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Dr. Abha Dhand

Gynaecologist, Delhi

Dr. Abha Dhand Gynaecologist, Delhi
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Abha Dhand
Dr. Abha Dhand is a trusted Gynaecologist in GTB Enclave, Delhi. She is currently practising at Vimla Poly Clinic in GTB Enclave, Delhi. Book an appointment online with Dr. Abha Dhand and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 37 years of experience on Lybrate.com. You can find Gynaecologists online in Delhi 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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Vimla Poly Clinic

#29, DDA Market, Janta Flats, GTB Enclave, DelhiDelhi Get Directions
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I took emergency contraceptive" postpone 72" one hour after intercourse on 14th nov 2015.(due to condom breakage). My expected period was on 18th nov but I got bleeding on 23rd nov. After 23rd nov no sign of period. But negative urine pregnancy tests every week. My periods were regular before this. 28-30 day cycle.

MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
I took emergency contraceptive" postpone 72" one hour after intercourse on 14th nov 2015.(due to condom breakage). My...
what u take is basically Hormone its effect disturbed period even without Preg. wait for some time it may get regularised if not consult Gynec.
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I am 29 years old. I want some medicine name for my wife. Make her ready for sex.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
This problem needs to be addressed sensitively as in women, often there are hormonal and other problems. If we don' t treat it, the problem will not be solved.
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Can any dr. Prescribe me a medicine to increase milk supply for breastfeeding mother ?

MD
Pediatrician, Secunderabad
It is unlawful and unethical to prescribe medicine without examining the patient. Please consult a doctor. You can search internet for galactogogues but if you want to try try on your own risk!
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I am 34 weeks 3 days pregnant. Yesterday I went for ultrasound and my doctor told that my baby's head size is big. Is that a big problem? BPD - 87 MM HC - 320 MM AC - 317 MM FL - 66 MM.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am 34 weeks 3 days pregnant. Yesterday I went for ultrasound and my doctor told that my baby's head size is big. Is...
Bpd 87 mm = 35.5 weeks hc 320 mm = 37 weeks ac 317 mm = 35.8 weeks fl 66 mm = 34.01 weeks as you can see all the fetal parameters are corresponding almost within 3 weeks. This is absolutely normal report. If the head size would have been big, radiologist would have mentioned hydrocephalus or fluid collection in the head. As you did not mentioned something like this, that means hthere is none. Bpd can do upto 9.5cm normally.
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MS - Orthopaedics, MBBS
Orthopedist, Delhi
Walk morning and evening daily for 30 minutes, see how joint pain vanishes away :)

I was having 3 and half month before Abdominal pain doctor gave me meftal spas for stop that pain. And second day morning. When I went to washroom the baby sac comes out through urine and blood clots so I want to know that why it happens and if I want to plan for next when should I plan.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Before planning next pregnancy, please consult gynecologist to diagnose the cause of it and start treatment before pregnancy.
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CHILDRENS HEALTH

MD PULMONARY, DTCD
Pulmonologist, Faridabad
CHILDRENS HEALTH
By restricting sugar intake, childrens health can be improved.

I am 20 years old boy and I had unprotected sex with my gf before 20 days and she does not took any pills or anything to stop unwanted pregnancy. And now her periods have been late to 15-20 days. And still not having periods. She is 18 yrs old. And now she is too much scared of getting pregnant. What are the symptoms to know whether she is pregnant and what should we do to stop getting pregnant. Please help mee. Yours faithfully.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Simply get an urine tested for pregnancy. Kits are easily available in the market. Common symptoms in ealy pregnancyis morning sickness, guiddiness, amenorrhea, sometimes pain abdomen, loss of appetite etc that varies from person to person.
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doctor has diagnosed pcod to me. Conceiving problem. Age is 38, 8 months marriage. AMH is 7.2 TSH 3 INSULIN FASTING 96 GLUCOSE 136 PROGESTERONE 40 ESTRADIOL 60 PROLACTIN 11 REGULAR PERIODS but weight has gained drastically from 52 kg to 59 kg in one year hair become thin, too much hair fall, skin become rough.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
doctor has diagnosed pcod to me. Conceiving problem. Age is 38, 8 months marriage. AMH is 7.2
TSH 3
INSULIN FASTING 9...
Hi Raj you will need ovulation induction in view of ovulation induction. You should modify lifestyle in such a way like low carbohydrates diet and exercise daily have healthy lifestyle.
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If somebody have ganth in her chest. What is the treatment she can take at home ?

