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Dr. C.T. Vela

Gynaecologist, Chennai

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Dr. C.T. Vela Gynaecologist, Chennai
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. C.T. Vela
Dr. C.T. Vela is a renowned Gynaecologist in Ambikapuram, Chennai. You can meet Dr. C.T. Vela personally at vela's Clinic in Ambikapuram, Chennai. You can book an instant appointment online with Dr. C.T. Vela on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 28 years of experience on Lybrate.com. You can find Gynaecologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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New #14/Old #4 Play Ground Street, ChennaiChennai Get Directions
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Me 29, 5 ft 3 inch, weight 68. Want to be conceived. Is the weight cause any problem?

M.D. - Ayurveda, B.A.M.S (Bachelor of Ayurvedic Medicine& Surgery), N.D.D.Y(Diploma in Naturopathy,Diploma in Yoga)
Ayurveda, Pune
Me 29, 5 ft 3 inch, weight 68. Want to be conceived. Is the weight cause any problem?
Yes excessive weight can be a major hurdle in conceiving. The hormones tend to be abnormal in people with excess weight especially in females. Please reduce weight in a healthy way first before trying to conceive.
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Are ready to have soups (the ones in vending machines) ok to have during the first trimester?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Are ready to have soups (the ones in vending machines) ok to have during the first trimester?
Hello, One has to be careful regarding hygiene as the aim is to prevent gastroenteritis . Soups are not contraindicated in first trimester.
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If there is a chance to get pregnancy if a partner had under gone tubectomy and she is suffering from periods.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
If there is a chance to get pregnancy if a partner had under gone tubectomy and she is suffering from periods.
After tubectomy / tubal ligation there is no chance of pregnancy untill unless it fails, it has no relation with periods.
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Hello I am 28 years old female. I drink black coffee regularly and earlier I used to drink 2-3 cups now I have reduced my coffee intake to 1 and I had low blood pressure last time 100/80. So please tell me the positive and negative effects of coffee and moreover how to manage low blood pressure.

Diploma in Community Medicine, MBBS Alternative Medicine, Diploma in Acupuncture
Alternative Medicine Specialist, Delhi
Hello , black coffee is good for health. Coffee good for weight loss coffee reduces risk of cancer coffee prevent parkinson's disease coffee help to boost your stamina. A cup of coffee prevent type 2 diabetes. Disadvantage more coffee intake may risk of death. More coffee intake brings you insomnia and restlessness. Coffee for kids gets bet wetting
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Knee Pain - Know The Causes and Ways to Deal With It!!

Diploma in Rehabilitation (Physiotherapy), DPT
Physiotherapist, Delhi
Knee Pain - Know The Causes and Ways to Deal With It!!

The knee joint is made up of several elements including the knee cap, meniscus, connective tissue, tendons, ligaments, cartilage, and muscles. Damage to any part of the knee can cause chronic pain.

What can cause knee pain:

Fractures: These are caused by the breaking up of the kneecap due to falls or collisions.ACL Injuries: Caused due to the tearing of the anterior cruciate ligament (that connects the femur and the shinbone). Especially common in sportspersons such as footballers or basketball players.Meniscus tears: The meniscus or the rubber-like cartilage (that acts as a shock absorber) can be torn by sudden jerks or excess pressure.

Arthritis: The chief cause of lingering knee pain, arthritis itself can be of a number of types.

