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1精神科
| 憂鬱 | 這半年以來我常常覺得壓力大，心情差。每當這個時候我就會去用吃東西來發洩，我會一直吃一直吃，就算是飽了我還是持續進食（暴食？？）。往往這樣一天下來，我的體重可以增加5公斤左右。有時候走在路上也會莫名的哭起來，常常覺得很沈重。這樣的症狀有需要看診嗎？我怕自己太大驚小怪了∼∼ | 你好： 你的現象的確需要看診，以排除憂鬱症或合併有暴食症之可能。 林醫師 | [
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5泌尿科
| 副睪丸炎 | 醫生你好，前些陣子因為右邊睪丸悶悶不太舒服，沒有到直接強烈的劇痛，僅有悶悶不適感，我到了診所檢查，醫生用觸診方式按壓，按壓的一個點很痛很不舒服，醫生說是副睪丸發炎，吃了一個多禮拜的抗生素，情況好些許多，但總還是有一種說不出來的奇怪感覺，請問副睪是在睪丸上方嗎？我在家洗澡時發現右邊睪丸上方那個位子觸摸按壓還是會有些許疼痛不適感，也想請問醫生，副睪發炎痛過調整作息以及多喝水，可以在不吃抗生素的情況下自然痊癒嗎？謝謝醫生的答覆。 | 小安您好 副睪丸結構較為特殊 一般藥物的藥效不太容易進入 而且治療時間也較長 建議繼續服藥 以避免成為慢性發炎 新營醫院泌尿科 陳建升 | [
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1精神科
| 藥物副作用 | 目前有在看身心科 看了已經快1個月左右 診斷是「混合憂鬱及焦慮之適應症」 目前是兩週回診一次 幾乎每一次回診都會因為有些狀況（多夢、焦慮、憂鬱等）而換藥 以下是這一個月來所吃過的藥： 第一次看診：景安寧0.5MG、憂必晴50MG、永康緒0.5MG（除永康緒 其他都是睡前1顆 永康緒則是急性發作時才吃） 第二次回診：克癇平0.5MG、易思坦5MG、法瑪鎮20MG、心律propranolol 10MG（心律是急性發作時吃 其他都是睡前1顆） 第三次回診：安心平1MG、離憂10MG、法瑪鎮20MG（都是睡前1顆） 第四次回診：艾斯樂2MG（睡前1顆）、威克倦150MG（早上1顆） 第四次回診是最近一次回診 之前吃的藥雖然都會有些反胃、乾嘔等的副作用 但第四次回診吃的藥 吃了之後會不定時出現呼吸困難（吸不到氣的感覺）同時伴隨手痙攣、頭暈的症狀 想請問這樣是正常的嗎？是因為吃藥而引起呼吸困難的副作用嗎？ 謝謝！ | 您好 您提到的呼吸困難伴隨手痙攣等症狀不太像是與藥物有關，建議您盡早就醫評估， 感謝您的提問。 | [
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| 抹片檢查 | 請問 做完抹片 檢查報告異常 病例診斷為：輕度不典型增生（CINI不伴有紅細胞 醫生說三個月後再做一次抹片檢查，請問事前需要先做（HPV）或（切片）嗎？ | 可以三個月後再抹 或做HPV檢查，如為陽性再做切片。 | [
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5泌尿科
| 包皮術後問題 | 不好意思 醫生好 上次有提到關於龜頭有點角質化 現在有點小小脫皮 很像新皮長出來的感覺 請問可以擦點類固醇藥膏緩解嗎 | 您好 不需要 用了會有別的問題. 祝健康. 只要清潔乾燥就好. | [
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4心臟血管專科
| 心跳快速 | 心跳偶爾會出現狂跳，且跳到整個人會晃動，會覺得有些喘而已，無其他不適。 突然心跳變快時，心情都是很平靜。血液檢查也無問題。158CM. 成年後體重維持在50-55間 5年多前下午是第一次發作，脈搏最高180，大概半小時就恢復正常。 109.09.29 晚上9點多脈搏140左右，持續一小時多，嚇到躺去睡，後來正常（沒留意時間） 110.01.03脈搏136∼158，持續四小時有（中間有午睡半小時多），但使用家裡的血壓計、小米手錶，只量到幾次心跳，大部份都顯示異常，量不到數據。診所的血壓計也量不到數據 可能的疾病為何呢？要忌哪些飲食呢？我要去小醫院檢查，還是直接到大醫院呢？ | 您好 直接來大醫院詳細檢查吧 是不是有陣發性心律不整 平安 彰化醫院關心您 | [
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| 藥物諮詢 | 請問我去看皮膚科醫師給我開的有分飯前飯後 飯前 要服用的Amoxicillin 250mg安蒙西林每日三次，每次一粒，外觀是白色橘色膠囊，---是治療細菌感染症的 飯後有 1. Ulcerin-P 233mg爾衛適寧-普每日三次，每次一粒，外觀是白色圓扁形錠劑---是治療胃酸過多 2.25mg diclofenac Potassium 25mg Cataflam克他服寧每日三次，每次一粒，外觀是粉紅圓凸型腸溶糖衣錠---是消炎止痛 我想請教的事，因為我常在吃完飯後，要吃藥才記得飯前的藥安蒙西林忘記吃，如果我要和飯後的爾衛適寧-普和克他服寧一起吃可以嗎會有影響嗎 如果不行的話，如果飯前的忘記吃，我該怎麼服用呢 | 您好對於藥品的服用方法讓您很困擾一般而言如果抗生素要您飯前服用是因為效價會較好所以要飯前服用胃藥和消炎止痛的藥要您飯後服用是因為消炎止痛藥飯後服用較不傷胃如果您飯前忘記服用抗生素可以和飯後藥一起服用應該沒有關係只是有一點點影響它的效價.我這樣的回答您可以接受嗎謝謝您. | [
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| 愛滋病 | 醫生你好 最近有在網路上看到說以現在的技術，只要一個月就可以檢測出愛滋感染是真的嗎？ 如果一個月就去愛滋篩檢的結果可信度高嗎？ | 您好： 要看檢驗單位說明，一般醫院醫師是 3個月建議，祝健康 | [
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5泌尿科
| 淋病 | 醫生您好， 165787續問，抱歉因爲第一個問題有點不懂，您回覆說有可能，是否能理解為 1.無症狀帶原者，原則上還是可以檢測出來，是嗎？ 而檢驗方式分為培養跟DNA，另外DNA是抽血嗎？DNA參考用是指主要還是依培養或是其他方式來確診，DNA只是輔助判斷而已嗎？ 2.因為菌體少，所以可能驗出來是陰性，但是機會極少，那這樣理論上有傳染給他人風險嗎？ 3.之前有驗過淋病，陰性，而至今超過數年以上，中間也無不安全性行為，目前也無症狀，應該不用太過擔心無症狀帶原狀況？如有症狀再就醫就可了嗎？ 謝謝。 | 您好 回復您的問題可能不夠詳細找了中文資料 httpswww.labmed.org.twknowledge1.ASPmno33 1 是檢尿液及尿道口分泌物 因為其檢查有可能一些菌體死了仍被驗出 所以是參考用. 另外也要看其檢查精密度. 2 機會當然很少 淋病會有分泌物流膿狀症狀 應是菌體及身體的抵抗產生的白血球等等 形成膿狀分泌物 量太少就不會有分泌物了. 傳染機會也少但是科學上不能說百分之百應可不用太焦慮 3 個人建議不用過慮 注意身體保養及安全性行為有排尿症狀再就醫檢查 會健康無事的. 祝您新年快樂. | [
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11營養教室
| 減重 | 請問營養師 妳們有減重的食譜ㄇ 我希望能在2個月內減掉10公斤左右 | 瑄您好： 關於您想在2個月減掉10公斤的問題，一般是不建議減這麼快的。 衛生署建議一星期體重以減0.5kg為原則，即一個月減3kg以內較佳。 而平均以一天少食500kcal一週即可減少0.5公斤一個月也有2公斤呢。 所以建議您先了解自己的理想體重為何？每日總熱量可攝取多少？若每日應攝取1800卡，建議您每日先減少500卡，即1300卡則一週下來即可減掉0.5公斤，若配合運動效果更加喔 至於食譜方面，若依照營養師所設計的食譜進食設限非常多，所以請您到就近醫院找營養師，請她幫您設計熱量、及六大類食物可食的份數，這樣您每天就可以按照自己對食物的喜好來進食，菜色也會比較有變化喔！ | [
