Uterine fibroids, Obstetrics and Gynecology FAQ - Page 5

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Post-Pap Smear Bleeding: Is It Related to Perimenopause?

Bleeding after a Pap smear? Doctor, I usually have a regular menstrual cycle and no gynecological issues, except for uterine fibroids and polyps, with the largest being 6 cm. I have never undergone surgical treatment. I have annual Pap smears and vaginal ultrasounds, and occasion...


Dr. Huang Yiwen Reply:
This question has already been answered.

[Read More] Post-Pap Smear Bleeding: Is It Related to Perimenopause?


Post-Pap Smear Bleeding: Is It Related to Perimenopause?

Bleeding after a Pap smear? Doctor, I usually have a regular menstrual cycle and no gynecological issues, only uterine fibroids and polyps, the largest being 6 centimeters, and I have not undergone any surgical treatment. I have annual Pap smears and vaginal ultrasounds, and occa...


Dr. Huang Yiwen Reply:
Hello Ms. Chen: The two instances of bleeding you experienced on the same day as your Pap smear are likely unrelated to your approach to menopause. Contact bleeding during a Pap smear is relatively common in clinical practice and is usually not a cause for concern. However, a sma...

[Read More] Post-Pap Smear Bleeding: Is It Related to Perimenopause?


Understanding Uterine Fibroids: Symptoms, Treatment, and Management Options

Uterine fibroids Hello, doctor. Today I was diagnosed with approximately 20 uterine fibroids, all quite large, with the largest measuring 8 centimeters. My abdomen looks like I am 4-5 months pregnant. The doctor asked why I waited so long to seek treatment, and I am a bit puzzled...


Dr. Cao Guotao Reply:
Hello, your fibroid is quite large. You may consider surgery. If you still wish to have children, it would be advisable to postpone the surgery. After menopause, the fibroid will not disappear; it will only shrink a little. Wishing you good health.

[Read More] Understanding Uterine Fibroids: Symptoms, Treatment, and Management Options


Calcium Supplements for Uterine Fibroids and Osteoporosis: What You Need to Know

Uterine fibroids, osteoporosis, calcium supplements? Hello, doctor. I am 58 years old and a few years ago I was diagnosed with uterine fibroids. However, after monitoring over the years, the fibroids have shrunk to two or three. The doctor said I can continue to monitor them. Rec...


Dr. Cao Guotao Reply:
Hello, the general impact should not be significant. You may want to consult a nutritionist for further advice. Wishing you good health.

[Read More] Calcium Supplements for Uterine Fibroids and Osteoporosis: What You Need to Know


Understanding Prolonged PMS: Causes and Treatment Options

Premenstrual syndrome lasting more than one week? Hello, doctor. I am 38 years old and have uterine fibroids. I underwent a Da Vinci surgery about five years ago, but due to the presence of numerous fibroids in my uterus, only the larger ones were removed, and there are still man...


Dr. Wu Xianghui Reply:
It has been 5 years since the surgery; it is recommended to return to the obstetrics and gynecology department for re-examination and evaluation.

[Read More] Understanding Prolonged PMS: Causes and Treatment Options


Managing Heavy Bleeding with Uterine Fibroids: Treatment Challenges

Continuous bleeding after medication for uterine fibroids? In April and May of this year, I noticed abnormalities in my menstrual cycle. After an examination in June, a 4 cm uterine fibroid was discovered. Due to a gradual decline in hemoglobin levels to 8 over the past three yea...


Dr. Cao Guotao Reply:
Hello, the medication prescribed by your doctor is to help with blood clotting, making it easier to operate during surgery. Please continue taking it. You can take pain relievers as they will not interfere. We need to check for anemia through a blood test to know for sure. Wishin...

[Read More] Managing Heavy Bleeding with Uterine Fibroids: Treatment Challenges


Understanding Uterine Fibroids: Growth Rate, Risks, and Surgical Options

Uterine fibroids Hello, doctor. In April of this year, an abdominal ultrasound at the gynecology clinic revealed that one of my uterine fibroids has grown to 8.8 cm (it can be felt with light pressure on the lower abdomen). Two years ago, it was only 5 or 6 cm in size. I also hav...


Dr. Chen Zhiyu Reply:
Regarding your concerns, here is a summary of the response: It is evident that this tumor is growing rapidly and consuming blood. The determination of whether it is benign or malignant can only be confirmed through surgical biopsy of the tumor; other methods are merely speculativ...

