Navigating Menopausal Hormone Therapy: Concerns and Alternatives
Challenges in Hormone Replacement Therapy for Menopause The patient is 47 years old and underwent a hysterectomy and left oophorectomy five years ago due to uterine fibroids and endometriosis (chocolate cysts). Since then, she has been taking Premarin 0.625 mg/day and has experie...
Dr. Wei Fumao Reply:
The probability of developing breast cancer after taking medication for more than five years is considered increased. It may be advisable to consider taking half the dosage (one pill every two days). For detailed information on alternative options or specific situations, please c...[Read More] Navigating Menopausal Hormone Therapy: Concerns and Alternatives
Understanding Pregnancy After Miscarriage: Key Considerations and Tips
excuse me? Hello Dr. Chen: Two years ago, I experienced a miscarriage due to poor embryo implantation. Last November, I had another miscarriage due to early embryo regression. My most recent menstrual cycle started on December 10. If I want to conceive again, what issues should I...
Dr. Chen Xuhui Reply:
Having experienced two natural miscarriages, it is important to consider whether this may indicate habitual miscarriage (defined as three or more consecutive miscarriages). The causes of habitual miscarriage include insufficient luteal function, endocrine disorders, uterine fibro...[Read More] Understanding Pregnancy After Miscarriage: Key Considerations and Tips
Post-Hysterectomy Care: Managing Pain and Recovery Tips
Postoperative care after a total hysterectomy? Hello Doctor: I underwent a total hysterectomy on November 26, 2003, due to large uterine fibroids causing significant pressure and exacerbating my pre-existing lumbar spondylolisthesis, resulting in unbearable lower back pain. I ret...
Dr. Lin Manying Reply:
Hello, after a total hysterectomy, it is generally recommended to gradually resume daily activities over a period of 2 to 4 weeks. Therefore, if your lower back pain persists, you should consider the following: 1. Worsening of pre-existing lumbar spine conditions (please consult ...[Read More] Post-Hysterectomy Care: Managing Pain and Recovery Tips
Will Hysterectomy Eliminate Cervical Inflammation and Cancer Risks?
After a hysterectomy, will there still be a risk of cervical inflammation or cervical cancer? Hello Dr. Jan, I would like to ask about my mother (48 years old) who is scheduled to undergo laparoscopic surgery to remove her uterine fibroids along with her uterus. During her visit...
Dr. Zhan Deqin Reply:
1. There are two methods for hysterectomy: total hysterectomy, which involves the removal of the entire uterus along with the cervix, and subtotal hysterectomy, which preserves the cervix. In the case of total hysterectomy, since the cervix is removed, there will be no risk of ce...[Read More] Will Hysterectomy Eliminate Cervical Inflammation and Cancer Risks?
Can Uterine Fibroids Cause Bloating and Gas Issues?
Can uterine fibroids cause bloating? Hello, I have had two cesarean sections, and for the past two years, I have been experiencing issues with abdominal bloating and gas. Recently, an ultrasound revealed a 2 cm uterine fibroid. In the past few months, my bloating has worsened, an...
Dr. Xu Junzheng Reply:
Bloating and gas issues are generally not related to uterine fibroids, but it is important to consider whether they are associated with abdominal adhesions resulting from two previous cesarean sections. Thank you.[Read More] Can Uterine Fibroids Cause Bloating and Gas Issues?
Understanding Uterine Fibroids: Treatment Options and Dietary Tips
Treatment of uterine fibroids and diet? Hello Dr. Huang, I have just been diagnosed with a possible uterine fibroid, the largest measuring approximately 8.6 cm x 9.7 cm x 7.2 cm. Could you please advise me on the treatment options available? I am unmarried but planning to marry m...
Dr. Huang Jianxun Reply:
Hello: When uterine fibroids average larger than 5 cm, statistics indicate that the chances of becoming pregnant increase, as do the risks of miscarriage and complications during delivery. If the location of the fibroids affects future pregnancy progress, consideration may be giv...[Read More] Understanding Uterine Fibroids: Treatment Options and Dietary Tips
Can Pregnancy Improve 4cm Uterine Fibroids? Insights and Treatment Options
Uterine fibroids A uterine fibroid measuring approximately 4 cm has been noted, and the physician suggests that becoming pregnant and giving birth may lead to improvement. Is this feasible? Previously, I was prescribed birth control pills for 6 months, but after stopping, the sym...
