Questions & Answers

Q&A

Answered by Dr. Nadia Khan

What causes irregular and heavy bleeding after an abortion?

Hello, Welcome to icliniq.com. I doubt that you have polycystic ovary syndrome (PCOS) which is the most common cause of irregular cycle in young age like you. Secondly, it is not necessary that hormonal levels become abnormal always to make a diagnosis of PCOS. It could be a clinical diagnosis as well as based on the presence of irregular cycles and ultrasound evidence of polycystic ovaries. The main cause of heavy bleeding is that when one does not get periods regularly the lining of the womb becomes thicker and when it sheds it causes heavier and prolonged bleeding.

June 26, 2026

What causes intermittent and heavy flowing periods?

Hello, Welcome to icliniq.com. Menstrual irregularities, including heavy flow with clots, are very common in your age group, and it could be due to endometrial hyperplasia (one of the reasons). I would advise you to get a pelvic scan done to see the endometrial thickness and how it is. If it is normal, then you might need hormonal pills to regulate your cycle.A A hormonal intrauterine device (IUD) is the best option for regularity and reducing heaviness.

June 24, 2026

Can bleeding after sex during pregnancy cause miscarriage?

Hello, Welcome to icliniq.com. It could be a miscarriage and could be spotting in early pregnancy, as miscarriages are usually confirmed on an ultrasound scan, and bleeding is heavy with abdominal pain, and it usually takes a few days before it stops. I would suggest you repeat a pregnancy test and see if it is positive or not, because if the pregnancy is miscarrying, then there is a possibility for that to become negative due to falling levels of hCG (human chorionic gonadotropin). I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

June 10, 2026

Kindly explain the test results of azoospermia.

Hello, Welcome to icliniq.com. This result means that you have undergone testicular insufficiency, failure which means that testis in your body are not producing enough testosterone hormone to complete the process of sperm formation. Testicular insufficiency is being confirmed by the elevated levels of follicle stimulating hormone (FSH) and luteinizing hormone (LH) which are being shown in your reports (attachment removed to protect patient identity). I hope this answers your questions. Please feel free to follow up whenever needed.

June 1, 2026

What causes bleeding and hyperechoic areas in scan?

Hello, Welcome to iclinq.com. Thanks for sharing this information with us. You are right that hypoechoic area on the scan corresponds to the bleed but as far as this bleed is concerned there is no way to stop it and in my opinion as your wife has already progressed to 15 weeks the chances of miscarriage are reduced a lot rather there are chances of having pre term labor in the later half of pregnancy. So for that her gynecologist should keep an eye on her, and you have mentioned that she was having pre-eclampsia in last pregnancy then in my opinion she must have been started on Aspirin 75 mg in this pregnancy to reduce the chances of developing pre-eclampsia and also reduces formation of clots elsewhere in the vascular system which is definitely helpful for now. I might say that your wife can discuss having tablet Duphaston (Dydrogesterone) and Aspirin with her doctor and they can come up with the best advice for her health.

May 27, 2026

I am a woman aged 30 with a 14 to 18-day LP. Is it normal?

Hello, Welcome to icliniq.com. It is really good to know that you are very knowledgeable about your cycle routine. Let me add a few things further to it. The first thing is that the luteal phase is always fixed (14 days) while the follicular phase varies in women's cycle due to hormonal changes in the first half of the cycle. If you want to calculate your ovulation day, we usually deduct 14 days from the total cycle length.

May 27, 2026

How can I manage my obesity and irregular menstrual cycle?

Hello, Welcome to icliniq.com. It seems that you might have problems with PCOS. It is a complex problem commonly affecting young girls. Once your weight will be reduced to at least 11 lbs from the current level, your cycle will regularize itself. For weight reduction, first of all, you can try low-carbohydrate, low-fat and high-fiber diet and some exercise and secondly you can go for Metformin tablets which help in weight reduction and also regularizing hormonal imbalance associated with PCOS.

March 31, 2026

My Mentzer's index is 21. Will it affect my baby?

Hello,Welcome to icliniq.com.A Mentzer index of 21 means that you have iron deficiency anemia. Yes, it can affect your baby in certain ways if you do not seek medical advice. Anemia may lead to smaller babies, growth-restricted babies, and also preterm labor (labor before the due date), which can result in delivering a baby earlier and complications associated with early delivery.Also, a woman who is anemic may suffer excessive bleeding after delivery.

February 12, 2026

There are spotting and cramps soon after periods. Why?

Hello, Welcome to icliniq.com. Thanks for sharing this information here. First of all, I would like to see her reports from the previous diagnosis and treatment and only then I would be convinced that it was a tumor. Secondly, from your point, it sounds like it seems to be only a cervical polyp which is totally benign and after its removal, the patient does not have any symptoms. And thirdly, a pap smear does not detect cancer.

January 5, 2026

Is it safe for an Rh-positive person to conceive?

Hello, Welcome to icliniq.com. Yes, there are high chances of getting pregnant, but you must seek medical attention before getting pregnant to optimise your general health to the maximum, so that if you end up with a healthy conception, it is important that the mother is negative and the husband has positive blood type, but in your case, it is the opposite. So, in my opinion, it will not hinder your chances of getting pregnant. I hope this helps. Thank you.

November 27, 2025

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