Recently Answered Questions
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My grandmother had ovarian cancer. Could it be genetic?
Query: Hello doctor, My grandmother had a big goiter that she did not get it removed. Later she got a large cyst on the ovary. I mean 8 kg. When she removed it, she found out she had ovarian cancer. She removed it and is healthy today. Now I am terrified that this is hereditary. What do you think? I am so... Read Full »
Answer: Hello, Welcome to icliniq.com. First, it is perfectly normal if your grandmother had and now your mother is started having premenopausal irregular cycles at age of 44, there is no harm in having menopause at this age and studies have concluded that early menopause protects from breast and ovarian ... Read Full »
I am seeking information on ovarian cancer. Please help.
Query: Hello doctor, I have been reading about ovarian cancer and wondering about the role of Pap tests (Papanicolaou test) in its detection. Can you clarify if Pap tests are effective in identifying ovarian cancer, or are they mainly for detecting cervical issues? Also, are there specific symptoms or sig... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read the query, and I can understand your concern. I can understand your concern. Pap test has no role in detecting ovarian cancer. Pap test (Papanicolaou test) helps detect early cervical cancer. The symptoms of ovarian cancer are pain in the abdomen or pelv... Read Full »
I take Zejula for ovarian cancer. Is it alright?
Query: Hello doctor, I am a woman managing ovarian cancer and currently taking Zejula 200 mg daily after food at the same time as advised by my doctor. I have concerns regarding its interaction with my hepatitis condition. I asked my doctor about this and he said the dosage is correct for my weight of 154 ... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and I can understand your concern. Zejula tablet or Niraparib are less toxic to the liver, but as you have a preexisting liver condition, you just need to monitor an LFT (liver function test), and the blood test including liver enzymes every month. ... Read Full »
I am experiencing pelvic and left ovary pain. Please help.
Query: Hi doctor, I am a 33 years old female, and I have had three c-sections and normal regular periods. My menstrual cycle three months back was short and lighter, and I ovulated about a week early. I noticed some pain, which almost reminded me of implantation pain. This continued on and off with pain an... Read Full »
Answer: Hi, Welcome to icliniq.com. After undergoing three cesarean sections, it is quite possible to have intra-abdominal adhesions which may give rise to intermittent pain associated with the bowel movements. The pain that you experienced could be mid cycle ovulation pain. As you have undergone transvag... Read Full »
Does high estrogen level during menopause indicate ovarian cancer?
Query: Hi doctor,I am 64 and in the postmenopausal stage. I had a hormone blood test and my testosterone was very low, less than 5. My vitamin D was low and my Estradiol was 73. I started to take supplements, all-natural like DHEA, vitamin D, HGH and Smilax. I just got tested again and my vitamin D is fin... Read Full »
Dr. Anantha Bhaskar Ramalingam
Answer: Hi, Welcome to icliniq.com. Your estrogen level should be low at the postmenopausal stage. But, your estrogen level is similar to the level of normal reproductive years. Estrogen helps bone but carries the risk of breast cancer, and uterine (endometrial) cancer. Estrogen therapy in the postmenopau... Read Full »
Why is the tissue stained reddish brown when I wipe my vagina?
Query: Hi doctor, I got my periods last week, and the blood was reddish brown when I wiped. I had normal flow for the next four days. But on the fifth day, it got reddish brown again. Today I noticed little light pink blood when I wiped. Is this normal? How do I chart my period? Should I start charting the... Read Full »
Answer: Hi, Welcome to icliniq.com. Let me start by assuring you that these are normal features. You are normal from the history you have mentioned. For a young lady, cancer is not possible, unless you have a strong family history of cancer. During periods, the follicles keep on growing slowly, along ... Read Full »
I have very high CA-125 levels. Please help.
Query: Hello doctor, I have a history of inflammatory myofibroblastic tumor detected at the age of 11 years, which was around 12 years back and had undergone an operation for the same. Currently, my CA-125 in serum is 125.37 U/ml. The ultrasound scan revealed large multiloculated well-defined bilateral adn... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your reports, there seem to be ovarian tumors on both sides. The type of tumor, either benign or malignant, can be revealed only after removal. It may be unrelated to your previous tumor. The value of CA-125 though raised does not indicate malignancy. It is marg... Read Full »
Query: Hello doctor, I am a 24-year-old female, and I have pain during sex. I have bloating, abdominal pain, back pain, and menstrual irregularities. I have been under sexual life for the past two years and have not felt this pain. All of a sudden, I am experiencing so many symptoms. Also, I am not getting... Read Full »
Answer: Hello, Welcome to icliniq.com. The cause of your problem seems to be hormonal imbalance or thyroid dysfunction. This may also be due to polycystic ovarian syndrome (PCOS), in which multiple cysts form in one or both ovaries. I would suggest you get the following test done Complete blood count. TSH ... Read Full »
I am advised surgical removal of my ovaries. Please help.
Query: Hello doctor, I have a cyst in my left ovary and a borderline tumor in my right ovary. My doctor advised surgical removal of both ovaries. I have no child and I am in my thirties. What should I do? Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. I went through your reports (the attachments removed to protect the patient's identity). Your CA 125 (cancer antigen 125) in the blood is very high. It is a tumor marker. So, I suggest you consult an oncologist... Read Full »
Does NGS help better in treating ovarian cancer?
Query: Hi doctor,I am attaching the discharge summary and histopathological reports of my sister-in-law, diagnosed with ovarian cancer. She had abdomen pain, a CT scan was done, and her tumor marker was high. There is no previous history of cancer. We got the final histopathological reports and IHC report.... Read Full »
Answer: Hi, Welcome to icliniq.com. Ongoing through the report (attachments removed to protect the patient's identity), the probable diagnosis is Stage III cancer (involving left parametrium, left adnexa, and left pelvic lymph nodes). For women requiring first-line chemotherapy for EOC (epithelial ovaria... Read Full »