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Questions & Answers

Q&A

Answered by Dr. Tinu Zachariah

I have PCOS/PMOS, and I am planning to conceive. Please look at my reports and help.

Hi, Welcome to icliniq.com. PCOS/PMOS (polycystic ovarian disease/Polyendocrine metabolic ovarian syndrome) is treated by following an active lifestyle and dietary modification. Please mention your weight and last menstrual period to give you an appropriate answer. Along with MCBM 69 (Folic acid, Methylcobalamin, and Pyridoxine), you need to do walking or any other modality of exercise to remain active. Have a healthy diet with fruits and vegetables.

May 29, 2026

I am 20 weeks pregnant, and I was told to take blood thinners. Should I take them?

Hi, Welcome to icliniq.com. Blood thinners are advised when the ultrasound or clinical examination shows a risk for hypertension or growth problems later in pregnancy or due to previous abortions or pregnancy losses or in higher maternal age. These medications can cause increased bleeding during delivery. They are usually stopped by 34 to 36 weeks. Knee swelling is unrelated to this issue.

May 26, 2026

I did not get my periods for four months. Why?

Hello, Welcome to icliniq.com. Irregular periods can be due to many reasons. A little bit more information will help in making the right diagnosis. May I know when you had your first periods? Have you lost or gained weight recently? Any change in lifestyle or stress recently? Are you having any pimples, hair growth in face, chin, etc? All the above reasons can contribute to irregular periods. You could also be dealing with a condition called PCOS (polycystic ovary syndrome).

January 22, 2026

I experience vaginal discharge with offensive smell. What is the suggested treatment?

Hello, Welcome to our portal The bad smell and the discoloration of your vaginal discharge could be due to either a candida (fungal ) or bacterial vaginosis (BV) (bacterial infection).Trichomonas usually has a fishy smell which you do not have. Candida infections usually have something like a curdled milk appearance and have itching (itching which you do not seem to have). If you do not think you have candidal symptoms, then the diagnosis of BV is more fitting. Treatment would be to start antibiotics (both oral and vaginal) for 10 days. Also, if you are sexually active, please do your pap smear test if not already done.

April 23, 2025

Is there be a discharge after taking Duphaston and Clomid?

Hi, Welcome to icliniq.com. Duphaston (Dydrogesterone) is given to correct hormone levels. They help in having a pregnancy. In your case, it is difficult to predict pregnancy from your history alone. If there is no pregnancy, there is an initiation of bleeding after stopping Duphaston within one to three days.

July 2, 2024

I have discomfort while trying to insert a finger in my vagina. Is it due to the fear of sexual activity?

Hello, Welcome to icliniq.com. I understand your anxiety. Many people do have this issue, but with slow and persistent efforts, you can overcome it. From your history, I realize you are slightly on the bulkier side. If you could try and reduce your weight (say about 11 lbs in the next two months), you will feel a considerable difference in your sexual interests too.

June 20, 2024

What does an abnormal double marker test indicate?

Hello, Welcome to icliniq.com. First of all, congrats on your pregnancy. Let me clarify that double marker is only a screening test. It is not a confirmatory test. Double markers are not repeated if they are showing a high risk.

January 30, 2024

How to get rid of a Bartholin cyst?

Hi, Welcome to icliniq.com. I hope you are doing well despite the chaos around you. Bartholin's cyst occurs because of the obstruction to the duct of the Bartholin's gland. It is similar to the acne happening on your face. As long as it is not tender, not painful, or discharging pus (when it is called a Bartholin's abscess), you can leave it in your present circumstances.

December 20, 2023

What is the chance of getting pregnant at the age of 40 after endometriosis surgery?

Hello, Welcome to icliniq.com. I understand it has been a year since your endometriosis surgery. I am not clear if you have taken any treatment following that to enable conception. From the limited information, you have given me and assuming that your partner's parameters are normal (as you have not mentioned anything about it), I will try to make my suggestions. As age advances, the maternal ovarian reserve comes down, which means the number of eggs a female has come down.

August 30, 2023

What could cause frequent irregular periods resulting in anemia and weight loss?

Hello, Welcome to icliniq.com. I understand you are deeply troubled by your menstrual cycles. Heavy and frequent bleeding as you suggested will cause anemia and weakness and needs to be treated. On the other hand, if periods are infrequent and less flow, you can treat it without medications too. In your case, your BMI (body mass index) is very low which is not healthy at all.

August 30, 2023

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