Recently Answered Questions
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Can I get a prescription for testosterone replacement therapy if I visit a specialist in person?
Query: Hello doctor,I am a 35 year old male. I have been suffering from erectile dysfunction and have tried PDE-5 inhibitors. They work, but they do not give results anymore. I quit smoking, a few years ago, when I was diagnosed with ED. My morning erection is also not as strong as it used to be. Many chec... Read Full »
Answer: Hello, Welcome to icliniq.com. Penile injections are tried in severe cases of erectile dysfunction (ED). Usually, it is prescribed by a urologist, since tests like penile doppler and others have to be done, to rule out any other issues. It is an option if nothing else works. But again, it is not... Read Full »
No pregnancy nor periods after taking Ferpill. What to do?
Query: Hi doctor,I have taken Ferpill last month. I have not got pregnant or got my periods. Six days passed since my due date. I am not sure what to make out of it. I need help. Read Full »
Answer: Hello, Welcome to icliniq.com. How are you doing? Ferpill is Clomifene citrate which increases the ovulation chances. So thereby, improving the chances of the egg meeting sperms. You can wait for a max of seven to 10 days. One of the side effects of this pill is that it may slightly reduce the t... Read Full »
What Clomid dose is recommended for a 42-year-old with AMH of 0.35?
Query: Hello doctor, I would like to know what dose of Clomifene citrate (Clomid) would you recommend for a 42-year-old with an AMH of 0.35? Read Full »
Answer: Hello, Welcome to icliniq.com. I suggest apart from FSH (follicle stimulating hormone) and AMH (anti-Mullerian hormone) you do blood tests TSH (thyroid stimulating hormone) and prolactin. Clomifene is started at 50 mg daily for five days. If ovulation does not occur then the dose can be increased... Read Full »
What is the treatment for submucosal fibroid?
Query: Hi doctor, I have had submucosal fibroid for over ten years. Now for the past three months, I have been facing irregular bleeding. My urine does not flow in a straight line when the volume is less. Also, I have a small cyst in the clitoris, which creates occasional itching once or twice a month. I ... Read Full »
Answer: Hi, Welcome to icliniq.com. For submucosal fibroid, you can opt for hysteroscopic removal or arterial embolization, or MRI (magnetic resonance imaging) guided focused ultrasound therapy. Because at 30 years, I do not think you would like to go for open surgery. Urine may not come out in a s... Read Full »
Am I not able to conceive because of the brown discharge before my periods?
Query: Hello doctor, A year before, I was getting regular periods. One day before period, I used to get spotting then bleeding for five days. I was on birth control pills. A year ago, I stopped the pills. So from nine months, I am having brown discharge with mucus before four days of periods, then bleedin... Read Full »
Answer: Hi, Welcome to icliniq.com. You have not mentioned for how long you took the birth control pills. There are many adverse effects of the pills, which women are not aware of and the doctors are also not telling. This is a side effect of the pills, as pills stop ovulation totally. If one tries t... Read Full »
Do we need fertility treatments if we cannot conceive after normal ovulation and semen analysis?
Query: Hello doctor, I am a 34-year-old female. I have been married for 11 months. I have hypothyroidism, and I am obese. I had hyperprolactinemia in the past. But now, my prolactin is normal. After that, I have a regular cycle of 33 days, and we are trying to conceive. My husband did a semen analysis, ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen the sperm report of your husband, and it is expected (attachments removed to protect the patient’s identity). I suggest you do an abdominal ultrasound to check for any abnormalities in the fallopian tubes. You should also know about the most ferti... Read Full »
Does Ferpill F cause delay in periods?
Query: Hi doctor, We are trying for a baby since one year, and we are under treatment for that. Our consulting doctor has told us to undergo IVF, and we are in that process. From this month we are supposed to start the final lap for IVF, and for that, we met the doctor on the seventeenth day of my wife's ... Read Full »
Dr. Sanjay Kumar Bhattacharyya
Answer: Hello, Welcome to icliniq.com. Ferpill F is a medicine to help the process of ovulation, fertilization as well as the development of the embryo. It is not related to Clomifene, and there is no harm if she has started it in the middle of the cycle or continues it afterward. The point is now she has m... Read Full »
I have attached my reports. Kindly suggest if I can become pregnant.
Query: Hi doctor, I am 29 years old. My height is 5'3", and weight is 57 kg. I got married for four years. I have an irregular period of 30 to 41 days cycle. I am trying desperately for baby from the last nine months, but there is no success. I did a follicular study last month, and they gave hCG 5000 IU ... Read Full »
Answer: Hello, Welcome to icliniq.com. Considering your high AMH levels (antimullerian hormone) and oligomenorrhea or irregular cycles, no hypothyroidism and hyperprolactinemia, you are likely to be a case of PCOD or PCOS - polycystic ovarian syndrome. Ideally, you should be getting your serum testosterone... Read Full »
Why did I have two periods in a month?
Query: Hello doctor,I have had two periods in the same month. The first one was for five days and this one has lasted for six days, but I am still having some blood when I wipe. I do have PCOS and I understand that the period issue could be a result of this. I am feeling unwell and constantly have a headac... Read Full »
Dr. Sanjay Kumar Bhattacharyya
Answer: Hi, Welcome to icliniq.com. Irregular cycle is a common manifestation of PCOS (polycystic ovarian syndrome) and it is due to hormonal disturbances inside you. You need some medication to control your cycle as well as your bleeding. Medications are different according to your need. If you do not wa... Read Full »
How many cycles can Clomid 50 mg be taken?
Query: Hi doctor, I am 26 years old. I have been trying to conceive for the past seven months. I have regular 28 day cycle. Recently, I got a hormone test for FSH, LH and prolactin, uterus scan and my husband's semen analysis. Everything was normal. My doctor prescribed me Clomid 50 mg on day 4 to day 9 an... Read Full »
Answer: Hi, Welcome to icliniq.com. First, relax. Anxiety and depression also cause delay in pregnancy. Continue with the same medications and start Folic acid supplements. Try every alternative day during your fertile period at least for two weeks. In this way you are giving rest to the body and also to i... Read Full »