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Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
Management of Abortion
Hormonal Replacement Therapy Treatment
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
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The rising incidences of cancer have made it important for us to be vigilant about our health. It has been proven medically that if cancer is detected at an early stage -stage I & II , then the chances of cure and treatment along with full recovery are very high. For early cancer detection & for people at greater risk of cancer, PHC-Preventive Health Care plays a major role. Preventive Health Check is particularly important for the people who have a family history of cancer.
Almost all cancers are caused by damage or mutation in their genes, which, may be acquired from environmental exposure, dietary factors, hormones or through normal aging. In 90% of cases, these genes are not passed from parents to children. These are known as sporadic mutations and the cancers that they cause are called as sporadic cancers. But 5-10% of cancers are caused by gene mutations which are inherited from one or both parents & passed on to the children .These are hereditary or germline mutations & these cancers are known as hereditary or familial cancers.
People /children, who carry gene mutations have a higher risk of developing cancer at an earlier age or at some point in their life time.
Some of the common such cancers, which run in families, are:
- Breast cancer
- Ovarian cancer
- Colo-rectal cancer (cancer of large intestine )
- Prostate cancer
Breast, ovary & colo-rectal carcinoma have well established gene mutation studies.Mutation of BRCA 1 & BRCA2 Genes is responsible for 85% of hereditary breast cancers.
Estimated life time risk for developing breast cancer in woman with BRCA1 & BRCA2 mutation is 56-87% & risk for developing-bilateral /contralatral breast cancer is about 20-40%. These statistics make a preventive health check for women with breast cancer history in their family a necessity. Mutation in these genes confers about 20-40% increased life time risk for developing ovarian cancer. Hence the presence of gene mutation for breast cancer can trigger ovarian cancer.
However as stated above, other environmental and lifestyle factors can also cause breast cancer other than genetic BRCA1 & BRCA 2 gene mutations.
- Increasing age
- Early menarche
- Late menopause
- First birth after the age of 30
- Atypical lobular hyperplasia or Atypical ductal hyperplasia
- Prior breast biopsies
- Long term postmenopausal estiogen replacement
- Early exposure to ionizing radiation
Other Familial Cancers:
Familial cancer syndromes associated with colo-rectal cancers are familial adenomatous polyposis (FAP).It is an autosomal dominant inherited syndrome with more than 90% penetrance, manifested by hundreds of polyps developed by late adolescence .The risk of developing invasive cancer is almost 100% .So such patients should start getting colonoscopy at an earlier age- say by 20yr of age & should undergo Total Collectomy on development of significant polyps .
Other familial cancer syndromes are hereditary non -Polyposis Colo Rectal Cancer (HNPCC), Gardner's Syndrome, Turcot's Syndrome, Peutz-Jeghers Syndrome, Juvenile Polyposis.
Cancer Assessment & Conclusion:
For breast cancer risk assessment, we have the GAIL model & IBIS model, which take into consideration ,all the risk factors, apart from BRCA1 & BRCA 2 gene mutation. These models calculate the over all life time risk of development of breast cancer for any lady. For this, you have to consult a specialist experienced in area of hereditary cancers, cancer risk assessment, genetic counseling & testing.
To conclude, all people with cancers in their family should undergo genetic testing & counseling, to detect high risk individuals should take adequate measures & treatment.
Vulvodynia is a condition which causes severe pain in the opening (vulva) of the vagina without any apparent reason. The pain might be chronic in nature and can go on for years. Vulvodynia might affect your emotional health in the long-term and cause anxiety, depression and disrupted sleep patterns, if not treated immediately.
Doctors are still unsure regarding the exact causes of Vulvodynia. But there are few factors, which can increase your risks of suffering from this disorder:
- If you have a sensitive skin or have any past history of previous vaginal infections, you might be susceptible to vulvodynia.
- Vulvodynia might also be caused due to past injuries around the vulva.
- Sometimes, hormonal changes might also cause Vulvodynia.
- This disorder can also occur in women who have previously suffered from recurrent instances of sexual abuse.
The symptoms of Vulvodynia can be acute or chronic in nature with the pain being confined to one particular area or around the entire region.