  • Osteoarthritis, which is a result of deterioration of cartilages due to wear and tear
  • Rheumatoid Arthritis, an inflammatory chronic disorder
  • Septic Arthritis, causing pain, swelling and redness.
  • Gout caused due to the development of uric acid crystals in the joints

How to deal with it:

  • Exercise: Moderate to intense exercise is prescribed for one and all. This, of course, depends on one's overall health and age. If you are already suffering from joint pain, then you may want to go easy on the exercise with a focus on building muscle strength and foundation. If you are healthy, then some amount of daily exercise as a routine will keep those knees in prime working condition and well lubricated as well. Inactivity and a sedentary lifestyle can affect the knees very badly.
  • Dealing with Load: Weight is a big one. Carrying around extra pounds and kilograms can be detrimental for your knees in the long run. Your knee is not equipped to handle the excessive weight. It already supports three to five times your weight when you get up and walk around or indulge in some mild jogging. One must be careful of those extra pounds to take the load off the knee and keep it from falling prey to damage.
  • Do not Ignore: Warning signals such as chronic or acute knee pain should not be ignored. Remember to see a doctor or an orthopaedic specialist to find out if you have contracted an infection or if you may have suffered a fracture due to an injury.

Ligament Injuries-

The ligaments around the knee are strong. However, sometimes they can become injured. They may be stretched (sprained), or sometimes torn (ruptured). A ligament rupture can be partial (just some of the fibres that make up the ligament are torn) or complete (the ligament is torn through completely). The majority of knee ligament injuries are sprains and not tears and they tend to settle down quickly.

ACL injury and other ligament injuries can be caused by:

  • Twisting your knee with the foot planted
  • Getting hit on the knee
  • Extending the knee too far
  • Jumping and landing on a flexed knee
  • Stopping suddenly when running
  • Suddenly shifting weight from one leg to the other

These injuries are common in soccer players, football players, basketball players, skiers, gymnasts, and other athletes.

Treatment-

  1. Rest the knee. 
  2. Ice your knee to reduce pain and swelling.
  3. Compress your knee. 
  4. Elevate your knee on a pillow when you're sitting or lying down.
  5. Wear a knee brace to stabilise the knee
  6. Practise stretching and strengthening exercises if they are recommended.

For severe collateral ligament tears, you may need surgery to attach the ligament back to the bone if it was pulled away, or to the other part of the ligament if it was torn in the middle.

Meniscus Tear-
A meniscus tear is a common knee injury. The meniscus is a rubbery, C-shaped disc that cushions your knee. Each knee has two menisci (plural of meniscus)-one at the outer edge of the knee and one at the inner edge. The menisci keep your knee steady by balancing your weight across the knee. A torn meniscus can prevent your knee from working right.

A meniscus tear is usually caused by twisting or turning quickly, often with the foot planted while the knee is bent. Meniscus tears can occur when you lift something heavy or play sports. As you get older, your meniscus gets worn. This can make it tear more easily.

Treatment may include:

  1. Rest, ice, wrapping the knee with an elastic bandage, and propping up the leg on pillows.
  2. Physical therapy.
  3. Surgery to repair the meniscus.
  4. Surgery to remove part of the meniscus. If you wish to discuss about any specific problem, you can consult a Physiotherapist.
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I started my periods on 18 aug and ended on 20 aug and I had unprotected sex on 21 and 22 but my husband didn't ejaculated inside me. Is there a risk of getting pregnant. .should I go fr contraception..

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I started my periods on 18 aug and ended on 20 aug and I had unprotected sex on 21 and 22 but my husband didn't ejacu...
hi Sakshi since you had sex in safe period , no chance of getting pregnant. don't worry wait period.
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My period missed for 10 days its happens first time and I checked at home with home tester but it s negative I have more pain in back and little bit pain in my tummy all of the time so tell me what can I do?

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
My period missed for 10 days its happens first time and I checked at home with home tester but it s negative I have m...
Do wait some time it happens due to stress and hormones changes if test is negative. Otherwise tk gynecology advise.
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Before 8 months I had abortion of 2 months pregnancy now I am secreting milk like fluid from my breasts is it normal.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gorakhpur
Before 8 months I had abortion of 2 months pregnancy now I am secreting milk like fluid from my breasts is it normal.
It is sign of hormonal imbalance. Get your hormonal essay done n get treated. It is treatable cindition nothing to worry.
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5 Insanely Easy Ways to Lose Weight Fast

MD, BHMS
Homeopath, Mumbai
5 Insanely Easy Ways to Lose Weight Fast

The obesity epidemic around the world is getting worse day by day, though people are getting conscious about their health as well and a major portion of the fitness industry has grown around weight loss. It is easier said than done as many people lose their motivation for weight loss somewhere along the journey. There are however, some really easy steps that you can follow to ensure that you achieve your goals without them being too taxing on you.

