Contraceptive Options for Women Over 40: Safety and Alternatives
Contraceptive methods 1. Can a 40-year-old use contraceptive pills? Is there a risk of cancer? 2. I experience severe pain during my menstrual period, and I've heard that surgery for removal may help. What is your recommendation? Will health insurance cover it, or will it ...
Dr. Lin Zhaopei Reply:
1. Women over 35 years old or those who smoke are at a higher risk for cardiovascular diseases, and therefore, the use of contraceptives is not generally recommended. If contraception is necessary, it is advised to use low-dose options, such as Plan B. 2. Dysmenorrhea includes pr...[Read More] Contraceptive Options for Women Over 40: Safety and Alternatives
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
Understanding Symptoms After Ovarian Tumor Surgery: Dizziness, Fatigue, and Appetite Loss
Dizziness, fatigue, and loss of appetite? Dear Doctor: I underwent ovarian tumor surgery at the end of April last year, and since then my physical condition has been somewhat poor. For example, I cannot stand for long periods, I cannot exert myself too much, and I easily experien...
Dr. Cao Guotao Reply:
Hello, Miss: You underwent surgery for an ovarian tumor. If both ovaries were not removed, it is unlikely that you are in menopause. The symptoms you are experiencing, such as dizziness, fatigue, weakness in your limbs, lack of energy, and loss of appetite, do not seem to be dire...[Read More] Understanding Symptoms After Ovarian Tumor Surgery: Dizziness, Fatigue, and Appetite Loss
Understanding Abnormal Vaginal Bleeding: Causes and Concerns
Red vaginal discharge? I noticed red blood coming from my lower body yesterday afternoon, and it’s the same today (a small amount, similar to menstruation). The color is not related to sexual activity. My last menstrual period started on March 7, and now, on the 17th day, I am ex...
Dr. Lin Zhaopei Reply:
Menstruation started on March 7, and there was a small amount of bleeding on March 23, which is most likely ovulatory bleeding. Additionally, ovarian tumors or cervical polyps could also be possibilities. As for the impact of irregular lifestyle habits on the menstrual cycle, it ...[Read More] Understanding Abnormal Vaginal Bleeding: Causes and Concerns
Delayed Period Concerns: Understanding Possible Causes and Solutions
This menstrual period is significantly delayed? Dear Doctor, My last menstrual period started on February 8th, but as of now, March 18th, I still haven't gotten my period. I don't have a boyfriend and haven't engaged in any sexual activity. This month, I've ...
Dr. Dai Qihan Reply:
Your description is insufficient for any diagnosis; please come to the clinic for an examination.[Read More] Delayed Period Concerns: Understanding Possible Causes and Solutions
Understanding Irregular Menstrual Cycles: When to Seek Medical Advice
Regarding menstruation..? Hello, doctor. I would like to ask... Is the calculation of the menstrual cycle from the first day of this month's period to the day before the next month's period? Since getting married, I have been recording the dates of my periods each month...
Dr. Lin Zhaopei Reply:
1. That is indeed correct. 2. If the menstrual cycle is regular, a duration of 21 to 45 days is considered normal. 3. If the cycle exceeds the usual duration, one can take a pregnancy test or seek medical consultation. 4. For irregular cycles, it is important to rule out tumors f...[Read More] Understanding Irregular Menstrual Cycles: When to Seek Medical Advice
Understanding Abnormal Bleeding: Causes and Concerns in Women’s Health
Abnormal bleeding The last menstrual period was on January 31, with a fairly regular cycle of about 30 days. However, on February 23, there was a small amount of bleeding that was dark brown in color. On March 1, the bleeding increased, initially thought to be menstruation, but t...
Dr. Lin Zhaopei Reply:
First, it is necessary to visit an outpatient clinic to rule out the possibility of ovarian tumors, while also performing an ultrasound examination of the endometrium. If both are normal, consider whether any medications (including herbal medicine) have been taken. If everything ...[Read More] Understanding Abnormal Bleeding: Causes and Concerns in Women’s Health
Postpartum Discomfort: Addressing Common Concerns After Childbirth
Postpartum discomfort? Hello, doctor. I just gave birth on October 26, 2006. I am currently breastfeeding, and my postpartum check-up showed that I am normal with no issues. However, I am experiencing the following abnormalities and would like your assistance: 1. I experience se...