The treatments for Vulvodynia aim at regulation of the symptoms. The most common treatments for Vulvodynia are:
- Your doctor might prescribe a specific dosage of steroids or antidepressants to get rid of the pain. Prescribed dosage of antihistamines might help to cure the itching sensation.
- You can apply a regulated amount of ‘Lidocaine’ ointment around the vulvar regions thirty minutes before sexual intercourse.
- You can also opt for pelvic floor therapies as they might provide relief from significant pain in the pelvic floor muscles resulting from vulvodynia.
- If the pain is centralized around a particular area, you might opt for vestibulectomy to remove the affected tissues and get rid of the pain.
I getting bad smell while having sex what is the reason even after I take full bath, smell is not from me its from my partner vagina.
I am 6 week pregnancy now after doing ivf. Until now I did not do any ultrasound. Today I notice blood but not too much. Just few spot in my underwear. Should I concern about that? What to do? My app with my doctor will be 7th of january.
I am 7 week pregnant according to my last LMP but scan shows only 4 weeks 5 days. I am scared. Please help me. Is it normal?
I am 30 weeks pregnant. Can I travel by train for 18 hrs. I wanted to go to my mother's place for delivery. Is it safe to travel during 30-31 weeks of pregnancy?
I am looking for the right Contraceptive pills to prevent unwanted pregnancies and for other reasons too. What would be the best locally available contraceptive pill? Some information about me:- 1. I am 19 years old 2. Lives in NCR, India 3. Been sexually active for 6 months now 4. Smokes but rarely (1cigarette in 5-10 days) 5. Regular menstruation (bearable pain on 1st day) 6. Not planning to get pregnant in next 7 years 7. Uses condoms (not religiously) 8. Have same sexual partner.
I'm 30 years old women, from bangalore , my question is I had sex at the age of 20 with elder than me 10 years I was very innocent had no knowledge of sex, I felt he used me so I had breakup, after few years I had attractions other guy had 2 times sex by using condoms, later I got married unhappy with sex no attractions no interest. So I discontinued to stay with him. Now I'm 30 years my feeling uncontrolled. Again I had attractions with some other men had sex. My question is I had with 3 different person with safety using condoms. Is going to effect to my health .I never got right person in my life .so I really worried .
It may appear counterintuitive, but including a little bit of sweets in your meal could help you stop gaining unhealthy weight new research suggests. Eating sweet food causes the brain to form a memory of a meal and this memory can help you better control eating habits, the researchers explained.
Neurons in the dorsa hippocampus, the part of the brain that is critical for episodic memory are activated by consuming sweets. Episodic memory is the autobiographical events experienced at a particular time and place.
The natural sugars in green juices are a source of energy.
Green juices are made with fruits and vegetables filled with antioxidants, phytochemicals, minerals and vitamins -- sometimes as much as a day's worth of vegetables in one serving. When vegetables are juiced, the natural sugars in the vegetable are separated from the pulp, which is where the fiber is located. You may feel a" pump" of energy once those natural sugars get into your bloodstream and your glucose levels are raised.
Weight loss -
Adding fruit contributes sugar and more calories in addition to more nutrients.
Adding fruit to juices varies the flavor, but it comes with a price -- extra calories. If you are doing a juice fast and drinking green juices is your only source of nutrition, you can still enjoy weight-loss benefits while getting all the vitamins and minerals your body needs. The key is evenly spreading out your intake over an entire day since your body uses energy throughout the day, versus one or two servings full of calories. Packing an entire day's worth of calories into a few servings can be a recipe for weight gain and muscle damage if the body needs energy at a time when its glycogen stores are depleted.
Cruciferous vegetables boost immunity as well as provide minerals and nutrients. Green juices usually start with fresh vegetables such as spinach, kale, broccoli or others as your base.
Timing is everything -
Athletes know how to use their carbs wisely, and you can, too.
Since juicing vegetables removes the fiber and makes the sugar more readily available, you'll need to use that sugar wisely. Consume carbs within 30 minutes of training to restore the glucose you've used during your workout. This keeps the muscles from using protein as an energy source. Using the sugar in the green juice to replace glycogen stores that were depleted while working out means the sugar isn't stored in the body as excess glucose, which may be stored as fat if you take in more glucose than the body needs or has the capacity to store.