Let's look at 5 easy ways to lose weight quickly:

1. Take walks, as frequently as possible: Without setting duration, it would be a good idea to incorporate walking into your schedule as often as possible. This will feel like less of a work out, but will still burn off many of the calories.  Here are some things you can practically do:

  • Take stairs whenever possible
  • Do house cleaning chores, such as mopping or cleaning as regularly as possible as these are great calorie burners
  • Park your car a little further away and walk to your destination or meetings
  • If availing public transport get off a few stops earlier and walk to your destination.

2.  Drink water right before meals: This is a great way to reduce portions automatically as drinking water right before a meal will fill up your stomach and result in you feeling not so hungry. Once your meal portions are reduced and continued over a long time this will help you lose weight.

3.  Instead of focusing on foods you don't like, increase foods you like in your diet: This is very true of most diets as people tend to start having cravings when they deny themselves of food. Thus it is advisable to slowly change your diet overtime and incorporate healthy options such as certain fruits or low calorie snacks that you like and slowly replace the unhealthy options.

4. Use TV time as a quick exercise opportunity: If you are sitting in front of the TV, you can start a small regimen of doing a few free hand exercises when the commercials come up. Use everyday objects near you as weight or as support platforms to do exercises while you don't have to pay attention to what's going on screen. 

5. Remember it is the journey rather than the destination, which matters: Many people tend to get engrossed about the end result and give up midway. You should remember that small things done correctly overtime can help you lose weight quickly and help you keep it off which is equally important.

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Can I get pregnant if his penis gets near by vagina not inside. I had it 3 times these days.

BHMS, MD - Acupuncture
Sexologist, Faridabad
Can I get pregnant if his penis gets near by vagina not inside. I had it 3 times these days.
Hello, miss /mrs. Lybrate-user, sure you pregnant, if his semen inside your vagina one time. But you not pregnant without inserts semen if alot of inserts penis.
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I have adenomyasis problem,& taking depo provera injection from last 18 month. Is this effect my health.

D.G.O
Gynaecologist, Faridabad
I have adenomyasis problem,& taking depo provera injection from last 18 month. Is this effect my health.
Inj depo provera is progesterone. Before that your fertitliy profile status is mandatory to a doctor. Now a days many other options available depending upon the severity of your adenomyosis problem.
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4 Typical Ways To Masturbate Better

MBBS
Sexologist, Gurgaon
4 Typical Ways To Masturbate Better

It is no secret that when you pleasure yourself 'the right way', it would definitely pump you up for your next session. However, there are several other ways which are unconventional and yet as beneficial and helpful as regular masturbation. Debunking all myths that masturbation reduces erectile functioning or sperm count level or even sexual fertility, these unconventional techniques can definitely help you in various ways; providing you with the right kind of satisfaction and fulfillment and boosting your overall stamina. However, excessive masturbation is strongly recommended against as it has its long-term side-effects.

