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0婦產科
墮胎
今年 112 服用ru486 114 服用前列腺素,開始出血 不記得複診日期,但確定醫生照完超音波檢查後表示「有流乾淨」 127 血確定流乾淨 1216 有發生性行為,一次有套 一次無套體外射精 1219 最後一次性行為,無套內射 1224 有稍微出血,之後就沒有了 我知道還是有懷孕的可能,但我想請問的是懷孕的機率大嗎? 如果不大,請問出血的原因? 如果是17歲能去婦產科拿長期事前避孕藥嗎? 經痛體質適合吃事前避孕藥嗎? 感謝醫生的用心回覆。
您好 是否懷孕要等,不放心可以考慮吃事後避孕藥,1224 有稍微出血,有可能是假性的排卵性出血,任何時候最好要做事前的避孕措施,不能相信安全期,可以去婦產科拿長期事前避孕藥,如果月經該來沒來超過1星期仍沒來,建議看婦產科。祝健康
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0婦產科
避孕藥問題
醫生您好,近期可能會有性行為,為了保險起見去買了事前避孕藥,牌子是悅己 目前有在服用安胰敏,為早晚飯後一顆的服用頻率與方式 Q1:想問如果悅己於早餐過後與B群、VitC還有安胰敏服用使否會有藥性衝突問題,若有的話應該如何調整,或兩者完全不能並存 Q2:另外是事前避孕第一天開始服用是在月經第六天,目前服用三日,預計發生性行為時間是下週五,也就是開始服藥第11天,若不戴套是否有較大懷孕機率 謝謝
您好 一般是不影響,避孕藥從月經來的第五天開始吃,第六天晚了一點,如果不放心,建議另外加保險套。祝健康
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0婦產科
分泌物
醫生,你好 生理期在36-311 性行為在311313 318有褐色的分泌物出現,分泌物有點多,隔天就出血,小腹疼痛,症狀跟生理期很相似。
回覆如下 可能原因包括:發炎、亂經,瘜肉、腫瘤等,請就醫確認。 桃醫 呂理政敬上
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7耳鼻喉科
慢性咽炎
醫師大人:大醫院的耳鼻喉科開的藥是 克登邁、bromhexine 安柏寧及得百利寧 、他說都是消炎安神去痰的藥、我問說要 不要去感染科看、他說如果到五月都沒有 發燒及長疹應該不用、他說可能太晚用抗 生素、導致慢性咽喉炎、多運動增加底抗 力就好了。 是否如此照作、就可以放下 擔心的念頭。 非常感謝。
Hi 小吳: 您好, 如果已經檢查過沒有問題,建議可以依照醫師建議藥物治療及多運動即可。 祝平安健康 衛生福利部桃園醫院 耳鼻喉科主任 鄭爵儀敬復
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1精神科
擔心
因為班上的同學很臭的人都會被排擠,我也不想成為她們那樣的人,所以常常會聞自己身上有沒有味道,有時會特別注意靠近我的人有沒有立即走開還是摀著鼻子,有時聽到別人說話特別小聲時,總覺得它們都在說我的壞話,又或者是別人靠近我時,總覺得他們是在聞我身上的味道,請問到底是甚麼狀況呢需要看醫生嗎
您好,謝謝您的問題,看到你的描述,這個擔心別人在聞自己身上的味道,和擔心他人說自己壞話,已經影響到您的心情和生活了建議您儘快就醫身心科或精神科,與醫生進一步討論。
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5泌尿科
HPV
去年4月私密處有疑似菜花 無病理檢查直接處理掉 同時接種hpv疫苗 且於去年年尾接種完三劑 今日上完廁所 打火機不慎掉入小便斗 拿起來有用手及慢流的水沖洗 隨後去抽菸 用同手點火且碰到菸的吸嘴處 嘴巴有可能會因此感染嗎?
如果有hpv 病毒存在,就有機會,但是因有疫苗,機會會減少,祝健康
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13肝膽腸胃科
腹部問題
醫師您好 自從9月底確診新冠後左上腹靠近肋骨下緣一直有異物感或緊繃感 位置又不太固定有時可能比較靠外側或是靠近肚臍 但主要集中在左肋骨下緣 壓也沒有硬塊或痛的感覺 只要剛睡醒症狀又會消失一下子 有去照過胃鏡與腹部超音波有胃食道逆流 天天排便的顏色形狀也都正常 目前幾乎每天都這樣持續一個半月了 這樣會有可能是腸抽筋或是自律神經失調的可能嗎 還是會建議做腹部CT檢查之類的 希望醫生能幫我解答或建議我該怎麼做 謝謝
胃鏡腸鏡檢查過排便正常,腸抽筋、自律神經失調都有可能。影像檢查(X光,超音波、電腦斷層,核磁共振)可以幫助診斷。建議追蹤。祝 健康!
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5泌尿科
檢查
我在高危險性行為後第6週篩檢梅毒與愛滋 請問VDRLRPR test跟TPPA 陰性 可以排除感染嗎? 愛滋抽血檢查也是陰性 也可以排除感染嗎?
您好: 一般我是建議 3個月要檢一次,祝健康
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16腫瘤科
腫瘤問題
皮膚下長了幾顆摸起來小小的似球體的硬塊有滑動感不知是不是腫瘤的一種以前乳房也曾有硬塊開刀後取出是良性腫瘤醫生沒說是不是纖維腫瘤而我看了一些醫學資料覺得應該是希望能為我解答疑惑謝謝.
您好 聽您描述應是良性瘤沒錯。但為了保險起見仍建議上醫院接受視診及觸診。 行政院衛生署桃園醫院 腫瘤科林宗哲醫師敬覆
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0婦產科
子宮肌瘤
主任您好: 去年發現黏膜下肌瘤約2.6公分,使用口服藥物治療仍然出現血崩的狀況,血色素一度跌到6,住院輸血做了內膜刮除,之後施打停經針諾雷德3.6公絲打算縮小肌瘤再做移除。但是最近一次停經針施打與上次施打間隔了5週,施打完後隔天開始出血,量雖然不多但有出現經痛的症狀,抽血檢驗FSH4.45 E212.39 想詢問這樣停經針是不是表示失效了? 十分擔心血崩的狀況再次發生,謝謝您
您好 ㄧ般以臨床的症狀為主,看起來有改善,觀察即可。祝你健康
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13肝膽腸胃科
藥物諮詢
Dear 醫師您好 目前服用百抑潰治療中但有些不適感之副作用如會有腹部脹或腹部微痛之不適感之副作用請問這是正常之藥物作用嗎 Thanks
Kevin 先生您好: 應在合理範圍內,可再追 並與你的醫師討論。 彰化醫院關心您的健康 陳詩典
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5泌尿科
頻尿問題
醫生我頻尿差不多快4年 我檢查過膀胱鏡 細菌培養 尿液檢察 尿流速 超音波看腎臟跟膀胱 膀胱鏡檢查有查到尿道中段紅紅的 每隔5-10就要去廁所 只要躺在床上 如果有走動可以30-1小時 也測過精液檢查 只是醫生說沒到發炎的值 變的現在有點日夜顛倒 也不知道哪個循環出錯了. 我尿尿感覺沒力氣 而且都是尿道不舒服讓我去廁所 醫生可以給我一點意見嗎 我還需要做甚麼檢查嗎 希望醫生可以給我一點答案
無法由您的描述就判斷病情及治療 排尿與情緒. 心理與身體的健康有關. 這你要多注意 建議再找其他專業醫師求診及檢查尋求第二意見
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18放射線科
輻射問題
醫師您好: 目前家中長輩需要進行放射治療電療,但平常只有懷孕的太太能夠陪同前往目前太太懷孕約四個月左右,想詢問有關孕婦陪同前往放射科的問題。 1.治療結束放療室大門開啟機器停轉後,治療室內部含通道是否會殘留輻射? 2.孕婦攙扶長輩出入治療室是否會對腹中胎兒造成影響? 3.放療室的機器運作時經過金屬門附近是否有安全疑慮?又或者須保持多少距離才安全呢? 註:醫院的治療機器是6D速鋒刀Varian EDGE 以上問題請教,謝謝醫師。
您好 放射治療室在「治療中」,攝影室內才會有輻射暴露。在機器停止運轉時,不會殘留輻射。如果該設備符合行政院原子能委員會的輻射設備使用規範,攝影室外包括金屬門外不會有輻射暴露的風險。但因輻射攝影室為管制區,建議要遵守該醫院於管制區內的作業規範。如果陪檢的家屬為孕婦,建議於陪檢時,告知該單位工作人員,提醒預防輻射意外暴露的風險。 以上請參考,祝平安健康。
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2牙科
嘴破
之前嘴破很大很深,兩個禮拜才好,好了之後到現在嘴巴還留著一塊疤痕,白色的觸摸沒有凸凸的也不會痛舌頭摸也是平滑的,想請問那個是疤痕嗎很害怕是白斑,因為之前小小破洞沒有留下疤痕
您好 建議還是讓醫師實際診察,必要時可做切片或抽血化驗相關指數。
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0婦產科
陰部問題
上個月,月經失調,都是來一點點的那種,所以我一直弄著護墊,一直到這個月我月經來了,所以我弄著護墊、衛生棉一段時間了,但最近妹妹開始癢癢的,癢到最後會忍不住抓,所以小陰唇還有陰蒂旁邊有些小腫,這是因為悶太久了嗎?還是有感染?姐姐有叫我擦小護士看看,可以擦嗎?
