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MESSAGES TO

Do I need a biopsy for a nodular mass at my thyroid?

Hi Lheny, Welcome to our QnA. From what you’ve told us, presumably, your doctor must have recommended that you go for a fine needle aspiration biopsy because of the ultrasound findings. Levothyroxine was likely prescribed because your blood test showed that you were prod...
2 Doctor Answers
Consult Doctor

Is it abnormal to have a 4-week long period?

Dear Nurul Menstruation can be assessed according to frequency (24 -38 days), regularity (+/- 7days), duration (<8 days) and volume (whether heavy, normal or light). If you have been bleeding for about 4 weeks, it is considered as a form of abnormal uterine bleeding (AUB) a...
2 Doctor Answers
Consult Doctor

How can I get regular periods if I'm overweight and only get periods once per year?

Dear Jaslyn, Thank you for your question. There are a few associations of irregular periods and being overweight. 1. Polycystic ovarian syndrome (PCOS). Women with PCOS have irregular periods and this tends to worsen when the weight goes up. Many also experience irregula...
1 Doctor Answer
Consult Doctor

What should I do next if I'm worried that I have symptoms suggestive of diabetes?

Dear Jun An Thank you for your question and I can understand your concern. The simplest way to check whether you have diabetes, is to arrange a fasting blood test with your local GP surgery. You will need to fast for 10-12 hours (overnight) and then have the test done pri...
1 Doctor Answer
Consult Doctor

Will hormone injections be able to help me grow taller?

Dear Tiffany, Thank you for your question. With regards to height, we first have to know the height of both your parents and use that to calculate your mid-parental height and from there determine your genetic height potential. Another useful thing to look at will be your ...
1 Doctor Answer
Consult Doctor

What should I do if I am unable to gain weight despite a good diet and exercise?

Dear Benjamin Thank you for your question. I have answered one question on weight gain similar to this in the past and it contains quite a bit of detail that might be useful to your situation . To start with your problem, it might be useful to consult either a Dietitian , a...
2 Doctor Answers
Consult Doctor

When should I be worried about unintentional weight loss?

Dear Cheryl, Thank you for your question. We generally define clinically important weight loss as over 5% of body weight over 6 to 12 months. It is possible that the stress from your last semester at university may have contributed, but if you have been eating and exercising...
2 Doctor Answers
Consult Doctor

Will having an eating disorder affect my hormones?

Dear Janice, Eating disorders can involve a restrictive pattern where there’s dieting and excessive exercise, or a binge eating pattern which involves binge eating and purging. Most women with eating disorders have a low body weight and in extreme cases, the body mass in...
1 Doctor Answer
Consult Doctor

Do I have an eating disorder if I feel most hungry after midnight?

Dear J, That does not necessarily mean that you have an eating disorder. There is concern of a possible eating disorder when you make yourself feel sick by being too full, or if you lose control over how much you eat, or if you think you're fat when people around you tell you tha...
1 Doctor Answer
Consult Doctor

Are there any alternatives to Diane-35 for PCOS, acne, and heavy periods?

Dear A, it is common for someone with PCOS to have irregular (infrequent) and often time heavy periods, but when there is an element of pain during the periods, it is necessary to rule out other causes. As such, it is appropriate to review your diagnosis of PCOS. Long-term use o...
3 Doctor Answers
Consult Doctor

Is the long term use of birth control pills bad for our bodies?

Dear C, My opening advice is to encourage you to use a reliable family planning method at all times, if you are sexually active and are not planning to start a family. Of all reversible methods of contraception, the hormonal methods are the most effective; and the birth contro...
1 Doctor Answer
Consult Doctor

5 HORMONAL CAUSES OF INFERTILITY IN WOMEN AND MEN

Dr Marilyn Lee
Endocrinologist
Singapore
Consult Doctor
FOLLOW
Dr Marilyn Lee
Endocrinologist
Singapore

Due to the hectic lifestyles that Singaporeans lead, many don’t settle down until they’re in their 30's. I commonly see patients in my endocrine clinic who had no idea that they were having hormonal issues in the first place (until they started trying for a baby)! 