  1. Although your testicles are primarily concerned with the function of sperm production, they are also, technically speaking, an erogenous zone. Therefore, when you masturbate, it would be more helpful if you could utilize your testicles for the purpose of acquiring more satisfaction. By pulling your testicles slightly downward while masturbating, you could also try caressing, tickling or stroking them to see how it feels. You could also try holding them in a light grip and not too firm with your other hand.
  2. A change in position is also pretty effective in heightening your senses and providing a better feel whilst masturbating. Keeping your hand still and only moving your body is such a way. While doing this, you can masturbate while kneeling or standing or sitting or even swapping hands. The more the variety, the better will be the level of pleasure. Moreover, interchanging positions in between has also been proved to be very effective.
  3. The use of sex toys and other accessories can further enhance your satisfaction level. For instance, realistic vaginas can prove to be pretty handy in maximizing your sexual potency. Other credible sex toys are also available which are as helpful. Another effective technique of masturbating better is via porn or R-rated movies. By simultaneously watching movies while masturbating, your imagination gets fueled up with all kinds of sexual fantasies, providing you with more immediate satisfaction than usual.
  4. There is also the 'start and stop method' which is very useful in regulating and improving your level of stamina. A conscious and deliberate effort is required in maintaining control over your ejaculatory muscles. The best way to do this is by setting a time limit and not allowing yourself to ejaculate within the given time frame. Learn more about Premature Ejaculation.
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My girlfriend and me one night sex without any protected and next bay I give up IPill so doctor any problems.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
You will have to wait and see if her period comes on time to find out. If she misses her next period please get a urine pregnancy test done.
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Hi I have my period yesterday night it was light pink color and than I no bleeding can you please tell me why it happened. please tell me.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Hi I have my period yesterday night it was light pink color and than I no bleeding can you please tell me why it happ...
If this is expected period time, it may be premestrual spotting or bleeding which may happen sometimes. Wait for couple of days for period if you do not get then do urine pregnancy test if sexually active or meet Gynecologist.
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Dear Sir, I am a 65 year old lady and suffering from osteoporosis and  I had undergone Kyphoplasty Surgery where cement was injected into my back bone. I could not get up on my own. I was shouting in pain due to the problem  and its slightly more than a year after the surgery and I am able to perform all activities except sitting down on the floor. I am using a chair to sit upon to pass my motion. I am used to sit in the Indian style latrine for motion and now sitting in the stool to pass motion is not making me comfortable to pass motion. I am unable to pass motion without allopathic laxative I am using allopathic laxative for the past 10 months to pass motion. The Laxative that I am using currently is GUDLAX-PLUS (Liquid paraffin, milk of magnesia, sodium picosulphate suspension) manufactured by Mankind pharma ltd. I am also taking pain killers and other allopathic medicines for my osteoporosis issue. I am afraid that the allopathic laxative will be harmful in the long run if I continue taking them. Kindly suggest me a ayurvedic laxative where by I will be able to pass motion sitting on the stool. I also have the issue of acidity, heartburn, gas formation. I am taking medicine for hypertension, high blood pressure. Also I cannot sit down on the floor, can you suggest some method by which I will be able to sit on the floor and get up on my own. Also my knee joint has become kind of stiff due to not folding and sitting for a long time after my surgery. Your suggestion for the same will be appreciated. Awaiting your reply, Regards,

Phd - Complementary & Alternative Medicine
Dietitian/Nutritionist, Mumbai
Dear Sir,

I am a 65 year old lady and suffering from osteoporosis and  I had undergone Kyphoplasty Surgery where cem...
Some diet recommendation for you: 1.Avoid milk and milk products like curd, paneer,icecream, cheese etc. You can take fresh butter and ghee. 2.More intake of dietary fibers like salad veges, green leafy veges, ragi,bajra. 3.Take masoor dal with chhilka during night. It act as a natural laxative. 4.You can take aloe vera juice without added sugar for acidity. You can take our osteoporosis package. It will really help you.
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How to know whether I am pregnant or not before periods and give the symptoms and authority to check thru pregnancy test kit.

MBBS DGO PGDCC
Gynaecologist, Belgaum
How to know whether I am pregnant or not before periods and give the symptoms and authority to check thru pregnancy t...
4-5 days of your missed period go for urine pregnancy test. Giddiness, nausea, vomiting, morning sickness, tiredness are the common symptoms.
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I am 24 years old and my girlfriend is 23 and we had unprotected sex few weeks back but I ejaculated outside her. She was expecting her monthly periods on 25th april but now its 10 days delayed. Is there anything serious to worry?

