Questions & Answers

Q&A

Answered by Dr. Nagma Khatoon

Is spotting normal after using a contraceptive gel?

Hi, Welcome to icliniq.com. I can understand your concern. Phexxi (Citric acid and Potassium bitartrate) can cause burning for both partners and may increase UTI (urinary tract infection) risk due to vaginal pH changes. Your symptoms, including spotting and faint test lines, warrant a full evaluation. It is only about 86 % effective with typical use, so consider adding a backup method, especially with timing issues.

August 19, 2025

How to manage hereditary angioedema during pregnancy?

Hi, Welcome to icliniq.com. I can understand your concern. During pregnancy, plasma-derived C1-inhibitor (like Berinert or Cinryze) is the safest and most recommended treatment for HAE. Icatibant is not well-studied in pregnancy, so it is used cautiously. You need an urgent care plan with high-risk obstetrics and immunologist, and backup C1-INH (C1 esterase inhibitor) doses at home.

August 18, 2025

Is Candida auris curable in the elderly with comorbidity?

Hello, Welcome to icliniq.com. I have read your query and can understand your concern. Candida auris can spread in healthcare settings, so strict isolation and precautions are taken to prevent transmission. While it is a serious and drug-resistant infection, treatment with the right antifungal medications, such as Echinocandins (Antifungal) or Amphotericin B (Polyene Antifungal), can be effective. Recovery is possible with intensive care, especially if the infection is caught early.

July 22, 2025

What is causing UTI and discharge from my private parts?

Hello,Welcome to icliniq.com.I read your query and can understand your concern.It sounds like you may be dealing with a combination of factors, including possible Skene gland inflammation, discharge from a UTI (urinary tract infection), and normal menstrual blood. UTIs can sometimes cause changes in discharge, including foul smells, but the lumps and discharge you are describing may require a thorough examination to rule out infections, cysts, or other conditions.Without seeing a doctor, it is important to stay hydrated and manage UTIs, but I recommend seeking medical attention when possible for a proper diagnosis.

July 16, 2025

Is a second C-section safe with a history of fibroids?

Hello, Welcome to icliniq.com. I understand your concern. Since your fibroid is now small and non-obstructive, your baby is in a favorable position, and you have no complications like high BP (blood pressure) or abnormal scans, a trial of vaginal birth after C-section, VBAC (vaginal birth after cesarean) could be considered. If there are no medical contraindications, it is reasonable to discuss your options thoroughly before scheduling a repeat C-section. Kindly request a full review of your current pregnancy findings before proceeding.

July 10, 2025

Is targeted therapy better for upper tract urothelial cancer?

Hi,Welcome to icliniq.com.I read your query and can understand your concern.Targeted antibody-drug conjugates (ADCs) are a modern cancer treatment that includes two parts: a specially made antibody that finds and attaches to cancer cells and a strong anti-cancer drug linked to it. This combination allows the treatment to be delivered directly to the tumor, where the drug is released to kill the cancer cells. Since ADCs are more targeted, they tend to spare healthy cells, which may lead to fewer side effects compared to traditional chemotherapy.

June 27, 2025

Is metabolic surgery safe with high blood pressure and diabetes?

Hi, Welcome to icliniq.com. I can understand your concern. Metabolic surgery (bariatric) is a safe and effective option for obesity, diabetes, and high blood pressure, often reducing or stopping medicines, including insulin. Pre-op tests include bloodwork, heart or lung evaluation, and sleep apnea assessment. Recovery is two to three weeks, with light work possible in two to three weeks.

June 5, 2025

How effective is Tezspire for EGPA, and what are its side effects?

Hi, Welcome to icliniq.com. I read your query and can understand your concern. Tezspire (Tezepelumab) targets thymic stromal lymphopoietin (TSLP), a key driver of eosinophilic inflammation, and may help manage asthma symptoms in eosinophilic granulomatosis with polyangiitis (EGPA). However, it is not specifically approved for the treatment of vasculitis. Other biologic therapies, such as Nucala (Mepolizumab) or Rituxan (Rituximab), have more established use in treating EGPA.

June 5, 2025

How to manage norovirus infection during pregnancy?

Hello, Welcome to iCliniq.com. I understand your concern. Norovirus is highly contagious and can spread for up to two weeks after the symptoms resolve. Following these measures is highly necessary: Strict hygiene practices, including thorough handwashing and surface disinfection, are essential to prevent further transmission. For a pregnant woman, dehydration poses the greatest risk.

June 5, 2025

Is pregnancy possible after protected sex and a heavy period?

Hi, Welcome to icliniq.com. I read your query and can understand your concern. If protected sex occurred and a normal, heavy period followed, the likelihood of pregnancy is extremely low. Proper use of protection, such as condoms, significantly reduces the risk of pregnancy. Additionally, withdrawal before ejaculation further lowers the chance of sperm entering the vagina.

May 29, 2025

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