Tumor, Obstetrics and Gynecology FAQ

Understanding Prolonged Menstrual Periods: When to Seek Medical Advice

Menstrual issues Hello, Doctor. My usual menstrual period lasts about seven days, but this month it has lasted for nine days. Around the fourth or fifth day, the flow has been quite light, and now it's just a little bit. I don't have any abdominal pain. Should I see a d...

Dr. Huang Yuande Reply:
There are many causes of menstrual irregularities. For instance, your tumor may secrete hormones that interfere with the menstrual cycle. If you are experiencing difficulties, it is advisable to consult a physician for a proper diagnosis.

Should I Consider Surgery for My 7cm Chocolate Cyst?

7 cm chocolate cyst I have a 7cm chocolate cyst on one side. I have consulted two major hospitals, and both recommended surgery. I have been on half a year of Danazol, and it initially reduced the cyst from 5cm to 7cm. I would like to know if surgery is advisable or if I should c...

Dr. Huang Yuande Reply:
1. Whether surgery is necessary depends not only on the size of the tumor but also on the response to medication and the symptoms produced. Typically, if the response to medication is poor, which is often the case in over 70% of patients, surgery may be required.

Understanding Post-Intercourse Bleeding: Causes and Concerns

Postcoital bleeding Doctor, I would like to ask about a situation. During my third sexual intercourse with my boyfriend, I experienced bleeding, which was more than the previous two times—about six to seven drops, and it stopped after a while. The first two times there was only l...

Dr. Zhang Kunmin Reply:
Hello, the causes of vaginal bleeding may include hormonal imbalance, emotional factors, diet, age, and others. However, it is crucial to rule out conditions such as uterine tumors, endometrial hyperplasia, cervical lesions, and vaginal lesions. If the bleeding persists, it is ad...

Understanding Abnormal Menstrual Bleeding: Causes and Next Steps

Not menstrual bleeding? Hello, Doctor. I had a Pap smear done at the end of December last year, which was normal except for some inflammation. In July, my menstrual cycle was irregular and lasted for 14 days. I visited a doctor on the 24th and had a vaginal ultrasound, which was ...

Dr. Huang Yuande Reply:
First, you need to consult a gynecologist for a diagnostic evaluation to determine the cause, including: 1. whether there is a tumor, 2. hormone testing, and 3. assessment of endometrial thickness. The treatment steps include: 1. medications for contraction and hemostasis, 2. hor...

Understanding Irregular Menstruation After Liver Transplant: Key Insights

Menstrual irregularities Hello, Doctor. I have a few questions. I have previously undergone a liver transplant. My menstrual cycle has always been regular, lasting 9-11 days each month, and it has been this way for years. A few years ago, I experienced irregular menstruation only...

Dr. Wu Xianghui Reply:
1. Abnormal bleeding and irregular menstrual cycles can have many underlying causes; it is recommended to consult a gynecologist for evaluation. 2. Adenomyosis is a benign gynecological tumor, formally known as "endometriosis of the uterine body." 3. The ultrasound repo...

Understanding Ovarian Tumors: When to Consider Surgery vs. Observation

Ovarian tumor I would like to ask about my family member who underwent a total abdominal hysterectomy and bilateral oophorectomy due to low-grade ovarian cancer two years ago. After regular follow-ups, a tumor was discovered in the left abdomen last year. Blood tests for CA-125 w...

Dr. Cao Guotao Reply:
Hello, if there is continuous growth, surgery should be considered. If the surgery can achieve clean margins, there should be no recurrence, unless it cannot be completely removed. Wishing you good health.

Understanding Elevated FSH Levels: A Guide for Women’s Health Concerns

Health check-up Hello, doctor. I had an FSH level of 23.6 on January 7, 19.1 on January 10, and 60.1 on September 4. Is it concerning that my levels have increased so dramatically in just eight months? I have not had a menstrual period for over a year, occasionally experiencing s...

Dr. Zhang Kunmin Reply:
Hello, based on your blood test report, it indicates that you have reached menopause. Common causes of postmenopausal vaginal bleeding may include: 1. Benign tumors: including cervical or endometrial polyps; precancerous conditions such as cervical dysplasia or endometrial hyperp...

Does Lubricant Affect the Efficacy of Mirena IUD?

Usage of the Mirena IUD and Lubricants Hello Doctor, I have been using the Mirena IUD for a long time, and I am considering purchasing a lubricant. However, I am unsure if the ingredients in the lubricant will affect the efficacy of the Mirena. Here are the ingredients of the lub...

Dr. Zhang Kunmin Reply:
Hello, the contraindications for the Mirena IUD primarily include: a history of thromboembolic disorders, severe liver disease or liver tumors, localized neurological symptoms such as migraines, diabetes with vascular complications, and unexplained vaginal bleeding. Currently, th...

Can I Get Pregnant with Ovarian Tumor and Hydrosalpinx?

Can pregnancy still occur under these circumstances? I would like to ask if I can get pregnant during the observation period for a hydrosalpinx in my left fallopian tube and a tumor in my left ovary, as diagnosed by the hospital. The doctor mentioned to monitor the tumor. If I do...

Dr. Huang Yuande Reply:
The size, location, and type of ovarian tumors can potentially affect pregnancy, and the extent of this impact can only be determined based on clinical and laboratory results. Please consult your physician for further discussion to facilitate future pregnancies.

