Questions & Answers

Q&A

Answered by Dr. Ahsanullah Niazai

Why are my periods so heavy and irregular at 45?

Hello, Welcome to icliniq.com. I read your query. Having very heavy and irregular bleeding after age 45 for the last two years can most likely be a result of perimenopause. Hormonal changes during this period will sometimes make you skip periods while at other times cause very heavy bleeding. However, bleeding that soaks through a heavy-flow tampon and pad within an hour is considered significantly heavy and should not be ignored.

July 14, 2026

How can I treat my white foul vaginal discharge?

Hello, Welcome to icliniq.com. I have gone through your query and understand your concern. The type of discharge you are describing, like white, lotion-like, and with a foul odor but without itching or pain, sounds more consistent with bacterial vaginosis, or BV, rather than a yeast infection, since yeast usually causes itching and a thick, cottage cheese-like discharge. The BV condition develops as a result of changes in the natural vaginal flora balance, which could have been caused by using soap or other products that disturb the vaginal pH level, so avoiding the Niacinamide soap is the right decision to make. You could experience changes in the ovulation discharge as a consequence of the same problem.

July 14, 2026

Can my anal fissure heal with a proper diet?

Hello,Welcome to icliniq.com.I read your query and can understand your concern.I am sorry you have had to deal with this for so long. Based on your description, it is possible that your anal fissure has become chronic. There could also be more irritation, inflammation, or even an infection causing the ongoing pain, redness, and itching.

July 13, 2026

How to treat chemical eye injury?

Hello, Welcome to icliniq.com. I have gone through your query and understand your concern. Eye chemical exposure can feel very alarming. The most important and correct first step in this situation is immediate and continuous washing of the eye with clean water, and you did the right thing by flushing it for about 10 minutes. That helps dilute and remove most of the chemicals and reduces the risk of deeper injury.

July 1, 2026

Can a hysterectomy or hormone imbalance cause constipation?

Hello, Welcome to icliniq.com. I can understand your concern. I can understand how exhausting and frustrating this situation must be for you, especially with the daily challenges of working as a nurse while also carrying the discomfort and pain of chronic constipation. It is reassuring that your colonoscopy was normal and that your slow transit study points more toward functional motility issues rather than an underlying cancer, though given your family history, it is wise to remain vigilant with regular screenings. Hormonal shifts after hysterectomy, even when the ovaries are preserved, can still affect the way estrogen interacts with the gut, and many women notice worsening bowel irregularities during this time because estrogen helps regulate smooth muscle function and bowel sensitivity.

June 23, 2026

Could genital rubbing without penetration cause pregnancy?

Hello, Welcome to icliniq.com. I understand your concern. From what you describe, the chance of pregnancy in this situation is very low. Rubbing genitals together without penetration or ejaculation inside the vagina carries much less risk than unprotected intercourse. If your partner did not ejaculate on or near the vaginal opening, the likelihood of sperm entering the vagina in numbers high enough to cause pregnancy is extremely small.

June 9, 2026

Can ER/PR-positive breast cancer treatment cause joint pain?

Hi,Welcome to icliniq.com.I can understand your concern.Thank you for sharing your mother's treatment history. She is doing well to have completed surgery and radiation for ER/PR-positive, HER2-negative breast cancer, and it is excellent that she is on Letrozole, a standard aromatase inhibitor (AI) for postmenopausal women. Joint pain (arthralgia) and hot flashes are among the most common side effects of aromatase inhibitors like Letrozole.

June 3, 2026

When is nasal polyp surgery needed and can it recur?

Hello, Welcome to icliniq.com. I have read your query and can understand your concern. Nasal polyps can be frustrating, especially when they are large enough to affect breathing or require surgery. ENTs (otolaryngologists) usually recommend intranasal corticosteroid sprays (like Fluticasone or Mometasone), which can shrink polyps over weeks to months. Surgery becomes more likely if the large polyp obstructs airflow, causing trouble breathing through one side.

June 2, 2026

Could a woman’s missed period indicate PCOS/PMOS?

Hello, Welcome to icliniq.com. I have gone through your query and understand your concern. Based on the findings, your uterus and both ovaries (adnexal regions) are normal in size and appearance, with no cysts or other abnormalities detected. This means there is no visible sign of ovarian cysts or PCOS (polycystic ovary syndrome) also known as polyendocrine metabolic ovarian syndrome (PMOS) on this scan. The report also mentions a tiny gallbladder (GB) polyp, which is usually a small and benign finding, not related to your menstrual issue.

May 25, 2026

Is discharge with numbness normal in women at 25?

Hello, Welcome to icliniq.com. Thank you for reaching out. Based on what you have described, the frequent vaginal wetness and the numb sensation you sometimes feel after discharge could be related to normal vaginal secretions or hormonal fluctuations. However, since this has been happening consistently for the past three weeks, it would be important to evaluate it further rather than ignoring it. Persistent discharge can sometimes be due to vaginal infections such as a yeast infection or bacterial vaginosis (a common vaginal condition caused by an imbalance of normal vaginal bacteria), increased cervical discharge, mild urinary leakage that feels similar to discharge, or even pelvic floor muscle strain, which may also explain the temporary numbness you are noticing.

May 22, 2026

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