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| 感染問題 | 1.請問一般牙醫常用鋪在病人胸前的的紙巾都是拋棄式的或是回收清洗用的？ 2.請問鋪在病人紙巾上有一個套在病人脖子的鐵鏈夾，請問這鐵鍊夾也是拋棄式的嗎？如果不是拋棄式，“每個”病人之間會消毒嗎？用什麼溶液消毒？一般噴酒精或是泡在cidex 中消毒？因擔心重覆使用的鐵鏈夾上面沾有病人噴濺的血水，若脖子上有痘痘傷口碰觸到交叉汗染感染到終身的血液帶原疾病？ 3.請問鋪在病人紙巾上是用雙面膠或鐵鍊夾哪一種對於病人安全比較妥當？ | 您好 1. 有拋棄式的防水巾。也有回收高溫高壓消毒過的布巾。 2. 鐵夾部分會用75酒精噴消。鐵夾只會碰到病人的衣服，不會接觸到病人的黏膜或皮膚傷口。現行不能泡cidex了，會有致癌性。脖子的痘痘傷口表面也會有結痂，除非是本身免疫力低下的病患，否則藉由鐵夾傳播疾病的風險極低。 3. 目前沒有在使用雙面膠，若您自己有帶，也可要求改用雙面膠 | [
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| 感染 | 手部有長病毒疣，但只有突起並一直沒有其他感覺，最近去看醫生才得知是尋常疣。 一周前與女友性行為有將手指插入陰道內指交。 性行為戴套過程後發現陰唇附近有些微的撕裂傷。 想請問三點。 1. 手指有尋常疣插入陰道是否會造成陰道感染 2. 手指如果有碰到陰唇附近的撕裂傷是否也會造成傷口感染尋常疣或是其他型病毒疣 3. 馬上打子宮頸疫苗是否有機會預防感染 | 您好 不一定會造成感染裂傷，當然打子宮頸疫苗有幫助。祝你健康 | [
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5泌尿科
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5泌尿科
| 攝護腺 | 主任您好： 本身2023年7月開始服用攝護腺肥大藥物：適尿通軟膠囊0.5mg早上一顆及優列扶膜衣錠0.8mg睡前1顆，另2023年12月開始服用血脂藥立普妥20mg晚上一天1 顆，2024年2月改為兩天1顆，本身有運動習慣，血壓不高，去年服藥以前血壓約10060，偶有姿勢性低血壓；但近期兩三周內，低血壓9050，偶有8545、頭暈、姿勢性低血壓、疲倦的頻率增加。 請問主任，攝護腺藥物長期服用會造成低血壓嗎？我是否能將藥物調整減量？若不能減量，能如何改善服藥的副作用嗎？謝謝您的回覆。 | 您好 優列扶類會稍降血壓如果確認到頭暈的程度應與醫師討論是否改藥或看治療效果可否減量 祝健康 | [
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7耳鼻喉科
| 扁桃腺發炎 | 醫生您好， 最近我得到急性扁桃腺發炎，現在正在吃抗生素中。 今天下午照鏡子發現本來應該痊癒的喉嚨右邊也和左邊一樣出現了白白的點。 請問這個白白的點是否是發炎現象？這兩三處白白的地方在扁桃腺（喉嚨左右邊）是否會自己消失？ 不太了解的是，不知為何喉嚨右邊康復結果又有白色的點出現。 謝謝！ | 您好 有可能是扁桃腺潰瘍或是扁桃腺結石 建議若症狀持續 還是就診耳鼻喉科為佳 祝 平安健康 | [
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13肝膽腸胃科
| 腸胃問題 | 請問醫生 我上個月有因為胃炎而住院過 到現在還是沒有好 我現在ㄉ症狀是 吃東西都會吐 會咳嗽而且有痰白色 頭會暈 而且我常因為咳嗽而吐 請問醫生我這樣ㄉ症狀有可能是什麼原因 | 您好 感冒也常常會引起腸胃炎的症狀如嘔吐.腹部不適但如果一吃就吐合併体重減重完全無法進食的話可能要考慮消化系統新陳代謝或嚴重的感染這些問題建議您還是要就醫。 內科袁宏道醫師敬覆 | [
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13肝膽腸胃科
| 飲食問題 | 請問 每次吃完飯總是打噴嚏 偶爾會打嗝 請問這是什麼原因 | 您好 每次吃完飯總是打噴嚏，可以就診耳鼻喉科看是否有長期過敏的現象，打嗝的話，可能要注意是否吃太快，或胃腸蠕動異常（可能過快也可能過慢），甚至有宿便。若沒有改善，可以調整飲食種類，好消化的食物。 彰化醫院關心您的健康 蔡安順醫師 | [
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0婦產科
| 乳房 | 您好： 我想請問.因為本身有多嚷性卵巢的問題，近年來都是吃黃體素或避孕藥ｍｃ才會來∼可是在我最近一次ｍｃ921左右來了之後. 我的胸部就一直疼痛∼ 常一開始的漲痛（全部）.到現在的乳頭和乳暈的地方碰到的話會痛.想請問 我這樣的話會是什麼樣的問題？ 如需就醫的話我應該是看哪一診？麻煩您了∼ 謝謝. | 您好 請先至乳房外科檢查並同時向妳的婦產科醫師檢查諮詢是否需調整用藥. 署立新竹醫院婦產科 | [
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6骨科
| 肋骨問題 | 李醫師您好 前陣子發現小女約三歲半右邊某根肋骨乳頭下方約一公分處有一塊凸凸的 摸起來像是骨頭突出一塊大約一公分大小 明顯跟左邊或其他根肋骨不一樣 但是不會痛 請問有可能是什麼原因呢 謝謝 | 您好： 若無疼痛且無快速長大，應是正常的骨或軟骨組織，或是良性的腫瘤。可以先觀察，待疫情緩解後再就醫。謝謝！ 彰化醫院 骨科 李文宏 | [
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11營養教室
| 營養諮詢 | 營養師您好 有聞發芽食品的營養成份較高如綠豆剛發芽時會比綠豆本身或已長成綠豆芽長大時的營養成份高的多因為它在剛要發芽時綠豆本身的組成會改變所以吃剛發出芽的綠豆會比吃綠豆本身好是嗎且熱量也少的多還有.綠豆發芽了會不會提高其普林的含量因為聽說尿酸高的人最好不要吃發芽蔬菜是嗎 謝謝您的回答 | 您好！通常發芽食物所含的鉀離子較高，腎臟疾病患者最好不要食用；雖然發 芽食物確實比不發芽者其普林含量較高，但對於尿酸高的患者，蛋白質的總攝取量限制會比食物種類的選擇要來的重要，所以減少肉類的攝取包括所有動物性及豆類，每日約四份；每份為：瘦肉一兩、蛋一個、豆腐100公克--- 等 是必要的。 行政院衛生署桃園醫院營養室主任施桂梅營養師敬覆 | [
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22戒菸
| 菸害教育 | 請問戒斷的症狀是每個戒菸的人都一樣嗎？還是因人而異呢？ | 您好 一般戒菸常見的戒斷症狀主要為 失眠 、易怒 、 焦慮、注意力不集中、坐立不安、心跳減緩、情緒低落、增加食慾或體重增加 ，大部分的人在突然停止抽菸或是減少抽菸量之後 ，都會或多或少有上列所述至少4個症狀以上， 至於戒斷症狀的呈現或嚴重程度則是視個別的差異如 抽菸包數、 抽菸時間的長短 、抽菸的頻率、個人對戒斷症狀的耐受度….而有所不同。. | [
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17眼科
| 視力模糊 | 醫生您好 我母親大約四十多歲 工作關係忙起來一天大概只能睡3-4小時 一開始是看東西有些模糊 但後來她說越來越霧 看起來還有點黃黃的 看字也像水暈開一樣 有時候字則是擠在一起看不清 她從小視力就一直很好 一直到最近有去醫院檢查還是1.2 除了有點老花之外一直沒什麼問題 請問這樣的情況有可能是什麼疾病嗎？ 麻煩詳細告知謝謝 | 擔心媽媽的會考生 您好 聽您的敘述，您母親可能是老花眼，然後又睡眠不足，眼睛過度疲勞造成的。配戴老花眼鏡後，情況可能會改善。 台灣e院 朴子醫院眼科： 星期一二四五早上 8：00∼12：00 星期三下午 14：00∼16：30 網路回答只能作為參考，有必要，還是要到醫療院所就醫。 希望有機會能為您服務。 高丕霖 | [