您好: 護墊用久了,會有皮膚過敏反應。此外,也容易造成陰道感染,需檢查看看是否有念珠菌感染、陰道滴蟲感染,而後對症下藥。通常婦科用的皮膚藥膏,會含有抗生素、抗念珠菌,以及副腎荷爾蒙的成分,對以上情況所引起的外陰搔癢均有助益。 感謝您的來信!
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5泌尿科
包莖問題
我的包皮好像有點過長, 勃起的時候還是沒辦法讓它下翻, 龜頭沒辦法整個露出, 如果硬弄的話會有點緊痛感, 問了家人都說長大後自然就能翻下去, 可是我怕這樣會不會發生什麼問題。 請問醫生這樣需要動手術嗎?
您好: 您這情形,就怕勃起時,如果龜頭萬一露出,包皮退不回去卡住。主要看皮緊的情形如何。請就醫給醫師診查。祝健康。手術要由診查醫師決定。
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2牙科
牙齒酸痛
醫生你好,我左上倒數第二顆牙齒常常在吃飯的時候感覺到疼痛,就是用那顆牙齒咀嚼的時候會特別酸痛 大概一個月前去洗牙也照過X光,我跟醫生說那顆牙齒酸痛,但他在洗牙跟看完X光之後說沒有蛀牙,他說是敏感牙齒而已。 不過我依舊在吃飯的時候會感覺酸痛,自己看鏡子看到有點淺黑色的樣子。請問這會是蛀牙嗎 會不會只是上次洗牙的時候醫生沒注意看到
上述情形,有可能外層琺瑯質磨損造成第二層牙本質暴露,也可能是牙肉萎縮引起牙齒頸部暴露或是齒質表面有裂縫,上述這些情況X光片上並依不一定會顯現出蛀牙,建議找牙醫師作進一步檢查。
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2牙科
牙齦流血
醫生您好,我約莫一個半月前受傷撞裂門牙並有點小缺角,當下醫生只幫我將裂的部分補上並告訴我暫時不能用門牙吃東西,並有用牙周固定,用一根細鐵將受傷的兩顆門牙與其他兩顆完好的牙齒進行固定,我現在牙齦都有發出小小一粒粒白白的,這種情況是發炎正常的嗎有需要立即回診嗎還想請問若是牙齒都不會疼痛但是進行敲疹時會痛好像有點鬆動,這樣恢復的機率高嗎謝謝
門牙撞裂有點小缺角,在門診時將裂的部分補上,並將牙周固定,但牙齦有一粒粒白白的,要看是否是牙菌斑或細微殘渣附著在牙肉上,如果有腫脹疼痛表示牙齦有發炎應回診檢查,牙齒雖不痛但敲診時會痛有點鬆動,這是因為牙周韌帶受傷,如果保持口腔清潔避免咀嚼硬物,還是有機會恢復,建議定期追蹤檢查。
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5泌尿科
陽萎
請問幾天前突然結ㄉ陰莖有時沒反映不能勃起過ㄌ幾天也事一樣可是又沒受傷小便也正常.不會痛陰莖多軟軟ㄉ沒反映這樣是正常嗎還是要ㄑ就醫以前不會ㄋ 又沒有性行為怎麼會突然沒反應請告訴我怎ㄌ如果要就醫請教我怎麼做台北醫院 有嗎.跟飲食會有關西 嗎.謝謝.
良您好: 沒有足夠性刺激,陰莖是不容易勃起這是正常的。有關性功能問題,台北各大醫院泌尿科都設有性功能特別門診,你可以去請教專科醫師,祝您健康快樂。 醫師 黃熾楷
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5泌尿科
陰莖問題
醫師您好 我今年才20歲 近半年來發現自己硬度不夠 早晨都不會勃起 就算勃起也不硬馬上就軟掉 感覺心有餘力不足 看A片打手槍也不能很硬有點勉強 甚至軟的時候很快就射精 平日也沒什麼性慾 不知道是不是心臟的關係二尖瓣膜脫垂 心房心室2度傳導阻滯 還是因為半年前女友重病導致分手所致 搞不清楚原因 我該怎麼辦 去看醫生又怕留下紀錄 另外我陰莖彎曲好像蠻嚴重 健保有無給付 想問問去大醫院手術花費是多少 做這手術有可能不讓人知道嗎 譬如術前是否要有家人簽名之類 風險大不大 謝謝您的回答
Gainer 你好 性功能,與心臟的功能有直接的關聯,但是,有心臟病,並不一定會造成性功能障礙。你的情形,有可能是心理因素,加上一點心臟的問題加重病情。詳細的診斷,必須要進一步的檢查才能知道。 陰莖彎曲,一般超過30度,或者影響到性行為(無法順利插入陰道)才需要接受手術。手術的費用,可能傾向健保不給付,必須自費(有的醫師認為這並不是疾病),但是有的醫師認為健保應該支付,因此,你可以到處打聽ㄧ下,每個醫師的作法都不相同。 至於費用,假如全部自費的話,可能需要2-5萬元左右。 根據法律規範,只要成年,是可以自己簽手術同意書的。但是,我還是希望家屬能夠知道比較好。 泌尿科 主任 許維愷 答覆 行政院衛生署台東醫院 關心您
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5泌尿科
靜脈曲張
醫師您好 它確實不是血腫塊 它就只是囊袋內的液體如圖中 與睪丸沒有關係 它是液體 像是水 今天去看診 醫生告知說有可能不會消 液體會一直在那裡 請問真的是這樣嗎 睪丸這麼長期泡在液體不會有事嗎 已經七週了還沒吸收 讓我很擔心
甘草: 你好 若確定是液體,可以請醫師抽掉。 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。 衛生福利部 台東醫院 關心您
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2牙科
牙齒矯正
我有遺傳性戽斗下巴是歪一邊且咬合不正也因此牙齒長的亂七八糟因為是咀嚼習慣導致6年前曾去看過牙科醫生建議作外科手術當時覺得麻煩便不了了之現在因美觀及咀嚼問題便想去做矯正但聽人說費用不便宜所以想請問費用大概是多少錢 可以分期嗎分期每次費用是多少多久繳一次謝謝
您好 矯正的費用隨矯正之難度而不同六萬至十多萬都有可能所以費用可能必須請教您的矯正醫師才準確. 一般收費多以分期方式第一次繳比較多爾後每個月交一些.
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0婦產科
黴菌問題
陳醫師你好: 我想請問您,我大概3月09日∼3月15日(之前有愛愛),月經來的期間, 曾出現豆渣狀的不明分泌物,只不過多了血! 味道跟一般的分泌物沒兩樣,會癢碰到有點痛!(那時候我有用婦佳爽液清洗) 當時我有問我母親,她說很正常,所以我就沒有理會它! 過了幾天吧(之前有愛愛,陰道碰到就很痛)...又出現同樣的症狀, 這次是乳白色的(可能是因為不在月經期間),很癢碰到有點痛! 量很多.常褲褲上都是!但大部分都是透明.乳白水狀.豆渣狀的很少會流出來! 我有上網找過資料.看到霉菌性陰道炎的症狀好像比較接近我的症狀, 網友說這種病菌不容易痊癒是嗎? 是性病嗎? 如果沒有去看醫生陰道會自然好嗎? 會很嚴重嗎?
親愛的網友您好 陰道內白色乳酪狀分泌物是白色念珠菌陰道炎的症狀不是性病不求診治療當然不可能自然痊癒.白色念珠菌是屬黴菌類其生物特性會於環境不宜時形成孢子因此治療上易治療難根除治療後症狀很快獲得改善但是容易復發.黴菌類性喜濕熱環境因此避免局部悶濕也可以減少復發機率.
