Recently Answered Questions
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What causes irregular periods?
Query: Hello doctor, I have been having issues with on and off periods for nearly four years now. When my periods started, they were normal, neither heavy nor light, and nothing unusual. But, I started missing my cycle for about six months, and then I would come back completely normal. My last episode of m... Read Full »
Answer: Hello, Welcome to icliniq.com. The menstrual pattern you quote sounds like PCOS (polycystic ovarian syndrome). It is a hormonal imbalance characterized by menstrual abnormalities. I suggest doing the following tests on day two of periods to diagnose and classify the type of PCOS. The timing is cru... Read Full »
I have a long period span. Should I take Hcg injections?
Query: Hi doctor, In the last two months my period span was 34 days. As I am trying to get conceive I went to gynecologist to know is there any wrong. She asked me to get CBC (complete blood count), hormone test and urine test. My blood sugar and all other are normal. My LH 6.31, FSH 7.91 and prolactin 53.... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your problem and seen the pictures (attachment removed to protect patient's identity). Period span of up to 35 days is normal. Your prolactin 53.92 is high and you need medicine for it. A follicle size of 1.8 cm or more is mature and if it doe... Read Full »
I have low AMH levels. Please help.
Query: Hi doctor, Last month on day 2, my TSH level was 4,9304 uIU/mL, free T4 was 102 ng/dL, and prolactin was 30.63 ng/mL. My last six months' menstrual cycle lengths were 34 days, 28 days, 28 days, 28 days, 36 days, and 19 days respectively. My cycle statistics are as follows. The average cycle length i... Read Full »
Answer: Hello, Welcome to icliniq.com. You are suffering from hyperprolactinemia and borderline subclinical hypothyroidism. Both of these can cause a delay in ovulation and hence irregularity in cycles. Ideally, menses between 23 to 35 days are considered normal as per the definition. In your case, the co... Read Full »
I have high thyroid and prolactin levels. Can I conceive?
Query: Hi doctor, I have been trying to conceive for last one year. Examination showed high thyroid and prolactin levels. My doctor put me on Thyronorm 25 and Cabergoline 0.5. My thyroid levels became normal but my prolactin levels came down to 35.06 from 55 after three months. Recent blood test showed 37.... Read Full »
Answer: Hi, Welcome to icliniq.com. High prolactin level may be due to stress or usage of multiple drugs. Are you under any other medication? As your prolactin level is responding to Cabergoline, you may need to increase the dose to get your prolactin under control. Revert back with the answer for the above... Read Full »
I recently had pregnancy loss despite taking medicine. Why?
Query: Hi doctor, I had some hormonal imbalance problem. I had my last periods two months back. I became pregnant and took an hCG test. It was 121 and I took viability scan at 7.6 weeks. The heart rate was 92 bpm, which is less compared to one week. So, doctor suggested me to repeat a scan after two weeks.... Read Full »
Answer: Hello, Welcome to icliniq.com. Your ovarian reserve appears to be good. Recurrent abortion needs evaluation for the following. Parental karyotype abnormality, uterine abnormalities, antiphospholipid syndrome, immunologic dysfunction, thyroid dysfunction, diabetes mellitus, polycystic ovary syndrome... Read Full »
It is hard for me to maintain the erection. Why?
Query: Hello doctor, I have difficulty getting and maintaining an erection. My erection is weak, and I cannot penetrate. When I try to penetrate, I lose my erection, and it lies on the left side when erect. My penis is soft and loose and of small size like a kids penis. My midnight erection and early morni... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen your reports (attachment removed to protect patient identity) and read your queries. All reports are within normal limits except high prolactin levels and hyperprolactinemia. You need to consult an endocrinologist for its correction. Otherwise, you can co... Read Full »
I am suffering from irregular period problems and have high prolactin levels. Why so?
Query: Hello doctor, I am suffering from irregular period problems. I am gaining weight. I have hairs on my chin and face. They are growing thicker. My prolactin levels are very high. What to do? Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query. It appears that you have hyperprolactinemia and it is responsible for your irregular cycles. So, I suggest you take a tablet of Cabergoline (dopamine receptor agonist) 0.25 mg orally twice per week for 2 weeks. Then after 1 week of that, you... 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 »
Can a cyst cause breast pain and discharge?
Query: Hi doctor, For the past two months I have had ongoing right breast pain. It first began as sharp stabbing pain that would last only a few seconds. Now I am getting some nipple discharge and burning sensation. When I spoke with my doctor about it, she said it might happen sometimes. I had some blood ... Read Full »
Answer: Hello, Welcome to icliniq.com. Breast pain, nipple discharge and cysts could be due to hyperprolactinemia. I do not see a prolactin level in your report (attachment removed to protect patient identity). Do you have a family history of breast cancer? Do these cysts develop even when you are off the ... Read Full »
Will irregular periods delay pregnancy?
Query: Hi doctor, I have irregular period, and I get my period once in six months. I am trying to get pregnant for a year. After having sex last night, I started bleeding. Read Full »
Answer: Hi, Welcome to icliniq.com. You have had irregular cycles, with a frequency of once in six months. In that case, there is all likelihood that you are experiencing hormonal imbalances and needs to rule out hypothyroidism, hyperprolactinemia, and definitely polycystic ovarian syndrome. This can be d... Read Full »