In this article, I describe 5 conditions where hormones can affect fertility, as well as the corresponding treatments.

READ MORE >
0 1748 views 0 Doctors agree
Consult Doctor

How can I get my menses back after losing weight?

Dear Genevieve, It's not easy to admit that you went overboard with weight loss and being able to recognize it is a step in the right direction. When your body weight drops below a certain threshold, your body "switches off" the periods. If the duration of weight loss is ...
1 Doctor Answer
Consult Doctor

Should I be concerned that my ovaries are of different sizes?

Hi Joey, I presume that your gynae performed the ultrasound scan to rule out PCOS (given that you also have irregular periods). You have a cyst in your right ovary - cysts are very common in women who are still ovulating, and are almost always benign (none-worrying, and go away b...
1 Doctor Answer
Consult Doctor

Is it possible to get rid of acne permanently if one has PCOS?

Hi Gellucasan, Yes, you are right in that acne scar treatments should be commenced once acne has resolved and become quiescent. Acne scar treatments such as fractional CO2 laser can also cause scarring if there is active ace and secondly; ongoing acne can cause new scars to form...
2 Doctor Answers
Consult Doctor

7 THINGS SINGAPOREANS MUST KNOW ABOUT PREDIABETES

DxD
Singapore
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FOLLOW
DxD
Singapore

By 2035, 1 in 4 Singaporeans will be prediabetic. It’s time we get acquainted with prediabetes, the precursor of diabetes. 

READ MORE >
2 1088 views 0 Doctors agree
Consult Doctor

What's the next step if I suspect that my acne, irregular periods and weight gain is due to hormones?

Hi Anon, It is true that hormonal derangements can cause acne, irregular periods and weight gain. One common cause is polycystic ovaries (PCOS); although even thyroid hormone imbalances can cause similar problems. Rather than speculate, I would suggest a consultation with a doctor (as acne...
3 Doctor Answers
Consult Doctor

When is a menstrual cycle considered to be irregular?

Dear Jynnn, thank you for your question. The normal menstrual cycle can vary between 21 and 35 days (most cycle length are between 25 to 30 days). If the cycle length is more than 35 days, it is considered prolonged. There are many reasons why your cycle length may be irregula...
2 Doctor Answers
Consult Doctor

When do I need to see an Endocrinologist for PCOS in Singapore?

Dear Regina, thank you for your question. Apart from hair loss and acne, other associations of PCOS include irregular periods, infertility, diabetes/abnormal glucose tolerance and obesity. Management of PCOS would be to exclude causes of conditions that may mimic PCOS and trea...
3 Doctor Answers
Consult Doctor

How can I increase my chances of conceiving if I have PCOS?

Dear Muna, thank you for your question. In PCOS, the most common reason for difficulty conceiving is the lack of ovulation. Ovulation (when the egg is released) occurs 14 days before the next period. If you're having irregular periods, then it becomes difficult to predict ovulati...
1 Doctor Answer
Consult Doctor

5 HORMONAL CAUSES OF INFERTILITY IN WOMEN AND MEN

Dr Marilyn Lee
Endocrinologist
Singapore
Consult Doctor
FOLLOW
Dr Marilyn Lee
Endocrinologist
Singapore

Due to the hectic lifestyles that Singaporeans lead, many don’t settle down until they’re in their 30's. I commonly see patients in my endocrine clinic who had no idea that they were having hormonal issues in the first place (until they started trying for a baby)! 

In this article, I describe 5 conditions where hormones can affect fertility, as well as the corresponding treatments.

READ MORE >
0 1748 views 0 Doctors agree
Consult Doctor

7 THINGS SINGAPOREANS MUST KNOW ABOUT PREDIABETES

DxD
Singapore
Consult Doctor
FOLLOW
DxD
Singapore

By 2035, 1 in 4 Singaporeans will be prediabetic. It’s time we get acquainted with prediabetes, the precursor of diabetes. 