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10兒科
疹子
請問醫生 小baby七個月正在試副食品 一般生熱疹或是過敏診的話 消退時間分別需要多久 請問這消退時間可以讓我作為分辨熱疹貨過敏診的依據嗎 還是有其他更好的方法來分辨過敏疹與熱診的不同 謝謝
您好: 你所謂的熱疹,指的是氣候悶熱潮濕或因包紮太多衣服,或因通風不良以致引起的濕疹,以額頭、臉頰、下巴、頸部、後背、腹股溝最常見身上產生紅斑、斑疹。需注意的是,臨床上常見合併黴菌、細菌的感染,若是黴菌則會有亮亮的斑點以及白白的脫屑感覺;若是細菌則會有膿 ,那麼,此時應該先治療黴菌、細菌的感染。如果是單純的熱疹,假如不改善通風不良的環境,小baby的皮膚當然不容易恢復。 過敏疹指的是蕁麻疹,乃是小baby對食入的食物或藥物產生皮膚過敏的反應,身上出現紅斑、條痕、蕁麻疹團或稱風塊邊緣紅斑突起、類如硬幣模樣,輕者停止進食所致過敏,原即可慢慢恢復。比較厲害的仍須接受治療,恢復時間端視個人體質不一而定,大致上兩三天或一星期內即可。 總之,我們無法以疹子消退的時間來分辨熱疹亦或過敏疹,按照上述的方法倒是容易分辨,甚至是熱疹合併黴菌或細菌的感染。 謝謝你的來信。
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6骨科
車禍受傷
陳主任您好: 個人於427晚間,騎機車與轎車發生碰撞,當時雙膝著地有多處擦傷並有腫漲情形右膝較嚴重,經送急診後,照了X光,當時的急診醫生說沒有骨折,於是包紮傷口之後就回家休息。 經過一禮拜後,傷口大都結痂,也沒剛發生碰撞時那麼腫,,但是右腳無法正常行走須跛行,膝蓋彎曲會痛,坐著時不會有感覺,但是再稍微往身體方向彎曲,會有明顯疼痛並覺得膝蓋很緊,用手按壓膝蓋周圍也會疼痛,尤其是上下樓梯時最明顯。於是於55晚間,前往復健科就診,復健科醫師看了我的膝蓋,並用手觸診,他認為這我的膝蓋還是有點腫,但這是撞傷的正常現像,而且不知道我的膝蓋是否有發炎,所以他建議我如果覺得不放心,可以改看骨科或皮膚科。 於是我就回家了,不知道主任是否有其他建議,是要自己熱敷等它自己好,還是要看骨科做進一步的檢查?
Dear麥克斯先生:膝關節的受傷可能包含骨骼、關節軟骨、半月板、韌帶及其它軟組織的損傷。雖然X光檢查顯示沒有骨折,但無法確保沒有其他的損傷。剛受傷時難免會有腫痛及關節活動的限制,理學檢查也較不易準確,但如經二、三星期的休息及治療仍未見明顯改善則須特別小心,務必再回骨科門診作進一步的檢查。 敬祝 健康、平安! 陳醫師 敬上
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2牙科
銀粉
之前一顆牙齒大概斷裂13顆,牙醫用銀粉補牙,牙醫說因為有點大,所以不能咬太硬的東西,但沒有大概舉例,只好大部分運用另一邊的牙齒,可以大概舉例有哪些硬的食物嗎?
dear 如如小姐:您好一般而言,硬食物指骨頭、堅果、甘蔗.等,但也不是不硬,銀粉就不會掉;可考慮做一牙冠包起來,就不怕掉!多和醫師溝通 謝謝祝平安 牙科 黃廷芳主任敬上
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3藥物
藥物治療
你好我想請問是否有消除疲勞的藥不是吃的會愛睡的那種如果人會感覺到疲勞應該要看哪一科
您好! 造成疲勞的原因很多,不一定是病,非經醫師診斷,請勿自行用藥,以免造成身體負擔或不良反應,建議您可先看家庭醫學科。 祝您 健康快樂!
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1精神科
藥物諮詢
唐醫師您好 我是重度憂鬱症患者服藥治療已一年多藥物為seroxat和stilnox從去年11月開始發現我睡眠狀況越來越差便自行多加一顆stilnox服用後來發現明明已去床上休息卻在不久後起床吃東西吃的東西很多有時是粥一大鍋或是大量的餅乾等等隔天起床完全不知道自己昨天吃過什麼是隔天媽媽罵我半夜起來吃東西吃完也不收我卻完全沒有記憶還跟媽媽辯了很久後來媽媽說她發現很多次我都會半夜吃東西眼神呆滯直說我是中邪最近一直催我去收驚 想請問醫師是我的病情加重了嗎還是藥物對我有什麼副作用
親愛的朋友: 您再來信中問到兩種藥seroxat和stilnox。seroxat是一種血清素回收抑制劑類的抗憂鬱劑,理論上是會有抑制食慾的作用〈與您的情形相反〉。而stilnox是目前最新的一種助眠劑,在文獻認為是安全性較高、較無成癮性或依賴性的問題,但近來有一些報導指出,長期使用下,有些個案會有短暫記憶缺失的情形〈甚至有些人在一開始使用時就會發生神智較混亂或失去記憶的問題〉,與您陳述的情況似乎有些相像。 您的情況我無法僅憑上述的陳述就下結論,建議您與您的主治醫師討論,進一步評估與作必要的檢查。 另外在助眠劑的使用上,建議您採取『必要時才用』的原則,只在下列情況下才考慮使用: 1.假設昨天沒有睡好,而明天有重要的事需要有較好的精神處理,為避免因今天睡不好而影響明天,則今晚可以使用。 2.假設前天沒有睡好,昨天也沒有睡好,而我擔心今天也可能睡不好而影響明天的工作或學業,則今晚可以使用。 3.假設平日的習慣皆是在晚上十點才入睡,早上七點起床,而明天有重要的事需要在五點就起床,為避免因今天提早就寢卻睡不著,則今晚可以使用。 而且使用的劑量越少越好〈例如一顆或半顆〉,而且通常週末較無事,週五或週六晚上最好不要使用助眠劑。 祝平安喜樂!
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13肝膽腸胃科
胃食道逆流
醫師您好: 想請問依照您的專業,本人在去年8月份照胃鏡診斷為逆流性食道炎,第二期,之後有用ppi藥物治療,但一直都沒有好,到現在一年三個月了還是有那種症狀,但又怕照胃鏡. 想請問醫師,經過1年3個多月的逆流性食道炎二期,轉變成癌的機率大嗎?(本人今年30歲,體重未減輕) 謝謝醫師專業評估回答!
大部分胃食道逆流性食道炎患者不會得食道癌。
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0婦產科
懷孕嗎?
請問月精未來幾天才能檢查證實為懷孕 藥物流產適用於懷孕幾週 自費金額大約 是多少
受孕超過14天可由尿液中的B-HCG檢驗出來。 藥物流產目前國外認為7週妊娠受孕5週內 可以試一試。
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0婦產科
避孕
醫生你好 我想請問 我老婆10月20吃了事後避孕藥在10月27月經來了31號結束量都比以前的還少 到現在月經都還沒有來 中間也都有性行為皆有帶保險套 也沒有內射 是因為藥效會延遲月經來嗎?