[Read More] Understanding Uterine Fibroids: Growth Rate, Risks, and Surgical Options


Understanding High Platelet Count and Iron Deficiency Anemia in Women

Thrombocytosis with iron deficiency anemia Hello, doctor. I have uterine fibroids and adenomyosis. Recently, I had my menstrual cycle and my blood test showed a hemoglobin level of 10.5, with a platelet count as high as 485, which is increasing. My platelet count has risen from b...


Dr. Wu Xianghui Reply:
1. There is a risk of thrombosis, making the individual unsuitable for receiving the AZ vaccine. 2. Iron supplements cannot improve platelet issues; it is recommended to consult a hematologist for evaluation. 3. Skin lesions can occur outside of menopause.

[Read More] Understanding High Platelet Count and Iron Deficiency Anemia in Women


Managing Uterine Fibroids Surgery Amid COVID-19 Vaccination Concerns

Uterine fibroids Hello, Director Huang. I am currently 28 years old and have a nearly ten-centimeter fibroid (located on the outer side). I am scheduled for surgery this year, and I am currently in the vaccination period for the pandemic. 1. If I receive the first dose of the A...


Dr. Huang Yuande Reply:
1. Receiving the AZ vaccine is unrelated to surgery; it is recommended to get vaccinated according to the originally scheduled time. 2. This is misinformation and should be disregarded.

[Read More] Managing Uterine Fibroids Surgery Amid COVID-19 Vaccination Concerns


Can Vitex Help with Uterine Fibroids and Irregular Cycles?

Can women with uterine fibroids take chaste tree berry? Hello Doctor: Due to my menstrual cycle being often irregular, I purchased a dietary supplement containing Vitex (Chaste Tree) to see if it can help improve my cycle issues. I had a Pap smear at the clinic at the end of Apri...


Dr. Huang Yuande Reply:
1. It is recommended to seek proper medical treatment for abnormal menstrual cycles. Many dietary supplements on the market may have some hormonal effects, so it is advisable to consult your physician before taking them. 2. Generally, if there are no symptoms, an ultrasound exami...

[Read More] Can Vitex Help with Uterine Fibroids and Irregular Cycles?


Changes in Uterine Fibroid Position During Pregnancy: What to Know

Changes in the position of uterine fibroids during pregnancy? Hello Doctor: I have multiple uterine fibroids (which I monitor annually), with three larger ones measuring 5, 6, and 7 centimeters. I am currently 16 weeks pregnant. Initially, at 12 weeks, I could feel the largest fi...


Dr. Cao Guotao Reply:
Hello, it is still best to rely on ultrasound, as it is not significantly related to diet. Pregnancy can cause an increase. Wishing you good health.

[Read More] Changes in Uterine Fibroid Position During Pregnancy: What to Know


Understanding Irregular Menstrual Cycles: Causes and Solutions

Menstrual issues Hello, since the beginning of this year, my menstrual cycles have been around fifty days apart. At the end of March, I thought my period was about to start, but I only had brown discharge that lasted for over a week, then it cleared up, and a week later, I had me...


Dr. Cao Guotao Reply:
Hello, it is possible that you are experiencing menopause. If you do not have any discomfort, you can simply monitor the situation. Wishing you good health.

[Read More] Understanding Irregular Menstrual Cycles: Causes and Solutions


Understanding Menstrual Irregularities After Surgery: What to Know

Regarding missed menstruation? Hello, Doctor! I underwent surgery to remove a chocolate cyst and uterine fibroids on March 5. On March 14, I experienced a small amount of vaginal bleeding, and my doctor suggested it was likely my menstrual period, which coincided with my usual cy...


Dr. Cao Guotao Reply:
Hello, undergoing surgery should not cause menopause; just monitor the situation. Wishing you good health.

[Read More] Understanding Menstrual Irregularities After Surgery: What to Know


Severe Abdominal Pain and Reactions After Cytotec: What to Do Next?

Shivering, chills, and severe abdominal pain? I have anemia caused by uterine fibroids, and my doctor arranged for the placement of a Mirena IUD for bleeding control. Three days before the Mirena insertion, I started using CYTOTEC vaginally. After the first insertion, I experienc...


