Post-Miscarriage Pain and Ovarian Cysts: Seeking Answers and Relief
After a miscarriage, pain, ovarian cysts? Hello, doctor. I would like to ask you a question. When I was 12 years old, I underwent surgery for an ovarian chocolate cyst, and my right ovary was removed. At the same time, I also had a uterine suturing procedure due to uterine fibroi...
Dr. Cao Guotao Reply:
Hello, it is likely not closely related to last year's miscarriage; it may still be due to inflammation. If you continue to feel unwell, I recommend visiting a hospital to see an obstetrician-gynecologist. Wishing you good health.[Read More] Post-Miscarriage Pain and Ovarian Cysts: Seeking Answers and Relief
Severe Menstrual Cramps with Nausea and Sweating: What to Know
On the first day of menstruation, experiencing lower abdominal pain accompanied by vomiting, diarrhea, cold sweats, and slightly rapid breathing? Hello Doctor: I would like to ask about the reasons for experiencing "lower abdominal pain" on the first day of menstruation...
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 Cramps with Nausea and Sweating: What to Know
Do I Need Hysteroscopy Surgery for Uterine Adhesions?
Do I need to undergo a hysteroscopy? In March 2014, I underwent surgery for uterine fibroids, which was performed via laparotomy. My menstrual period ceased almost immediately after the second night post-surgery. In March 2015, I had a hysterosalpingography, and the doctor report...
Dr. Cao Guotao Reply:
Hello, if there are no abnormalities in the left fallopian tube, you can temporarily take estrogen to improve adhesions and endometrial thickness. If this is ineffective, then consider hysteroscopic surgery. Wishing you good health.[Read More] Do I Need Hysteroscopy Surgery for Uterine Adhesions?
Pros and Cons of Birth Control Pills for Menstrual Regulation and Tampons
Regarding the advantages and disadvantages of emergency contraceptive pills and tampons? If using oral contraceptives to regulate menstrual cycles and alleviate pain, what are the potential side effects? Additionally, which is recommended between tampons and traditional sanitary ...
Dr. Zhang Kunmin Reply:
Hello, the oral contraceptive pill (COC) not only effectively prevents pregnancy but also helps regulate menstrual cycles, reduce menstrual flow, and shorten the duration of menstrual bleeding, all of which contribute to women's health. Due to these benefits, some clinicians...[Read More] Pros and Cons of Birth Control Pills for Menstrual Regulation and Tampons
Managing Uterine Fibroids: IUD vs. Surgery Options Explained
Contraceptive devices and surgery? Hello: I have uterine fibroids and adenomyosis, experiencing prolonged menstrual periods with heavy bleeding and pain that can only be managed with painkillers. Since I do not plan to have children, I am considering a hysterectomy. The doctor ha...
Dr. Xu Junrui Reply:
Ms. Li, given your situation, I would recommend that if you do not have any fertility needs, it may be worth considering a hysterectomy. Your concerns are valid, especially if you have previously experienced multiple instances of intrauterine device displacement; it is indeed pos...[Read More] Managing Uterine Fibroids: IUD vs. Surgery Options Explained
Understanding Vaginal Ultrasound Procedures and Infection Risks
Transvaginal Ultrasound Examination Procedure Hello, Doctor: Recently, I had a Pap smear and a transvaginal ultrasound at a gynecology clinic, but I noticed that the doctor did not use a condom on the ultrasound probe; she only applied lubricant gel. The consultation felt rushed,...
Dr. Cao Guotao Reply:
Hello, each hospital has different procedures. In our hospital, a condom is placed over the ultrasound probe. If you have any concerns, please consult your obstetrician-gynecologist. Wishing you good health.[Read More] Understanding Vaginal Ultrasound Procedures and Infection Risks
Understanding Uterine Fibroid Treatments: Comparing Medications and Options
Recommendations for Pharmacological Treatment of Uterine Fibroids Hello, Doctor: I was diagnosed with an 8 cm uterine fibroid and anemia one month ago. My doctor prescribed medication, specifically "Bromocriptine," which I have been taking for a month. I am now starting...