DHMS (Hons.)
Homeopath, Patna
I am 24 years old and my girlfriend is 23 and we had unprotected sex few weeks back but I ejaculated outside her. She...
Hello, You may go for a home pregnancy test. Moreover, it might be due to stress anxiety, you should take more to get her period restored.  She should tk, plenty of water to hydrate her body.  Go for meditation to reduce her stress to release flow. Tk, homoeopathic medicine: @.Pulsatilla 30-6 pills, thrice.  @ Sepia 200-6 pills, at bed time .Tk, care.
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Hi I am 34 years old. I got married in past 4 years I could not conceive. I have undergone all the treatments. Kindly help me.

MBBS
Sexologist, Panchkula
Hi I am 34 years old. I got married in past 4 years I could not conceive. I have undergone all the treatments. Kindly...
You doesn’t get pregnant. I advise you to do semen analysis test after 4 days of abstinence from sex & tell me the report for better guidance. You should do sex at fertile period that is from 12th to 18th day after start of periods.
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Hi doctors. I'm really very much worried I got terminated my 5 month baby bcoz of some abnormality. Bleeding was there till 2 and half weeks When will be my period starts When can I try baby I'm. Really living with big pain I got terminated on March 7 Bleeding stops on 27 March.

Minimal invasive surgery in gynaecology, MD - Obstetrtics & Gynaecology, DNB, MBBS
Gynaecologist, Mumbai
Hi doctors.
I'm really very much worried I got terminated my 5 month baby bcoz of some abnormality.
Bleeding was ther...
First period may be delayed by a few days. You can try for baby after 3 months. Take advice of a gynecologist after discussing your full case reports before you plan next pregnancy.
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Women related cancer: Prevention and Treatment

MBBS, MS- Surgery , M.Ch - Surgical Oncology , FIAGES
Oncologist, Delhi
Women related cancer: Prevention and Treatment

With the modernization of all economies around the world, one health hazard that has become one of the largest perils within both developed and developing nations is the incidence of cancers of the female reproductive system, especially cervical and breast cancer.

Breast cancer

Breast cancer is the formation of malignant tumors within the breast tissues of a woman. Usually, breast cancer affects women in the age range of 40 to 50, but there have been many reports of it occurring earlier. About 48 % percent of the Indian women having breast cancer have been reported to be under 50. This is an almost 17 percent jump compared to figures 25 years earlier.

Alarming Signs of Breast Cancer:

  • The most common symptom of breast cancer is a new lump or mass. A painless, hard mass that has irregular edges is more likely to be cancerous, but breast cancers can be tender, soft, or rounded.
  • Swelling of all or part of a breast (even if no distinct lump is felt)
  • Skin irritation or dimpling
  • Breast or nipple pain
  • Nipple retraction (turning inward)
  • Redness, scaliness, or thickening of the nipple or breast skin
  • Nipple discharge (other than breast milk)

Screening Guidelines for Breast cancer:

  • Mammography: US Preventive Services Task Force (USPSTF) recommends mammography once in every 2 year for females between age group 50-75 years. Women with a family history has a benefit of starting at age 40 years. After 75 years there are insufficient evidence of benefit of screening mammography.
  • Breast Self Examination and annual Clinical examination: breast self examination is easy to learn and and any abnormality should be reported to the oncologist.
  • For High Risk/ Genetic risk factors: screening should start by age 25 or 10 years earlier of youngest relative affected. Annual mammogram and MRI or Doppler ultrasound alternating at 6 month interval can be considered.

Treatment Options:

Some of the common treatment options for breast cancers are:

  • Breast conservation surgery - This is where the tumors are removed without cutting out too much of the surrounding breast tissue.
  • Mastectomy - If the cancer has spread too far then large amounts of breast tissue has to be removed along with the tumor to stop its spread any further.
  • Sentinel lymph node Biopsy - it's part of both surgical procedures, it decreases morbidities of lymph node dissection first draining lymph nodes only are removed in patients with clinically negative axilla. If negative on frozen section further axillary dissection is avoided. It avoids the morbidity of complete axillary clearance.

