Recently Answered Questions
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At 52, should I consider undergoing a hysterectomy?
Query: Hi doctor, I am a 52 year old female, who weighs 165 lbs and I am 5 feet tall. I want to know whether we should opt for hysterectomy or not. I do not want to do a hysterectomy, as it may interfere with hormonal balance later. I have postmenopausal vaginal discharge, with a fair amount of red spots.... Read Full »
Dr. Sanjay Kumar Bhattacharyya
Answer: Hi, Welcome to icliniq.com. I have reviewed the reports (attachment removed to protect patient identity). According to the reports, there is an increased thickening of the endometrium, which is the inner lining of the uterus. A thickness of more than 5 mm is considered abnormal and often consid... Read Full »
I have adenomyosis and polycystic ovaries. Please help.
Query: Hi doctor, I have irregular periods with very heavy bleeding, clots, cramps, stabbing pains in my pelvic area with no pattern connecting to bleeding. Some days, I am so fatigue and cannot function. This started five years ago. I had constant bleeding following coil insertion. Then it was removed and... Read Full »
Answer: Hi, Welcome to icliniq.com. The problem which you are facing is most likely due to the adenomyosis and polycystic ovaries. As you have not mentioned your age and the number of kids, it is really difficult to tell you the exact management. Because, management is totally age related and number of ki... Read Full »
How can I improve my endometrial thickness to get pregnant?
Query: Hello doctor, My age is 32, and my husband is 37. We have been married for nine years, and I have been trying for conception for eight years. I did conceive last year, but the heartbeat was not seen. So, I underwent D and C. Till last year, and my period was regular. But, it became very scanty after... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your anxiety. I have read your problems and your husband's report (attachment removed to protect patient identity). It seems that your problem could be due to vigorous curettage (dilation and curettage) or due to endometrial infection, such as tuberculo... Read Full »
I have a heavy menstrual flow. Why?
Query: Hi doctor, I have been suffering from heavy menstrual flow for the past 1.5 years. Around six months, I had heavy flow with clots. Now, I have been menstruating for the past 20 days continuously with heavy flow and clots. My current medication includes capsule Gynae CVP, tablet Augmentin and capsule... Read Full »
Answer: Hi, Welcome to icliniq.com. You are losing blood heavily. Kindly upload your reports as well. Since you are bleeding for the last 20 days continuously, first we should try to stop this. I suggest tablet Meftaris (combination of Tranexamic acid and Mefenamic acid) one tablet thrice a day for three ... Read Full »
Can I have water while fasting for a thyroid profile test?
Query: Hello doctor, Since the last 10 months, my periods are very irregular. I get periods only once every three to four months. I am on treatment for abdominal TB since the last one and a half years. I take Sompraz D20 on an empty stomach in the morning. I take Duonase nasal spray (two puffs in each nost... Read Full »
Answer: Hello, Welcome to icliniq.com. Your irregular periods can be due to your obesity. You need to lose some weight. You have a history of TB (tuberculosis). So, there may be chances that your uterus might have got affected due to that. I suggest the following tests: USG (ultrasonography) of the pelvi... Read Full »
My mother has abdominal pain and stage 3 cervical cancer spread.
Query: Hello doctor, My mother's cervical cancer was detected in Pap (Papanicolaou) smear test and biopsy, so the doctor removed her uterus but retained her ovaries. I do not know why she feels tired and has stomach pain three years after the surgery. We took her to the hospital, and the doctor said she ha... Read Full »
Answer: Hello, Welcome to icliniq.com. Every doctor does his best to save the patient's life, but cancer is difficult to predict. The oncology team will decide the best treatment plan for her. Read Full »
How to treat postmenopausal vaginal discharge?
Query: Hello doctor, I am a 52 years old female, who weighs 165 lbs, and I am 5 feet tall. I have postmenopausal vaginal discharge with a fair amount of red spots. What could be the cause? I had my menopause 1.5 years back, and I have type 2 diabetes, hypothyroidism, and asymptomatic cholelithiasis from la... Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen all the reports (attachment removed to protect patient identity). First, D and C (dilation and curettage) with cervical biopsy with acetic acid or Lugol's iodine should be done as you have postmenopausal spotting with thickened endometrium of 9 mm, with ass... Read Full »
Why am I bleeding heavily if I do not take Progesterone?
Query: Hi doctor, I am 5'10" and 250 lbs. I am 28 years old. I have a history of PCOS, had an endometrial biopsy, and it came back negative for hyperplasia and malignancy. The reason for my visit was period started with passing large clots and continuous period. Currently, I am menstruating for three month... Read Full »
Answer: Hello, Welcome to icliniq.com. This is a typical progesterone deficiency where you should ideally be started on cyclical progesterone therapy from day 11 to day 25 of your cycle or on continuous progesterone therapy for three months. You should take treatment for at least three months to control ... Read Full »
How to get rid of abdominal pain due to uterus fibroids?
Query: Hi doctor, My sister is 46 years old now. She got married 17 years back and have a girl child of age 15. For nearly 10 years, she is having abdominal pain, which will occur during the periods and will last for five days. It will start two days before periods and will last three or four days after it... Read Full »
Answer: Hi, Welcome to icliniq.com. After going through the detailed information given by you, the issues I think need resolution are as follows: Regarding fibroid it needs removal as that is an important cause of pain abdomen. It can be done laparoscopically at this age. My suggestion is to remove the u... Read Full »