Recently Answered Questions
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My wife has blocked tubes. Please suggest the recommended hormonal tests prior to ICSI?
Query: Hello doctor, At the time of marriage, my age is 34 and my wife's age is 29. She is having hypothyroidism. Her thyroid level was high. So, we were regulating with medication. Then she gets some stomach pain. Doctor diagnosed her with gallbladder stone. We did laparoscopic cholecystectomy. After one... Read Full »
Answer: Hi, Welcome to icliniq.com. The decision to go for IVF (in-vitro fertilization) or ICSI (intracytoplasmic sperm injection) as per your history seems to be the right decision. As I can see in history, the age of your wife is now 30 plus. Ovarian reserve becomes an important analysis in the age abo... Read Full »
Am i pregnant if the pregnancy test is negative?
Query: Hello doctor, I had my last period on the 1st of last month. I did not have sex until the 33rd day (it was protected sex) of my cycle. Now, I have not yet had my periods. It is the 39th day and I took a pregnancy test on the 38th day and it came out to be negative. I do not know what to do. I did ha... Read Full »
Answer: Hello, Welcome to icliniq.com. If you had sex on the 33rd day, then the test will not come positive so early even if you have conceived. It takes around two weeks to come positive.Although the chances are very less, you should rule out pregnancy. Do a test around 47th day. Amenorrhea can be becaus... Read Full »
I have nipple discharge due to high prolactin. Please help.
Query: Hello doctor, I have been trying to conceive for two years now. I also have a nipple discharge due to high prolactin. I did a hormonal profile and HSG recently, and the result shows I have a slightly elevated prolactin. I was placed on Bromegon for 30 days, but my nipple still discharges clear liqui... Read Full »
Answer: Hello, Welcome to icliniq.com. I thoroughly read your query and understand your concern. As you have already taken medications for high prolactin levels, still after medication, you are experiencing breast discharge. So, it is better to consult an endocrinologist to either recheck prolactin or it... Read Full »
What do consistently high prolactin levels mean?
Query: Hi doctor, I have high prolactin levels and repeatedly had blood tests that showed high prolactin levels. And also, I wanted a second opinion on my MRI results. The report says "there is no definite pituitary lesion, 3.5 mm focus relatively reduced enhancement within the midline just below the level... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. For high prolactin levels, we look for pituitary gland enlargement in the MRI (magnetic resonance imaging) report to rule out any pituitary gland tumor that causes high prolactin levels and other symptoms like h... Read Full »
Why did I not have periods from four months?
Query: Hello doctor,I have not had my periods for four months. I had sex three months back. After two months of having sex, I took three pregnancy tests at suitable intervals. They all were negative. Earlier I have been diagnosed with PCOS. Can I be pregnant? Also, I have attached some of my blood reports ... Read Full »
Answer: Hello, Welcome to icliniq.com. Two things are clear from your USG (attachments removed to protect the patient's identity) - You are not pregnant as your scan shows a not pregnant size uterus. You do not have polycystic ovaries. Your blood reports show: 1. A normal thyroid function. 2. A no... Read Full »
Based on the ultrasound report, kindly let me know the reason for my sister's breast discomfort.
Query: Hello doctor, My sister, aged 38 years, married with two kids, has got an ultrasound done as she was having discomfort in her breasts for a few days. Could you please guide me as to what the ultrasound indicates? Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern. However, I need to know a few things. Since when is she having this discomfort? Does she have any discharge through the nipples? Is there any relation with her periods? Does the discomfort increase or decrease during periods? Has she got h... Read Full »
Is my small right testicle treatable in the mid-thirties?
Query: Hi doctor,I am in my mid-thirties and I had an undescended testis when I was young. I was supposed to go for surgery at ten years of age, but then my mom had forgotten, and so now my left testicle is normal and the right one is a bit small. My body height is 6.1 inches and my body weight is 219 poun... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. It is great to see that you have got the ultrasound done. You have a varicocele on the left testis which is reversible and is a cause for oligospermia ( low sperm counts). You will need to follow up with testosterone levels as well, in order for me to organize a proper ma... Read Full »
I have PCOS, and my prolactin level is 42, what does it mean?
Query: Hello doctor,I have PCOS, and my recent report says that prolactin level is 42, what does it mean? Otherwise, my period is normal. Read Full »
Answer: Hello, Welcome to icliniq.com. The serum prolactin levels are high, which indicate hyperprolactinemia. This can cause hypomenorrhoea or shortened menses even though the cycles may be regular. The PCOD (polycystic ovarian syndrome) element further adds to insulin resistance and putting on weight. T... Read Full »
My periods is delayed by nearly two weeks. What do you recommend doing?
Query: Hello doctor, I am 19 years old. Last month, my period came 13 days late and this month it is 15 days over the date. My period lasts two days mostly which I think is not really healthy. What do you recommend doing? Read Full »
Dr. Nilange Umamaheshwari Mrutyunjaya
Answer: Hi, Welcome to icliniq.com. Considering your age, your BMI (body mass index) is high. It means you are overweight. Sometimes, due to obesity, you have hormonal imbalance leading to irregular periods and decreased flow. You need to get your thyroid profile and serum prolactin checked and you need t... Read Full »
What is the reason for breast leakage?
Query: Hi doctor, I am 28-year-old female and weigh 158 lbs. I am not married or pregnant. Recently, I have been having a problem of breast leakage, and during intercourse, my boyfriend has also shared the same concern. It is embarrassing and alarming at the same time. What could be the reason? Read Full »
Answer: Hi, Welcome to icliniq.com. This should be definitely investigated. I would advise you to do a serum prolactin test first. Read Full »