Cervical cancer ( Carcinoma Cervix)

Cervical cancer is the cancer of the cervix, which is the opening of the uterus and connects the uterus to the vagina. Indian women in particular are susceptible to cervical cancer as more than 1/3rd of the cervical cancer related deaths in the entire world happens here in India, which is about 74000 deaths annually. The leading cause for cervical cancer is HPV or Human Papillomavirus infection, which if left untreated and unchecked will result in cancer.

Alarming Signs of Cervical Carcinoma:

  • Early lesions and precancerous lesions have no symptoms
  • Abnormal vaginal bleeding such as bleeding after vaginal intercourse, bleeding after menopause, bleeding and spotting between periods or longer/heavier periods
  • Abnormal vaginal discharge
  • Pelvic pain
  • Late stage disease may cause lower extremity swelling, problem with urine and/or stool passage

Screening Guidelines:

  • Cervical cancer screening is most effective screening programme of any cancer disease resulting in significant decrease in mortality from carcinoma cervix
  • United state preventive services task force (USPSTF) recommend cervical cancer screening starting at age 21 yrs.
  • Between age 21-30 years cytology recommended at 3 year interval and HPV testing is not recommended.
  • Between 30-65 years cytology every 3 year or cytology +HPV testing every 5 year.
  • If previously adequately screened screening can be discontinued after 65 years.
  • Women with prior total hysterectomy and no CIN can discontinue screening.

Apart from breast and cervical cancers, certain other cancers have also reported an alarming increase such as:-

Ovarian cancer (Carcinoma Ovary)

Starting in the ovaries, diagnosis of this type of cancer is usually delayed due to lack of visible symptoms in the initial stages. About 85% to 90% of ovarian cancers are epithelial ovarian carcinomas. Epithelial ovarian cancers tend to spread to the lining and organs of the pelvis and abdomen (belly) first. This may lead to the buildup of fluid in the abdominal cavity (called ascites). As it advances, it may spread to the lung and liver, or, rarely, to the brain, bones, or skin. The main treatments for ovarian cancer are surgery and chemotherapy.

Cancer of the endometrium (Carcinoma Endometrium)

Endometrium is the lining of the uterine wall and has along with ovarian, uterine and cervical cancer is also increasing in occurrences throughout India and the world.

The grade of an endometrial cancer is based on how much the cancer forms glands that look similar to those found in normal, healthy endometrium.

  • Grade 1 tumors have 95% or more of the cancerous tissue forming glands.
  • Grade 2 tumors have between 50% and 94% of the cancerous tissue forming glands.
  • Grade 3 tumors have less than half of the cancerous tissue forming glands. Grade 3 cancers tend to be aggressive and have a poorer outlook than lower-grade cancers.

Treatment Options:

Cervical cancer along with Ovarian, uterine and endometrial cancer can be treated using the following methods:

1. Surgery: Radical Hysterectomy primarily preferred option for early stage disease. Both open and minimal invasive approaches are suitable.

  • For precancer high grade lesion conisation is also option for compliant patient.
  • In young suitable patient willing for childbearing trachelectomy is also possible in very early lesion.
  • Depending on risk factors after surgery adjuvant treatment may be advised.

2. Radiation therapy or Combined Radiation therapy+Chemotherapy: Alternative to surgery in early stage and choice in late stage.

Prevention:

Certain prevention techniques that would be advisable to detect cancer in its early stages would be,

  • Regular Pap smear tests for cervical cancer
  • Taking vaccines for cervical cancer
  • Regular mammograms and checkups for breast cancer
  • Changing lifestyles to reduce stress
  • Changes in diet to reduce risks
  • Leading a healthy lifestyle with regular exercise

'Consult'.

Related Tip: Can Ayurveda Really Treat Cancer? Find Out.

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