
Recently, there has been nipple pain? Recently, I have been experiencing nipple pain and discomfort at the lower edge of my breasts. I would like to know the possible causes of nipple pain. Could it be related to exercise causing pain in the lower part of the breasts, or is it du...
Dr. Zhang Kunmin Reply:
Hello, the possible causes of nipple pain may include: 1. Inflammation 2. Breast development 3. Ill-fitting clothing 4. Food irritants 5. Pregnancy 6. External stimuli 7. Tumors. If the pain persists, it is advisable to visit a clinic for an ultrasound or related examinations. Th...[Read More] Understanding Recent Nipple Pain: Causes and Concerns for Women
Understanding Ovarian Cysts: Symptoms, Treatment, and Prevention Tips
Gynecological issues Dr. Zhang, my friend is 38 years old, unmarried, and has experienced one miscarriage. She has long suffered from ovarian cysts, mostly enduring the discomfort. Recently, she has been experiencing abdominal bloating, lower back pain, and difficulty lying flat,...
Dr. Zhang Yongxuan Reply:
Further medical evaluation is required for detailed examination. If necessary (for instance, if the tumor is larger than 5 centimeters and there are symptoms such as abdominal distension and back pain), surgical removal may be indicated. The cause of the ovarian cyst is unknown, ...[Read More] Understanding Ovarian Cysts: Symptoms, Treatment, and Prevention Tips
Understanding Uterine Fibroids: Symptoms, Diagnosis, and Treatment Options
Uterine fibroids I am currently 46 years and 5 months old, and my usual menstrual cycle is about 23 days, which is normal, but the blood flow has been extremely light. Since October, I have noticed that my period has not come. At the end of November, I was worried about pregnancy...
Dr. Cai Yonglong Reply:
Dear Dr. Tsai Yong-long of the Department of Obstetrics and Gynecology at Tainan Hospital, Ministry of Health and Welfare, Hello. The average age of menopause in Taiwan is approximately 49.8 years. It is possible that fibroids approaching menopause are mostly benign, so there is...[Read More] Understanding Uterine Fibroids: Symptoms, Diagnosis, and Treatment Options
What to Do If You Find a Small Bump in Your Private Area?
What should I do if I have a small growth in my genital area? Hello: Yesterday, I discovered a small black growth on my genital area, approximately 0.2-3 centimeters in size. It is not painful or itchy. I researched online and found that it could be a wart, but I have not engaged...
Dr. Cai Yonglong Reply:
Dear Dr. Tsai Yong-long of the Department of Obstetrics and Gynecology at Tainan Hospital, Ministry of Health and Welfare: Hello. Growths in the genital area can sometimes be polyps, warts, or tumors, and it is necessary to visit a gynecology outpatient clinic. There is also a p...[Read More] What to Do If You Find a Small Bump in Your Private Area?
Understanding Uterine Adenomyosis: Size, Risks, and Treatment Options
Regarding the size of adenomyosis? Hello, I have a question on behalf of my family member. They had a hospital examination and their CA-125 level is as high as 204. After a gynecological examination, it seems to be a case of adenomyosis, with a size reaching 9 centimeters, which ...
Dr. Zhang Kunmin Reply:
Hello, the explanation of adenomyosis is as follows: Adenomyosis is defined as the presence of endometrial tissue (including glands and stroma) growing into the muscular layer of the uterus, leading to uterine enlargement. This condition occurs in approximately 10-20% of women,...[Read More] Understanding Uterine Adenomyosis: Size, Risks, and Treatment Options
Understanding Ovarian Cysts: When to Seek Treatment and Options Available
Ovarian cyst Hello, doctor. I am on a business trip in mainland China. Last month, I underwent a medical examination and was found to have an ovarian cyst (measuring 7.8 cm x 5.8 cm, with no internal echoes, internal septations, slightly thick but smooth walls, and clear borders,...
Dr. Dong Yuhong Reply:
Hello: Treatment recommendations should primarily be based on the opinion of the physician who examines you in person. Even if there are no symptoms, if the tumor persists or increases in size, surgery is still recommended. Thank you![Read More] Understanding Ovarian Cysts: When to Seek Treatment and Options Available
Understanding Intermittent Left Lower Abdominal Pain in Women
Left lower abdominal cramping pain? I have been experiencing intermittent cramping pain in my lower left abdomen since middle school. I saw a doctor back then, who suggested it was caused by ovulation before menstruation. I got my first period in the fourth grade, but now I notic...
Dr. Dong Yuhong Reply:
Hello: Ovulation can cause abdominal pain, but abdominal pain can also be caused by other factors. It is advisable to see a physician. If there are no issues such as tumors, regular health check-ups should still be conducted. Thank you.[Read More] Understanding Intermittent Left Lower Abdominal Pain in Women
Understanding Menopause: When Should Middle-Aged Women Stop Menstruating?
Regarding middle-aged women? Hello, doctor: At what age should middle-aged women definitely experience menopause as normal? Is it normal to still have heavy periods in their 50s? After menopause, what foods or supplements can be taken? Are there any precautions to consider? Thank...
Dr. Zhang Yongxuan Reply:
1. What is the latest age at which middle-aged women should normally experience menopause? A: Around 50 years old, and it can even approach 55 years old. Is it normal for some women in their 50s to still have heavy menstrual bleeding? A: No, it is not normal. Conditions such as u...[Read More] Understanding Menopause: When Should Middle-Aged Women Stop Menstruating?