回覆如下 應該是藥物造成的類似亂經的副作用.為求確定沒有懷孕建議再驗孕一下. 桃園醫院 呂理政敬上
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1精神科
精神分裂症
我在四個月前發作自律神經失調後,有嚴重焦慮恐慌現象,一開始是類似慮病症狀,只要身體出現新症狀我就擔心是嚴重疾病,焦慮到停不下來,一開始是每天運動跟吃中藥,有慢慢緩解,上星期針灸時突然感到十分疼痛,突然一些非常血腥例如血流不止的畫面出現在我腦海,我蠻怕血也會暈血,從那之後常常一些血腥畫面自動出現,我就ㄧ直被嚇到睡眠也變不好,求助精神科醫生開了樂復得跟贊安諾,我想請問我的焦慮狀況時好時壞,好時一整天都好好的,有時會畫面自己又出現爆發嚴重害怕,贊安諾可以在焦慮時才吃緩解症狀嗎還是要一天三次持續吃呢?樂復得醫生說可能要吃一輩子,我也有點擔心是不是一開始吃就要一直吃呢?主要是我的血腥畫面出現我沒辦法讓他停止,這種情況做心理諮商會有幫助嗎?謝謝回答
敬啟者 依據您的描述 有關藥物使用部份 如果您的焦慮不適的頻率 有太多 當然可以考慮贊安諾在焦慮時才吃 如果不是 當然建議先短期的按時服用 藥物是否長期使用 主要還是看病症恢復的狀況而定 特別是第一次發病的情形 可以在治療後完全停藥的機會是有的 但如果 數年內 多次再發 就會建議長期治療 至於心理治療 是可以有幫助的 請與您的醫師 心理師一起討論 感謝並回覆您的提問 本院每周一至五的上午及下午均有門診 掛號時間上午至十一點半 下午至四點半 周六上午也有值班的主治醫師看診 祝您 身心愉快 一般精神科 張芳榮醫師 上
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0婦產科
事後避孕丸
在628 跟我女朋友發生性關係後因為在危險期.所以我就到藥房買’’后安定”事後避孕藥給我女友吃.但在75 我女友月經就來了.出血量還蠻大的跟平常月經量最大的量差不多請問醫師 這是正常的嗎 我女友上個月經期616
您好 事後丸服用一周內有撤回性出血是常見的但不代表避孕一定成功. 署立新竹醫院婦產科
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0婦產科
避孕藥
醫生您好 我在11的時候跟男友隔著內褲摩擦,他沒穿,但我有,沒有射精也沒有插入,但是我很緊張,所以在12吃了事後藥大約事發27個小時,大約17有明顯的出血,目前出血第四天,幾乎沒有血了,但是前幾天的血量都普通顏色呈現暗紅色這樣是正常的嗎?懷孕機率大嗎?很多人都說我吃藥矯枉過正.另外,我上次經期是12271231app預測的下次經期是124開始,請問會因為我吃了事後藥而有改變嗎?
在11的時候跟男友隔著內褲摩擦,他沒穿,但我有,沒有射精也沒有插入,但是我很緊張,所以在12吃了事後藥大約事發27個小時,大約17有明顯的出血,目前出血第四天,幾乎沒有血了,但是前幾天的血量都普通顏色呈現暗紅色這樣是正常的嗎? Ans 這樣是正常的 懷孕機率大嗎?很多人都說我吃藥矯枉過正. Ans 跟男友隔著內褲摩擦,沒有射精也沒有插入,懷孕機率零,不必吃事後藥 另外,我上次經期是12271231app預測的下次經期是124開始,請問會因為我吃了事後藥而有改變嗎? Ans 經期是會因為吃了事後藥而有改變
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0婦產科
會懷孕嗎?
請問醫生,我月經122結束,125和男朋友做,沒有戴套,但沒有射,也沒有做很久,請問這樣懷孕的機率高嗎?
假設你的月經週期是28天的話,排卵日約會落在1211,原則上125行房後有射精代表進入陰道的精子數量少,懷孕的機率應該不高。
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10兒科
注射疫苗
張醫師你好想請教 1.現為日本腦炎流行期但小孩需十五個月以上才可打疫苗那一歲左右的小孩不能打疫苗如何預防又為何規定要十五個月以上才可打 2.妹妹到今年九月中旬才滿十五個月那是不是明年才可施打還是滿十五個月就可施打 3.一歲左右的小孩除了健保手冊規定應施打的疫苗外是否有建議那些疫苗可自費施打對寶寶的健康較有保障
您好 1.小孩需滿15個月才能施打頂多提前一個月也就是14個月大時可施打小嬰兒本身尚有來自母体的抗体所以有保護的效果。 2.打日本腦炎有季節性即每年的3-5月施打因要在流行季節前產生足夠保護的抗体所以小妹妹如果九月才滿15個月則建議明年再打即可。 3.一歲的小朋友尚可自費施打水痘疫苗若沒有打過嗜血桿菌疫苗則可考慮自費施打二劑嗜血桿菌疫苗。 行政院衛生署桃園醫院敬祝安康 小兒科主任張培鑫醫師敬啟
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1精神科
藥物諮詢
醫師你好 目前服用的藥物是 百憂解 一天2粒 福祿喜膜衣錠早晚各1粒 東健膜衣錠睡前2粒 贊安諾睡前1粒 這陣子雖然比較好入睡 但幾乎天天半夜4點就醒了 後續也是陸陸續續一直醒難以入眠 這些藥物主要是治療什麼病症呢?
網友好 這些藥有抗焦慮物藥物、抗憂鬱藥物、抗精神病藥物。睡不好原因很多,再請和您的醫師多討論。 吳恩亮醫師
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6骨科
關節
葉醫師您好 本人上個月趴在床上看書時,在一個翻身的動作時,竟發生了左膝蓋骨脫臼的意外,今年初曾與人相撞左腳跪地,雖外傷已好了,但半年後在跪的動作時,膝蓋內部仍稍微感到痛,不知此次脫臼的發生是否與年初受傷有關  另,脫臼若已把膝蓋骨移回了,而且走起路來也無異樣,只是站久後,較有酸痛感,但不嚴重,是否表示應無問題了 最後,脫臼後應如何照顧及保養,是否能將資料mail給我謝謝您! ”祈盼得到您的回音”            小美 10.16
翻身動作一般不會造成膝蓋骨脫臼,不知有沒有到骨科照x光確定,還是只看接骨師,如是接骨師診斷,大都是不正確的,正確診斷一定要照x光証實,妳曾左膝碰地受傷,會造成臏骨〈膝蓋骨〉骨膜發炎、吃止痛劑即可,無效時需看門診局部注射治療。另女性臏骨,常有臏骨軟化症,會有下樓疼痛、無力等症狀,要復健治療。本人於星期一、三、五上午有骨科門診,請來本院門診做正確之診斷及治療。
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0婦產科
事後避孕丸
吃了感冒藥之後,大概半小時後與男友發生關係,不小心套子破了內射了一點;在二十分鐘內食用了事後避孕藥 請問感冒藥會影響事後避孕藥的效果嗎? 感冒藥大概是止咳跟鼻水、胃痛、頭痛昏效用的
您好 一般不影響。祝健康
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6骨科
坐骨神經痛
家父脊椎第5節側彎壓迫神經,造成左腳麻木不適復健物理治療都不見療效。 目前看到高頻熱療儀技術可以緩解神經病症疼痛。 請教那對家父這樣的情況是以下肢麻木為主,不會酸痛無力,是否有機會可以緩解呢 此微創手術有癱瘓的風險嗎 因為將屆退休年齡,如果開刀勢必要提早退休,所以想請教醫師此治療法的安全性 謝謝。
坐骨神經痛如果第一次發作通常採用不手術的方式治療都有不錯的結果 除非疼痛劇烈或者已經壓破到神經造成下肢無法活動或影響到大小便才須要緊急手術 保守治療大約又百分之九十的成功率 高頻熱療法也可以改扇 手術都有其風險但是危險性不高 通常順利的話一兩星期就恢復了
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13肝膽腸胃科
胃腸問題
你好杨医生,我的肠胃不适已经长达了将近七个月,时好时坏,会有一段时间便秘然后又有一段时间肚子轻微绞痛类似腹泻的感觉,偶尔还会饭后不消化的感觉,最近有一次我的肚子绞痛的比较厉害,上了厕所还是在绞痛中,躺在床上几个小时后,就呕了一些不消化的食物,第二天早上醒来背后就突然间痛了,这个痛已经有差不多两个月了,感觉是里面内脏的痛,睡着了就没有感觉了,请问这是什么原因呢?肠燥症会影响背后疼吗?
