How to Prevent a Third Miscarriage After Two Losses?
Having experienced two miscarriages, what steps can be taken to prevent a third one? I experienced my first pregnancy but did not detect a heartbeat, so I underwent a procedure to remove it. Three months later, I became pregnant again, and although there was a heartbeat initially...
Dr. Zhang Yongxuan Reply:
1. Three or more consecutive miscarriages are classified as recurrent pregnancy loss. 2. The average incidence of spontaneous abortion is 15%. When the first pregnancy ends in a spontaneous abortion, regardless of the chromosomal pattern of the aborted fetus, the chance of expe...[Read More] How to Prevent a Third Miscarriage After Two Losses?
Understanding Post-Surgery Scar Variations: What You Need to Know
Inquiry Last year, I underwent surgery for uterine fibroids. During my hospital stay, the head nurse mentioned that the incision was sutured well, and I did not experience any discomfort at the wound site for six months. However, the wound appears flat on top and swollen on the b...
Dr. Huang Jianxun Reply:
Dear Shi: Keloids are formed by the excessive growth of epidermal and subcutaneous tissue following trauma or surgical scars, which is generally related to individual constitution. Symptoms may include pain or itching, and treatment is primarily symptomatic. Sincerely, Dr. Huang ...[Read More] Understanding Post-Surgery Scar Variations: What You Need to Know
Post-Myomectomy Bowel Issues: Understanding Symptoms and Next Steps
Postoperative care after uterine fibroid surgery? Hello Dr. Lee, I have uterine fibroids located lower down, which are compressing my intestines. Every day when I go to the bathroom, my stools are always thin and I have a feeling of incomplete evacuation. After undergoing surgery...
Dr. Li Guanghan Reply:
Without an examination, it is truly impossible to provide an answer, and we are also unaware of the specifics of your surgery. We recommend that you consult with your primary surgeon, who can advise you on which tests should be conducted. Thank you! Hsinchu City Hospital, Departm...[Read More] Post-Myomectomy Bowel Issues: Understanding Symptoms and Next Steps
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
Post-Surgery Concerns: Addressing Gynecological Health Questions
Consultation I am 163 cm tall and weigh 55 kg. Last year, I underwent surgery for uterine fibroids, where 15 small fibroids were removed, not the 8 indicated by ultrasound, nor was there a 10 cm fibroid. After the surgery, my weight decreased to 52 kg. 1. Before the surgery, I ...
Dr. Xu Junzheng Reply:
Dear Ms. Fang, We apologize for the garbled text on your screen, which makes the message unclear. 1. Vaseline does not affect the growth of hair follicles. 2. Mitral valve prolapse has a very limited impact on surgery; the anesthesiologist will assess the situation. 3. Vascu...[Read More] Post-Surgery Concerns: Addressing Gynecological Health Questions
Persistent Abdominal Discomfort After Ovarian Cyst Surgery: Seeking Answers
Underwent a second abdominal surgery, experiencing discomfort in the abdomen with a tingling sensation (floating sensation)? Eight years ago, due to uterine fibroids, a total hysterectomy was performed, including the removal of the uterus and cervix. Eight years later, experienci...
Dr. Li Guanghan Reply:
Hello: It sounds like it could be subcutaneous nerve or myofascial pain, and it may not necessarily be an intra-abdominal issue. You are welcome to come for a consultation at the Hsinchu City Hospital Department of Obstetrics and Gynecology.[Read More] Persistent Abdominal Discomfort After Ovarian Cyst Surgery: Seeking Answers
Managing Uterine Fibroids: Dietary Tips and Hormonal Considerations
Uterine leiomyoma Hello, a few years ago I underwent surgery for uterine fibroids, but during a recent follow-up, I was informed that they have grown back. The doctor mentioned that fibroids can be a series of growths and that they do not go away completely. I would like to know ...
Dr. Li Guanghan Reply:
Hello: 1. Adenomyosis is not related to diet. 2. Estrogen medications have a stimulating effect on adenomyosis. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Managing Uterine Fibroids: Dietary Tips and Hormonal Considerations
Do Women Without Sexual Experience Need Pap Smears for Cervical Cancer?
excuse me? Hello, doctor. I would like to ask if the risk of developing cervical cancer and uterine fibroids is high for someone without sexual experience, and whether a Pap smear is necessary. Thank you! ^^
Dr. Li Guanghan Reply:
Hello: 1. The risk of cervical cancer without sexual intercourse is extremely low, and a pelvic examination may damage the hymen, so Pap smears are not recommended. 2. Uterine fibroids are unrelated to sexual activity. Hsinchu Hospital, Department of Obstetrics and Gynecology.[Read More] Do Women Without Sexual Experience Need Pap Smears for Cervical Cancer?
Understanding Cervical Smear Tests and Painful First Sexual Experiences
I'm sorry, but I need the content you would like me to translate? Hello, I would like to ask... Is it necessary to have sexual intercourse in order to undergo a Pap smear? What is the definition of sexual intercourse? If a male's genitalia is inserted into a female'...
Dr. Li Guanghan Reply:
Hello: Your description qualifies as sexual intercourse. It is recommended to have your first Pap smear within three years of your first sexual activity. If the results are normal, you should have a Pap smear annually thereafter. The correlation between uterine fibroids and dyspa...[Read More] Understanding Cervical Smear Tests and Painful First Sexual Experiences
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 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
Post-Surgery Abdominal Distension: Causes and Concerns After Hysterectomy
Bloating in the abdomen..? Hello Doctor: I underwent a hysterectomy due to uterine fibroids in mid-November, but I have been experiencing the following issues since then: Before the surgery, my abdomen was flat (I am naturally slim with no belly), but since the operation, my abdo...
