Questions & Answers

Q&A

Answered by Dr. Sravanthi Nuthalapati

Why does my mom need surgery for endometrial cancer at 63?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. Endometrial cancer is generally diagnosed in early stages; around 80 to 90 percent of diagnoses are in early stages because it presents with bleeding issues or post menopausal bleeding in the elderly. In your mother's case, the disease has spread beyond the abdominal cavity (into the lungs), so it is a very advanced disease. Stage 4B suggests that her survival is not so great in comparison to a person who would have been diagnosed with a stage 1 disease, who can get completely cured with surgery, and in occasional cases, requires additional therapies in the form of radiation or chemotherapy.

June 30, 2026

Can hormonal IUDs cure my endometrial cancer safely at 35?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. Yes, there is a possibility to treat a very early-stage endometrial cancer with an intrauterine device (IUD). However, it needs to be in an early stage, meaning a low grade (usually grade 1 - only endometrioid variant type), limited to endometrial lining (with no invasion into the muscular wall of the uterus), and has not spread anywhere else in the body (meaning limited only in the uterus). In these situations, a trial of Levonorgestrel-releasing (LNG) IUD with Oral Progestins therapy (as guided by your Gynaecologist is a valid option after a thorough workup.

June 30, 2026

What happens if you take birth control pills from the wrong side of the strip?

Hello, Welcome to icliniq.com. It does not matter how you take the pills in Yamini (a combination of Drospirenone and Ethinyl Estradiol), as the contents of each and every pill is the same. So, you are very much protected from pregnancy. You need not have Plan B (Levonorgestrel) in case you have intercourse. Just continue and finish the complete strip as per the schedule for the complete three weeks.

June 11, 2026

Is colposcopy used to diagnose HPV?

Hi, Welcome to icliniq.com. I understand your concern. There are some differences between the tests that you have done. I will try to explain it. A Pap smear is a test used to screen for cancerous or precancerous cells in the cervix.

June 4, 2026

My daughter has PCOS/PMOS despite taking Dronis. How to treat it?

Hello, Welcome to icliniq.com. I have read the details of the problem about your daughter and can totally understand your concern. The irregularities in the menstrual cycles could be due to the underlying hormonal disturbances or sometimes due to a lifestyle-related problem called PCOS/PMOS (polycystic ovarian disease/Polyendocrine metabolic ovarian syndrome). Does she have any recent weight gain? Excess weight gain can also lead to disturbance in hormonal levels. Does she face any acne, unwanted facial hair growth, excess scalp hair loss, or any frequent headaches with visual changes or excessive lethargy, sleepiness? I could see that she is overweight for her height.

May 29, 2026

Why is there a red stringy-looking tissue while urinating?

Hello, Welcome to icliniq.com Based on the details you mentioned, the thickened endometrium (lining tissue of uterus) appears. It must be causing irregular intermenstrual spotting, which you notice while passing urine as red stringy-looking tissue which must be nothing but blood mixed with your normal vaginal discharge. I would like to know the measured thickness of the endometrium. If you experience any heavy or prolonged bleeding during your periods and whether your cycles are regular or not? If so, you should get an endometrial biopsy evaluation to rule out any pre-cancerous or cancerous changes in the endometrium. I also wanted to mention that your body weight appears to be quite high for your height.

May 29, 2026

Clomid is not supporting me to get pregnant for the second time. Why?

Hello, Welcome to icliniq.com. Nolvadex is Tamoxifen which is a selective estrogen receptor modulator. Yes, it is one of the most common drugs that is used for treating breast cancer patients and also certain birth defects are possible if you take this medication when you pregnant. In your case, this medication is being used because you are resistant to Clomid with failed attempts at getting pregnant with Clomid treatment. This is being given in the phase of your menstrual cycle when even the egg formation has not happened and basically to help your egg or follicles formation so that you can conceive with the medications.

May 29, 2026

I have PCOS/PMOS and getting period only if I take OCP. Why?

Hello, Welcome to icliniq.com. I understand your concern and would help you for sure. Please do not be stressed out, as this is a pretty common lifestyle disorder these days. And it is a lifelong condition and there is no cure to get rid of this condition. But, yes, this problem could be very well balanced if the lifestyle is regulated properly with proper diet, exercises and weight management.

May 27, 2026

My teenage sister does not have a period from almost a year. Why?

Hello, Welcome to icliniq.com. Your sister could be having polycystic ovarian syndrome/polyendocrine metabolic ovarian syndrome (PCOS/PMOS). It is a metabolic problem that is quite common these days. This is not a disease related to only the ovaries but the whole metabolism of the body. This usually manifests as irregular cycles, excess hair growth (male pattern), obesity, etc.

May 27, 2026

What causes abnormal vaginal discharge after my period?

Hello, Welcome to icliniq.com. I have seen the picture (attachment removed to protect patient identity) you have posted. I want to assure you that you are fine, but a few things need to be evaluated. As your gynecologist has already felt and examined you, there is nothing much to worry about. What you have been experiencing could be a postmenstrual spotting, which could be a hormonal disturbances issue or maybe even due to some polyps which may not be felt on examination.

May 25, 2026

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