Understanding Abnormal Bleeding: Causes and Solutions for Women
Abnormal bleeding The last menstrual cycle started on December 22. On January 8, I experienced some bleeding and visited a gynecologist. I was prescribed medication, and after taking it, the bleeding eased up and stopped. However, on January 17, I suddenly had bleeding again. I t...
Dr. Yang Wangjun Reply:
Hello: Abnormal vaginal bleeding must first rule out bleeding caused by pregnancy-related issues such as miscarriage, ectopic pregnancy, or molar pregnancy. Next, it is essential to exclude substantive lesions of the reproductive organs, such as ovarian tumors, uterine fibroids, ...[Read More] Understanding Abnormal Bleeding: Causes and Solutions for Women
Understanding Severe Masculinization in PCOS: Causes and Concerns
Polycystic Ovary Syndrome (PCOS) & Masculinization Hello Doctor: I previously visited a gynecologist due to irregular menstruation. After blood tests and an ultrasound, I was diagnosed with polycystic ovary syndrome (PCOS). Currently, I rely on medication to induce menstruati...
Dr. Zhang Yongxuan Reply:
1. Hirsutism caused by polycystic ovary syndrome (PCOS) is primarily regulated by three important factors: 1) the actual concentration of free testosterone in serum, 2) the activity of the peripheral enzyme 5α-reductase, and 3) the cyclical changes in hair growth within the tissu...[Read More] Understanding Severe Masculinization in PCOS: Causes and Concerns
Understanding Left Abdominal Pain Years After Cesarean Delivery
Pain in the left abdomen a few years after childbirth? Hello Doctor: I gave birth to my second daughter on February 10, 2003, via vertical cesarean section. Perhaps due to the surgeon's lack of skill, I was left with a noticeable scar on my abdomen. Now, after 8 years, start...
Dr. Dong Yuhong Reply:
Hello: After a cesarean section, there will be skin scars present, and the visibility of these scars is related to the body's physiological response to wound healing. Individuals with a tendency to develop hypertrophic scars may notice them more prominently. Regarding your c...[Read More] Understanding Left Abdominal Pain Years After Cesarean Delivery
Managing Lower Limb Edema After Uterine Tumor and Lymph Node Surgery
Lower limb edema following uterine tumor resection combined with partial lymphadenectomy? Hello! My mother-in-law had a uterine tumor removed along with lymph nodes over ten years ago. Since then, she has experienced severe lower limb edema periodically, requiring diuretics to al...
Dr. Cai Yonglong Reply:
Dear Dr. Tsai Yong-long of the Department of Obstetrics and Gynecology at Tainan Hospital, Ministry of Health and Welfare, The lower limb edema following a hysterectomy with lymphadenectomy is attributed to poor venous return and impaired lymphatic circulation. In addition to th...[Read More] Managing Lower Limb Edema After Uterine Tumor and Lymph Node Surgery
Managing Endometriosis Recurrence: Non-Surgical Options and Adhesion Prevention
Recurrence of endometrial ectopic tumors? I would like to ask the doctor, if endometriosis tumors recur and surgery is not performed for removal, are there any medications available to prevent the tumors from growing? Additionally, if surgery is performed again, is there a risk o...
Dr. Dong Yuhong Reply:
Hello: If endometriosis-related tumors recur, medication can be used as an adjunct to surgery. Endometriosis can lead to adhesions in the abdominal and pelvic cavities. During surgery, anti-adhesion materials can be used to reduce adhesion issues. Whether to choose surgery or med...[Read More] Managing Endometriosis Recurrence: Non-Surgical Options and Adhesion Prevention
Understanding Ovarian Tumors: Pre- and Post-Surgery Care Tips
Ovarian tumor Doctor, my mother has been diagnosed with an ovarian cyst that has grown to 10 centimeters, and she is scheduled for surgery next week. What foods should she avoid during this time, and what precautions should she take? After the surgery, what should she be aware of...
Dr. Zhang Kunmin Reply:
Hello, Xiaoye: If a 10 cm ovarian cyst does not resolve after observation, surgical treatment is recommended. Generally, there is little relation to food, but it is advised to avoid vigorous activities to prevent the cyst from rupturing and causing sudden abdominal pain. The recu...[Read More] Understanding Ovarian Tumors: Pre- and Post-Surgery Care Tips
Understanding Uterine Issues: Irregular Periods and Pain Management
Uterine issues? Hello, my menstrual cycle is irregular. When it comes, it is heavy and accompanied by blood clots. The abdominal pain is one thing, but my lower back pain is so severe that I can’t stand or sit. I went to a well-known hospital, and after examination, the doctor sa...