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11營養教室
| 減重 | 曾聽人說：「游泳後如果馬上吃東西，反而會胖的更快，因為游泳後身体吸收熱量的速度會更快。」 我不知道以上是否正確，我目前因肥胖的關係身高174cm体重87kg，正打算以晨泳的方式運動來減重，如果上面那段話是正確的話，那是不是早上游泳後就不能立刻吃早餐，如果是的話，游泳後要經過多久才能吃早餐呢 因為我找不到相關資訊，所以麻煩各位專業人員幫我解答一下好嗎 | 何種運動可達減重效果.可說是因人而異.以經驗來看游泳的減肥效果似乎不佳.我們認為有效的減肥運動.是有氧運動.例快走.慢跑.爬樓梯.跳繩.有氧舞蹈.騎腳踏車等.運動完後會使心跳加快.且需每週做五次以上.每次約30分.才有效果.一般游泳後會.使食量大增.可能是較大缺點.另長期游泳習慣後.可能熱量消耗就降低了.您可先評估試試看.是否游泳有效果.再者建議可搭配其他運動一起做.至於游泳多久後可進食.應該不是重點.按一般運動後進食時間即可.要控制的是您進食的份量.不可因運動而增加方才有意義.所以您可以游泳.但游泳若不能減輕您的體重.那麼您就需要換一種運動了. 謝惠敏 | [
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13肝膽腸胃科
| 食道逆流 | 醫師你好想請問一下…因為胃一直都會感覺脹脹怪怪又有點痛痛的感覺由其在肚子空空時或吃飽後更明顯但時好時壞有時又不會所以有去醫院照胃鏡結果醫師說是胃食道逆流有開耐適恩跟息痛佳音錠還有加斯克兒的藥要我吃整個月但之前有聽說耐適恩長期吃不好會有骨質疏鬆或一些副作用所以那顆我沒吃只吃另外兩顆這樣可以嗎 而且胃食道逆流不是說會有胃酸在口中感覺或灼熱感這些症狀我都沒有這樣還要吃耐適恩嗎還是這要吃一整個療程呢謝謝 | 有懷疑胃食道逆流可用耐適恩1個月看看。長期吃是指吃好幾年，先不必擔心。 | [
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| 勃起 | 想請問醫生： 長期都有自慰的習慣，最近突然發現沒有晨勃，想問這樣的情況是休息不打手槍跟多運動可以改善的嗎？ 另外每個人一定都會晨勃嗎？如果晚上都沒喝水有時真的沒有晨勃的感覺. 有時晨勃但沒有尿意，而且在走到廁所的過程就慢慢消掉了不知道這樣是不是正常的？ 有時在自慰的過程中分心或者是突然站起來平時是坐著自慰）自慰時會有點軟掉是正常的嗎？ 而有點軟掉時又感覺可以射精在沒有全硬的情況射精會怎麼樣嗎？ 最近爬文感到很緊張希望醫生能回覆我，問題有點多，抱歉 | 您好： 長期都有自慰的習慣，最近突然發現沒有晨勃，想問這樣的情況是休息不打手槍跟多運動可以改善的嗎？--》可試試，飲食也建議清淡些 ，如果 1-2星期無改善要就醫。 另外每個人一定都會晨勃嗎？如果晚上都沒喝水有時真的沒有晨勃的感覺.--》有的人有的人無，多半會 有時晨勃但沒有尿意，而且在走到廁所的過程就慢慢消掉了不知道這樣是不是正常的？--》正常 有時在自慰的過程中分心或者是突然站起來平時是坐著自慰）自慰時會有點軟掉是正常的嗎？--》正常 而有點軟掉時又感覺可以射精在沒有全硬的情況射精會怎麼樣嗎？--》不會 祝健康 | [
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5泌尿科
| 勃起問題 | 醫生您好，想請問我從國小六年級就自慰幾乎天天一次 到現在21歲，這幾個月發現勃起功能越來越差好像出了問題，純看A片的話沒辦法勃起 必須要靠手動刺激才有辦法，硬度也不是很理想 大概只有去皮香蕉吧，常常都是軟軟的射。自慰過程中一分心就會馬上軟掉，平常也很少會晨勃 一個禮拜頂多一兩次而已 硬度也是沒有很硬 跟女友做愛時常常因為沒辦法完全勃起硬度不夠放不進去，有時則是做到一半硬度下降導致時常都是軟軟的射 是因為長期看A片過度手淫造成的嗎 如果戒掉這兩樣的話會慢慢自行恢復嗎？ 因為從以前每次自慰完都覺得很舒坦，這樣還有可能是心因性障礙嗎？ | 您好： 回答供您參考，如症狀嚴重應大醫院就醫 您的問題如何發生很難說是長期看A片過度手淫完全形成 ，只能說可能是有些關係 ，如您想要戒掉也要加上注意身體的健康。太油食物少用，多運動，睡眠要足夠。長時間是有可能改善 ，自慰原本就應會有很舒坦的感覺只是大家用不同的描述，不奇怪，祝健康 | [
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0婦產科
| 抹片檢查 | 半年前抹片是發炎，Reactive changes Inflammation Repair radiation and others. 忘了要半年還一年再做抹片，請問醫生這樣通常是半年還一年做 謝謝。 | 提問者您好 依您的描述，建議諮詢檢查醫師，因為依發炎狀況不同，在抹片報告上會依結果註明需多久追蹤一次，謝謝！ 祝 平安 健康 張 醫師 回 | [
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| 勃起 | 醫師，您好，小弟我最近遇到一點問題，前陣子我因為攝護腺發炎的問題有去看診，吃了三個禮拜的抗生素，最後就好了，但最近我發現我晨勃好像變少了最近這一個月的事情，以前每天，而且有時不易勃起這一個禮拜有比較好一點，自慰時用手也能勃起不看A片，而且蠻硬的，角度超過90度，要壓下去也有阻力，但有時又時好時壞，我平均一個月自慰4到10次，而今天自慰時發現射精力道好像不大，而且不濃稠跟之前相比，量也少，這一禮拜尿尿好像又不是很順，可以麻煩醫生解答這是什麼情況嗎？需不需要看醫生還是只是我想太多了謝謝，感激不盡。 | 聽起來是沒有問題 ，如果休息一段時間， 勃起功能的問題沒有改善或是惡化的話那就要去泌尿科檢查再與醫師討論。 | [
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| 熱量 | 劉巧雲營養師您好 感激不盡. 我在期待着您寄上相關的資料 謝謝您. 請問KJ（千焦耳）與Kcal（大卡）都是熱量單位，可是那一个熱量比較大 | Hello： 您好，現在食物熱量資料幾乎都是以Kcal來標示，自從我二十年前開始當營養師以來似乎都沒有用過KJ，所以很抱歉兩者之間的代換方式我並不清楚。不過現在的Kcal與Cal是一樣的，以往有分大卡與卡，但現在一律用大卡標示，且一天熱量的需求都是在一、兩千大卡左右。我想基本的需求您有個概念，不要太深究理論的背景，因為光是食物的份量與重量就會有很多您要費心的地方了。 祝 平安 健康 快樂 巧雲 1120 | [
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0婦產科
| 月經問題 | 醫師您好，若最近應是月經差不多該來的時候，但是因內分泌失調造成假性月經，只來兩天，血都只有一點點的話，這一次週期（這幾天）還會有正常量的月經來嗎，還是這次就算過完了，要等到下一個月？請醫生幫我解答，謝謝 | 最近應是月經差不多該來的時候，但是因內分泌失調造成假性月經，只來兩天，血都只有一點點的話，這一次週期（這幾天）還會有正常量的月經來嗎，還是這次就算過完了，要等到下一個月？ Ans 應該這次就算過完了 | [
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6骨科
| 膝蓋軟骨問題 | 醫師你好我左膝蓋3個月前在家腳踝幫浦拉筋姿勢太過用力導致疼痛 至今走平路不會痛但上下階梯痛得要死更別說樓梯出門只能找有斜坡的地方走 照MRI後醫生說我髕骨後方的軟骨有破一個洞有點深導致膝蓋彎曲時骨頭與骨頭摩擦經過那個破洞產生疼痛 是不是只要那個軟骨破洞慢慢長回來就不會痛了 找過2家醫院一位說破洞的軟骨不會再長另一位說會慢慢長但不是很保證. 上下樓梯跟蹲跪這些我都能避免醫生開的消炎止痛藥都沒吃因為走平路不痛能不吃就不吃 每天躺床抬腿100下鍛鍊股四頭肌.每天早晚吃維骨力. 有想過打PRP但醫生說不是每個人都有效如果打玻尿酸又感覺就不至本打一輩子 加上5個月前才做完腳踝骨折手術有點懼怕再開刀. 請教醫師我現在該怎麼辦真的要痛一輩子嗎破洞的地方會自行慢慢修補好還是說會越破越大導致退化性關節炎 謝謝 | 繼續吃藥以及做復健看看 如果還不行可以試著打prp看看 | [