Dr. Xu Junzheng Reply:
Generally, uterine fibroids do not affect fertility; however, pregnancy and childbirth do not seem to improve uterine fibroids. Taking contraceptive pills can only reduce menstrual blood flow but does not shrink the fibroids. Thank you.[Read More] Can Pregnancy Improve 4cm Uterine Fibroids? Insights and Treatment Options
Understanding Abnormal Menstrual Odors and Pain: A Guide for Women
Menstrual odor Hello Dr. Lin, I am unmarried and had a laparoscopic surgery around 1997 due to endometriosis, during which a portion of my left ovary was removed, and uterine fibroids were also excised. I still have adenomyosis that has not been treated, and I have been experie...
Dr. Lin Manying Reply:
1. The presence of adenomyosis can still lead to dysmenorrhea. Additionally, undergoing surgery for endometriosis does not guarantee a cure, as there is still a possibility of recurrence, necessitating regular follow-up. 2. The menstrual blood volume you described is normal. Ty...[Read More] Understanding Abnormal Menstrual Odors and Pain: A Guide for Women
Best Surgical Options for Uterine Fibroids: What You Need to Know
What is the best surgical option for uterine fibroids? Dear Dr. Lin, I will turn 45 in mid-August this year and have two daughters who are almost adults. I have been aware of my uterine fibroids for nearly three years. My menstrual flow has been heavier since I was young, but I ...
Dr. Lin Zhaopei Reply:
1. A 44-year-old woman with a uterine fibroid that has grown to 10 centimeters; the first choice remains either myomectomy or hysterectomy. 2. If the patient requests uterine preservation due to psychological reasons, it is theoretically feasible, but there is about a 10% chance ...[Read More] Best Surgical Options for Uterine Fibroids: What You Need to Know
Understanding the Risks and Effects of Uterine Fibroid Surgery
The doctor said that a 9.8 cm uterine fibroid needs to be surgically removed? My wife has excessive menstrual bleeding and was diagnosed with a 9.8 cm uterine fibroid. What are the potential complications after surgery? Will she need to take medication long-term? What are the eff...
Dr. Zhan Deqin Reply:
1. There are two types of surgery for uterine fibroids: one involves removing the fibroids, while the other is a total hysterectomy, depending on the situation. However, if the patient is in her 40s and does not wish to have more children, the doctor may recommend a total hystere...[Read More] Understanding the Risks and Effects of Uterine Fibroid Surgery
Understanding Prolonged Menstrual Cycles: Causes and Solutions
It's been a long time? Hello Doctor, I have been experiencing increasingly prolonged menstrual periods for the past four years. Initially, my periods lasted only three days, but now they last about 12 to 15 days. The timing of my periods is regular, which means I spend about...
Dr. Liang Yinpan Reply:
Ms. Lin: A menstrual period that lasts up to one week is considered normal. However, your period extending to 12-15 days indicates the presence of abnormal uterine bleeding. Abnormal uterine bleeding can be classified into functional and organic types. Since your menstrual cycle ...[Read More] Understanding Prolonged Menstrual Cycles: Causes and Solutions
Can I Use Donated Blood from Friends for My Hysterectomy?
Hysterectomy Hello Dr. Lu: The patient has multiple uterine fibroids measuring 5 cm and is preparing for a hysterectomy. The hemoglobin level is only 6.8, and there is a need for blood transfusion. Is it possible to use blood from family and friends? What should be done?
Dr. Lü Lizheng Reply:
Hello! 1. Please first contact the "Blood Bank" department of the hospital's laboratory; a phone call should suffice. Each hospital has different protocols, so please follow the instructions of the Blood Bank staff. 2. Alternatively, you can start medication to con...[Read More] Can I Use Donated Blood from Friends for My Hysterectomy?
Understanding Abnormal Menstrual Symptoms and Breast Pain Concerns
My menstrual blood is unusual, and my breasts are painful? My menstrual flow starts to decrease gradually on the fourth day of my period, and the color turns brown, resembling dried blood. This situation has persisted for about 3 to 4 years. Additionally, I notice a sour smell fr...
Dr. Li Guanghan Reply:
Hello: Based on your description, you likely have anovulatory menstruation and no luteal phase. As a result of stimulation from female hormones, you may experience breast tenderness and a sour odor in the genital area, which could be due to prolonged menstrual bleeding and the us...[Read More] Understanding Abnormal Menstrual Symptoms and Breast Pain Concerns
Understanding Vaginal Infections: Symptoms, Risks, and Treatment Options
White mass I went to a gynecologist for an internal examination, and the doctor mentioned that I have a bacterial or fungal infection in my vagina. I forgot which type of infection it was, but I remember the doctor referred to it as something like "cottage cheese" due t...