Understanding Hydrosalpinx: Impacts on Fertility and Treatment Options

Hydrosalpinx Due to irregular menstrual periods, I went to the gynecology department for an examination and found that I have a hydrosalpinx in my left fallopian tube. After visiting a larger hospital for further evaluation, it was discovered that there is a 4.9 x 3 cm cyst on my...

Dr. Cao Guotao Reply:
Hello, hydrosalpinx and ovarian tumors can be monitored and followed up; medication generally cannot resolve them. Wishing you good health.

Understanding Severe Lower Abdominal Pain After Intercourse: Causes and Concerns

Severe pain in the lower abdomen? Hello doctor, I experience bleeding after having sexual intercourse with my boyfriend, but it stops the next day. Why does this happen? Additionally, I have severe lower abdominal pain and nausea afterward. What could be the reason for this? The ...

Dr. Huang Yuande Reply:
There are many reasons for bleeding after sexual intercourse, such as trauma, cervical erosion, or the presence of polyps. Severe lower abdominal pain may be caused by endometriosis or ovarian tumors, which requires clinical examination to determine the underlying cause.

Understanding Menstrual Irregularities and Medication Use in Young Women

Menstrual irregularities and issues related to medication use? Hello, Doctor. I am 24 years old and have not engaged in sexual intercourse. Here is my menstrual timeline: On July 9, my period started, and around July 19, I noticed brown discharge that lasted for about four days b...

Dr. Wu Xianghui Reply:
1. Is there a possibility of medication error? Abnormal bleeding and irregular menstrual cycles can have many underlying causes, and the hormonal treatment approaches vary. It is recommended to return to the outpatient clinic for evaluation by a specialist in obstetrics and gynec...

Is It Normal for a Rectal Exam to Involve Undressing?

Will the colorectal surgery outpatient clinic require patients to remove their pants for examination? I have been experiencing gastrointestinal discomfort for a long time, so I went to the colorectal surgery outpatient clinic. I originally thought that only a stool sample would b...

Dr. Huang Zifei Reply:
Dear Guagua, In obstetrics and gynecology, it is common to perform a pelvic examination, which may involve removing clothing. For colorectal surgery, the quickest and most direct examination is a digital rectal exam. Many rectal tumors are detected through this examination (col...

How Long Should You Wait to Retest Prolactin Levels After Medication Change?

How long should I wait to follow up after elevated prolactin levels? Hello, doctor. At the beginning of this month, I discovered that there was a small amount of milk when I compressed my breast. I went to the obstetrics and gynecology department and had my prolactin level tested...

Dr. Cao Guotao Reply:
Hello, please observe for about two more weeks and it is recommended to have another blood test. If the levels are still high, further examination will be necessary. Wishing you good health.

Switching from Birth Control Pills to NuvaRing: What to Expect

Switching from 21 oral contraceptive pills to the NuvaRing vaginal contraceptive ring? I have been taking 21-day oral contraceptives continuously for a year and a half. A year ago, I switched from Diane to YAZ, and after finishing a pack, my period would come three days later. In...

Dr. Wu Xianghui Reply:
You can search for the "Wuyou" medication information online. The following refers to "Side Effects," which are similar to those of contraceptive pills, including nausea, vomiting, breast tenderness, and weight gain. However, compared to standard doses of cont...

Understanding Breast Lumps: Causes, Symptoms, and When to Seek Help

Breast lump? I have a hard lump in my breast, which is quite noticeable because my breasts are smaller. Sometimes it feels itchy and painful, but most of the time it only hurts when I press on it or manipulate it. I researched breast cancer characteristics online, and it doesn&#x...

Dr. Cai Yonglong Reply:
You must undergo breast examinations (ultrasound and mammography) at a gynecology or breast surgery department.

Understanding Abnormal Bleeding: Causes and Concerns for Women

Intermenstrual bleeding Hello, doctor! I'm currently abroad and would feel more at ease seeing a doctor when I return to Taiwan, so I'm seeking your advice here. (I have health insurance XD) I have tumors on both ovaries, and I have had the larger one removed along with...

Dr. Wu Xianghui Reply:
Abnormal bleeding and irregular menstrual cycles can have various underlying causes. It is recommended to consult a specialist in obstetrics and gynecology for evaluation.

Understanding Breast Tenderness After Menopause: Causes and Concerns

Chest tightness? I have been menopausal for 2 years, but in the past few days, I have been feeling breast fullness. I have a history of fibrocystic breast changes, but since I no longer have menstruation, why am I still experiencing breast fullness?

Dr. Cao Guotao Reply:
Hello, if the tumor is not palpable, observation should be sufficient. Wishing you good health.

Managing Ovarian Cysts: When to Monitor and Seek Treatment

Abdominal mass/cyst? Hello, doctor. I am currently 33 years old and unmarried. I underwent laparoscopic surgery for chocolate cysts two to three years ago and have been on medication for follow-up since then. Recently, due to pneumonia, my follow-up appointment has been delayed b...

Dr. Cao Guotao Reply:
Hello, it is acceptable to have your period for 21 days. As for the tumor, it is recommended to go to the hospital for a detailed examination. Wishing you good health.

Brown Discharge and Missed Period: What You Need to Know

Brown discharge without menstruation? Hello doctor, I would like to ask about my situation. I haven't had my period for two months, but I often have brown discharge without any blood. Last month, I had an MRI and a 0.7 cm benign tumor was found on my pituitary gland, but all...

Dr. Wu Xianghui Reply:
Abnormal bleeding and irregular menstrual cycles can have various underlying causes. It is recommended to consult a specialist in obstetrics and gynecology for evaluation.

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