Understanding Menopause Symptoms and Uterine Fibroids in Women
Menopausal issues Hello Doctor, I am 57 years old and I started menopause in April of last year. I have a 6 cm fibroid in my uterus and I am not sexually active. Recently, I have started experiencing the following symptoms: 1. Breast tenderness and nipple pain 2. Slight discharge...
Dr. Cao Guotao Reply:
Hello, I apologize for not being able to diagnose based on the described symptoms. If you are experiencing breast tenderness and discomfort persists, it is advisable to consult a breast surgeon. If there is slight discharge, it is also recommended to see a gynecologist for evalua...[Read More] Understanding Menopause Symptoms and Uterine Fibroids in Women
Severe Menstrual Pain with Rectal Spasms: What to Do Next?
Severe menstrual cramps accompanied by lower abdominal and rectal spasms? About three years ago, I suddenly experienced severe menstrual cramps during my period. Initially, I thought it was related to my constitution, diet, and lifestyle, but the pain has progressively worsened. ...
Dr. Zhang Kunmin Reply:
Hello, the symptoms of dysmenorrhea can include not only cramping pain in the lower abdomen during menstruation but also nausea, vomiting, headaches, anxiety, fatigue, diarrhea, dizziness, bloating, breast tenderness, mood swings, back pain, and fainting. The onset of symptoms ca...[Read More] Severe Menstrual Pain with Rectal Spasms: What to Do Next?
Understanding the Growth and Multiplication of Uterine Fibroids: Key Insights
What is the probability of a single fibroid becoming multiple fibroids? 1. The finding of a fibroid from a smear test, with measurements increasing from 6.5 cm to 6.8 cm over six months, can be considered growth. 2. I would like to inquire if there are statistical values in gyn...
Dr. Huang Yiwen Reply:
1. The difference between a fibroid measuring 6.5 cm and 6.8 cm is not significant on ultrasound, making it difficult to determine growth. 2. It is unlikely for a single fibroid to develop into multiple ones unless new fibroids form in other areas. Generally, fibroids are rarely...[Read More] Understanding the Growth and Multiplication of Uterine Fibroids: Key Insights
Managing Uterine Fibroids: Medication Guidelines and Treatment Questions
Uterine fibroids Hello doctor, I have a uterine fibroid that is about 8 centimeters. I have been on Enzoprostol treatment for almost 3 months. Should I stop the medication before starting the second treatment, and then resume it after my second menstrual period, or can I continue...
Dr. Cao Guotao Reply:
Hello, the Enxi membrane is generally prescribed for a treatment course of three months. After three months, you should evaluate whether there has been an improvement in the fibroids and clinical symptoms before deciding whether to continue the medication. You can discuss this in...[Read More] Managing Uterine Fibroids: Medication Guidelines and Treatment Questions
Heavy Menstrual Clots and Abdominal Pain: Should You See a Doctor?
Heavy menstrual blood clots and sharp abdominal pain? Hello Doctor, I was late for my period by a month, so I went to the hospital for a check-up. The doctor prescribed me medication to induce menstruation for three days. After taking it for a few days, my period started, but t...
Dr. Lü Lizheng Reply:
The response indicates that the heavy menstrual bleeding is primarily caused by irregular menstruation. Uterine fibroids may also affect uterine contractions, leading to increased menstrual flow. If you need to change your sanitary pad in less than three hours, you do not have to...[Read More] Heavy Menstrual Clots and Abdominal Pain: Should You See a Doctor?
Understanding Uterine Fibroids: When to Consider Surgery and Manage Symptoms
Uterine fibroids and blood clots during menstruation? Dear Doctor, My last menstrual period was on April 25. Since I did not get my period in May, I went to the obstetrics and gynecology department for a check-up (pregnancy test) and confirmed that I am not pregnant. However, d...
Dr. Cao Guotao Reply:
Hello, for general tumors (such as uterine fibroids), surgery is typically considered when the size is over 5 centimeters. However, if there are no symptoms or discomfort, observation and regular monitoring can also be considered. Therefore, you should have a thorough discussion ...[Read More] Understanding Uterine Fibroids: When to Consider Surgery and Manage Symptoms
Understanding Uterine Fibroids and Pregnancy: Key Concerns and Next Steps
Uterine fibroids and pregnancy? Recently, I was diagnosed with pregnancy while checking for uterine fibroids. On June 15, I took RU486, followed by uterine contraction medication (2+1 pills) on June 17, and again on June 18 (2+1 pills). On June 22, during my follow-up appointment...