Dr. Chen Fuhao Reply:
Dear readers: Vaginal discharge, commonly known as leukorrhea, refers to the fluid that flows from a woman's genitalia. Normal female genitalia secretes various fluids. Typically, this fluid is clear or milky white and odorless, with increased volume around ovulation (approx...[Read More] Understanding Vaginal Infections: Symptoms, Risks, and Treatment Options
Effective Strategies to Manage Menstrual Pain and Discomfort
Menstrual pain Hello Dr. Peng: I experience severe pain every time I have my period and need to take painkillers to manage it. However, once the medication wears off, the pain returns and can last all day. Sometimes, the pain is so intense at night that it wakes me up. Heat thera...
Dr. Peng Yiguo Reply:
Dysmenorrhea is a common gynecological condition and a leading cause of absenteeism or sick leave among young individuals. It is often accompanied by symptoms such as nausea, vomiting, headaches, fatigue, mood changes, and back pain. These symptoms typically occur 24-48 hours bef...[Read More] Effective Strategies to Manage Menstrual Pain and Discomfort
When Will My Period Return After Induction Abortion?
When does menstruation return after induction of labor? Hello Dr. Wu, I experienced premature rupture of membranes at 14 weeks of pregnancy, which led to an induction procedure on October 15, 2002 (the doctor mentioned that it was caused by adenomyosis leading to bleeding and sub...
Dr. Wu Zongcheng Reply:
1. The causes of dysmenorrhea can be divided into two main categories: (1) organ tumors and (2) functional pain. Uterine fibroids can certainly cause dysmenorrhea. 2. The prolonged abdominal pain is likely due to inflammation. If a bacterial infection has not completely healed,...[Read More] When Will My Period Return After Induction Abortion?
Understanding Abnormal Menstrual Patterns: Causes and Concerns for Women Over 50
Menstrual irregularities Hello Doctor: I am a 50-year-old who underwent laparoscopic uterine artery embolization for uterine fibroids two years ago, without removing the fibroids or the uterus. My menstrual cycles have been normal until September, when I experienced very light bl...
Dr. Chen Changfu Reply:
Hello! Based on your age and the description of your abnormal menstrual bleeding, it is likely that this is due to age-related ovarian dysfunction resulting in uterine bleeding, known as dysfunctional uterine bleeding (DUB), which is a common cause of menstrual irregularities dur...[Read More] Understanding Abnormal Menstrual Patterns: Causes and Concerns for Women Over 50
How to Determine the Cause of a Protruding Abdomen: Fat or Fibroids?
The lower abdomen is very protruded? I am 36 years old, and my lower abdomen is very protruded, making it look like I am pregnant. I am unsure if it is due to fat or uterine fibroids. How can I determine this, and which department should I consult for a check-up? Thank you!
Dr. Wang Jionglang Reply:
Hello: In response to your question: If you have a slender body type with only a protruding abdomen, and you can feel something hard in your lower abdomen while lying flat, it is more likely to be a pelvic tumor. If that is not the case, it is less likely to be related to the afo...[Read More] How to Determine the Cause of a Protruding Abdomen: Fat or Fibroids?
Understanding Breast Tenderness Before Menstruation: Is It Normal?
Breast tenderness? It is common to experience breast tenderness or pain a week before menstruation, which typically resolves once menstruation begins. This symptom is often related to hormonal changes and is considered normal. However, if you have concerns about fertility or if t...
Dr. Lü Lizheng Reply:
Breast tenderness is caused by hormonal stimulation and is a normal physiological phenomenon; it does not lead to infertility, so there is no need for concern. Menstrual pain is also a common issue among young women, and most cases are related to individual physiological factors....[Read More] Understanding Breast Tenderness Before Menstruation: Is It Normal?
Heavy Menstrual Bleeding: When to Seek Medical Advice?
increased bleeding During my menstrual period, I sometimes experience a sudden heavy flow of blood, lasting about an hour, where one pad is not enough and it overflows, which is quite alarming. However, after a while, the flow decreases significantly. Is this normal? Should I see...
Dr. Zhan Deqin Reply:
1. Based on your situation, it should not be a major issue; sometimes uterine fibroids or an intrauterine device can cause this. 2. If you are still concerned, you can visit a family clinic for an ultrasound examination to check for any other abnormalities.[Read More] Heavy Menstrual Bleeding: When to Seek Medical Advice?