Dr. Cao Guotao Reply:
Hello, the general principle of pharmacological treatment for uterine fibroids is to suppress estrogen, which can lead to amenorrhea. This approach can improve pain and excessive menstrual bleeding during menstruation, but it has limited effects on reducing the size of the fibroi...[Read More] Understanding Uterine Fibroid Treatments: Comparing Medications and Options
Understanding Irregular Menstrual Cycles After Cervical Conization
Menstrual cycles have become prolonged, and the flow is lighter? In 2015, I underwent a cervical conization procedure, and the doctor mentioned that my recovery was good. However, about a year later, my menstrual cycle started to become irregular. The intervals between periods ar...
Dr. Lin Wenbin Reply:
A follow-up outpatient examination is still necessary to determine whether further testing is needed.[Read More] Understanding Irregular Menstrual Cycles After Cervical Conization
Understanding Light Spotting Before Menstruation: Causes and Concerns
Non-menstrual bleeding If you notice a small amount of blood or spotting before your menstrual period is due, it could be due to several reasons. This could be implantation bleeding, which occurs when a fertilized egg attaches to the lining of the uterus, or it might be related t...
Dr. Yang Wangjun Reply:
Hello: Abnormal vaginal bleeding should first rule out miscarriage due to pregnancy, and then a pelvic examination should be performed to check for vaginal lacerations, cervical polyps, or endometrial polyps causing the bleeding. Cervical erosion can also lead to postcoital bleed...[Read More] Understanding Light Spotting Before Menstruation: Causes and Concerns
Understanding Irregular Menstrual Cycles: Causes and Concerns
Menstrual issues Hello Doctor: My question is that I had my period at the beginning of January (I don't remember the exact date), then I had a light period again in mid-January that lasted for about two days and then stopped. During this time, I had unprotected intercourse w...
Dr. Yang Wangjun Reply:
Hello: If there is abnormal vaginal bleeding, the first step is to take a pregnancy test to rule out the possibility of a miscarriage. Next, a thorough examination should be conducted to check for cervical polyps or endometrial polyps that may be causing the bleeding. An ultrasou...[Read More] Understanding Irregular Menstrual Cycles: Causes and Concerns
Heavy Menstrual Bleeding: Causes and Concerns for Women
Heavy menstrual bleeding? Hello, my menstrual cycle is approximately 28 days. Last month, my period started on December 8, and this month it began on January 5 with heavy bleeding that is bright red and contains many blood clots. I had sexual intercourse on January 4.
Dr. Lü Lizheng Reply:
If the menstrual flow is consistently heavy, it is usually related to uterine issues, such as uterine fibroids or adenomyosis. If this is the only instance of particularly heavy flow, there could be many possible causes, with common ones including irregular menstruation, miscarri...[Read More] Heavy Menstrual Bleeding: Causes and Concerns for Women
Uterine Fibroids: Surgical Options and Risks for Women Over 40
Uterine fibroids Hello, doctor. My younger sister is 41 years old, unmarried, and has never had children. Recently, she was diagnosed with a uterine fibroid measuring approximately 8 cm, accompanied by periodic pain. The doctor has recommended surgery. Should she opt for tumor re...
Dr. Lin Wenbin Reply:
Please go to the hospital for an examination. In addition to surgery, there are now medications available to treat uterine fibroids. Treatment options should be discussed based on individual circumstances.[Read More] Uterine Fibroids: Surgical Options and Risks for Women Over 40
Understanding Uterine Fibroids: Impact on Pregnancy and Surgical Options
Uterine fibroids Hello Doctor: During a previous ultrasound, a 2 cm uterine fibroid was discovered. I would like to ask if this will have any impact on future pregnancies or my health. Can it be removed during a cesarean section?
Dr. Cao Guotao Reply:
Hello: A 2-centimeter uterine fibroid generally has no impact on future childbirth or overall health. According to health insurance regulations, it cannot be removed during a cesarean section, and there is no necessity for removal. Wishing you good health.[Read More] Understanding Uterine Fibroids: Impact on Pregnancy and Surgical Options
Understanding Pre-Menstrual Bleeding: Pregnancy or Other Concerns?
Intermenstrual bleeding after sexual intercourse before menstruation? Two days before my period, I had intercourse on Saturday and experienced bleeding. I thought it was the start of my period and used a sanitary pad, but it didn't arrive by Sunday and still hasn't come...