Dr. Cao Guotao Reply:
Hello, after taking RU486, the criteria for confirming complete evacuation are that there is no continued bleeding and a negative pregnancy test. Therefore, you should follow up with your original hospital according to the scheduled appointment. Regarding the fibroids and adenoma...[Read More] Understanding Uterine Fibroids and Pregnancy: Key Concerns and Next Steps
Impact of Uterine Fibroids on Pregnancy and Postpartum Surgery Considerations
Uterine fibroids and pregnancy? Hello, Doctor: I am currently 36 years old and about 9 weeks pregnant with my first child. Last week, an ultrasound examination revealed a uterine fibroid measuring approximately 11 centimeters. Prior to the ultrasound, I had no symptoms, but I did...
Dr. Cao Guotao Reply:
Hello, uterine fibroids can sometimes lead to miscarriage or affect fetal development or fetal positioning, but this does not mean that it will happen in every case. Some individuals with fibroids do not experience any negative effects. After giving birth, if there are no symptom...[Read More] Impact of Uterine Fibroids on Pregnancy and Postpartum Surgery Considerations
Understanding Uterine Fibroids: To Remove or Not to Remove?
Uterine fibroid removal issues? Dear Doctor, my last menstrual period was on April 25th. Since I did not have my period in May, I went to the gynecology clinic for a pregnancy test, which confirmed that I am not pregnant. However, an abdominal ultrasound revealed that I have uter...
Dr. Lü Lizheng Reply:
1. Indeed, asymptomatic fibroids do not necessarily require surgery; they can coexist peacefully with the fibroids, and regular monitoring is sufficient. 2. Generally, smaller hospitals, due to limitations in equipment and personnel, tend to prefer traditional surgical methods,...[Read More] Understanding Uterine Fibroids: To Remove or Not to Remove?
Managing Uterine Fibroids During Menopause: To Remove or Not?
A 10 cm uterine fibroid with menopausal estrogen replacement—Is it necessary to remove a fibroid that does not cause discomfort? Hello Dr. Tsao: (I apologize for sending the same message twice due to internet issues.) Two years ago, I was informed during a health check that I hav...
Dr. Cao Guotao Reply:
Hello, generally, surgical intervention for tumors is considered when they are larger than 5 centimeters. However, if there are no symptoms or discomfort, observation and regular monitoring can also be considered. After menopause, engaging in more physical activity and maintainin...[Read More] Managing Uterine Fibroids During Menopause: To Remove or Not?
Can I Drink Siwu Decoction While Taking Enxi Membrane for Uterine Fibroids?
Can I drink Siwu Decoction while taking Enxi membrane? Hello, doctor! Due to the presence of uterine fibroids, after examination by my gynecologist, I was prescribed Enzai (a medication) to help shrink the fibroids. I started taking the medication on May 2nd. I would like to ask ...
Dr. Cao Guotao Reply:
Hello, I am concerned that Si Wu Decoction may contain some hormonal components, so I do not recommend consuming it. Wishing you good health.[Read More] Can I Drink Siwu Decoction While Taking Enxi Membrane for Uterine Fibroids?
Understanding Post-Menstrual Bleeding: Causes and Concerns
Bleeding one week after the menstrual period has ended? Hello, Doctor: My menstrual period ended on May 6th, but on May 12th, I noticed brown discharge when I wiped after using the restroom, similar to the first day of my period. The next day, there was nothing, but after 6 or 7 ...
Dr. Yang Wangjun Reply:
Hello: Abnormal vaginal bleeding still requires a comprehensive evaluation, including checking for pregnancy-related bleeding, the presence of cervical polyps or vaginal lacerations causing the bleeding, and the possibility of uterine fibroids or ovarian tumors, in order to rule ...[Read More] Understanding Post-Menstrual Bleeding: Causes and Concerns
Understanding Ectopic Pregnancy: Risks, Symptoms, and Diagnosis Timeline
Ectopic pregnancy Dear Doctor: My last menstrual period started on March 31. I began taking ovulation medication on April 2, and received ovulation injections on April 5 and April 7. An ultrasound on April 12 showed a follicle measuring 2.2 cm. I took a pregnancy test on May 7 th...
