Hormonal replacement is medicines given to a menopausal woman to treat menopausal symptoms. The common menopausal symptoms include hot flashes, irregular periods, chills, night sweats, mood changes, and weight gain. The hormones estrogen and progesterone are given orally or topically.
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What is hormone replacement therapy?
Query: Hello doctor, I take Clorazepate, Quetiapine, Akineton (Biperiden), Ludiomil (Maprotiline) and Lyrica (Pregabalin). I am wondering whether I can go ahead with hormone replacement therapy which includes Estrogen and Spironolactone. Read Full »
Answer: Hi, Welcome to icliniq.com. I would like to know first for what purpose you are on these medicines? What is your purpose of planning to go for hormone replacement? Read Full »
How can I increase my sex drive while on antidepressants?
Query: Hi doctor, I have no sex drive whatsoever and cannot obtain an orgasm. Please help. Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query with due interest and understand your concerns. Low sex drive is a common symptom of a variety of medical and psychiatric disorders. Before I speculate anything about it I need you to answer a few questions in detail. Mention the duration of the pro... Read Full »
I suffer from erectile dysfunction. How to treat it?
Query: Hi doctor, I have been having erectile dysfunction problem. My age is 50. I am currently taking regular high blood pressure medicine. Also, I had angioplasty last year. What are the possible treatment options available for erectile dysfunction? Read Full »
Answer: Hi, Welcome to icliniq.com. The following treatment options are available for erectile dysfunction. Use vacuum pump. Penile oil. Penile platelet-rich plasma injection. Low-energy shock wave therapy. Acupuncture therapy. Hydrotherapy. Penile massage therapy. Venous ligation surgery. Tablets.... Read Full »
Could taking Femoston cause irregular periods in me?
Query: Hello doctor, I commenced taking Femoston last month because I was not getting a period for the last six months. Prior to this, I got them intermittently for 12 to 18 months. For several months, I would just get my period for several consecutive months. My cycle has always been 28 days. My periods n... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern. What about hot flushes? Do you have them? And when is your scheduled appointment with GP? Do you have foul smelling discharge? Do you have weight loss or low-grade fever? Do you have a family history of cervical cancer? Please reply to my ... Read Full »
Can being on your menstrual period raise the platelet count?
Query: Hello doctor, I am 40 years old. I recently had a full panel of laboratory tests done and my platelet count was elevated as was my hs-CRP. All other reports were in optimal or normal range. My ferritin was on the lower end and my HbA1c was on the higher end of normal. I am currently being treated wi... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. In the provided report (attachment removed to protect patient identity), the serum ferritin and hemoglobin are within the limit. A slightly elevated platelet and high CRP (C-reactive protein) can be from a temporary inflammation, in which the platelet is raised becaus... Read Full »
I took a Depo shot recently. Is it effective?
Query: Hello doctor, My period started 12th of last month. I reviewed the Depo shot two days later. I had unprotected sex nine days later. He ejaculated in me several times. I thought I would be protected but I am also having symptoms of ovulation like high (hard) cervix with a sharp pain in my ovary, the... Read Full »
Answer: Hello, Welcome to icliniq.com. Depot (Hydroxyprogesterone) injection does not offer immediate protection and it is advised to maintain abstinence for at least three weeks post-injection before the hormonal balance is readjusted for the cycle. Also, intermenstrual bleeding in form of dark brown blo... Read Full »
Can prolonged bioidentical hormonal intake cause hot flashes and night sweats?
Query: Hi doctor,I am a 50-year-old female taking bioidentical hormones for the past six months due to hot flashes and night sweats for the past six years, and it worsened last year. I also take NP Thyroid 60 mg, testosterone, estrogen, vitamin D3 tablets, multivitamins, MethylAssist tablets, zinc tablets,... Read Full »
Answer: Hello, Welcome to icliniq.com.From the reports attached (attachment removed to protect the patient's identity), you have hyperthyroidism. So I suggest you tablet NP Thyroid 45 mg once daily. Repeat the thyroid function test after six weeeks. I suggest tablet Vitamin D 1000 IU once daily, 4 hours aft... Read Full »
Why do I have a severe burning sensation on top of my head daily for a year?
Query: Hi doctor, I am 45 years old. I have a severe burning sensation on the vertex of the head for a year. My head has a prickling-like needle sensation while having this burning sensation. I also have tears coming from my left eyes. My head becomes hot and it becomes worse when I sleep in the afternoon... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. First, it is important to keep your blood pressure under control. This burning sensation and heating up of the head can occur due to hormonal imbalance that occurs after hysterectomy surgery. Your gynecologist should prescribed you some hormon... Read Full »
I need some advice to start HRT for male to female transition.
Query: Hi doctor, I am a 28 year old transwoman. I am looking forward to start HRT. I need some advice from you to start on HRT for male to female transition. Thank you. Read Full »
Answer: Hi, Welcome to icliniq.com. Do you need to know what medications to be taken for HRT (hormone replacement therapy)? Do you like to know about the fitness or investigations before starting HRT? Or are you asking for the safety? Do let me know what you want to know exactly. Revert back with the answe... Read Full »
How is papillary thyroid carcinoma treated?
Query: Hello doctor, My mom has thyroid papillary carcinoma. Five months back she got a surgery in both sides of her thyroid gland. What is the best treatment for this? Please guide. Read Full »
Answer: Hi, Welcome to icliniq.com. Sorry to hear about your mother's state. The protocol of treatment of papillary carcinoma of thyroid is total thyroidectomy followed by therapeutic radioactive Iodine therapy. Radioactive Iodine is given to detect and eradicate any residual tumor left after surgery. Resi... Read Full »