莉莹小姐您好 腸躁症正裝都侷限在腸道,幾乎不會引起背痛,建議您給醫師評估檢查一下,排除其他問題。謝謝您的提問
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5泌尿科
醫療諮詢
醫師您好 想請問醫師小弟在8月底有去檢驗所檢驗是否有hpv病毒驗出是第54型對我的心情打擊甚是巨大本身沒亂來單身怎樣感染的我想也不可考只是在懷疑是不是在7月份出去玩有住飯店不知是否在飯店得到由於檢驗出來是有驗出hpv病毒家人擔心就帶我去割包皮割的部分些許或是剛好是檢驗所所刷的地方9月6日開的包皮傳統手術至今手術接縫處仍有突起由於擔心是否因病毒作亂引起有去看醫生醫生說那是包皮手術後正常現象需要時間會慢慢變平叫我不要太擔心也不是菜花症狀不好意思內文冗長故而想請問醫師 1.從手術到至今沒症狀因為不知何時感染不知從何時算起是否能當作已被治癒還是仍需繼續觀察超過3個月 2.看醫生有提及去檢驗所驗出的情形但醫生說我去檢驗沒有意義只是讓自己過於擔心沒有菜花症狀也沒辦法做治療只能觀察也說就算是驗出來沒事但不代表沒被刷到也沒事想請問醫師當真是如此嗎
擔心之人: 你好 1.超過三個月沒有菜花出現,應該是沒有感染。 2.沒有菜花病灶,你要醫師治療哪裡? 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。 衛生福利部 台東醫院 關心您 以上由 本院泌尿科 主任 許維愷 答覆
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5泌尿科
頻尿問題
醫師好 我近兩個月來,開始產生頻尿情形。 大概每隔一小時就必須排尿一次,尿量大概經測量多在200CC上下,但查詢網上資訊,排尿間隔應該23小時, 一次尿量應該在350CC以上,我應該是明顯偏離正常值。 每一次上完廁所,大概過個20分鐘又會有膀胱脹大的感覺,用手壓腹部會感覺尿快要被擠出來,十分不舒服,也會一直覺得下腹部的肌肉在緊繃很像以前憋尿的感覺,忍到一小時就是極限了,甚至有時候會不小心漏一點出來,但晚上卻都能一覺到天亮,且清晨醒來第一次的尿量有在500CC以上。 另外我注意到,按壓肚臍以下約五公分處,壓到比較深處,會有輕微疼痛感,不確定是否與頻尿有關,抑或是本來就存在的問題。 我昨日已經先到醫院就診,下周回診看檢查結果,但很怕是不是膀胱過動症或是嚴重發炎。 謝謝醫生。
您好: 尿量如果常態明顯減少要就醫檢查,也要注意是否有服藥,飲食坐息是否有改變,水份不能少喝,排便要正常。祝健康
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13肝膽腸胃科
大便相關問題
醫生您好 不記得什麼時候開始偶爾會有直徑目測2公分的細便 已經不記得時間跟頻率, 46月吃蔓越莓益生菌好一陣子後才發現 好像會導致腹瀉 金黃色大概吃B群的尿色液體配上少量深黃泥便 尤其空腹吃, 最近的則很鬆軟 沒沖乾淨的會化在馬桶裡沉澱。 幾乎每天都是便意叫醒我 時間都差不多 有次吃了黑米結果1014小時就出來了 體重沒什麼變化 每半年左右會痔瘡幾天 最近的大便也無法引起痔瘡 自認蔬菜攝取偏少 水份足夠 澱粉蛋白質各佔一半 請問大便這樣改變是有什麼疾病嗎?
大便改變可能原因飲食、藥物、腸胃炎、腸燥症等原因,不一定有什麼大疾病。建議注意飲食習慣,多纖維食物可使糞便較成形,適當水份、運動及舒壓。如仍覺排便糞便有改變異常,可檢驗糞便有無異常。祝 健康!
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5泌尿科
性病檢查
醫師你好 請問上個月有無套口交 戴套陰道交 目前無任何症狀 1.目前我能做梅毒 愛滋檢驗嗎? 2.其他 披衣菌 淋病 疱疹是否能排除了? 3.假如這次做完檢驗三個月後是否還要再做一次愛滋 梅毒 檢驗呢? 4.梅毒假設都無症狀 抽血就一定驗得出來嗎?
您好: 1.目前我能做梅毒 愛滋檢驗嗎?--》可以做 2.其他 披衣菌 淋病 疱疹是否能排除了?--》泡疹不一定 3.假如這次做完檢驗三個月後是否還要再做一次愛滋 梅毒 檢驗呢?--》不安全性行為約3個月愛滋要做,約3星期梅毒檢測 4.梅毒假設都無症狀 抽血就一定驗得出來嗎?--》時間有超過 潛伏期可驗出 祝健康
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0婦產科
下腹痛
醫生您好 我上次的月經是在119-124 在229是這次月經應該要來的時候 227有性行為(有內射)48小時內有吃了事後避孕藥 但到現在310月經還沒有來 229有去看過婦產科 照了超音波說月經要來了請我不要緊張 並且說我的卵巢有點腫 但是是在正常範圍 然後因為家裡還有剩 所以喝了四包生化湯 跟有吃四物丸 34有去看中醫調經 中醫師把脈也是跟我說月經要來了 但是我吃太補 沒有血 下不來 讓我先吃中藥催經 吃了4天 38可是下腹明顯抽痛 刺痛然後感到子宮收縮 乳房也很脹痛 但是今天310月經還沒有來 請問現在除了驗孕還要怎麼辦呢 要怎麼讓月經來
您好 先驗孕,如果沒有懷孕,建議到婦產科吃催經藥。祝你健康
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5泌尿科
精索靜脈曲張
許醫師你好 我在去年暑期開始有兩側睪丸偶而酸漲不舒服感 然後我在去年10月也去了高醫作檢查 醫生一開始判斷疑似精索靜脈曲張的狀況 然後後來也做了陰囊超音波檢查 醫生說看不出有任何不對的症狀 然後也用觸診去檢驗後也沒有新的病症見解 後來酸漲感雖也斷斷續續 但也沒讓我很不適的感覺而不太加以理會 近日在左側倒是還好 但是右側感覺更容易酸漲 請問怎麼去改善這樣的狀況呢 謝謝解答
RO: 你好 局部使用溫水熱敷,每次大約5分鐘,每日三次,應該會改善。 假如熱敷後會更痛,可能有合併感染,立刻停止熱敷,要接受抗生素治療。 行政院衛生署台東醫院 關心您 泌尿科 主任 許維愷 答覆
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15復健科
o型腿
王醫師你好,謝謝你播空查看: 我雙腳用力併攏的時候,只有腳踝可以緊貼,而自大腿經膝蓋,自小腿間都可以很明顯的看到縫隙。雖然我屬較瘦小的體型160cm46kg,但是以尺量測兩膝蓋處的最內側,仍會有4公分寬的空隙。走路如放輕鬆會有一點外八字。而躺平睡覺時,雙腿會很明顯的往外翻,進而有髖關節被往外拉緊的不舒適感。 查到有關運動復健的資料裡有建議四頭肌強化運動、膝伸直運動、股關節旋轉及拉張運動、腳踝外張。我希望能透過運動的方式如物理治療來改善,也準備了彈力帶來做輔助,但不是很明白哪些運動以及需矯正那些關節較適合,想請教醫師的建議。謝謝
透過運動治療的確可以改善O型腿。 來信所提到的運動都各有功用,但每人狀況不同, 無法一概而論,更無法透過網路諮詢與回覆做有效的判斷。 請前往復健科就診,經過現場評估過後才能提供正確的建議
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11營養教室
身高
我今年16歲,從小消化吸收就不太好也很瘦,我國ㄧ時腸胃阻塞有開過刀,我現在168公分,我有打職業籃球的夢想,希望能至少再高個8-10公分,我每天都會運動打球兩小時以上,我還沒有完全變聲,真的很希望能再長高,順便問一下糖類吃多和咖啡因會阻礙長高嗎?謝謝
你好 影響身高的因素包括基因,飲食,運動及睡眠,飲食部份應多補充含鈣食物及足量的蛋白質食物,包括小魚干,鮮奶,豆腐等。另外,影響鈣質吸收的食物包括碳酸飲料,巧克力,咖啡,茶等食物吃過多可能影響鈣質吸收應控制。 另外,每日充足的睡眠時間十一點以前應關燈上床睡覺,勤做跳躍式的運動,如打籃球,跳繩等。避免攝取過多的精製糖,可以選擇富含天然營養素的水果。對健康是有許多好處的。 祝您心想事成,健康平安。 以上由衛生福利部南投醫院蔡秀雯營養師回覆。
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0婦產科
懷孕時
我與女友交往一年 她才在前兩個月懷孕 但是 我與她幾乎是天天做愛 且完全沒避孕.但為何至今才懷孕呢請問有這種病例嗎.謝謝
你的女朋友這麼久才懷孕可能因為你們做愛次數太頻繁.精子數目太少所致.精子產生 需一定時間且卵子受孕也需要一定數目的精子.欲速則不達.