Dr. Lin Zhaopei Reply:
1. If it is a natural vaginal delivery, inflammation of the sutures can lead to the formation of granulation tissue or inclusion cysts, which may cause dyspareunia. Additionally, if the cervix is more prolapsed, there may be increased discomfort during intercourse due to impact. ...[Read More] Postpartum Discomfort: Addressing Common Concerns After Childbirth
Understanding Cervical Pap Smear Requirements and Symptoms of Ovarian Discomfort
Pap smear Regarding the Pap smear test, are there any basic requirements or restrictions for the individual undergoing the examination? For example, are there age limitations? Additionally, I have been experiencing a cramping sensation on the left side of my lower abdomen (possib...
Dr. Lin Zhaopei Reply:
1. Currently, the National Health Bureau stipulates that routine examinations for women who are 30 years old and have had sexual experience can receive a free Pap smear test once a year, provided they have health insurance. 2. If paying out of pocket, there is no age limit, and t...[Read More] Understanding Cervical Pap Smear Requirements and Symptoms of Ovarian Discomfort
Understanding Abnormal Bleeding: Causes, Symptoms, and When to Seek Help
Abnormal bleeding Hello Dr. Lin: My menstrual period started on January 12 and ended on January 19. Today (January 29), I noticed some bleeding (a little bit of light red streaks) when urinating, but there is no pain and not much discharge. I had some itching previously (for abou...
Dr. Lin Zhaopei Reply:
1. The physician has explained that ovulatory bleeding indicates it is unrelated to inflammation, and since the smear only shows inflammation without cellular abnormalities, there is no need for concern. 2. As long as the bleeding stops naturally within three days, no further eva...[Read More] Understanding Abnormal Bleeding: Causes, Symptoms, and When to Seek Help
Understanding Abnormal Vaginal Bleeding: Causes and Concerns
Abnormal bleeding (I just sent a previous email, this one is to provide additional corrections.) Hello Dr. Lin, I apologize for the confusion. I would like to correct the dates of my menstrual period; it was from January 13 to January 18 of this year. Additionally, I would like...
Dr. Lin Zhaopei Reply:
1. The physician has explained that ovulatory bleeding indicates it is unrelated to inflammation, and since the smear only shows inflammation and not cellular changes, there is no need for concern. 2. As long as the bleeding stops naturally within 3 days, there is no need for a c...[Read More] Understanding Abnormal Vaginal Bleeding: Causes and Concerns
Understanding Hard Lumps in the Breast: Causes and Concerns
I have a hard lump at the lower edge of my right breast? Hello, Dr. Hsu. Recently, I discovered a small hard lump at the lower edge of my right breast (near the bottom edge), just above the rib cage. It's about the size of a one-dollar coin (located near the cleavage area). ...
Dr. Xu Junzheng Reply:
The likelihood of a tumor is low, but it is still recommended to consult a physician for an examination. If you have difficulty overcoming psychological barriers, you may consider seeing a female doctor. Thank you![Read More] Understanding Hard Lumps in the Breast: Causes and Concerns
Abdominal Pain: Could It Be Pregnancy or Something Else?
Abdominal cramping. Dull pain? I have been experiencing intermittent abdominal pain for the past few days, sometimes feeling like the discomfort I get before my menstrual period. I am no longer using contraception, and my last menstrual period was on December 19, so I should be e...
Dr. Zhang Yongxuan Reply:
It could be a possibility of pregnancy or an ectopic pregnancy. Have you taken any medications recently? Have you had any abdominal surgeries? Tumors (such as fibroids or ovarian cysts) could also be a factor, along with other internal or surgical conditions. Please visit a hospi...[Read More] Abdominal Pain: Could It Be Pregnancy or Something Else?