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5泌尿科
| 生殖器官 | 醫師你好， 請問 我的龜頭 和冠狀溝有時候有紅點，但時好時壞，勃起時會較明顯，我有就醫檢查三次，每次 醫師都認為無異狀，但 有時自己檢查 同一地方會有紅點，有時又沒有，請問這屬正常嗎？ 感謝醫師 | 您好 僅就此敘述無法鑑別診斷。建議可以至皮膚科門診諮詢。 | [
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| 口腔問題 | 醫生您好∼上次說我嘴唇裡的應該是癒合中的肉芽腫，想請問肉芽腫之後會消掉變平和嘴唇會消腫嗎？還有對未來會有什麼風險存在嗎？謝謝醫生的回答幫助！！ | 你好 大部分肉芽腫在傷口癒合復原後，會逐漸變平與消腫，若無改善，可至耳鼻喉科或原手術醫師門診再評估。 | [
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1精神科
| 思覺失調 | 媽媽的思覺失調症再度復發了，變得像15年前第一次發作時很像， 只差沒有自傷傷人。 整天自言自語，不是罵人就是自己講一講然後笑， 自言自語的內容講到各種名人，明明人家都不認識她，她還可以講的那麼高興. 甚至連韓劇的主角都可以拿來自言自語。 她可以整天都自言自語，不洗澡也不睡覺，有吃藥可是完全沒用阿. 然後有天她忘記帶鑰匙走出門在家附近，後來我們幫她開門後， 她進來就說我們家的狗都不會幫她開門，她要把狗丟掉. 這15年來媽媽都是反覆住院出院，情況一不對勁就會去住院 但是這次醫院都不給住院，連去掛精神科急診醫生也說沒有嚴重到要住院 我們載她到醫院的途中她看到什麼店就說要把這家店登記起來 ？ 然後還說什麼違反交通規則的都把他槍斃、叫出來對質什麼的 隔2天哥哥載她去原本的醫院回診，去停個車她就不見了. 找了一下發現她已經拿好藥了. 後來要回家時她說要買東西，我哥載她到一家超市 她裝了7籃滿滿的東西說那是她要買的 最後當然沒有讓她買成功. 到了下午她還line我說哪家店跟哪家店她是老闆娘 叫我打電話去momo確認就知道了. 媽媽已經完全無法像正常人一樣溝通 吃藥也沒有用，醫院又不讓她住院 請問我們到底還有什麼方法呢？ | 您好.看來媽媽的病情的確不穩定.安排住院可能比較好.若未達必須強制住院標準.也可試著與就診醫院門診醫師溝通告知媽媽近日的不穩定情況支開媽媽.請求協助安排住院或作藥物上的調整. | [
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| 會懷孕嗎？ | 醫生您好，女友在危險期的時候不小心摸到我的前列腺液，後來自己乾掉了，但她一個小時左右後好像不小心碰到自己的陰部，沒有深入。我有先爬文，有發現類似的例子，醫生您說沒有懷孕機率，想請問女友是危險期的時候摸到的是不是也沒有懷孕機率？沒有深入應該就沒有問題吧？ | 女友在危險期的時候不小心摸到我的前列腺液，後來自己乾掉了，但她一個小時左右後好像不小心碰到自己的陰部，沒有深入。我有先爬文，有發現類似的例子，醫生您說沒有懷孕機率，想請問女友是危險期的時候摸到的是不是也沒有懷孕機率？沒有深入應該就沒有問題吧？ Ans 沒有深入應該就沒有問題 | [
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5泌尿科
| 排尿問題 | 醫生您好 近日因小便有些延遲而就醫平常大概等1520秒才能尿出來。經醫生診斷，除了尿流速有點慢（但並沒有到不正常），其餘尿液檢體檢查都正常，並無發炎或腫瘤。 然而在診斷後，醫生發現我的腎有輕微水腫。不過醫生暫時決定三個月後再追蹤。並開了可迅錠跟暢循錠暫時緩解小便延遲的狀況。 想詢問一下： 1. 腎輕微水腫是否需要立即密切的追蹤我很擔心腎壞掉了要洗腎。但現在疫情的關係，似乎在安排檢查、手術上都很麻煩。 2. 此種狀況有可能是尿道狹窄嗎我自行上網查了一下，發現尿道狹窄在治療上似乎很複雜。我還年輕，也沒賺什麼錢。檢查完以後覺得很沮喪，不想一輩子都與疾病共處。 3. 經診斷有輕微腎水腫的情況下，平日的飲食與作息有什麼樣的建議 4. 可迅錠也用在高血壓的患者身上。我自己沒有高血壓的情況，但聽說高血壓的藥吃了以後，就要一直吃 | 您好 1. 1. 腎輕微水腫是否需要立即密切的追蹤我很擔心腎壞掉了要洗腎。但現在疫情的關係，似乎在安排檢查、手術上都很麻煩。--醫師會判斷 有的情形檢查也無結果 所以會建議追蹤. 2. 此種狀況有可能是尿道狹窄嗎我自行上網查了一下，發現尿道狹窄在治療上似乎很複雜。我還年輕，也沒賺什麼錢。檢查完以後覺得很沮喪，不想一輩子都與疾病共處。--如果沒有感染或是之前有尿道手術受傷 機會不大 3. 經診斷有輕微腎水腫的情況下，平日的飲食與作息有什麼樣的建議 --多喝水不要吃太鹹 4. 可迅錠也用在高血壓的患者身上。我自己沒有高血壓的情況，但聽說高血壓的藥吃了以後，就要一直吃--助排尿 您的情形用在血壓治療上 祝健康 | [
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| 單眼短暫失明 | 醫師您好！ 我右眼近視約300多度，左眼約50度及輕微散光 兩眼視差算大，平時沒戴眼鏡，上課才會配戴，我發現我右眼眼球在轉動弧度大的時候相對左眼會覺得比較緊，但轉動弧度還是一樣，只是會感覺有一點緊緊的，比方說用力往下看的時候，也比較容易疲勞 上網查詢好像沒什麼人有這種問題QQ 想請問醫師這樣的情況跟視差有關嗎 還是為何會造成這樣的情形 謝謝醫生😢 | 可能與視差有關， 但要檢查才知道。 謝謝。 | [
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0婦產科
| 避孕藥 | 已經吃滿9天的事前避孕藥，在第8天的時候得到腸胃炎，並在第10天有發生性行為並內射，想問這樣有可能會懷孕嗎？ 另外腸胃炎的藥物會抑制事前避孕藥嗎？是否之後要戴保險套？ | 阿丹先生您好： 事前避孕藥需在月經來的第一天至第五天開始規律每日服用，才有辦法在該週期有避孕效果，所以再中斷避孕藥有體內射精行為，就不保證避孕效果。腸胃炎的藥物基本上不會抑制事前避孕藥，所以不規則服用事前避孕藥，麻煩性行為要戴套避孕喔 | [
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5泌尿科
| 性病 | 請問一夜情全程戴套有可能感染菜花或其他性病嗎 Q1.我全程的動作有用手指撫摸對方陰部和插入陰道，請問這樣會感染任何一種性病之一嗎 手指無傷口 Q2.我有用舌頭舔對方乳頭，請問這樣會感染任何一種性病之一嗎 Q3.我在進行插入時有全程戴套進去前就帶了，那這樣有可能會感染哪一種性病 Q4.請問在一夜情後如果要進行性病血液篩檢，要隔多久才能進行有效的檢查才檢查的出來有沒有 | 只要有性行為當然會有性病傳染的機會 無套陰道性交接觸可能傳染或感染某些細菌或病毒 就算全程使用保險套但無法完全保證保險套的品質 過程中是否有脫落破裂等狀況 因此並無法說使用保險套就一定不會得到性病 但可以減少得病的機會 減少與複雜性伴侶性行為才能減少罹病的途徑 全程使用保險套可減少體液及陰莖黏膜與陰道黏膜接觸減少罹病機率 性行為愈多 性病傳染的機會愈多 並且預防勝於治療 您目前未有性傳染疾病病兆 不同疾病潛伏期不同 像愛滋或梅毒可能有1-3個月 潛伏期 不同疾病病發及檢驗時程不同 無法回答您檢驗時期 而且心理上的恐懼是無法檢驗 | [
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13肝膽腸胃科
