Questions & Answers

Q&A

Answered by Dr. Neha Nigam

Why did my sister's endometrial cancer spread to the lymph nodes?

Hello, Welcome to icliniq.com. I understand your concern. Spread to the lymph nodes can happen even when the main tumor in the uterus is not very large. It depends more on how aggressive the cancer cells are and how deeply they have invaded, rather than just the size. This is something that can sometimes come as a surprise, even to patients who felt their diagnosis was caught early.

July 21, 2026

When does Stage 1A uterine cancer at 54 need more therapy?

Hello, Welcome to icliniq.com. I read your query and understood your concern. Stage IA, grade 1 endometrial cancer is generally considered an early and low-risk form of uterine cancer. In many cases, surgery alone, including hysterectomy with removal of the ovaries and appropriate surgical staging, is sufficient treatment when the tumor is low grade, confined to the inner half of the uterine muscle, lymph nodes are negative, and surgical margins are clear. However, treatment decisions are often discussed in a multidisciplinary tumor board to review all pathological risk factors carefully.

July 20, 2026

Can radiation cause fatigue and pelvic pain after a hysterectomy?

Hello, Welcome to icliniqcom. I understand your concern. What you are describing is something many patients go through after pelvic radiation, so you are not alone in feeling this way. The fatigue you are noticing is very common. Radiation can make the body feel drained because normal tissues also take time to heal, and that recovery can stretch over several weeks or even a few months after treatment ends. The mild pelvic discomfort you are describing can also be caused by irritation and inflammation of the tissues that have been exposed to radiation.

July 14, 2026

What are safe RA treatments while trying to conceive?

Hi, Welcome to iCliniq.com. I am sincerely sorry you are going through this. Based on your symptoms and laboratory results (attachment removed to protect the patient’s identity), it looks like you have severe, active rheumatoid arthritis, and your distress is reasonable. Poorly managed RA can disrupt menstrual cycles, fertility, and overall quality of life; having good disease control before pregnancy is critical. Prednisone long-term use and NSAIDs usage are not encouraged for women who want to get pregnant.

July 13, 2026

Should I use birth control while trying to conceive at 36?

Hello, Welcome to icliniq.com. I understand your concern. If you could share all the medication details, then it would be easy for me to explain what is going on. But as you mentioned, you want to conceive and have started on birth control pills, so that might be because they want to either regularize your cycles or want to delay pregnancy. Since you have been trying for two years and you are 36 to 37 years old, it is appropriate to be under the care of a fertility specialist if you are not already.

July 8, 2026

Why does stage 1 endometrial cancer need radiation at 52?

Hello, Welcome to icliniq.com. I understand your concern. It is a very common doubt when everything already seems ‘early stage’ and treated. At first glance, it can feel confusing why additional treatment is being discussed after surgery has already been completed. In stage 1 endometrial cancer, surgery alone is often enough, but in some cases, doctors still advise radiation to reduce the risk of the cancer coming back.

July 8, 2026

Why does my mother have bleeding after menopause?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. Postmenopausal bleeding always needs evaluation, but please remember: many causes are benign, not necessarily cancer. Still, it is good that you are taking it seriously and asking about tests early. Bleeding after menopause can have several possible causes.

June 29, 2026

Can my wife use topical steroids while nursing for eczema?

Hello, Welcome to icliniq.com. I read your query and can understand your situation. Yes, this can happen after pregnancy. Hormonal and immune system changes after delivery can trigger eczema (also known as atopic dermatitis, a skin condition that causes dry, itchy, inflamed, and sometimes red or cracked skin), even in women who have never had skin problems before. Stress, lack of sleep, sweating, and dry skin can worsen the rash, which is quite common in the post-partum period.

June 29, 2026

How do I manage my fertility with lupus nephritis at 29?

Hi, Welcome to icliniq.com. I understand your concern. Your desire for pregnancy is completely valid. It is absolutely possible to conceive and have a healthy pregnancy with lupus nephritis, but only when the disease is well-controlled and managed with pregnancy-safe medications. Trying to conceive while lupus is active and threatening kidney function would be dangerous for both you and the baby.

April 28, 2026

How to conceive naturally with hypothyroidism?

Hello, Welcome to icliniq.com. I understand your concern. The good news is that hypothyroidism is one of the most manageable conditions when it comes to pregnancy and fertility. Since you are already taking Levothyroxine, you are doing the most important thing correctly. Even when thyroid levels are within the normal range, some women still experience irregular or painful periods, weight gain, and hair loss.

April 24, 2026

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