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0婦產科
懷孕
醫生你好 我的月經分別是 1126、1225、114因為吃事後要提早、214、315 41到44號皆有無套性行為、未射。 昨天胸部偶爾會抽痛請問這樣懷孕機會大嗎
您好 是否懷孕要等有機會,任何時候最好要做事前的避孕措施,不能相信安全期,如果月經該來沒來超過1星期仍沒來,建議看婦產科。祝健康
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0婦產科
避孕藥問題
醫生您好我想請問幾個問題 1.因為在吃之前就已經反胃不舒服,可是因為時間到了,還是吃下愛斯麗安,洗完澡感覺胃腸太不舒服,當下沒注意時間,應該是在吃完藥後25-30分鐘左右有嘔吐,請問這樣有需要補吃嗎? 2.如果要補吃的話,這個月就會少一顆,那是要開下一盒新的來補這一顆?還是吃完就好?下個月還是照常吃,這樣下個月的前七天會有避孕效果嗎? 謝謝醫生抽空回答
您好 照原來的吃就可以了,應該有避孕效果。祝你健康
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5泌尿科
珍珠疹問題
醫師,請問一下,1我知道珍珠疹不是突然長出來,那珍珠疹從一個極小的白點變成正常大小的珍珠疹有可能持續幾個星期嗎?2珍珠疹會長在龜頭表面或尿道口嗎?
您好: 1 有可能。2.少見, 多半在龜頭邊緣。祝健康。
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0婦產科
事後避孕丸
請問這個月吃了事後避孕藥後 那這個月還能吃延經藥或催經藥嗎 ?會有傷害嗎 ?
提問者您好 因為藥物成分同樣是女性荷爾蒙,因此可能會互相干擾。而且事後避孕藥也可能失敗而懷孕,也應避免胎兒受到藥物的影響,因此不建議您再吃延經藥或催經藥,謝謝 祝 平安 健康 張 醫師 回
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6骨科
腳趾骨折
醫生你好,不好意思我老婆因搬重物從桌子上跌落下來時,壓到左腳小拇指,有醫院照X光,發現是左腳小拇指骨折,當下醫生說回家休養,不需打石膏。過了一個月後回診照X光發現骨頭沒怎麼癒合,是否打石膏會好得比較快呢因為老婆每天還是需要走路上下班,是否因為這樣才導致沒什麼癒合呢謝謝醫師 附上照片httpsimgur.comaWjVIRJH 1是當初照X光的照片 2是過一個月回診照的X光
網友妳好 腳趾受傷骨折 骨折癒合約需三個月 一個月時照X光不一定可以看出骨痂形成 只是看有無歪掉 上石膏也許可以癒合比較快 可是您會不方便 也有人覺得不舒服 藥膏 貼布加上休息 通常會改善 若是很痛 吃消炎止痛藥 效果更好 祝 健康 沈柏銓 敬上
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0婦產科
避孕藥問題
我2月9發生行為可是沒有帶保險套然後內射之後我又吃事後避孕跟事前避孕藥吃在一起會不會有問題可是我這個月的月經都還沒來我有驗孕棒有一深一白色的線出來不知道那個是不是i懷孕問題呢事後避孕藥跟事前避孕藥
1. 一起服用不會影響避孕效果,不過實在不需要兩種方法同時使用。 2. 今日才213,29的性行為是驗不出懷孕的。
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6骨科
腳部問題
你好… 我從小的時候,大概十歲左右,不知道為什麼腳踝和小腿就是會很痛,兩隻腳都是,有時輕微的痛,有時會痛到不能走路,甚至用爬的;或者無緣無故的半夜痛醒。想要減輕痛苦,只能一直用力按著痛的地方,則痛苦會減輕那麼一小點。小時候,痛的頻率很高,等長大一點時,痛的頻率則沒那麼高,但是現在有時不知道為什麼,又會突然很痛,基至痛到大腿和手腕,前些日子,還痛到走路一拐一拐的。一開始一直自已以為是肌肉酸痛,可是也不對(因為我並不是在有激烈的運動時,才會痛,平常一天沒做任何事,也會痛),感覺好像是骨頭在痛。曾經去抽血檢查,可是沒有風濕也沒有骨頭發炎(而且我也不是天氣不好時才會痛)。醫生說可能是生長痛,可是他又說我二十二歲了,應該不會生長痛才是,那我實在不知道為什麼會那麼痛。 所以想請問一下,那樣不知道是不是正常的痛呢?謝謝
您好 根據你的形容與描述以及性別年齡來判斷,應該較無可能是生長痛。但是疼痛的表現又不太正常,建議你還是到醫院做徹底的檢查才是。 骨科禇柏郡醫師敬覆
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7耳鼻喉科
扁桃腺
媽媽今年65歲, 她的扁桃腺時常化膿白色, 為期已經一年又六個月了, 常常要去一般的耳鼻喉科吸去除化膿, 有些醫師說要開刀割掉扁桃腺, 有些醫師說不用只要吃藥, 媽媽又不吃醫師給的藥, 說吃那一種藥會 掉頭髮掉得很厲害, 請問如果繼續維持現狀每隔 7 - 10 天到耳鼻喉科報到 在拖下去會有何不良影響如果要徹底解決應如何是好 備註 1.媽媽的身體狀況很虛弱, 對藥物的反應很敏感也非常迅速 2.上個月剛剛發生頸動脈輕微栓塞而暈眩. 3.十年前發生膽結石引發腹膜炎, 撿回一命. 4.有高血脂, 高血壓等.
先生:你母親的問題看起來需要開刀,但是她又屬於手術高危險 群病患〈高血壓、高齡〉須醫師現場評估,請掛門診來看診。
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0婦產科
月經
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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0婦產科
產後問題
醫生您好 我太太已經產後兩個半月,天天都會有分泌物,顏色為褐綠色腹部運動會有空氣從陰道排出,是否正常,該就醫嗎感謝
需要就醫.
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15復健科
青蛙腿
許醫生您好 我一直因走路儀態很醜而困擾我走路姿勢一直都不像正常人一樣會有外八包括膝蓋現象如勉強矯正則臀部兩側會有酸痛現象曾去醫院看過醫生診斷是青蛙腿. 我想請問如果藉由拉筋等復健方式加上美姿走路的訓練是否 有可能走路姿態會像正常人 或者我因為青蛙腿之故其實不太可能矯正儀態 如勉強矯正是否會反而造成肌肉傷害 謝謝您的意見
許小姐你好 來信是因為步態異常.外八字.醫院診察說是因為青蛙腿. 青蛙腿是由於臀部肌肉纖維化造成.往往會導致下肢肌肉活動角度變差 .建議許小姐應該要做肌肉伸展運動就是所謂的拉筋來改善 臨床上外八字的原因很多.不一定是青蛙腿引起. 建議許小姐就近到醫院骨科或復健科再做更進一步的評估及治療
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5泌尿科
龜頭外露
醫生您好自從我跟女友發生關係之後 我發現我的頭開始會養而且有臭味 洗過澡之後一陣子又會有臭味 請問我是感染了細菌還是什麼病 我本身包皮還沒割 是不是因為這樣才有相關的關係
1.可能是因為黴菌感染所致。 2.確實與包皮過長有相關性。 3.建議與女友發生關係之後應趕快做清潔,如果仍反覆地發生上述症狀,則可以考慮包皮環切手術。
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5泌尿科
尖性濕疣
你好 最近交往的女朋友告訴我她得了菜花,已經三個月沒有復發。請問,如果接觸到陰道後她都有洗手,還有沒有可能透過她的手傳染給我 譬如洗完手後摸我的嘴巴,或是生殖器 我跟她還沒發生性行為,要多久沒復發才安全
煩惱 你好 若有洗手,尤其是使用肥皂,那應該不會傳染。 可以請女友問一下她的醫師何時可以恢復性行為,比較能夠安心。 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。 衛生福利部 台東醫院 關心您 以上由 本院泌尿科 主任 許維愷 答覆
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0婦產科
避孕藥
醫師您好: 我目前服用第5包悅己事前避孕藥,上一包在413服用最後一顆418凌晨12點時來月經。 今天服用藥物才發現,我因算錯時間在停藥後第九天422才服用第5包的第一顆藥,也就是我停藥停了8天,但我423及425有無套但無外射性行為,但因為今天才發現所以也沒有補服2顆,也沒有吃事後避孕藥。 1.請問會懷孕嗎? 2.這個月是否還有避孕效果?或是要吃幾天才有避孕效果? 3.在424就開始有反胃想吐,今天也有拉肚子,請問若是懷孕會那麼早有反應嗎? 4.這個月是否還要吃完,57用驗孕棒驗孕準嗎?