| 脂肪肝 | 之前體檢有檢查出 重度脂肪肝 請問 這樣等於 肝硬化嗎 還是肝炎了 我是否適當運動可以消除呢 最近幾天會脹氣 一直打嗝吐氣 這有關聯嗎∼ | Hi： 您好， 肝硬化是表示肝纖維化嚴重，肝功能有可能受損，嚴重者可能有黃疸、腹水、肝昏迷、食道胃靜脈瘤出血等現象。脂肪肝是表示肝臓肝細胞內油脂多三酸甘油脂大於5％。肝有沒有發炎可以抽血看肝指數有沒有異常。脂肪肝久了，有的是會變成慢性肝炎、肝硬化甚至肝癌。慢性中重度脂肪肝有可能肝功能異常，可看抽血檢驗數據。脂肪肝久了有的是會進展成慢性肝炎、慢性肝炎有的會進展成肝硬化甚至肝癌。 脂肪肝的原因包括酒精性與非酒精性如新陳代謝異常糖尿病肥胖，C型肝炎，藥物或化學物質引起等。 目前脂肪肝，還沒有理想藥物可用。要看造成脂肪肝的原因原因來治療。如喝酒引起要戒酒。如新陳代謝症候群，要控制血糖血脂肪、肥胖者要減重控制體重。適度運動。依你的年紀重度脂肪肝，不等於肝硬化，肝功能不一定異常，有可能有異常可檢驗追蹤，但長期重度脂肪肝是可能進展成脂肪肝炎慢性肝炎有可能肝硬化、肝癌。不可不慎。建議要對原因改善，定期追蹤。 脹氣打嗝吐氣跟脂肪肝有沒有関係？肝臟發炎有時會有嘔心想吐腹痛症狀，另腸道微生菌跟肝臟發炎可能有関係。建議注意飲食勿狼吞虎嚥、少吃油炸物，甜食容易脹氣。 祝 平安健康！ 衛生福利部桃園醫院 腸胃科主治醫師 林明慧 | [
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| 性病 | 醫生您好昨天我有詢問. 請問在醫學上.實際半套得到 單菜花 or 菜花.梅毒 or單梅毒 or 愛滋 菜花 梅毒 都中的案例 大概多高. 或多少案例 單純手 沒有嘴.也沒有體液接觸 就只有手和潤滑液 得到 半套得到 單菜花 or 菜花.梅毒 or單梅毒 or 愛滋 菜花 梅毒 都中的比例.or實際案例 我很確定對方只有用手.但因為嚕很久.也不確定有沒有破皮.很緊張 有時忽冷忽熱 腹瀉 手腳無力 腳關節有疼痛 有時又會恢復正常 這幾天都掉了5kg 619發生的事情.我要多久去驗.比較能夠確定是沒事的 | 您好 沒有實際的數據 只能說機會高或低 你應該自行評估 安全性行為 性行為的危險性說明很多的性傳染病是透過性接觸及體液相互交換而感染，這些體液包括血液、精液、陰道分泌物，因此沒有體液交換的性行為才是安全性行為。危險行為說明如下： 無危險的－自慰• 低危險的－相互手淫，淺吻，相互摩擦，戴保險套的性行為• 中危險的－深吻，口交，體外射精• 高危險的－沒有任何保護措施的性行為，造成傷口或出血 1有狀況現在就去驗3個月後再驗 2無症狀3個月後驗就可了. 祝健康 | [
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| 頸椎問題 | 想詢問一下醫師 我都會耳朵悶脹很不舒服 我已經有去耳鼻喉科檢查聽力跟其他檢查內視鏡之類。是說正常沒長東西耳鼻喉的醫師推測應該是耳咽管阻塞 然後我前陣子因為肩頸酸痛的問題去照了x光說是頸椎曲線有點偏直 想請問是不是因為頸椎偏直的狀況導致耳朵悶脹的問題呢？可以怎麼改善呢 謝謝醫師 | 耳朵的問題與頸椎無關 你可能還是要檢查耳道的問題 | [
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8乳房甲狀腺科
| 乳暈問題 | 您好請問男性乳暈裡有黑色長條，類似毛髮又比毛髮粗，用燈罩很明顯，左右邊都有各約兩條，請問是什麼問題呢？ | 男性的乳頭旁邊本來就會有毛髮的產生如果你覺得是一長的狀況那就到皮膚科門診去檢查一下 | [
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0婦產科
| 懷孕嗎？ | 527上一次月經 614網路計算的排卵日 629下一次月經預估來潮時間 68下午69半夜跟早上 共三次性行為 全程戴套 2.3次都有射精 沒有拔出來但是是射在保險套裡 之後都有檢查有沒有破洞 都沒有 但是因為是危險期的關係 所以事後大概24-36小時有吃了事後避孕藥 請問這樣懷孕機率大嗎 614排卵日 68.9有沒有可能已經排卵 | 527上一次月經 614網路計算的排卵日 629下一次月經預估來潮時間 68下午69半夜跟早上 共三次性行為 全程戴套 2.3次都有射精 沒有拔出來但是是射在保險套裡 之後都有檢查有沒有破洞 都沒有 但是因為是危險期的關係 所以事後大概24-36小時有吃了事後避孕藥 請問這樣懷孕機率大嗎 Ans 這樣懷孕機率不大 614排卵日 68.9有沒有可能已經排卵 Ans 應該還沒有排卵 | [
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2牙科
| 牙齦潰瘍 | 醫師您好，想請教您一些問題，我上週日牙齦疑似細菌或病毒感染，牙齒疼痛，吃了一些抗生素，隔天醒來口腔臉皮內側一些地方出現口瘡，再繼續吃抗生素，目前牙齒和牙齦是不痛了，但是有口瘡的那面臉頰，浮出整片像是皮疹一片片，和一點一點的疹子，臉頰浮腫，目前牙齒牙齦是不太疼痛，但多處口瘡和臉頰上的皮疹感覺越浮越多，越長越多，請問此狀況應該找哪一科醫生。 | 您好 根據您的敘述，建議您帶著您所吃的抗生素，找皮膚科醫師確有臉頰腫皮疹的原因及治療方式。 謝謝 | [
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| 大腸急躁症 | 醫師您好，小弟常常在早上睡醒不久後，就覺得肚子疼痛，有時早餐用後不久亦會感到相當疼痛，不知這可能是什麼原因呢？常常都是這樣，，一陣一陣的，大約幾分鐘過後就恢愎正常了，同時小弟一直吃不胖，也蠻常拉肚子和放屁，不知是否患了什麼病症呢，麻煩您了，謝謝。 | 網友好 根據所訴應該是大腸激燥症俗稱消化不良 請到腸胃科就診 平時請緩和心情 注意飲食習慣 祝平安 | [
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5泌尿科
| 包皮問題 | 醫師您好，我現在剛好是青春期，而且我有包皮過長的問題，我最近發現我沒有勃起的時候我的龜頭會露出一半又少一點點請問要怎麼辦？？而且我最近剛好要學校的檢查，請問我怎樣算包皮異常嗎？？，我翻包皮的時候我的龜頭跟包皮會黏在一起但是還是可以沖洗 | 您好：龜頭會露出一半又少一點點--》正常 ，應不屬異常，只是勃起時是否龜頭可全露出，無法即屬包莖，祝健康 | [
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| 生殖器官 | 醫生你好.小弟我以前早上睡醒陰莖都很硬.但這一.二個月早上勃起硬度真的不如以往那樣的硬.甚至連勃起都沒有.真的差很多.這中間作息也沒以什麼差別.會有可能是睪固酮下降嗎但我才26歲耶.還是最近吃了很多豆類製品及水煮蛋跟這有關嗎 | 您好，回覆問題： 晨間勃起的硬度和飲食沒有明顯的相關。但建議您就診接受荷爾蒙檢查。 | [
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5泌尿科
| 輸精管問題 | 醫師您好我因為腎水腫和輸尿管也積水醫生說是因為我的尿積在那裡排不掉.導致腎功能變得很差還臨時性的洗腎三次有做過膀胱鏡我的輸尿管一切都正常目前尿液積在腎臟和輸尿管的問題一直無法解決後來泌尿科醫生幫我做了兩側的J型管想請問這是目前唯一的解決方式嘛好像三個月就必須更換這樣實在是打擊很大也很不方便請問有沒有案例是裝了幾次後就痊癒了呢麻煩醫師解答我住院了快一個月都還沒復元. | 小華： 你好 我不清楚您的問題到底在哪裡。 一般裝置雙J輸尿管導管的目的，是為了將腎臟的積水引流到膀胱，降低腎臟的壓力，經過治療，可以改善尿毒指數，避免腎臟進一步破壞而導致終身洗腎的悲劇發生。 一個月要復原，幾乎是不可能的。經驗上，至少需要6個月。不過要看原因，若只是單純的急性腎臟水腫，經過雙J導管疏通後，很快就可以恢復。但是，若是已經堵塞很久，腎臟的恢復會變得很慢，時間上就會耗時日。另外，雙側的腎水腫，有時候是因為膀胱的問題造成，這時，只要處理膀胱就可以解決，不需要長期放輸尿管導管。 若不想使用雙J管，另外的方式如下： 1.做雙側腎臟引流管，就是由後腰部插入導管做引流，會更麻煩 2.開刀手術，將積水堵塞的部份用外科方式處理，當然手術方式有很多種類，需要看每個人的病情來決定。 3.放著不管，就是等待洗腎。 其實，我無法知道你的情形，無法做確切診斷。建議你多與主治醫師溝通看看，看到底是腎臟的問題，還是輸尿管的問題，還是哪裡，因為後續治療差很大。 若有不詳盡之處，歡迎再度發問，互相再討論研究一下。 網路回答只能作為參考，有必要，還是要到醫療院所就醫。 行政院衛生署 台東醫院 關心您 以上由 泌尿科 主任 許維愷 答覆 | [