READ MORE >
2 1088 views 0 Doctors agree
Consult Doctor

THE ESSENTIAL GUIDE TO PCOS IN SINGAPORE (2018)

Dr Marilyn Lee
Endocrinologist
Singapore
Consult Doctor
FOLLOW
Dr Marilyn Lee
Endocrinologist
Singapore

Many Singaporeans are not aware that their symptoms are due to PCOS. In this article, I’ll be addressing the common concerns that women with PCOS may have. The beauty of PCOS (and of most things in endocrinology) is that it's a readily treatable condition.

READ MORE >
1 14952 views 0 Doctors agree
Consult Doctor

Are there any alternatives to Diane-35 for PCOS, acne, and heavy periods?

Dear A, it is common for someone with PCOS to have irregular (infrequent) and often time heavy periods, but when there is an element of pain during the periods, it is necessary to rule out other causes. As such, it is appropriate to review your diagnosis of PCOS. Long-term use o...
3 Doctor Answers
Consult Doctor

When should I be worried about unintentional weight loss?

Dear Cheryl, Thank you for your question. We generally define clinically important weight loss as over 5% of body weight over 6 to 12 months. It is possible that the stress from your last semester at university may have contributed, but if you have been eating and exercising...
2 Doctor Answers
Consult Doctor

Will hormone injections be able to help me grow taller?

Dear Tiffany, Thank you for your question. With regards to height, we first have to know the height of both your parents and use that to calculate your mid-parental height and from there determine your genetic height potential. Another useful thing to look at will be your ...
1 Doctor Answer
Consult Doctor

Is it abnormal to have a 4-week long period?

Dear Nurul Menstruation can be assessed according to frequency (24 -38 days), regularity (+/- 7days), duration (<8 days) and volume (whether heavy, normal or light). If you have been bleeding for about 4 weeks, it is considered as a form of abnormal uterine bleeding (AUB) a...
2 Doctor Answers
Consult Doctor

What should I do if I am unable to gain weight despite a good diet and exercise?

Dear Benjamin Thank you for your question. I have answered one question on weight gain similar to this in the past and it contains quite a bit of detail that might be useful to your situation . To start with your problem, it might be useful to consult either a Dietitian , a...
2 Doctor Answers
Consult Doctor

Do I have an eating disorder if I feel most hungry after midnight?

Dear J, That does not necessarily mean that you have an eating disorder. There is concern of a possible eating disorder when you make yourself feel sick by being too full, or if you lose control over how much you eat, or if you think you're fat when people around you tell you tha...
1 Doctor Answer
Consult Doctor

Will having an eating disorder affect my hormones?

Dear Janice, Eating disorders can involve a restrictive pattern where there’s dieting and excessive exercise, or a binge eating pattern which involves binge eating and purging. Most women with eating disorders have a low body weight and in extreme cases, the body mass in...
1 Doctor Answer
Consult Doctor

How can I get regular periods if I'm overweight and only get periods once per year?

Dear Jaslyn, Thank you for your question. There are a few associations of irregular periods and being overweight. 1. Polycystic ovarian syndrome (PCOS). Women with PCOS have irregular periods and this tends to worsen when the weight goes up. Many also experience irregula...
1 Doctor Answer
Consult Doctor

Is the long term use of birth control pills bad for our bodies?

Dear C, My opening advice is to encourage you to use a reliable family planning method at all times, if you are sexually active and are not planning to start a family. Of all reversible methods of contraception, the hormonal methods are the most effective; and the birth contro...
1 Doctor Answer
Consult Doctor

What should I do next if I'm worried that I have symptoms suggestive of diabetes?

Dear Jun An Thank you for your question and I can understand your concern. The simplest way to check whether you have diabetes, is to arrange a fasting blood test with your local GP surgery. You will need to fast for 10-12 hours (overnight) and then have the test done pri...
1 Doctor Answer
Consult Doctor
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