Hormonal Replacement

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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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 »


Dr. Shaikh Sadaf

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 »


Dr. Sanya Dhingra

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 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 »


Dr. Sharath Kumar. C

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. Penile i...  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 »


Dr. Divakara. P

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 »


Dr. Sumit Srivastava

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 »

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 »


Dr. Divakara. P

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? Revert back with the asked details to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrino...  Read Full »

Why do some guys have a girly figure?

Query: Hello doctor, I am a 25 year old male. I am 181 cm tall and I weigh 70 kg. All the members in my family are tall, but I am not that big when compared to my father and brother. I am mentally depressed since my childhood. It is all about my body. I was a female looking boy with very soft body, less...  Read Full »


Dr. Deepika Gorthy

Answer: Hi, Welcome to icliniq.com. I totally understand your anxiety. Based on the description which you have given, there could be a possibility of Klinefelter syndrome. This condition can be seen in about one in 600 boys. A normal male will have a chromosomal pattern of XY. However, in case of Klinefelt...  Read Full »

Can antidepressants cause low sex drive?

Query: Hi doctor, I have no sex drive whatsoever and cannot obtain an orgasm. Please help.  Read Full »


Dr. Ashok Kumar Choudhary

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 »

Why are my periods suddenly irregular after taking Femosten?

Query: Hello doctor,I commenced taking Femosten 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 ne...  Read Full »


Dr. Kaushal Bhavsar

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 an...  Read Full »

Is it possible to have ovulation and period symptoms when on Depot?

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 »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. Depot 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 blood is a common side ef...  Read Full »

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