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6骨科
| 身高 | 醫師您好，我目前12.5歲。 上了國中之後，發現同齡的朋友每個都已經超過155公分甚至160，而我卻150都不到，常常被同學嘲笑。 目前我的初經還沒來，第二性徵在6年級下學期出現，但同學們幾乎都來月經了。這樣會太晚嗎？還有沒有長高的機會？ | 1. 不會 2. 還有機會長高的 | [
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| 鎖骨 | 請問醫生，我鎖骨開刀至今大概3個月，大學剛畢業要準備進入職場 工作環境可能須搬重物，請問我要繼續休養嗎久一點才進入職場比較好還是不要搬重物即可 | 你好，依你的年齡，鎖骨骨折術後3個月，應已初步復原，現可恢復一般性的工作，不要搬重物即可。至於搬重物的工作環境，則建議繼續休養久一點。一般術後半年再搬重物比較安全。感謝您的提問。 | [
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11營養教室
| 其他 | 國人一天所攝取 ㄉ鹽量 | 您好 一般建議健康的成年人每日鹽份的攝取量約8-10公克含有3200-4000亳克的鈉但對於某些疾病須控制鹽份者則需個別狀況給予適當的建議量。而限制鹽份的攝取主要是要控制鈉量。若依行政院衛生署對於健康成人之每日飲食指南建議攝取則每日自食物中攝取的鈉量約350亳克將近一克的鹽而加工食品及調味料所含之鈉量有不同程度之差異不妨可多加留意包裝上之營養成份標示。 行政院衛生署桃園醫院敬祝安康 營養室主任施桂梅營養師 | [
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| 避孕藥 | 時隔五年再次服用美適儂避孕藥（現在有多囊性卵巢症候群）上個月經期第一天開始服用第一盒美適儂，幾乎整個月都在出血，看過醫生吃了止血藥，但只停了一兩天又繼續點狀出血，心想是避孕藥的關係。故停藥八天繼續吃第二盒美適儂，（停藥間就止血了）但吃到第11顆時又有非常非常少的點狀出血（上廁所才會看到ㄧ滴且非整天有），持續到今天第16顆時出血有變多，需要使用護墊。我想請問的是這樣還是身體在適應避孕藥嗎？我會服完這一盒，那下個週期適合繼續使用美適儂嗎？是這個牌子劑量太低不適合我嗎？謝謝您 | 提問者您好 避孕藥使用期間月經來潮或發生出血時，不須停藥，仍照時間規則服用。當身體適應避孕藥後，不正常出血情形會停止。但若不規則出血發生超過三個月，或大量出血，則需諮詢醫師建議。 祝 平安 健康 張 醫師 回 | [
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13肝膽腸胃科
| 寄生蟲 | 晚上吃完薑母鴨後，隔天清晨吐了三次都是吐出鴨血泥狀樣子，應該是前天晚上沒煮熟這樣的話有可能感染寄生蟲嗎？ | 吃了沒煮熟的食物是否感染寄生蟲雖是有可能的，但是機會不太。因為人體身體有免疫機制可以對抗病菌感染。 吐鴨血泥狀物要注意是否消化不良？抑或是腸胃道出血？請注意個飲食衞生，最近不要吃生食、適當水份補充。如有腹瀉、發燒、腹痛等問題。請門診追蹤治療。祝健康！ | [
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0婦產科
| 藥物諮詢 | 之前剛開完子宮冷刀做內膜檢查及切除息肉，醫生開了婦安蒙及血迅，請問一個是月經不調讓月經來的，但一個是止血的可以同時吃嗎？ 致電過醫院不過轉語音電話所以想同步諮詢 | 您好 應該是可以。祝你健康 | [
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| 靜脈曲張 | 醫師你好 我有精索靜脈曲張的問題 請問動手術是不是門診時就可立即手術 有須要住院嗎 因為我已成年想要自己就診且自行填寫手術同意書 一方面我並不想讓我的家人知道我去手術 我可以邀求醫生不要讓我住院嗎 另外我左側睪丸有點委縮 請問手術後可以回復大小嗎 謝謝 | 您好 精索靜脈曲張如發生精蟲品質與數量受到影響及精索靜脈曲張引起睪丸疼痛時就必須考慮手術治療一般手術需要腰椎麻醉因此需要住院並有家人同意手術簽字如精索靜脈曲張已造成睪丸萎縮手術後有些病人無法回復正常大小但精蟲的品質活動力會有改善一般約有10的病人在手術後會再復發. 行政院衛生署桃園醫院 泌尿科陳修義醫師敬覆 | [
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| 尿道感染 | 之前被診斷出下體有黴菌感染，目前有在服藥及擦藥。黴菌是在陰部跟尿道附近都有但醫師只叫我將藥物塗抹外陰不知是不是沒看到尿道那邊，請問我該塗抹尿道附近嗎但似乎又是黏膜？我上廁所時似乎擦的太用力所以尿道附近有些微出血，請問該如何處理？可以醫師給的擦藥膏嗎？ | 請珍惜我們的網路醫療資源，詢問相同問題時，請指定一位醫師營養師就好。 曾： 你好 若是陰道發炎，需要使用塞劑。 不過，一般若沒有性行為的女性，可能會因此破壞處女膜。 這方面，可以請婦產科醫師診治。 自己不容易使用局部藥膏塗抹 至於是否可以塗抹內部，還是要看藥物成份，最好還是問臨床醫師。 | [
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4心臟血管專科
| 動脈硬化 | 醫生你好 我想請問血管硬化程度多久看得出變化呢 家中父親去醫院檢查時醫生建議1-2年回去檢做超音波動脈檢查 但父親比較擔心再會不會測太少又剛好看到網路上國外有家庭手持式超音波動脈硬化的測量儀器有點心動想買 但我們不太知道常常策有沒有意義 所以想問醫生現在會建議至1-2年測一次 是因為技術不普及去醫院耗時才這樣建議所以也許半年或幾個月測一次會更好 還是其實1年才看得明顯出變化呢 麻煩您了 | 您好 醫生建議1-2年回去檢查 表示 1. 情況不嚴重 2. 其實1年以上才看得明顯出變化 應該不需要自行購置 平安 彰化醫院關心您 | [
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5泌尿科
| 靜脈曲張 | 醫師您好 我在上禮拜六的時候進行了精索靜脈曲張的外鼠蹊環下顯微手術，但是在術後五六天後有時會忍不住看一下網路的色情漫畫等等 導致可能有滿長時間的勃起 但是我都有忍住沒有自慰 請問 1.這樣會不會導致精索靜脈曲張復發（醫生當時沒有跟我強調要禁慾所以不太清楚） 2.請問精索靜脈曲張手術後是否如網路上所說要禁慾一個月以上 以上問題請教醫師 不好意思麻煩你 | 您好 因為精索靜脈曲張易復發 一般用腹部出力的動作都要減少 以免復發. 好好保養. 祝健康 | [
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| 懷孕嗎？ | 我是處女，那天是危險期男友沒有戴套，有用陰莖嘗試進入陰道一點點就出來且全程沒有射精，再來就都是用手幫對方愛撫，結束後有馬上洗澡。我的月經週期本來就偏長也沒有很準時，但這次已經兩個月沒來了，請問這樣有可能懷孕嗎？ | 您好 懷孕機會應該是不大，再等一星期，如果還是沒來，建議看婦產科。祝健康 | [