Consider blending versus juicing as a means of getting fiber in your green juice.
If you're incorporating green juices into your diet as a means of improving your overall health, blending -- or pureeing -- your vegetables into a smoothie with the help of low-sugar liquids, such as water, juice or milk, may be better options for you. With blending and pureeing, the fiber stays intact. This way, you'll still receive the benefits of feeling fuller longer, which can keep you from consuming more calories in addition to those contained in your green juice.
My lmp is 1 April, my pregnancy is of 8 and half month. My afi level is 6.80.wat should I do to increase it upto 10.
Hello I had sex with an married women she has one child and her husband still alive we are engaging in regular sex she don't have any STDs if we enjoy like this means is there any problems means STDs acute she is having sex with her husband also we r not using condoms if it is any problem in future.
I am 31 years female with approx 6 weeks pregnancy. I am having acne problem after pregnancy. Please suggest any remedy which should not harm my baby.
My husband doesn't like using condoms. Is it safe to have sex without condoms when i'm on pills? Are there any chances of STDs?
After made sex, semen inserted was coming out of vagina. Don't know how to stop it from coming out. Because of coming out am afraid whether my wife will become pregnant or not. I wish my wife to be pregnant.
Hi. I have a breast pain. I did two pregnancy test and the result was negative. I feel sick sometimes it makes me wait and sometimes I feel dizzy. What should I do? My ovulation was on the 28th september I think.
From riding bikes to wearing tighty whities and, ironically, using sex toys, there are lots of rumors and myths surrounding male infertility. So you might find the reality a bit shocking (we did!).PS: When you're done reading, show this article to your guy - male infertility is just as likely to be the reason a couple is having trouble conceiving, even though female infertility gets the most lip service.
Bikes aren't bad for below
You've probably heard the rumors that bikes can do damage to his nether regions, but there's actually not much truth to this one. One small study from Austria found that male mountain bikers may experience more infertility from scrotal damage caused by jolting over rough terrain - but the study only looked at men who logged at least 3,000 miles a year (that's an average of two-plus hours a day, six days a week), which is pretty extreme. Plus, the study concluded that the bike's narrow, racing-type seats were to blame and that using newer, wider seats with cutout holes was a safe solution. The study's limited findings have been widely criticized in the medical community, and according to Karen Boyle, MD, FACS, director of Reproductive Medicine and Surgery, Sexuality and Aesthetics at Chesapeake Urology Associates and clinical instructor of urology at George Washington University School of Medicine, there is no strong data to support the idea that cycling is bad for fertility. So even if your partner is the Lance Armstrong of mountain biking, you don't need to ban bikes. In fact, cycling is a great form of exercise, and staying healthy and fit is key for fertility.
Saunas and hot tubs are trouble
While many men like to follow their workout with a relaxing hot tub or sauna session, if you're trying for a baby, ask your man to skip both, says Boyle. Exposure to the high temperatures in saunas and hot tubs can heat things up down there, and if the temperature of the testicles gets too high, it can kill sperm and interfere with sperm production, potentially resulting in low sperm count and motility (read: There won't be so many of those swimmers, and they won't move so well). The damage isn't permanent, though, so tell your guy he can go back to his regular routine as soon as you see a positive on that pregnancy test.
Boxers are best
The answer to the boxers vs. briefs debate? Well, if you're trying to conceive, it actually doesn't matter. 'Men should wear whatever they feel most comfortable in,' insists Boyle, who says there's no conclusive evidence to support the idea that tight underwear or pants could do damage by squishing a guy's man parts or increasing scrotal temperature.
Laptops can burn more than just your lap
Considering laptops can get hot enough to burn their legs, guys might want to keep them away from the crown jewels too. There's evidence that just like in hot tubs and saunas, the heat from a laptop can raise the scrotal temperature, which, again, may interfere with sperm production. While not all experts agree that laptops can cause infertility, Boyle says that if you're trying to conceive, you may want to keep the laptop on a table or desk just to be safe.