Dr. Cao Guotao Reply:
Hello, on May 14th, a pregnancy test confirmed pregnancy. During the follow-up appointment on May 21st, an embryo sac should have been visible; since it wasn't, there is a possibility of an ectopic pregnancy. If the embryo sac is still not visible during the follow-up on May...[Read More] Understanding Ectopic Pregnancy: Risks, Symptoms, and Diagnosis Timeline
Could I Be Pregnant? Understanding Risks with Fibroids and Ovulation
Can I get pregnant? I had sexual intercourse with my boyfriend the day after my period ended on April 25, and he ejaculated inside me. After that, during my ovulation period on May 5, I had sexual intercourse again on May 6, 7, and 8 without protection, and there was one instance...
Dr. Cao Guotao Reply:
Hello, a pregnancy test is usually accurate after 12 days post-conception. Most fibroids do not affect the fetus, but a small number may cause preterm labor or miscarriage. If your period is more than a week late, it is advisable to see a gynecologist. Wishing you good health.[Read More] Could I Be Pregnant? Understanding Risks with Fibroids and Ovulation
Understanding Abnormal Menstrual Pain After Abortion: Causes and Solutions
Dysmenorrhea I previously underwent an abortion, and during my first menstrual cycle post-procedure, I experienced light flow along with significant abdominal pain. I felt unable to exert myself, and I experienced pain while using the restroom and even while laughing. Any movemen...
Dr. Lin Manying Reply:
If the contraceptive device has been removed and there are still symptoms of heavy menstrual bleeding, prolonged periods, and abdominal pain, it may be more related to adenomyosis. It is recommended to pursue treatment in this area.[Read More] Understanding Abnormal Menstrual Pain After Abortion: Causes and Solutions
Understanding Brown Menstrual Discharge: Causes and When to Seek Help
Brown menstrual blood? Hello Doctor, my last menstrual period was from March 18 to March 25. This month, my period started on April 12, but since today (April 15), I have been experiencing brown discharge and light pink spotting instead of the usual red bleeding. This month, I di...
Dr. Lin Wenbin Reply:
Please go to the hospital for a thorough examination.[Read More] Understanding Brown Menstrual Discharge: Causes and When to Seek Help
Managing Uterine Fibroids During Menopause: To Operate or Not?
Menopausal fibroids Hello, Doctor! I have a history of multiple uterine fibroids, heavy menstrual bleeding, and monthly menstrual pain that has never ceased. Doctors have recommended surgery to remove both the uterus and the fibroids. However, since I am approaching menopause and...
Dr. Lin Wenbin Reply:
Hello: Each person's constitution and condition can vary, so it is essential for you to visit the outpatient clinic for an examination and have a thorough discussion with the physician. Only then can the most appropriate treatment plan for your concerns be determined.[Read More] Managing Uterine Fibroids During Menopause: To Operate or Not?
Why Do Uterine Fibroid Sizes Vary Between Different Exams?
Why do the sizes of uterine fibroids vary during examinations? Due to irregular menstrual periods, I was diagnosed with uterine fibroids. Why does the size of the fibroids differ when examined by the same doctor on two occasions? What factors could influence the measurements duri...
Dr. Lü Lizheng Reply:
The response may be due to variations in scanning angles and measurement errors during the ultrasound, as well as differing interpretations by various physicians. Sincerely, Dr. Lu Li-Cheng, Taoyuan Hospital.[Read More] Why Do Uterine Fibroid Sizes Vary Between Different Exams?
Understanding Prolonged Menstrual Periods and Cranberry Capsule Effects
Prolonged menstrual period? I would like to ask if it is normal to have only a small amount of dark-colored blood during the first week of my menstrual period? However, in the second week, the flow becomes normal (so the total duration is almost two weeks). My second question is ...
Dr. Yang Wangjun Reply:
Hello: (1) When there is abnormal vaginal bleeding, the first step is to check if the bleeding is caused by pregnancy. Next, it is important to investigate whether there are any lesions causing the bleeding, such as endometrial hyperplasia, cervical polyps, or uterine fibroids. I...[Read More] Understanding Prolonged Menstrual Periods and Cranberry Capsule Effects
Can Uterine Fibroids Cause False Positive Pregnancy Tests?
If there are uterine fibroids present, will a pregnancy test still show two lines even if not pregnant? I have uterine fibroids and have undergone surgery less than three years ago. Now I have discovered that I have a fibroid measuring 3.2 cm. Last month, my period was a few days...
Dr. Cao Guotao Reply:
Hello, it is possible to have an early pregnancy that ends in miscarriage; generally, fibroids do not have an impact. Wishing you good health.[Read More] Can Uterine Fibroids Cause False Positive Pregnancy Tests?