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| 強迫症 | 請問醫生如果沒有失眠睡的很好，吃了抗焦慮益可寧會導致睡不好或失眠還是會有其他讓身體不舒服的狀況呢？謝謝醫生回答。 | 陳小姐妳好： 若妳本身沒有失眠的問題，服用益可寧並不會讓妳睡不好，通常也不會造成身體不舒服的反應。但因每個人體質不同，只要是藥物都可能有副作用，所以實際情況還是只有親自服用後才會知道喔！若妳有所疑慮可以不吃，待回診時與醫師討論。祝早日康復！ | [
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13肝膽腸胃科
| 胃腸問題 | 楊醫師您好： 非常感謝您迅速答覆我的問題。目前我爸爸再次做胃鏡檢查，胃部仍有多處潰瘍，醫師開藥診治，吃了一個禮拜的藥，胃已不再覺得悶熱感，似乎已有好轉，惟再次檢查診斷為『慢性胃潰瘍』，且目前食道發炎非常嚴重，恐是引起潰瘍主要原因，但我爸爸並無該醫師所言吃刺激性食物、喝酒等原因，唯一可能原因為喜食非常熱〈滾燙〉的食物及壓力〈心情鬱悶〉，但就此點該醫師言並不至於造成食道發炎及逆流現象，因此安排下次再通鼻管檢查。 在此要請教醫師的有二點： （一）何謂『慢性胃潰瘍』，它是否如您所言分為良性及惡性，該醫師有作組織切片化驗，並無交待為良性或惡性？ （二）目前食道發炎非常嚴重，且有逆流現象，才會覺得要吐酸水及胸口有灼熱感，不解的是何謂『食道逆流』，導致食道逆流的原因為何？食道逆流是導致胃潰瘍的主要原因嗎？ Ｓusan 20020808 | 1 一般胃潰瘍大多屬於慢性，造成急性胃潰瘍的原因如下：藥物尤其是止痛消炎藥、感染細菌性或病毒性、食物酸、辣等、頭部外傷或中風等或壓力等。胃潰瘍有良性及惡性之分，尤其是單一胃潰瘍格外小心，因有些早期胃癌也表現出胃潰瘍模樣，因此必須做組織切片化驗，即使化驗結果是良性也未必全放心，因為有時癌細胞只是局部或潛伏於底部，故切片時夾不到它，唯有經過完整八至十二週藥物治療後，再次接受胃鏡檢查，如果已然痊癒，則排除胃癌的可能性。 2 逆流性食道炎主要是賁門括約肌不正常放鬆，導致胃酸逆流造成食道灼傷，因此主要原因還是胃不好，胃酸太多，因此治療上仍然以強力治酸劑為主，另外飲食之控制亦十分重要。如刺激性食物，咖啡、茶、起士、蛋糕、蕃茄醬等，睡覺時枕頭要墊高，這有時跟體質有關，有些人胃酸特別多，一旦停藥症狀馬上又出現，無法達到病患所希望的「根治目標」，因此，飲食及生活習慣的配合可能比藥物更重要。但有一點必須注意，長期的嚴重逆流性食道炎會增加食道癌的機率，因此，逆流性食道炎病患定期的胃鏡追蹤是有其必要性。 | [
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5泌尿科
| 尖性濕疣 | 醫生你好， 我在33（一）發現自己肛門外長了顆米粒大小的東西， 在311（二）看醫生才知道自己在肛門長了1顆像米粒大小的菜花， 在38（六）有與另一半從事性行為， 只有口交及互相身體的接觸，在一起3個月也從無插入的行為。 我有下列幾個問題想請教： 1、我小弟那沒長，他幫我口交，這樣會傳染給對方嗎？ 如果有，現在可以掛那科檢查嗎？ 2、要如何避免傳染給家人或別人？ 2、我有那些東西要消毒嗎？ 4、現在已接受治療，跟另一半，還可以握手、擁抱之類的嗎？ 5、我可以在治療期間，接受割包皮的手術嗎？ 感謝你的回應。 | 您好 由於您的病灶長在肛門並已經接受治療 請直接請教您的診治主治醫師即可 | [
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3藥物
| 藥物交互作用 | 藥物交互作用 您好想提問，最近開始服用pep 吉他韋，但因為肚子不舒服像吃壞東西，是可以吃胃藥成藥止痛藥之類的嗎 | 您好，針對您的問題回覆如下： 經資料庫查詢，吉他韋可能與市售胃藥常含有成分：鎂、鋁、鈣、鐵，產生交互作用， 導致吉他韋療效喪失或產生抗藥性。 故不建議在服用制酸劑的同時或之後服用吉他韋。 提醒您服藥期間除了要仔細閱讀藥品標籤說明外，也要留意身體反應， 如身體有任何不適或有其他疑問，可詢問醫師或藥師。 諮詢電話：03-3698553 上班時間：星期一至星期二：08：30-22：00 星期三至星期五：08：30-18：00 星期六：08：30-14：00 | [
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5泌尿科
| 射精後疼痛 | 醫生你好 我最近自衛 射完精之後都感覺痛痛的 但是不會痛很久 可是上廁所沒有明顯的灼燒感 也不會痛 不知道是不是水喝太少導致射完精都會痛痛的 | 您好：如有性行為請就醫，如無性經驗請暫停 diy 注意運動，休息約一星期。祝健康 | [
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| 寶寶生長發育 | 我兒子上月剛滿兩歲平常只喝牛奶吃粥和麵是副食. 他不會吃餅乾或固體食物甚至於吃乖乖有時都吞不下而吐出來. 有時他看到別人吃東西也會要來吃可是吃一兩口就吐出來有時若是剛喝完牛奶不久就會把牛奶全部吐出來還有他吃粥和麵時都不咀嚼就直接吞下去雖說我在一旁提醒他要咀嚼他還是不嚼. 我想問他為何那麼容易吐幾乎天天只要吃到一點他吞不下去的東西他就會吐咳嗽也會引起他吐奶是不是喉嚨或身體的其他地方有問題 他在一歲大時我曾帶他去看過兩個小兒科醫生都只檢查喉嚨就說沒問題.現在如果我想帶他再去做詳細一點的檢查那要帶去那裡呢 我又要如何訓練他才能讓他學會吃固體食物 謝謝. | 1不會吃餅乾和固體食物表示咀嚼能能力較差可就診牙醫師檢查的發育狀況 2吃粥及麵不咀嚼你可將粥煮爛一點麵條剪一小塊一些即可 | [
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| 手淫問題 | 醫師，不好意思我想請問一下我被診斷淋病尿道炎，我出現症狀就迅速就醫，現在已經沒有流膿的情況，也剛好是治療的第11天，醫師跟我說我吃完抗生素就不用回診了，那我想請問醫師，第一個問題：由於前面都是禁慾的情況，現在也還在持續吃口服抗生素，但真的忍不了了，請問可以手淫嗎？如果手淫會對我身體造成傷害嗎？ 第二個問題：醫師如果可以手淫，那我有什麼需要去注意的嗎？例如有觸碰到精液的東西都要消毒之類的 謝謝醫師回答，因為網路上沒看到相關問題 | 您好： 如果沒有症狀，可以 DIY，如果有症狀，個人建議不要，飲食，喝水要注意，祝健康 | [
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| 月經 | 我女友的月經在124結束 我們在126號有過一次無套但無內射 及17號有過一次戴套 經期基本上28-29 之前有過30幾天的 但這次經期應該到了但卻沒來，平常來前會漲奶肚子悶，這次卻都沒有這些感覺 有可能懷孕嗎？ （他說最近因家人關係壓力很大） 有可能是因為壓力而延後嗎？ | 女友的月經在124結束 我們在126號有過一次無套但無內射 及17號有過一次戴套 經期基本上28-29 之前有過30幾天的 但這次經期應該到了但卻沒來，平常來前會漲奶肚子悶，這次卻都沒有這些感覺 有可能懷孕嗎？ Ans 沒有可能懷孕 （他說最近因家人關係壓力很大） 有可能是因為壓力而延後嗎？ Ans 有可能 | [
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5泌尿科
| 尿道炎 | 醫師您好 最近正在服藥治療尿道發炎，狀況已經有所好轉，但直到115凌晨突然夢遺，陰莖感到一陣疼痛，便趕忙起床清洗，雖然後來疼痛的情況有所好轉，但尿道那裏卻不太舒服，早上起來上廁所，尿道有點痛，但隨著上廁所次數越多慢慢便不會疼痛，不過走路的時候摩擦到龜頭偶爾會感到敏感，並且有些微痛以及一點點的不舒服。想請問醫師射精和尿道發炎的復發或加重有關係嗎因為將近三個禮拜前有過以為尿道發炎好了，想說可以自慰，但射精後全身有些無力發熱，並且走路時龜頭很不舒服，就醫時才發現尿道仍在發炎。而今天夢遺讓我很擔心本來快好的尿道發炎會不會變得更嚴重，另外夢遺後疼痛感覺不太像正常的現象，不知道是不是因為還在吃藥，尿道發炎還沒有完全好的緣故麻煩您了，醫師 | 您好，不知您是否持續服藥治療？建議您雖有好轉，仍需持續返診接受治療，並且於返診時驗尿檢查。 祝您早日康復 | [
