Hello, Welcome to icliniq.com. I have read your query and can understand your concern. At 38, with adenomyosis along with diabetes, varicose veins, and a low body weight, your treatment really needs an individualized and cautious approach. The goal is to ease your heavy, painful periods while also keeping your overall health risks in mind. Because you are still having heavy bleeding and irregular cycles, the first step is usually medical (non-surgical) treatment.
Hello, Welcome to icliniq.com. I understand your concern. Based on your symptoms and lab values, PCOS (polycystic ovary syndrome), now known as PMOS (polyendocrine metabolic ovarian syndrome), is a possibility. Irregular menstrual periods, facial hair (hirsutism), and insulin resistance, characterized by high fasting insulin and a high homeostatic model assessment of insulin resistance, are common signs. Obesity can make insulin resistance worse, which then leads to increased production of male hormones (androgens), one of the main features of PCOS or PMOS.
Hello, Welcome to icliniq.com. I understand your concern. Your symptoms and scan findings point to PCOS (polycystic ovary syndrome), now known as PMOS (polyendocrine metabolic ovarian syndrome), a small submucosal fibroid, and possible bladder wall thickening, which could be due to chronic inflammation or infection. PCOS or PMOS treatment often focuses on hormone regulation with combined oral contraceptives, progesterone therapy, or metformin if insulin resistance is detected. Lifestyle changes such as a balanced diet, regular exercise, and weight management are also key to controlling PCOS or PMOS symptoms.
Hello,Welcome to icliniq.com.I have read your query and understand your concern.Given your girlfriend’s year-round nasal congestion, elevated IgE levels, and positive allergy testing for dust mites and pollens, allergy immunotherapy (allergy shots) can be an effective treatment option worth considering. Allergy shots work by gradually desensitizing the immune system to allergens and may help reduce symptoms over time rather than only controlling them temporarily with medications.Since she is already using Fluticasone nasal spray and loratadine but continues to experience persistent congestion, immunotherapy may provide better long-term symptom relief and may also reduce dependence on daily medications.
Hello, Welcome to icliniq.com. I have read your query and understand your concern. CGRP (calcitonin gene-related peptide) monoclonal antibodies have become a very effective option for preventing migraines, especially when other treatments such as triptans or supplements have not provided sufficient relief. Current evidence suggests that these medications are generally well tolerated, even with long-term use over several years, and no major safety concerns or serious side effects have been identified so far in ongoing studies. For women of childbearing age, available data are also reassuring.
Hello, Welcome to icliniq.com. I can understand your concern. I want to reassure you that you have taken all the right steps so far by getting an EKG (electrocardiogram), echocardiogram, and Holter monitor, which are the key tools we use to rule out structural or rhythm-related heart disease. The fact that these tests were normal is very reassuring and strongly supports the likelihood that your palpitations are benign in origin, often due to premature atrial or ventricular contractions (PACs or PVCs), which can feel like skipped beats, thuds, or flutters. These can be exacerbated by stress, caffeine, dehydration, lack of sleep, or anxiety, and yes, anxiety alone can cause very real and sometimes frightening palpitations, even when you are calm, because of how the autonomic nervous system works.
Hello, Welcome to icliniq.com. I have gone through your query and understand your concern. At 18 years old, developing a swollen, painful area around the anus after trauma, such as being kicked, suggests the possibility of a perianal hematoma (a painful, blue-purple lump at the anal edge caused by a ruptured blood vessel) or a trauma-induced thrombosed external hemorrhoid (a painful, bluish, hardened lump at the anal verge caused by a blood clot forming in a vein), both of which can appear as a tender lump near the anal opening. These are typically caused by ruptured blood vessels under the skin from blunt force and can result in localized swelling, sharp pain on touch, and a bluish or purplish color. If there are no other symptoms such as bleeding, discharge, fever, or bowel changes, and the pain is only present with pressure, it is likely self-limiting and should improve over time.
Hello,Welcome to icliniq.com.I have read your query, and I understand that noticing any new or unexpected change in an intimate area can naturally cause worry and discomfort. Situations like this are commonly reported and, in many cases, are not serious in nature.It is also quite normal to feel anxious when something unfamiliar appears suddenly, even if there are no other troubling symptoms.A small lump near the vaginal entrance after sex that is solid and only painful when squeezed is most often due to a blocked gland or small cyst, such as a sebaceous or Bartholin’s cyst.
Hello, Welcome to icliniq.com. Thank you for reaching out. If you are on a birth control injection, usually Medroxyprogesterone acetate, and have spotting (light bleeding between periods) that keeps happening, you are not alone. This is a common side effect, especially during the first six to 12 months. The injection works by thinning the endometrial lining (the lining of your uterus), which can cause irregular bleeding or spotting.
Hello, Welcome to icliniq.com. I read your query. Thank you for sharing such a detailed history and being so patient through all these tests and treatments. Based on everything you have described, the persistent throat irritation, lump sensation, and mucus build-up, it seems your symptoms are most likely related to a combination of bile reflux (duodenogastric reflux) and lingering inflammation from chronic gastritis (a long-term inflammation of the stomach lining that can cause irritation, discomfort, and digestive symptoms over time), even though your H. pylori (helicobacter pylori) is now negative.
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