Understanding Uterine Fibroids: Options Beyond Hysterectomy
Uterine fibroids My sister is currently 37 years old. Over four years ago, she underwent a fibroid removal surgery. Last year, the fibroids recurred, and at that time, the largest one was about 6 centimeters. However, during a follow-up two weeks ago, it was found that the larges...
Dr. Lin Manying Reply:
1. The so-called uterine blood flow occlusion method has not passed human trials and its efficacy is uncertain; therefore, the Department of Health has explicitly prohibited physicians from performing it privately. 2. If the patient (1) no longer requires fertility (2) has a uter...[Read More] Understanding Uterine Fibroids: Options Beyond Hysterectomy
Understanding Abnormal Post-Coital Bleeding: Causes and Solutions
Abnormal bleeding Hello doctor, for the past six months, I have been experiencing slight spotting the day after intercourse, which lasts for about ten days, and then it stops until my next period. I have consulted a physician and undergone two Pap smears, pelvic examinations, and...
Dr. Wu Zongcheng Reply:
The causes of abnormal bleeding can be divided into two main categories: 1. Tumors: such as uterine fibroids, uterine polyps, and malignant uterine tumors. 2. Functional bleeding: such as endocrine disorders and poor uterine contractions caused by contraceptive devices. First, ...[Read More] Understanding Abnormal Post-Coital Bleeding: Causes and Solutions
Understanding Cervical Stenosis: Risks, Symptoms, and Treatment Options
Cervical stenosis I was diagnosed with cervical stenosis while being evaluated for infertility, and the doctor recommended a cervical dilation procedure, which she referred to as an abortion. I did not agree to the procedure at that time because I forgot to ask questions, and now...
Dr. Lü Lizheng Reply:
Clinically, it is very rare for a person's cervix to be so severely narrowed that cervical dilation is necessary. It is recommended that you visit a large hospital (medical center) for further confirmation. If you are experiencing dysmenorrhea and heavy menstrual bleeding, i...[Read More] Understanding Cervical Stenosis: Risks, Symptoms, and Treatment Options
Understanding Irregular Menstrual Cycles: Causes and Solutions
Menorrhagia Hello Dr. Chen, I experience my menstrual period every month, but the intervals are less than ten days. My cycles have been irregular, and for the past two months, I have been experiencing continuous bleeding, although the flow is not heavy. What should I do? I am m...
Dr. Chen Fuhao Reply:
Ms. Yang: Hello, your question is a common issue in general gynecological outpatient clinics, with about one-quarter of women experiencing similar concerns. Modern women face pressures from heavy academic workloads, careers, and household responsibilities, leading to irregular me...[Read More] Understanding Irregular Menstrual Cycles: Causes and Solutions
Understanding Abnormal Uterine Bleeding: Causes and Concerns for Women Over 40
Abnormal heavy bleeding? Hello, I would like to ask about my mother, who is approaching 49 years old this year. Recently, she experienced uterine bleeding that lasted for about a month. After being prescribed medication by a doctor, her condition improved, but once she stopped th...
Dr. Xu Junzheng Reply:
Uterine fibroids, endometrial hyperplasia, cervical cancer, and endometrial cancer can all cause heavy bleeding. A thorough examination is necessary to confirm the diagnosis, as it cannot be determined solely based on symptoms. Thank you.[Read More] Understanding Abnormal Uterine Bleeding: Causes and Concerns for Women Over 40
Long-Term Hormone Therapy: Risks and Alternatives for Women
Hormones Hello, doctor. My mother had uterine fibroids about ten years ago, and after consulting with a gynecologist, she followed the recommendation to undergo a hysterectomy and oophorectomy. Since the surgery, she has been receiving monthly injections of a Dutch synthetic horm...
Dr. Zhan Deqin Reply:
The purposes of hormone replacement therapy after menopause or ovarian removal are: 1. To prevent osteoporosis 2. To prevent aging and dementia 3. To treat menopausal symptoms such as hot flashes and palpitations. The only side effect is an increased incidence of breast cancer. H...[Read More] Long-Term Hormone Therapy: Risks and Alternatives for Women
Understanding Brown Discharge Before Menstruation: Causes and Concerns
Brown discharge before menstruation? Why do I have a few days of brown discharge before my period starts? I am 33 years old and have not given birth yet, and this has only been happening for the past year. I consulted a doctor who mentioned it might be due to luteal phase deficie...