Dr. Lü Lizheng Reply:
1. Post-coital bleeding can have many causes, including irregular menstruation, inflammation, tumors, or pregnancy. It is important to seek medical evaluation for confirmation. 2. If menstruation is delayed, a pregnancy test can be performed to confirm whether pregnancy has occu...[Read More] Understanding Pre-Menstrual Bleeding: Pregnancy or Other Concerns?
Can You Stop Dostinex After Surgery? Understanding Prolactin Management
Can the use of prolactin-lowering medication be discontinued? Dr. Tsao, I underwent laparoscopic surgery to remove uterine fibroids at Hospital A on November 9, with four incisions made: one at the navel measuring 1 cm and the others measuring 0.5 cm each. I am scheduled for a fo...
Dr. Cao Guotao Reply:
Hello, it is generally not recommended to stop medication. Wishing you good health.[Read More] Can You Stop Dostinex After Surgery? Understanding Prolactin Management
Understanding Uterine Fibroids and Abdominal Masses: A Guide for Women
Uterine fibroids and abdominal masses? Hello Doctor: I have two uterine fibroids, which were about 5 and 8 centimeters in size a few years ago. I have no symptoms (no heavy menstrual bleeding or pain) and my menstrual cycle is regular, approximately every 25 days, lasting about 5...
Dr. Cao Guotao Reply:
Hello: There are no symptoms related to the uterine fibroids, so monitoring is sufficient; it is not necessary to remove them. There is a mass on the right side, so you may want to have an ultrasound examination at the obstetrics and gynecology department. Wishing you good health...[Read More] Understanding Uterine Fibroids and Abdominal Masses: A Guide for Women
Understanding Menstrual Irregularities and Pregnancy Concerns
Menstrual issues Hello, doctor. I had my period on September 28th, and due to bleeding caused by uterine fibroids, the bleeding stopped on October 8th. The doctor mentioned that the delayed bleeding doesn't count as a period. How should I calculate my next period since it ha...
Dr. Lü Lizheng Reply:
1. Prolonged menstrual periods can have many possible causes, including irregular menstruation, uterine fibroids, adenomyosis, and uterine inflammation. 2. If the prolonged menstrual period is due to uterine fibroids or adenomyosis, the timing of the next menstrual period is usu...[Read More] Understanding Menstrual Irregularities and Pregnancy Concerns
Understanding Uterine Fibroids: When to Seek Further Evaluation
Uterine fibroids I have been experiencing pain in my lower left abdomen, which becomes quite severe with slight pressure. I went to a gynecology clinic for a transvaginal ultrasound, and the doctor mentioned that there is an object about 5 centimeters in size behind my uterus, bu...
Dr. Cao Guotao Reply:
Hello, it is recommended to visit the obstetrics and gynecology outpatient department for further examination. Wishing you good health.[Read More] Understanding Uterine Fibroids: When to Seek Further Evaluation
Understanding Pelvic Inflammatory Disease: Symptoms and Concerns
Pelvic Inflammatory Disease (PID) Hello doctor, on September 21, I experienced a miscarriage due to ruptured membranes. Following the hospital's instructions, I used a saline irrigation device to clean the vaginal area for two weeks. Since then, I have been experiencing cont...
Dr. Cao Guotao Reply:
Hello, pelvic inflammatory disease does not always accompany fever. Since your miscarriage on September 21, if you are still experiencing bleeding, it may indicate that the lochia has not fully cleared. It is advisable to undergo a thorough examination. Wishing you good health.[Read More] Understanding Pelvic Inflammatory Disease: Symptoms and Concerns
Understanding Uterine Fibroids: Impact on Fertility and Health Concerns
About uterine fibroids? Hello, doctor. I have a 3 cm uterine fibroid. Will this make it difficult for me to conceive? Sometimes I experience sudden pain in my lower abdomen. The doctor mentioned that there is a cyst on the right ovary, and the pain is related to bleeding from the...
Dr. Lin Wenbin Reply:
The chance of infertility caused by uterine fibroids is not very high, so it is important to check for other factors contributing to infertility. When fibroids undergo degeneration, they can cause pain. Conditions such as adenomyosis and endometriosis can also lead to pain, so pr...[Read More] Understanding Uterine Fibroids: Impact on Fertility and Health Concerns