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Questions & Answers

Q&A

Answered by Dr. Deepali Raina

What causes menstrual flow with late scondary endometrium?

Hi, Welcome to icliniq.com. Your biopsy report is good. The medicines you are taking are also good. But instead of taking hormones daily, I recommend that you put in a hormone-releasing intrauterine device called Mirena. That remains in your uterus without a problem.

May 7, 2026

What causes heavy bleeding in a patient with ovarian cyst?

Hi, Welcome back to icliniq.com. With a beta hCG of 816 and a cyst in the left adnexa with bleeding from vagina the first probable diagnosis is ectopic pregnancy. However, it is likely that it is an abortion of the tubal ectopic pregnancy which means that probably there was an ectopic pregnancy in your tube and it slipped out on its own into your abdomen. That can give rise to the cyst in the left adnexa. There are 2 ways to deal with this: 1.

April 1, 2026

Will submucosal fibroid during pregnancy cause complication?

Hi, Welcome to icliniq.com. I understand your concern. 1. CA125 is not relevant in pregnancy and it does not help in the management of a submucous fibroid. 2.

February 24, 2026

I am 44 years old and trying to get pregnant for the first time. Do I need to take Folic acid?

Hello, Welcome to icliniq.com. Congratulations on your wedding. First thing you should do is to start Folic acid and try for timed intercourse. For that, if your periods are regular you can download an application of period tracking. It will tell you the most fertile days of your cycle.

August 26, 2025

What causes irregular periods with hot flashes and mood swings?

Hello, Welcome to icliniq.com. I understand your concern. These could be the symptoms of peri-menopause. I suggest you do FSH (follicle-stimulating hormone), TSH (thyroid-stimulating hormone), and prolactin hormone levels just to be sure. I suggest you follow the following: Maintain regular exercise as before.

August 27, 2024

I got no withdrawal bleed after I-pill. Am I pregnant?

Hello, Welcome to icliniq.com. The chances of pregnancy are close to zero. Primolut N for period induction is good, but it is unlikely to work for you if I-pill did not give you a withdrawal bleeding. You may be suffering from PCOD. Please get your blood tested for LH, FSH, TSH, free testosterone, prolactin, DHEAS.

July 8, 2024

I took contraceptive pill after unprotected sex. Will I get pregnant?

Hi, Welcome to icliniq.com. The morning after pills contain a large dose of Progesterone and they can cause irregularity or delay of periods. You have been taking it too frequently and it is not advisable. You should use condoms as they not only protect against pregnancy but also prevent sexually transmitted diseases. The chances of getting pregnant are less in your case but still, you should go for a pregnancy test after two weeks.

July 2, 2024

Positive pregnancy test, no sac on scan: ectopic?

Hello, Welcome to icliniq.com. By the dates, you are five weeks pregnant. If no gestational sac is visible in your uterus even on transvaginal ultrasound, then it may be an ectopic pregnancy. Ectopic pregnancy presents with symptoms only if it grows or gets ruptured. That is an emergency and can even be life-threatening or at the least cause severe blood loss inside the abdomen.

June 20, 2024

How to manage post-coital bleeding during pregnancy?

Hi, Welcome to icliniq.com. I can understand your concern. If there is no active bleeding, then you can safely go to work provided the roads are smooth and it does not involve a very long drive. Please avoid intercourse and vaginal douching. Repeat USG (ultrasonography) after six weeks for a level 2 scan and to look for placental migration.

June 14, 2024

What causes late periods despite negative pregnancy test?

Hi, Welcome to icliniq.com. You may be suffering from PCOD (polycystic ovary disease). If you want to conceive then the entire approach to treatment changes because we then focus on making you ovulate. Let me know your LMP (last menstrual period) and health history and also, any investigations done previously. I understand things are difficult with COVID but you can get the treatment at home only.

June 14, 2024

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