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5泌尿科
| 陰莖問題 | 很早以前就發現我的陰莖向下彎曲 感覺就好像陽委.看起來就覺得怪怪的 明明很硬可是卻偏偏是往下的方向 沒有辦法”一柱擎天”. 偏折的角度感覺上大約是水平線下3045度左右 不知道這樣算不算嚴重.可以和女朋友正常發生性行為 但是她說我這樣的彎曲有時會造成她的疼痛 這樣子需要開刀矯正嗎 又或開刀矯正會有好處.對性行為進行方面上會有所改善和提升嗎 勞煩答覆了.謝謝. | 嘿真的不是普通的怪怪的雖然辦事沒大礙但會造成對方的不舒服那就代誌大條了 請儘快到醫院找泌尿科醫師幫你看看一定會有可以幫你改善的方法 | [
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0婦產科
| 避孕藥 | 醫師您好，想請問我mc上周四16號來 ，今天周一20號吃藥才發現，我周五17號那天忘記吃藥，但是18.19號都有正常吃藥，期間有性行為，這已經是第三個月服用悅姿事前藥。 | mc上周四16號來 ，今天周一20號吃藥才發現，我周五17號那天忘記吃藥，但是18.19號都有正常吃藥，期間有性行為，這已經是第三個月服用悅姿事前藥。 Ans 繼續吃藥即可 | [
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| 口腔問題 | 口腔兩側、上下牙齦之間、是肉的地方，在吃到一些辛辣的食物時，會有小顆突起，有時還不止一顆，有時兩側都有。感覺疼痛，須過一段時間3、4個小時才會恢復，但恢復後似乎還能感覺到不平滑。自己看不到，所以不知到外觀如何。滿困擾的 先謝謝許醫師的回答囉！ | 您好： 回覆您的問題。 如果一般判斷是小的唾液腺囊腫，一般是不用處理，如果想進一步了解，要到專科醫師門診診視。 | [
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| 陰部問題 | 醫師您好， 一直以來與男友愛愛後會陰（陰道口下方，肛門口上方的皮膚）都會有裂口形成破皮樣的小傷口，並不會影響生活，只有碰到時（例如洗澡與上廁所）會刺痛，約三天在沒有繼續愛愛的情況下自行癒合， 但我能確定前戲做足且潤滑足夠（有使用潤滑劑），男友也都溫柔行事， 想請問醫師， 1.此情況（愛愛而導致裂開）可以使用陰部保濕保養品來改善嗎？ 2.請問若仍然每次愛愛後造成傷口，可以擦什麼藥膏來加速傷口癒合嗎？ | 親愛的匿名您好： 1.可以使用保養品來呵護會陰皮膚，也建議盥洗時用溫熱水沖洗會陰後按摩增加彈性，當然另外需要考慮的是伴侶性器官的大小跟體位的影響。 2.基本上沒有發炎的話，是不需要擦藥膏幫助癒合，會陰部血流供應豐富，大部分裂傷或擦傷都在7天內癒合，如果發炎的話可子擦美康藥膏，如有其他問題，建議至婦產科就診諮詢。 南投醫院婦產科 黃子菲醫師 | [
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0婦產科
| 懷孕嗎？ | AA女性手部有乾的精液若去洗手間時不慎手部接觸到陰道會懷孕嗎若去洗手間前有完全洗手手部接觸到陰道會懷孕嗎 | 不敢說完全沒有可能，但是機率非常低。若是覺得不放心可於月經延遲後來院檢查。 | [
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5泌尿科
| 生殖器官 | 醫生你好，我前陣子有去請泌尿科看過是否需要割包皮，因為勃起後大概只看到12龜頭，但醫生說非必要而且我推得下去就不是大問題，只有建議底下要在洗乾淨點而已。 三個點請問您：近日洗包皮垢慢慢洗得掉後發現龜頭的顏色大部分都是有些偏粉紅色，一點點花花的像有個淡灰白色的膜，但是靠近馬眼尿道口附近就沒有那種膜，看起來就是粉色偏紅像嘴唇的顏色吧也沒有到很紅，請問正常的顏色或是龜頭嘛，平日沒怎麼去注意過，也不清楚是不是所有人龜頭的樣子顏色都不太一樣，之前也忘了問醫生是否正常，當心是不是發炎了之類的最近洗比較頻繁，但是也還沒有什麼疼痛的話不知道再去掛泌尿科是否需要？ 第二是我有時候跟女友相處會不小心勃起但是沒有射精這樣會造成什麼問題嗎，會不會有精液沒出來在裡面感染了之類的，還是頂多變成夢遺。 最後陰莖上的血管感覺勃起時當然會充血紅紅的，但是沒有時也會隱隱看的到一些綠色的有關係嗎。 以上三點請教謝謝您恢回覆。 | 您好： 1龜頭多半有些顏色不均的情形 ，平時沖洗擦乾，不用刻意去搓洗，所謂的膜有可能是分泌物。保持乾燥是重點。如果發炎的情形會發紅破皮起斑點慢慢擴大，有點腫，此時要就醫 2 不會有問題 3 沒有關係，很多人都會有此情形，祝健康。 | [
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1精神科
| 精神官能症 | 唐醫師您好： 自從罹患精神官能症開始，身體就會前後搖晃，常搭乘電梯後也有突然上升而後急速下降的感覺。就連趴著睡身體也會不聽使喚的搖動。我雖然有吃藥但扔如此，我知道這是自律神經失調，須靠運動來改善；但是我有運動可是身體還是這樣。我有告訴我的主治醫師，他雖然開藥給我，但前後搖晃症狀依然，有時還會感到頭暈！我已受不了這個症狀，有想自殺以求解脫的念頭，是否能介紹醫治搖晃處方給我！ 最近醫師也開藥劑較輕的藥給我，我只要一或兩次忘了吃甚至慢一點吃，就會感到非常的不適，就會感到非常痛苦，尤其手更是抖得更厲害！頭也似感冒一樣感到很暈。 請唐醫師幫助我，謝謝。 | 親愛的小傑： 你的困擾，似乎相當的多，一個問題還未解決，又有新的問題？ 從以往與父母的關係、與老闆或同事的互動，甚至與主治醫師的關係？ 你一直在網路裡尋求協助，我雖能給予一點建議，但是卻未能持續給你實質的幫忙。你認為自己的問題似乎是來自過去別人對待你不好，使你對人的信任不易建立？以致你不太能聽進別人的建議或意見？ 我並不清楚你的疾病與診斷，也不知道你服用的是什麼藥物，所以一些意見或建議或許會與你的醫師有所衝突，如此或許反而使你莫衷一是，也可能造成你的醫師有所困擾。 為了避免如此虛擬的的回映造成不必要的困擾，我決定暫時延緩回答你的問題，也希望你能與你的主治醫師建立更好的醫病互動！畢竟那是需要持續的了解才能有助於你改善病情，而不是一再的換藥或換醫師！ 祝平安喜樂！ | [
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| 胃腸問題 | 你好 我有長期的便秘問題 光喝優酪乳無效 有時候用甘油也不一定有效 算是滿嚴重的 胃鏡檢查有胃發炎 因此口水味道很重 連平日呼吸都有很濃的氣味 同座一車的人都會聞到 這讓我很困擾 請問該如何解決 去國泰跟長庚看診過 拿藥吃了兩個月也沒能改善 謝謝回覆 | 回覆： 您好 長期便秘，口味不好，胃腸不適要排除腸胃道有無病變或腫瘤，另外便秘與情緒、藥物、內分泌等疾病有關，建議繼續就醫，平時要多喝水、多吃纖維（蔬菜、水果）、少吃辛辣食物、心情愉快、養成每天排便習慣、適度運動。 內科林明慧醫師敬覆 | [
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| 懷孕嗎？ | 女友一個禮拜後，生理期才來，這個禮拜，跟女友嘗試，進入陰道，但是只有前端進入，大概維持一分鐘，不知道有沒有分泌物流出，退出來之後，碰自己的生殖器才流出一點分泌物，想請問這樣會懷孕嗎？ | 您需要的不是醫療諮詢而是性知識學分的補修，此類問題建議參閱國民健康署「性福e學園」或婦產科醫學會「青少女年避孕指引諮詢家」 httpgoo.gldc6PfW 提問者您好 有行房雖未射精仍有受孕的機會，因為射精前的分泌物就可能有精蟲存在。建議如果月經過期一星期以上的話，仍然要檢查是否懷孕，謝謝 祝 平安 健康 張 醫師 回 | [
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