您好 避孕藥從月經來的第五天開始吃,因此算正常,應該是不會懷孕,也不需吃其他的藥物。勿擔心。祝健康
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5泌尿科
尿尿問題
醫生您好 小兒十一歲 長年來一直為尿床所苦 請問如果去看門診 應該掛哪一科 是小兒科或是泌尿科 還是別科 請醫生告知謝謝
孩子11歲了還會尿床不只你擔心,他本人一定也很懊惱,其實尿床在這個年齡還有,只是比率很少。目前我們對尿床的瞭解比較清楚也有辦法改善,請你帶他到醫院找泌尿科醫師幫忙。
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7耳鼻喉科
中耳炎
陳醫師妳好 1.請問何處可作腦幹聽性反應檢查其聽力較專門之醫師 2.年齡小之幼兒亦可測量嗎謝謝回答
如小姐你好 各大醫學中心皆有在做可掛耳科專門醫師年齡小之幼兒亦可測量.
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0婦產科
分泌物
上完廁所 用衛生紙擦有黃綠色像鼻涕的分泌物,分泌物沒很多大概一天兩次 少少,也沒有每天都有,有時候好幾天都沒有 然後突然又有!不會搔癢也沒有異味,請問這樣需要看醫生嗎?
有關您的疑慮整理回應如下 建議可先保持會陰局部的清爽 並勤換護墊及提昇自我的免疫力做起 若效果有限再至婦產科院所就診進一步確認 謝謝您的提問 並祝您健康快樂
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0婦產科
懷孕嗎?
請問一下我女友的月經很不準 因為之前常常有在吃藥 她之前都是吃事後避孕藥 這個月改吃事前避孕藥 但是沒有在照週期第一天開始吃 是臨時做之前才開始第一天吃的 現在都有維持在吃 她上個月221月經來 到這個月326還沒有來 想請問懷孕機會高嗎 事前避孕藥沒照週期吃是否有避孕效果 還有現在驗孕驗的到嗎 因為晚來一個禮拜而已 Ps除了吃事前避孕藥沒有其他防護措施
提問者您好 第一次服用避孕藥,建議於月經週期第一天開始服用。 最好每天都在同一時間且連續21天的服用。 吃完21顆避孕藥後休息七天,月經會在停藥七天期間來潮。建議如果月經過期一星期以上的話,仍然要檢查是否懷孕。其他方法有避孕器,避孕環…等等,謝謝 祝 平安 健康 張 醫師 回
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0婦產科
月經
請問醫師,我和男友最後一次是在1226隔天我有吃事後避孕藥48小時內吃完一月的時候月經有正常來,然後放寒假生活作息與環境都改變,我也喜歡喝冰的,2月月經都沒來,可是一月來了二月沒來怪怪的我不會想吐也沒有腰酸這樣算懷孕嗎還是月經遲來?
您好 觀察即可經,如果月經再等一星期仍然沒有來,一般就建議看婦產科醫師。祝健康
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1精神科
憂鬱症
醫師我想要問你憂鬱是有什症狀我覺得我有憂鬱症
妳好: 憂鬱症的症狀有下列的常見的徵兆: 1.情緒低落 2.對週遭事物失去興趣 3.胃口降低或是大增 4.失眠或是嗜睡 5.倦怠、注意力不集中或是思考變慢 6.猶豫不決 7.自責、自貶,感到人生乏味主觀感受情形 若妳發現有上述4種症狀以上,持續在妳身上一段時間兩個星期以上,並明顯影響了妳的日常生活功能時,妳可能患有憂鬱症了。提醒妳注意,憂鬱症對人們來說是危險的,特別是憂鬱症患者的無助與絕望,常常帶來灰色的人生觀。建議妳及早就醫,憂鬱症是可以治癒的。
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0婦產科
經血
月經前一天發生性行為後,月經來了,而且第一天量就很多,那是什麼原因?可是平常第一天的量不會很多。有關於處女膜破掉所以才會這樣嗎?
提問者您好 中年婦女經血量多的原因可能是荷爾蒙失調、情緒、飲食、年齡…等因素,可是最重要的是排除有無子宮腫瘤、內膜增生、子宮頸病變、陰道病灶…等,建議如果持續出血的話,還是要請醫師安排進一步檢查較好,謝謝 祝 平安 健康 張 醫師 回
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0婦產科
驗孕
用驗孕棒驗孕 然後在等待結果的時間 移動了驗孕棒 例如 把驗孕棒蓋上蓋子後 放進口袋裡 這樣驗孕結果是準確的嗎 會有影響嗎
用驗孕棒驗孕 然後在等待結果的時間 移動了驗孕棒 例如 把驗孕棒蓋上蓋子後 放進口袋裡 這樣驗孕結果是準確的嗎 會有影響嗎 Ans 驗孕結果是準確的 不會有影響
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0婦產科
避孕
醫師您好 請問避孕藥剛開始吃的第一天就能開始避孕嗎.我是吃一個月21天的.是否要吃完一個月.第二個月開始才能有效避孕
您好 第一包避孕藥的第一顆一般建議於月經來的第三天不是乾淨後的第三天開始服藥. 若你皆有按時服藥沒有遺漏則即有避孕功能但請注意沒有一種避孕方式是保證百分之百的避孕藥亦然. 署立新竹醫院婦產科
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6骨科
腳痛
您好,媽媽於109年(80歲)車禍導致左腿股骨遠端及右脛骨上端近膝蓋處骨折,也經醫師手術處理順利,但一直有走路時,感到開刀處有刺痛感,導致無法走久及害怕走路問題。想請問已經3年了,不知道是正常狀況嗎?如果因年紀大不建議移除內固定物,請問有什麼方法可以改善嗎?謝謝!
走路如果會疼痛要照X光片檢查 看看是否有關節炎的問題 如果不會疼痛內固定物不一定要取出來 照了X光片才可以判斷是甚麼原因造成的也可以對症下藥
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4心臟血管專科
胸痛
醫生你好 從去年11月左右開始在胸口偏左邊的地方會時不時絞痛 中間有暫停幾個月 到了最近又開始了 感覺有東西壓在心臟那個地方 每次持續的時間不到一分鐘 但一個小時裡面會有3∼5次這樣的狀況 小時候有過類似情形去看過醫生 那時醫生說是因為吃飯吃太快導致的 但距離那次看醫生到最近發病已經有好幾年了 想請問最近這種症狀還有可能是因為吃飯吃太快的關係吧 本身有氣喘加貧血 請問這樣會更容易造成心臟疾病嗎 又或者說心絞痛會因為吃飽飯或者壓力太大造成的嗎 這幾個月心絞痛的時間幾乎都是在吃飽飯以後 不然就是晚上熬夜讀書的時候造成的 感謝醫師
由於您年紀輕且無慢性疾病,罹患心臟病的風險低。生活中很多因素會造成此情況 ,例如:情緒、壓力、作息不正常或是攝取太多咖啡因的飲料。建議調整生活作息,並規律運動。但如果症狀持續,仍建議至醫院做心電圖檢查。
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5泌尿科
靜脈曲張
醫生要是精索驅張 如果要發掘 除了去檢查外 如何判定 有聽人家說一些有經驗的醫生用摸的就可判定是否有驅張 睪丸炎
你好 是的,有經驗的醫師,藉由觸摸就可以診斷。不過對於比較輕微的精索靜脈曲張,有時需要借助超音波等的幫助。 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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2牙科
智齒
923拔完右下智齒 有縫,到今天右下嘴唇到下巴還是感覺麻麻刺刺的,右邊也會從嘴巴一路痛到太陽穴位置,吃完醫生給的藥會稍有改善但大約三小時後就開始痛,請問要先去看醫生還是等930回去拆線在看就可,如果要等930那有什麼方法可以改善。先謝謝回答
您好 若超過48小時的發燒腫,請務必立即回診,若併有吞嚥呼吸困難,請盡快就醫 衛福部臺中醫院牙科林佳詠敬覆
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0婦產科
懷孕機率
13排卵期有戴套插入性行為(保險套無破損),但前戲似乎有生殖器的接觸,不確定有無分泌物 117∼121五天生理期來臨,血量比以往少很多,前三天伴隨腹痛,顏色多為深咖啡色,但在上廁所時大量出血(馬桶鮮紅色) 21不知道是過年吃太飽還是什麼原因,下午約300左右嘔吐,吐完就比較舒服了:)沒胃口 Q1請問此狀況可能會懷孕嗎? Q2117∼121為月經或著床出血? 以上感謝醫師🙏
您好 117-21應該是月經,應該是沒懷孕,21 有可能腸胃炎。祝健康
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0婦產科
陰部問題
最近一個月常有陰蒂癢的情況,尤其晚上睡覺更是明顯,除陰蒂外,有時陰蒂上方的陰毛處也會很癢,把陰毛全剔除後有比較好一點,但陰蒂癢的情況並沒有改善,有自己上網爬文,覺得我的包皮應該算過長,包皮內如果沒仔細清洗也會有白白的汙垢,但是仔細清洗也沒有改善陰蒂癢的情況,請問兩者間是否有關連割掉包皮後會比較好嗎本人目前無男友,已一年多無性行為,有勞解答,謝謝。
提問者您好 依您描述無法判斷何種疾病,建議若症狀加劇時即應請醫師診斷治療較好,謝謝 祝 平安 健康 張 醫師 回
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0婦產科
經期問題
醫生你好我一向經期都很規則,在205有跟男友發生性行為,但是月經也在218如期到來,分泌量跟平常的差不多。但是這個月卻遲了好幾天,中間沒有發生任何性行為。有可能是懷孕嗎大概遲了幾天內算正常呢.謝謝
您好: 感謝來函,只要有正常性行為,月經過期一星期都應驗孕,以排除懷孕之可能性。
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0婦產科
事前避孕藥
醫生您好,我有持續服用悅己快半年,並未漏吃,今天停藥的第四天月經來了,血量大約從中午12點到下午5點是一片日用衛生棉的血量,但血是深咖啡色的。 1.因身體並未有不適,想請問這樣的月經顏色是正常的嗎 2.有可能是懷孕初期出血狀況嗎 3.這樣的出血量還需要驗孕嗎 謝謝醫生撥空回答。
服用悅己快半年,並未漏吃,今天停藥的第四天月經來了,血量大約從中午12點到下午5點是一片日用衛生棉的血量,但血是深咖啡色的。 1.因身體並未有不適,想請問這樣的月經顏色是正常的嗎 Ans 是正常的 2.有可能是懷孕初期出血狀況嗎 Ans 沒有可能 3.這樣的出血量還需要驗孕嗎 Ans 不需要驗孕
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0婦產科
驗孕問題
我跟女友在214是他月經的最後一天有無套性行為 可是他隔了兩個禮拜差不多2月底才有排卵期的症狀 之後再這段期間的性行為都有戴套 可是她的月經週期是28-32 正常應該禮拜六就來了 可是這次第33天還是沒來 所以有用驗孕棒進行測試 一個用泡的 一個是盤狀的 用泡的只有顯示C的部分一條 盤狀一開始也是只有C的一條 可是盤狀的原本也只有C一條線 後來女友說有一條很淡很淡的顏色在T的位置旁邊一點 請問這是有懷孕了嗎.?