Dr. Cao Guotao Reply:
Hello, it might be related to the use of the suppository. If you are feeling very uncomfortable, it is advisable not to use it. I recommend returning to your gynecologist to check if you can have an intrauterine device (IUD) inserted. Wishing you good health.

[Read More] Severe Abdominal Pain and Reactions After Cytotec: What to Do Next?


Emergency Contraceptives and Their Impact on Uterine Fibroids

Emergency contraceptive pills and uterine fibroids? Last month, I was taking the emergency contraceptive pill, but I missed a dose during the last week, which led to abnormal bleeding. I consulted a doctor who suggested it might be due to injury and prescribed hemostatic medicati...


Dr. Huang Yuande Reply:
In principle, short-term use will not cause changes in uterine fibroids, so taking it for just a few days should not have an impact. However, since taking oral contraceptives can disrupt the menstrual cycle, there may be some light bleeding.

[Read More] Emergency Contraceptives and Their Impact on Uterine Fibroids


Understanding Lower Abdominal Pain: Ovarian Cysts, Fibroids, and More

Lower abdominal pain? On April 14, after experiencing bleeding following non-invasive sexual activity, I visited a gynecologist who informed me that I have an ovarian cyst and uterine fibroids, both currently measuring less than 3 centimeters. Additionally, there is cervical ectr...


Dr. Wu Xianghui Reply:
1. Vaginal infections can cause abnormal discharge, itching, fever, bleeding, and intermittent lower abdominal pain, which are among the most common symptoms in women. The causes are numerous, and treatment methods require comprehensive health education. It is recommended to cons...

[Read More] Understanding Lower Abdominal Pain: Ovarian Cysts, Fibroids, and More


Understanding Uterine Fibroids, Teratomas, and CA125 Levels in Women

Uterine fibroids, teratomas, CA-125? Hello Dr. Huang, I have a few questions I would like to ask. During a health check-up, my CA-125 levels were found to be elevated, so I sought treatment at the gynecology department of National Taiwan University Hospital. A vaginal ultrasound ...


Dr. Huang Yuande Reply:
1. A 6 cm fibroid is unlikely to cause significant pressure symptoms; confirming its location should provide clarity. 2. Although teratomas are mostly benign, it is still recommended to remove them, as laparoscopic surgery is not difficult. 3. CA-125 levels will not be elevated i...

[Read More] Understanding Uterine Fibroids, Teratomas, and CA125 Levels in Women


Can High Antibody Levels and Uterine Fibroids Affect Pregnancy?

Uterine fibroids, elevated antibody levels, and frequent urination—can one still become pregnant? Hello Dr. Tsao, At the end of last year, during a health check-up, I was diagnosed with hypothyroidism and thyroid nodules, as well as uterine fibroids. The doctor mentioned that my...


Dr. Cao Guotao Reply:
Hello, regarding the issue with antibodies, it may be best to consult an endocrinologist. Frequent urination, if the uterine fibroids are not large, should not be related. However, if discomfort persists, it is advisable to see a urologist. Wishing you good health.

[Read More] Can High Antibody Levels and Uterine Fibroids Affect Pregnancy?


Understanding Menstrual Issues After Uterine Fibroid Surgery

Menstrual issues Hello Dr. Wu: Last July, I underwent surgery for uterine fibroids. After the surgery, the doctor recommended that I receive six months of Lupron injections, which theoretically should have concluded with the last injection in December. My menstrual period was exp...


Dr. Wu Xianghui Reply:
1. Taking the contraceptive pill theoretically should not result in menstruation; menstruation occurs only if ovulation takes place. 2. Is pregnancy possible? Please consult a fertility specialist for evaluation and examination.

[Read More] Understanding Menstrual Issues After Uterine Fibroid Surgery


Understanding Uterine Fibroids: Surgical Options and Costs Without Insurance

Uterine fibroids Hello, doctor. I have a 5 cm uterine fibroid. What are the surgical options available, and how much does each method cost out of pocket according to the Ministry of Health and Welfare? Thank you, as I do not have insurance.


Dr. Huang Zifei Reply:
Dear Inquiry, It is recommended to consult with an obstetrician-gynecologist for this issue, as surgery requires understanding your physical condition and assessing the location of the fibroids for planning. The out-of-pocket expenses may vary among different hospitals under the...

[Read More] Understanding Uterine Fibroids: Surgical Options and Costs Without Insurance


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