00:00Good morning to you, Doc Q!
00:02Good morning, Connie, and good morning to all of our guests this morning.
00:07Here's the first question, Doc Q.
00:09It's been 16 years since Grace Villanueva had an ovarian cyst.
00:12Her question is, why does a woman have an ovarian cyst?
00:17There are many reasons, Grace, as to why a woman has an ovarian cyst.
00:21There are many types of ovarian cysts.
00:23There are benign, non-cancerous, and there are also cancerous that become malignant later on.
00:29So, why does a woman have an ovarian cyst?
00:32First of all, the most common cause of an ovarian cyst is what we call a follicular cyst.
00:39An egg is laid by a woman every month, but the egg does not release in the ovary.
00:45In that area, water accumulates, and a follicular cyst is formed.
00:52But it disappears within 8 to 12 weeks.
00:55If there is a cyst that persists more than that, the cause of the ovarian cyst may be different.
01:01It is also necessary to examine why the cyst persists.
01:05Usually, if the cyst persists for a long time, it grows.
01:09In your case, it does not grow, so it may not come from the ovary.
01:13It may come from the side of the ovary or from the tube, what we call a paratubal cyst.
01:18So, you may need to get ultrasound again to follow up on whether it is growing or not.
01:24Or if it has a tendency to become malignant.
01:28Our patient is 31 years old and has 3 children.
01:31The problem is that she experienced a yellow nipple discharge at first,
01:36and it only became greenish.
01:39According to the doctor, her ultrasound is clear.
01:42So, why is she experiencing this, Dr. Q?
01:45The question is from Rochelle D.
01:48It is important, Rochelle, that you consult a doctor, either a surgeon or a gynecologist,
01:54to see what kind of discharge it is.
01:56Because the discharge in a woman, if it is not milk, it is not normal.
02:02Greenish or yellowish discharge means that there is an infection inside,
02:07or it could be a manifestation of a cancerous mass inside that you have not seen yet.
02:15So, you need to either get an ultrasound, breast ultrasound, or mammogram,
02:19to know if you have a mass inside your ovary, or if you just have an infection.
02:26So, you need to consult a doctor first.
02:29Dr. Q, he is 30 years old, but he has never had a menstrual period.
02:34Oh no, he is saying that he may lose his uterus.
02:39What does this mean, Doc?
02:41This is the question from M. Lunibao.
02:43There are two types of amenorrhea, or the loss of periods in a woman.
02:48We call it primary amenorrhea and secondary amenorrhea.
02:53Primary amenorrhea is when she does not have periods yet, even sometimes.
02:57Secondary amenorrhea is when she has periods before, and then her periods suddenly stop.
03:02In your case, M., you have primary amenorrhea.
03:06What is the reason for primary amenorrhea?
03:10First of all, you may have congenital abnormalities.
03:13You do not have a matrix, your matrix does not develop, or there is no developed vaginal canal in your body.
03:20So, you may not have periods.
03:23Second, you may also have a matrix, an ovary, but the hymen is closed.
03:28So, the blood does not come out whenever you have periods every month.
03:33But this is also a symptom that a woman may feel.
03:37First of all, there is a blood clot that comes out of the door, the color is a bit bluish, a bit shiny.
03:43This means that the membrane is the hymen that fills the blood in the vagina because the blood does not come out.
03:49And this blood can also return to the matrix.
03:53The blood in the matrix will come out of the body and go to the pelvic cavity.
03:58So, this is what we call an imperforate hymen.
04:01By the way, an imperforate hymen is diagnosed two or three years after a woman should have periods.
04:09Or what we call Menark.
04:11So, at the age of 31 years old, this is probably not an imperforate hymen.
04:16So, the doctor will see if your vaginal canal is patent.
04:21And if it is patent, you may need an ultrasound to see inside if your matrix is normal or if you have an ovary.
04:29So, for that, we will see how we can manage it depending on the file.
04:34Rhea's plan is to last for one year and five months.
04:38It does not happen.
04:40Is this normal, Dr. Q?
04:42Rhea, I hope you give us information on how old you are, how many children you have,
04:47or what your body build is, if you are normal weight, overweight, obese, or underweight.
04:53These are the factors that can be the reason why you lost your periods for so long.
05:00But if you are in your past 40 years and this is your cycle and you don't have periods,
05:06it means that you already had menopause.
05:09Menopause is defined as one year when you don't have periods.
05:14But if you have on and off bleeding between those months,
05:19it means that you are in the perimenopausal period.
05:22Now, if you don't have menopause, let's say you are less than 40,
05:26you may have hormonal problems.
05:29If you have weight loss, abrupt weight loss or abrupt weight gain,
05:33you may have hormonal imbalance, you may not have periods.
05:36That's why it's important to consult your gynecologist
05:39so that you can do tests to see what is the reason for your period loss for so long.
05:48Thank you so very much, Dr. Q, for answering our questions.
05:52Just send your questions to our Facebook page.
05:55And who knows, maybe next week you will ask our questions.
06:18Thank you.
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