Dr. Zhang Kunmin Reply:
Hello, Amei: The secondary medical consultation you mentioned actually involves different symptoms (1. irregular menstruation, dysmenorrhea, heavy menstrual flow, 2. prolonged menstruation). Therefore, the explanations from the examining physician may vary. Hormonal imbalance, en...[Read More] Understanding Uterine Issues: Irregular Periods and Pain Management
How to Determine if Your Fertility is Normal Before Pregnancy?
How to determine if your pregnancy function is normal? Hello Doctor: I am getting married next year and would like to conceive in May. However, I am worried that drinking too much cold beverages during my childhood may have caused infertility, even though I have regular menstrual...
Dr. Zhang Yongxuan Reply:
(1) You can start by measuring your basal body temperature at home for 2 to 3 months. Generally, if ovulation occurs, there will be a biphasic pattern, meaning a shift from lower temperatures to higher temperatures. If there is no ovulation, this change will not be observed. If o...[Read More] How to Determine if Your Fertility is Normal Before Pregnancy?
Can You Determine Ovulation After a Hysterectomy?
Can we determine if the ovaries are functioning normally after a hysterectomy? Hello, doctor. I underwent a total hysterectomy and removal of a 4 cm tumor from my right ovary on May 21 due to adenomyosis, and I had a follow-up appointment on June 25. The surgeon mentioned, "...
Dr. Chen Changfu Reply:
I’m not sure why you need to know if your ovaries are ovulating normally. Perhaps diligently measuring and recording your basal body temperature (BBT) daily can help you understand whether your ovaries are ovulating.[Read More] Can You Determine Ovulation After a Hysterectomy?
Is It Normal for a 4th Grader to Start Menstruating at 160 cm and 45 kg?
Menstrual period Is it normal for a fourth-grade student to start menstruating? She is 160 cm tall and weighs 45 kg.
Dr. Zhang Kunmin Reply:
Dear Ms. Jiang, The age at which menstruation begins, known as menarche, varies significantly among individuals, ranging from as early as 9 years to as late as 18 years. Most individuals experience menarche between the ages of 12 and 14. Numerous factors influence the onset of m...[Read More] Is It Normal for a 4th Grader to Start Menstruating at 160 cm and 45 kg?
Understanding Endometrial Cancer: Late-Stage Concerns and Treatment Insights
End-stage endometrial cancer? Last year, my mother was diagnosed with stage IV endometrial cancer. The doctor mentioned that although the tumor was surgically removed, there are still some cancer cells near the rectal mucosa, and surgery in that area is challenging. She has compl...
Dr. Cai Yonglong Reply:
Dear Dr. Tsai Yong-long of the Department of Obstetrics and Gynecology at Tainan Hospital, Ministry of Health and Welfare: 1. It is necessary to perform a blood test for carcinoembryonic antigen (CEA) and a biopsy via colonoscopy to confirm the diagnosis. 2. Metastasis to the re...[Read More] Understanding Endometrial Cancer: Late-Stage Concerns and Treatment Insights
Light Blood Streaks in Discharge After Menstruation: Causes and Concerns
There are slight traces of blood in the vaginal discharge? Hello, I would like to ask: After my menstrual period, I noticed some slight blood streaks in my discharge for about two to three days, and then it returned to normal without any abnormalities. During these days, I have t...
Dr. Lü Lizheng Reply:
Dear Kiki: Hello, it may be due to a cold or illness, along with hormonal instability, that your menstrual cycle has also become somewhat irregular, leading to light bleeding. As long as you can recover on your own, there is no need to worry too much. However, if the bleeding per...[Read More] Light Blood Streaks in Discharge After Menstruation: Causes and Concerns
Understanding Ovarian Cysts: Symptoms, Risks, and Fertility Concerns
Ovarian cyst Hello Doctor, I would like to ask you about something. About 3 to 4 years ago, I had a whole-body CT scan and found something on my left ovary. Later, when I went to see a gynecologist, the tumor had shrunk (if I remember correctly, it was around 4 to 6 cm!). Does th...