Understanding the Differences Between Ovarian Cysts and Polycystic Ovary Syndrome
What is the difference between ovarian cysts and polycystic ovary syndrome (PCOS)? Hello Dr. Lin: I apologize for bothering you again... (1) I would like to ask, what is the difference between ovarian cysts and polycystic ovary syndrome (PCOS)? Some people say that ovarian cysts ...
Dr. Lin Zhaopei Reply:
1. A simple cyst generally refers to a fluid-filled sac larger than 3 centimeters, and it is usually solitary. In contrast, polycystic ovaries contain multiple small follicles (typically more than 7), with each follicle rarely exceeding 1.2 centimeters in size. 2. The tumor mar...[Read More] Understanding the Differences Between Ovarian Cysts and Polycystic Ovary Syndrome
Understanding Pap Smear and HPV Test Results: Your Questions Answered
Pap smear & HPV testing Hello Dr. Lin: I received the results of my Pap smear and HPV test conducted on December 15. The HPV result is negative, while the Pap smear indicates a grade of (2) with inflammation. I would like to know if the inflammation indicated in the Pap smear...
Dr. Lin Zhaopei Reply:
1. A Pap smear showing inflammation will not affect the results of the HPV test. 2. If you want to receive the vaccine, you can have another test done at least 3 months prior. 3. There is no need to change clinics. 4. The new thin-layer Pap smear costs approximately 1500 NTD out-...[Read More] Understanding Pap Smear and HPV Test Results: Your Questions Answered
Do You Really Need a Hysterectomy for Uterine Fibroids?
Is a hysterectomy always necessary for uterine fibroids? My mother is nearly 50 years old and has recently experienced intermenstrual bleeding, although the amount is not significant. For her health, she visited the obstetrics and gynecology department at a local regional hospita...
Dr. Xu Junzheng Reply:
Uterine fibroids are benign tumors, and the decision to undergo surgery is primarily guided by the patient. Thank you![Read More] Do You Really Need a Hysterectomy for Uterine Fibroids?
Understanding Abnormal Menstrual Bleeding: Causes and Solutions
Menorrhagia (excessive menstrual bleeding) or irregular menstruation? I am a married mother of two children, with the youngest in third grade. My last menstrual period started on September 27 and ended around October 6. However, less than two days later, I started bleeding again!...
Dr. Zheng Chengjie Reply:
Dear Xiaoling, It is necessary to undergo a gynecological examination to determine whether there is a uterine tumor, an endometrial polyp, or abnormal uterine bleeding caused by hormonal imbalance, in order to provide appropriate treatment.[Read More] Understanding Abnormal Menstrual Bleeding: Causes and Solutions
Understanding Ovarian Tumors: Diagnosis, Surgery, and Fertility Concerns
Ovarian tumor After the ultrasound examination, the doctor mentioned that there is a 2.9 cm tumor on the right ovary, which is likely a teratoma. A blood test for CA-125 has been done, and the results will be available in a week. Can blood tests definitively determine whether the...
Dr. Zheng Chengjie Reply:
Dear Apple users, hello: CA-125 can serve as a reference indicator for chocolate cysts and ovarian cancer, but it is not absolutely accurate and must be interpreted alongside ultrasound images for a proper diagnosis. If it is a teratoma, surgical removal is recommended; if it is ...[Read More] Understanding Ovarian Tumors: Diagnosis, Surgery, and Fertility Concerns
Understanding Endometrial Cancer Treatment: Questions and Nutritional Support
Endometrial cancer My mother underwent laparoscopic surgery for uterine fibroids, during which her uterus and cervix were removed. The uterine tissue was sent for pathology, and it was found to contain malignant cells. She has been referred to radiation oncology for further treat...
Dr. Zhang Tingzhang Reply:
Dear devoted daughter: After reading your letter, I can feel your concern for your mother. Due to uterine fibroids, she underwent laparoscopic hysterectomy, and subsequently, it was discovered that she has endometrial cancer. This is a consultation we sometimes receive in our gyn...[Read More] Understanding Endometrial Cancer Treatment: Questions and Nutritional Support