Dr. Lin Zhaopei Reply:
There are two possible conditions: 1. A hematoma in the abdominal wall, which is commonly caused by the rupture of blood vessels in the muscle layer, leading to the formation of a hematoma between the fascia and the muscle. Since it is isolated from the external environment, it u...[Read More] Post-Surgery Abdominal Distension: Causes and Concerns After Hysterectomy
Post-Hysterectomy Concerns: Abdominal Bloating and Pain Explained
After a hysterectomy..? Hello Doctor, I underwent a hysterectomy due to uterine fibroids in mid-November, but I have been experiencing the following issues since then: Before the surgery, my lower abdomen was flat (I am naturally slim and did not have a protruding belly), but no...
Dr. Li Guanghan Reply:
Hello: Without an examination, it is really impossible to provide an answer. We welcome you to come in for a visit, and we will conduct a thorough examination and discuss the findings with you. Thank you! Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Post-Hysterectomy Concerns: Abdominal Bloating and Pain Explained
Navigating Menopause: Understanding Irregular Periods and Health Concerns
Menopause? I would like to ask about my mother, who is 46 years old this year. I am unsure if she is approaching menopause. Since March of this year, her menstrual cycle has not stopped after it starts; it occasionally stops for a few days, but then it returns. This has been the ...
Dr. Cai Yonglong Reply:
Dear Xiao Hui, Greetings from the Department of Obstetrics and Gynecology at Tainan Hospital, Ministry of Health and Welfare. 1. Your mother is 46 years old, which is close to the age of menopause. If she has uterine fibroids along with abnormal bleeding (irregular menstruatio...[Read More] Navigating Menopause: Understanding Irregular Periods and Health Concerns
Understanding Uterine Fibroids: Surgical Options and Risks for Your Mother
Effects of Uterine Fibroids Hello Doctor: My mother is 50 years old and has been diagnosed with uterine fibroids, with three small ones (not exceeding ten centimeters) inside her uterus. The doctor suggested that since my mother does not plan to have children, she should undergo ...
Dr. Xu Junzheng Reply:
Whether uterine fibroids require surgery mainly depends on the severity of clinical symptoms. It is advisable to consult multiple physicians for evaluation before making a decision. Thank you![Read More] Understanding Uterine Fibroids: Surgical Options and Risks for Your Mother
Is Surgery Safe for Uterine Fibroids in Older Women?
Is surgery a good option? Hello Doctor: My mother is 50 years old and has uterine fibroids. There are three fibroids in her uterus, none exceeding ten centimeters. The doctor said that if my mother does not want to have children, she can undergo surgery to remove them. I am conce...
Dr. Xu Junzheng Reply:
Whether uterine fibroids require surgery primarily depends on the severity of clinical symptoms. It is advisable to consult multiple physicians for evaluation before making a decision. Thank you![Read More] Is Surgery Safe for Uterine Fibroids in Older Women?
Uterine Removal: A Dual Solution for Anemia and Fibroids?
Hysterectomy and Treatment of Anemia! Hello Doctor, I underwent a series of gynecological examinations at the obstetrics and gynecology department. Apart from an elevated CA-125 tumor marker level, which is #64 (normal range: 0-35), all other results were normal. However, I late...
Dr. Li Guanghan Reply:
Hello: 1. Uterine fibroids and adenomyosis do not necessarily require surgery, but if there is anemia, choosing surgery is reasonable. However, if there is still a possibility of fertility or if you cannot psychologically accept becoming a woman without a uterus, you may also cho...[Read More] Uterine Removal: A Dual Solution for Anemia and Fibroids?
Understanding Bleeding After Masturbation: A Gynecological Perspective
Masturbation! Hello doctor, I have had uterine fibroids and endometriosis, both of which have been removed. I do masturbate, but I do not insert anything into my vagina. However, I am experiencing bleeding, which appears as blood-tinged clear discharge. Why is this happening? Did...
Dr. Zhang Yongxuan Reply:
Please visit the outpatient clinic for a detailed examination to determine the true cause of the bleeding.[Read More] Understanding Bleeding After Masturbation: A Gynecological Perspective
Understanding Uterine Fibroids: Key Questions and Concerns Addressed
Uterine fibroids! Hello, Doctor: I have had blood tests for the past three years, and my CA-125 tumor marker has been between 65-72. This year, the results are still abnormal. The doctor has recommended surgery to remove my uterine fibroids, and since I have two children, the doc...
Dr. Li Guanghan Reply:
Hello: 1. No 2. No 3. Yes 4. No 5. Any surgery carries the possibility of complications. I believe your physician likely observed a suspicious mass on the ultrasound, and the tumor markers in your blood were elevated, which is why it is reasonable for them to suggest considering ...[Read More] Understanding Uterine Fibroids: Key Questions and Concerns Addressed
Is Adenomyosis a Direct Complication or Aftermath of Uterine Fibroids?
Is adenomyosis a direct complication or sequela of uterine fibroids? Adenomyosis is not a direct complication or sequela of uterine fibroids. While both conditions involve the uterus and can coexist, adenomyosis is characterized by the presence of endometrial tissue within the ut...
Dr. Li Guanghan Reply:
Hello: Adenomyosis and uterine myoma are two different conditions. Signed by the Department of Obstetrics and Gynecology, Hsinchu Hospital.[Read More] Is Adenomyosis a Direct Complication or Aftermath of Uterine Fibroids?