Dr. Zhan Deqin Reply:
1. Hormonal abnormalities can sometimes occur. 2. More common causes include adenomyosis, uterine fibroids, and endometrial hyperplasia, and sometimes uterine enlargement can be caused by other factors. 3. It is recommended to first undergo an ultrasound examination to determine ...[Read More] Understanding Brown Discharge Before Menstruation: Causes and Concerns
Is It Normal for Menstrual Cycle to Last 18 Days? Expert Insights
Is it normal for menstruation to last 18 days? Hello Dr. Wei, I would like to ask for your assistance with the following issues, thank you! I started my menstrual cycle in mid-April, but it has been irregular and persistent until mid-May. During this time, in addition to the irr...
Dr. Wei Fumao Reply:
If menstruation is irregular in April, especially if there was little or no period in February or March, it could indicate an abnormality. However, there are other conditions that can cause this, so please consult a gynecologist for an examination. A Pap smear is covered by healt...[Read More] Is It Normal for Menstrual Cycle to Last 18 Days? Expert Insights
Is Metformin Safe for My Uterine Fibroids and Symptoms?
Is Metformin suitable for my condition? I have two uterine fibroids, each measuring 3 cm. In March of this year, I underwent a vaginal ultrasound. During my ovulation period, specifically ten days after my menstrual period, I began experiencing some discomfort symptoms such as ed...
Dr. Wei Fumao Reply:
The ingredients of this medication have been inquired about at various pharmacies in Pingtung, but none have it in stock, and its components are unknown. If uterine fibroids are not too large or if there is a risk of significant bleeding (heavy menstrual bleeding), the general ma...[Read More] Is Metformin Safe for My Uterine Fibroids and Symptoms?
Understanding Uterine Fibroids: Symptoms and When to Seek Help
Uterine fibroids Hello, doctor! I would like to ask: "I have no sexual experience, and since mid-last year, my menstrual cycle has been very different. One time the flow is normal, and the next time it is very light, so light that I can use a panty liner, and the color is a ...
Dr. Xu Junzheng Reply:
If the obstetrician-gynecologist states that only the bladder is visible and that even if there are uterine fibroids, they are very small, I believe it is sufficient to monitor any worsening symptoms on your own. However, it is important to clearly communicate your symptoms when ...[Read More] Understanding Uterine Fibroids: Symptoms and When to Seek Help
Understanding Fertility Treatments Beyond Psychological Factors
If you want to conceive and have ruled out psychological issues, the treatment procedures may include: 1. **Fertility Assessment**: This involves a thorough evaluation of both partners, including blood tests, hormone level checks, and imaging studies like ultrasounds or hystero...
Dr. Lin Zhaopei Reply:
Infertility is defined as the inability to conceive after one year of regular sexual intercourse, affecting approximately 1 in 6 women of reproductive age. However, the likelihood of infertility increases with age, reaching about 3 in 4 women by the age of 40. Initial evaluations...[Read More] Understanding Fertility Treatments Beyond Psychological Factors
Understanding CA-125: When Is Surgery Necessary for Ovarian Tumors?
CA-125 Hello Dr. Jan! I was diagnosed with a tumor measuring 4 to 5 cm located between my uterus and ovaries through an ultrasound. My attending physician performed a CA-125 test (this doctor did not specify my diagnosis but mentioned a suspicion of endometrioma), and the result ...
Dr. Zhan Deqin Reply:
1. CA-125 is a tumor marker used to assess the likelihood of malignancy in tumors. Elevated levels can be associated with ovarian cancer, endometriosis, and chocolate cysts, among others, with normal levels being below a certain threshold. 2. Sometimes, it can be difficult to d...[Read More] Understanding CA-125: When Is Surgery Necessary for Ovarian Tumors?
Understanding Uterine Fibroids: Impact on Menstrual Cycle and Fertility
Uterine fibroids Since last September, my menstrual period has not come, and I only found out in February that I have a 4.8 cm fibroid. I have received two injections to induce menstruation and have taken progesterone, but my period still hasn't returned. Is this due to the ...
Dr. Wei Fumao Reply:
Pregnancy must be ruled out first. If there is no pregnancy, menstruation will still occur; it is just a matter of time.[Read More] Understanding Uterine Fibroids: Impact on Menstrual Cycle and Fertility
Understanding Abnormal Menstrual Bleeding: Causes and Solutions
Menstrual irregularities This month, when my period was about to start, I noticed a little bit of light blood (not like my usual menstrual flow). I thought I would wait a few days to see if my period would actually come, but it has been a week and I am still experiencing a little...