Cell phones can cause interference
Lately, cell phones have gotten a bad rap, as some experts have linked them to a range of problems, including brain tumors, cancer, and infertility. So what's the deal? Well, we still don't fully know what the electromagnetic radiation in the form of radio waves that cell phones emit is doing to our bodies. But some studies have shown that it can lead to higher levels of free radicals in sperm samples, possibly decreasing the quality of those swimmers. 'While better studies are still needed,' says Boyle, 'the current data on infertility [and cell phones] is concerning enough to me that I suggest men keep cell phones out of their pockets and off their belts.' Hmm...maybe it's time men start embracing the man purse.
Age is a factor
While women are constantly being warned about the difficulty of conceiving as they get older, it turns out that even though men can (and regularly do) father children well after crossing the senior citizen mark, male fertility does decline with age. According to Joseph A. Hill, MD, president and CEO of The Fertility Centers of New England, sperm production decreases in men after age 40 and, certainly, after the big 5-0. Still, unlike women, who undergo menopause, men can conceivably conceive well after that (ahem, Rod Stewart).
Stress plays a major role in fertility
While you might not be surprised that your lifestyle plays a role in fertility, you might not realize how large a role stress plays in both male and female fertility problems. For guys, stress can lead to impotence, erectile dysfunction and even shut down the hypothalamic-pituitary-testicular axis (a fancy term for the group of glands that play a critical role in developing and regulating your reproductive system) - all of which can interfere with fertility. While it's next to impossible to avoid stress completely, it's important for both of you to work on managing your stress, especially if you're finding the whole getting pregnant thing...well, pretty damn stressful. So regularly do stress-reducing activities together, like going for walks, exercising, meditating or just sharing some laughs.
Expanding waistlines won't help you expand your family
Both of you should watch your weight if starting a family is part of the plan. So if you're trying to get in better shape to prep your body for baby, get your partner on board too. Adopting a healthy lifestyle will certainly boost your chances of conceiving. Plus, obesity in men is associated with decreased sperm count and quality, and excessive weight may also be associated with misshapen sperm, which can interfere with the sperm's ability to reach and penetrate the egg.
We are having a 2 months baby. Baby is taking breastfeed (day and night on intervals) and cow's milk also simultaneously. Is there any chance of my wife getting pregnant. Can we take unwanted 72, will it be safe for both baby and mother?
Red meat vs. White meat - what's better for you?
Meat forms an essential part of the daily diet of many people. But it often gets difficult to choose between white meat (chicken or fish) and red meat (beef or pork or mutton) due to the numerous health benefits offered by both. Moreover, both kinds of meat have some health risks as well, which should be kept in mind while consuming either of them.
Read on to find how each type of meat may affect your health, and, which will be more beneficial for your body.
People who are more conscious about their weight often tend to choose white meat over red meat because of its lower fat content. For example, fat content in chicken is only about 11%, whereas pork contains about 45% fat. Moreover, the saturated fat content of red meat is about 2.64 times that of white meat.
100 gm of chicken breast has about 29.80 gm of protein, whereas the same amount of lamb and pork contain 22.51 gm and 27.55 gm protein respectively. In this case, consumption of white meat will prove to be beneficial as your body can absorb only 74% of the protein in red meat and 80% of the protein in white meat.
Other nutrient content
Red meat is rich in niacin, vitamin b12, riboflavin and thiamine, iron and minerals like zinc and phosphorus. While vitamin b12 aids proper nerve health and ensures that the red blood cells function properly, zinc is responsible for strengthening your immune system.
White meat contains fewer nutrients in comparison to red meat. However, fish contains high amount of omega-3 fatty acids, which help in improving lipid profiles and prevent cardiovascular diseases.
Consumption of both types of meat has been long associated with increased risk of different diseases. The presence of myoglobin, a type of protein in red meat, is responsible for increasing the risk of certain types of cancer. Also, red meat has been often linked with increased chances of hypertension and heart diseases.
These days, feeding antibiotics to chicken for enlarging their size has become a common practise. So, consumption of this type of meat increases the amount of drug-resistant bacteria in your body and reduces the effect of useful drugs too.
White meat and red meat both have their own health benefits and risks, so including small amounts of both in your diet will prove to be beneficial for your body. Determine the amount of each type of meat you will consume depending on your body's specific requirements.
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