提問者您好尿液驗孕結果"顯示一深一淺的原因很多,早期懷孕、子宮外孕、流產、試劑不準確…等都有可能。建議請醫師檢查清楚,謝謝 祝 平安 健康 張 醫師 回
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5泌尿科
精液
請問 精虫在射出之後比方說沾在手上經過56小時 中間有洗過手 還有可能存活並且使女孩受孕嗎
真是一個很有趣的問題。正常情況下性交射精後,男生的精蟲可在女生的體內存活3天左右。當然射精在其他的地方,經過5個小時是否有存活的精蟲,雖然洗過手了是否有漏網之蟲?理論上應該沒有,但是〝例外〞的〝意外〞不是不可能。
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1精神科
恐慌症
1從我有記憶以來就十分的怕狗,有一次我騎著腳踏車要去上學,結果我被狗追,我就把腳踏車停下來,繼續跑可是狗卻繼續追,結果我就跑到跌倒後受傷了,所以後來我都不感從那條路經過,除非有人載我,後來那隻狗死後,牠的主人又養了兩隻,所以我就問家人那兩隻狗長得如何,還有會不會追人,還有一些關於那兩隻狗的事,因為我家的人說狗也要出來散步,也不能讓她只是被綁著,我的家人常常說狗又沒什麼好怕的,可是我就是會怕,所以我這樣的情況是畏懼症嗎 2精神科醫生要與病人切斷關係幾年後才可與病人有戀情
擬1.據你所描述症狀,比較類似創傷和壓力相關疾病,但嚴重度就目前之陳述,並未達疾病診斷,若有其他取代方式例如繞路而行,避免接觸,不影響生活,觀察即可,若對生活造成嚴重困擾,建議應就診專業精神科醫師做完整評估。2.根據醫學倫理,精神科醫師應與病患維持單純之醫病關係,醫師應嚴守分際。
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11營養教室
太瘦
我的小朋友二歲,很廋。如何的飲食可讓他胖一點?
您好 每個人會瘦或胖的原因可能有許多種 或許您可以將小朋友的狀況多說明一些 會有助於提供實質的建議 是否可以請您近一步來信說明 目前身高體重活動量食量足歲年齡體質壯況. 謝謝 巧雲
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4心臟血管專科
心跳快速
最近晚上睡覺時有時突然間會覺得好像快死了,胸口好悶,然後突然間心跳加速,我用手摸我的胸口就覺得好像在打鼓一樣,心跳好快,於是我就趕快爬起來,坐著等個幾分鐘,才比較好,如果有這種狀況都會連續幾天,過一陣子就不會,但有狀況時又是連續幾天,好像有週期性一樣,我怕那一天睡覺一半都突然死掉了.
小敏網友您好 有可能是心律不整也有可能是你太緊張了如果每天都會發作可以做全天24小時心電圖檢查 莊俊斌 醫師
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6骨科
骨折
醫師你好本人於95年1月出車禍,導致左手腕軟骨粉碎性骨折,至今5個多月,不定期會疼痛,無法出太大的力氣,本人今年31歲,想了解以後會有哪些後遺症,煩請回覆,非常感謝
手腕骨折如果是粉碎性的通常預後比較不好,因為它很容易造成創傷性關節炎,它的症狀就是疼痛無力,無法做比較用力的工作或動作。有時候手腕的活動範圍會降低,有時候會腫脹不適。
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0婦產科
胸部問題
醫生有時候胸部呼吸會痛痛的不知道要怎麼檢查乳癌摸都有一顆硬塊兩邊都有不知有乳癌有甚麼症狀該怎麼預防和檢查
請找外科或婦產科或有乳房特別門診之醫師診察諮詢.
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0婦產科
事前避孕藥
醫生你好,我想請問一下,如果我禮拜五忘記吃,禮拜六沒發現只吃了一顆,禮拜日發現補吃兩顆,這樣我還要去買事後避孕藥嗎,(禮拜五之前都很正常的服藥沒漏吃)謝謝醫生。
禮拜五忘記吃,禮拜六沒發現只吃了一顆,禮拜日發現補吃兩顆,這樣我還要去買事後避孕藥嗎,(禮拜五之前都很正常的服藥沒漏吃) Ans 不需要去買事後避孕藥
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5泌尿科
菜花
醫師您好,有些問題想請教醫師 1.若之前包皮上得過菜花,在病灶清除後進行了12周的Imiquimod 5塗抹全生殖器包含睪丸,並於12周療程結束後進行HPV的DNA檢測結果為陰性,是否代表已經將HPV病毒全數清除了 2.在上述的前提下,我的另一半已經打了HPV的九價疫苗,且我於長出病灶的前一個月開始打了HPV九價疫苗現已打完,這樣的情形下他如果幫我無套口交,然後再跟我接吻,我是否有可能在嘴巴感染到菜花或是其他的HPV病毒呢 感謝醫師的解惑
1. 無法得知是否完全清除病毒 2. 疫苗是用於預防的並非治療目的
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0婦產科
陰部搔癢
外陰癢 有時候還會抓到流血!!抓完會發熱 內分泌很正常 也無臭味 自從抓了之後 下面外陰就變得黑黑的 還有點白白的 流血完會好像結痂 白白的 有時候還會長痘痘:)無發生性性行為也不會自慰 這到底是為什麼!!影響了兩年之久 12歲可自行看婦產科嗎? 如果是外陰問題是婦產的哪科呢! 會檢查外陰情形還是自己描述呢 自己描述不好可以給醫生檢查確認嗎 看一次要多少呢??
建議給婦產科醫師看看,慢性皮膚炎?陰蝨?或是毛囊炎?這和年齡無關,通常一眼即可鑑別診斷了。
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0婦產科
懷孕嗎?
今天與女友做愛的時候有穿內褲的女友沒有,這樣會懷孕嘛? 然後有插進去一點 點但馬上把出來,沒射精會懷孕嘛? 做完隔天驗孕他現實沒懷孕一條線但我的的怕懷孕
您好 懷孕機會不大,任何時候最好要做事前的避孕措施,不能相信安全期,如果月經該來沒來超過1星期仍沒來,建議看婦產科。祝健康
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