Dr. Wu Zongcheng Reply:
Irregular menstruation (spotting) can be considered from three aspects: (1) Uterine and ovarian pathologies: such as uterine fibroids, polyps, endometrial hyperplasia, or ovarian tumors. (2) Functional causes: Hormonal imbalances in the ovaries can disrupt the menstrual cycle. Lu...[Read More] Understanding Abnormal Menstrual Bleeding: Causes and Solutions
Understanding Severe Menstrual Pain: Is It Normal on Day One?
Menstrual pain inquiry? I would like to ask, sometimes on the first day of my menstrual period, I experience very, very severe pain, but in the following days, the pain is not as intense. Is there a problem with this? Thank you for taking the time to answer.
Dr. Wei Fumao Reply:
There are various conditions that can cause menstrual pain: endometriosis, adenomyosis, uterine fibroids, and cervical pressure from menstruation in women who have never given birth (due to a tighter cervix). Please visit a gynecologist for an examination.[Read More] Understanding Severe Menstrual Pain: Is It Normal on Day One?
Managing Uterine Fibroids: Treatment Options for Large and Small Tumors
Uterine fibroids The largest fibroid measures 7.1 x 6.8 cm and another measures 3.4 x 3.2 cm, with numerous smaller ones present. What would be the recommended management for this condition? Thank you.
Dr. Wei Fumao Reply:
Assess whether the menstrual flow is excessive, or if there are symptoms of pressure (such as frequent urination or a sensation of needing to defecate), or if there is dysmenorrhea. Please consult a nearby obstetrician-gynecologist for further evaluation.[Read More] Managing Uterine Fibroids: Treatment Options for Large and Small Tumors
Understanding Uterine Fibroids: Symptoms, Treatment Options, and Management
Uterine fibroids What symptoms can uterine fibroids cause? Since I discovered I have fibroids three months ago, I often experience numbness in my hands (which I had even before knowing about the fibroids). I frequently feel dizzy, and during my menstrual cycle, the bleeding seems...
Dr. Xu Junzheng Reply:
Uterine fibroids often cause heavy menstrual bleeding, which can indeed lead to anemia and may result in symptoms such as numbness in the hands. However, it is important to have a blood test to determine if anemia is present. Uterine fibroids do not necessarily require surgical r...[Read More] Understanding Uterine Fibroids: Symptoms, Treatment Options, and Management
Post-Hysterectomy Consultation: Managing Symptoms and Recovery Tips
Consultation After Hysterectomy Due to the large size of the uterine fibroids (6x8 cm), a laparoscopic surgery was performed to remove the uterus 24 days ago. There are still some symptoms: 1. light bleeding 2. pain. Is this normal? When can I expect to recover? What precautions ...
Dr. Zhan Deqin Reply:
1. Mild bleeding and discomfort may still be unavoidable, especially after vigorous exercise. 2. It is advisable to wait at least two months after surgery before resuming sexual activity. If there are any concerns, please visit the obstetrics and gynecology outpatient clinic.[Read More] Post-Hysterectomy Consultation: Managing Symptoms and Recovery Tips
Understanding Uterine Fibroids: Impact on Urinary Incontinence and Treatment Options
Uterine fibroids Hello, doctor! I am 44 years old and have one son and one daughter, both in their teens. I have a uterine fibroid approximately 5 cm in size, and my uterus is slightly retroverted. I experience severe abdominal pain on the second day of my menstrual period, along...
Dr. Zhan Deqin Reply:
1. Menstrual pain is related to fibroids. 2. Urinary incontinence is not related to fibroids; it is generally caused by childbirth or pelvic floor relaxation. 3. Surgery is not always necessary; only severe cases of stress urinary incontinence require surgery, and improvement is ...[Read More] Understanding Uterine Fibroids: Impact on Urinary Incontinence and Treatment Options
Risks and Precautions for Pregnant Women with Uterine Fibroids
What should pregnant women with uterine fibroids pay attention to? My wife (30 years old) has uterine fibroids and is three months pregnant. Over the past three months, aside from typical morning sickness, she frequently experiences abdominal pain. We have consulted two doctors; ...
Dr. Zhan Deqin Reply:
The impact of uterine fibroids depends on their location and size. If the fibroids are large enough to compress the cervix or birth canal, they can certainly have an effect. However, if they are not, then there is usually no concern. If there is severe abdominal pain or bleeding,...[Read More] Risks and Precautions for Pregnant Women with Uterine Fibroids