Dr. Li Guanghan Reply:
There are many possibilities for describing "something in the ovary," such as a chocolate cyst, teratoma, corpus luteum cyst, or tumor, among others. It is recommended to come in for a consultation, where an ultrasound will be performed, and if necessary, blood tests fo...[Read More] Understanding Ovarian Cysts: Symptoms, Risks, and Fertility Concerns
Understanding PCOS Diagnosis and Its Impact on Future Insurance Rights
Could you please provide the content you would like me to translate? I went to the hospital the day before yesterday and was diagnosed with polycystic ovary syndrome (PCOS), but why did the doctor type "benign ovarian tumor" in the computer? This makes me very worried. ...
Dr. Li Guanghan Reply:
I'm sorry, but I really don't know who you are or the circumstances of your visit at that time. If you still have questions about your condition, please feel free to come back for a consultation. Thank you! Wishing you peace and joy![Read More] Understanding PCOS Diagnosis and Its Impact on Future Insurance Rights
Understanding Vaginal Itching and Growth: When to Seek Medical Advice
Genital itching In the past couple of months, I've been experiencing itching in the genital area, especially after showering. I first noticed something growing on the left labia (which I assume is internal); it doesn't look like a pimple, but rather like a fleshy growth...
Dr. Yang Wangjun Reply:
Hello: Based on your description, the fleshy protrusion on the labia could potentially be a tumor or caused by a viral infection (such as warts). Regardless of the cause, it is important to seek medical evaluation promptly, and a biopsy may be necessary for pathological examinati...[Read More] Understanding Vaginal Itching and Growth: When to Seek Medical Advice
Understanding Benign Breast Tumors: Risks and Follow-Up Care
A tumor was found in the chest? Hello Doctor, I would like to ask a question. My mother went to the hospital for an examination, where the doctor performed a mammogram and ultrasound. They found a very small tumor in her right breast, but the doctor said it is still very small ...
Dr. Li Guanghan Reply:
Please consult with a breast surgeon. Thank you.[Read More] Understanding Benign Breast Tumors: Risks and Follow-Up Care
Do Hormonal Supplements Affect Uterine Fibroids and Cysts?
The relationship between uterine fibroids and hormones? Hello Doctor: I would like to ask if patients with uterine fibroids or cysts should avoid taking dietary supplements that contain growth hormones or hormones, such as royal jelly, pollen, or bee larvae. If they do take these...
Dr. Li Guanghan Reply:
Hello: 1. Qualified health supplements should not contain growth hormones or female hormones; otherwise, they should be classified as pharmaceuticals. 2. Female hormones can stimulate the growth of uterine fibroids, so fibroids in premenopausal women generally tend to grow. 3. If...[Read More] Do Hormonal Supplements Affect Uterine Fibroids and Cysts?
Understanding Ovulation Bleeding vs. Ovarian Fibroids: What You Need to Know
Ovulation bleeding or ovarian fibroma? Hello Doctor: I previously had an ovarian fibroid about 6 cm, but it later disappeared on its own after visiting a large hospital. This time, about a week after my menstrual period, I noticed some red blood, which comes and goes. I'm no...
Dr. Dong Yuhong Reply:
Hello, Gigiy: If you experience any physical discomfort or vaginal bleeding, you should seek medical attention as soon as possible, rather than waiting for a period of time. Information about your menstrual cycle is helpful for the physician's diagnosis, so you will often be...[Read More] Understanding Ovulation Bleeding vs. Ovarian Fibroids: What You Need to Know
Post-Myomectomy Menstrual Pain: What to Expect and When to Worry
Postoperative menstrual pain after uterine fibroid surgery? I used to have regular menstrual cycles, and before my period, I would experience breast tenderness and lower abdominal discomfort. However, I rarely had menstrual cramps unless I consumed too many cold foods. I discover...
Dr. Li Guanghan Reply:
Dear Sir/Madam, There are many potential causes of menstrual pain, including tension, stress, and anxiety. I recommend that you take more rest and try to relax. Please observe your menstrual cycles a few more times. If you continue to feel discomfort, you may consult your physic...[Read More] Post-Myomectomy Menstrual Pain: What to Expect and When to Worry
Understanding Teratomas: Connection to Chronic Bladder Infections and Treatment Options
Teratoma Hello Doctor: I often experience bladder infections, which have been recurring for several years. Sometimes they occur once every one or two months, and the most recent episode was just two weeks after the previous one. I was referred to the hospital for examination, and...
Dr. Huang Jianxun Reply:
Teratomas are not necessarily related to recurrent bladder infections. Teratomas generally require surgical treatment. Recurrent bladder infections may be associated with lifestyle habits, sexual activity, and medication usage.[Read More] Understanding Teratomas: Connection to Chronic Bladder Infections and Treatment Options