M.S. Genral
General Surgeon, Pune
Dear, do you mean hard swelling? whats the duration? is it painful? and so many other details? before I could help your mother to give the needed treatment at home. Please enter this info to my lybrate account. I would love to resolve your mothers ganth at home -if it is feasible and possible with in scientific limits. Thnks. Wellcome.
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I have one main problem in my life that is suffering me lot ,problem is what happen if I marry my sister in low (my mothers brother daughter), actually I'm in love with her I want to marry her ,plz tell what happen if I marry her, all are saying that by marrying sister in low children will born with handicapped, and there will be some affects in children ,and some says it is scientifically proved, I can't understand which is true ,but I want to marry her, I'm asking you because you r a doctor you will know which is true and which is rumor, till now I searched I all web sites and books but I never read that in books or I even search in google ,no one is mentioned it is problem and so and so problems will happens by marrying her I never heard that ,i think it is rumor, is it so sir? Only you can solve my problem, I believe that only you can solve my problem ,i hope so, please describe what are the problems if I marry her, she also loves me ,plz help me. Sir/madam what should I do for her ,i can't miss her ,i hope you can help me. please solve my problem. THANK YOU.

BHMS, MBA (Healthcare)
Homeopath, Hubli-Dharwad
I have one main problem in my life that is suffering me lot ,problem is what happen if I marry my sister in low (my m...
first of all have you completed your study or has she completed her study if not then what will be your future.Loving and marrying each other is not a problem but after marriage there will be a lot of responsibilty in both of you which i am afraid you cannot take it in your present age.Secondarly legitibate age of marriaage in our country is 21 year and 18 years for boys and girls respectively.So first complete your study,be focused and later think of marriage.
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Hello doctor today I did home pregnancy test. When I was testing it shows negative.(less than one minute) But after drying the kit one more faint line is seen in my home pregnancy kit. Is this indicates am pregnant? Please reply asap.

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
Hello doctor today I did home pregnancy test. When I was testing it shows negative.(less than one minute) But after d...
Take the test too early. The earlier after a missed period that you take a home pregnancy test, the harder it is for the test to detect HCG. For the most accurate results, take the test one week after a missed period — when the level of HCG in your urine is most likely to be detectable. “If you've missed your period and are experiencing pregnancy symptoms, but have a negative pregnancy test result, ask your GP for a blood test to check your hormone levels, which should help to clarify the situation.
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Everything You Want To Know About Endometriosis

FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), CCT (Lon), DNB (Obstetrics and Gynecology), MD
Gynaecologist, Mumbai
Everything You Want To Know About Endometriosis

Endometriosis is an often painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. Endometriosis most commonly involves your ovaries, fallopian tubes and the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond pelvic organs.

With endometriosis, displaced endometrial tissue continues to act as it normally would — it thickens, breaks down and bleeds with each menstrual cycle. Because this displaced tissue has no way to exit your body, it becomes trapped. When endometriosis involves the ovaries, cysts called endometriomas may form. Surrounding tissue can become irritated, eventually developing scar tissue and adhesions — abnormal bands of fibrous tissue that can cause pelvic tissues and organs to stick to each other.

Endometriosis can cause pain — sometimes severe — especially during your period. Fertility problems also may develop. Fortunately, effective treatments are available.

Symptoms

The primary symptom of endometriosis is pelvic pain, often associated with your menstrual period. Although many women experience cramping during their menstrual period, women with endometriosis typically describe menstrual cramp that's far worse than usual. They also tend to report that the pain increases over time.

Common Signs and Symptoms of Endometriosis may include:

  • Painful periods (dysmenorrhea). Pelvic pain and cramping may begin before your period and extend several days into your period. You may also have lower back and abdominal pain.

  • Pain with intercourse. Pain during or after sex is common with endometriosis.

  • Pain with bowel movements or urination. You're most likely to experience these symptoms during your period.

  • Excessive bleeding. You may experience occasional heavy periods (menorrhagia) or bleeding between periods (menometrorrhagia).

  • Infertility. Endometriosis is first diagnosed in some women who are seeking treatment for infertility.

  • Other symptoms. You may also experience fatigue, diarrhea, constipation, bloating or nausea, especially during menstrual periods.

The severity of your pain isn't necessarily a reliable indicator of the extent of the condition. Some women with mild endometriosis have intense pain, while others with advanced endometriosis may have little pain or even no pain at all.

Endometriosis is sometimes mistaken for other conditions that can cause pelvic pain, such as Pelvic Inflammatory Disease (PID) or ovarian cysts. It may be confused with irritable bowel syndrome (IBS), a condition that causes bouts of diarrhea, constipation and abdominal cramping. IBS can accompany endometriosis, which can complicate the diagnosis.

When to see a doctor

See the doctor if you have signs and symptoms that may indicate endometriosis.

Endometriosis can be a challenging condition to manage. An early diagnosis, a multidisciplinary medical team and an understanding of your diagnosis may result in better management of your symptoms.

Causes

Although the exact cause of endometriosis is not certain, possible explanations include:

  • Retrograde menstruation. In retrograde menstruation, menstrual blood containing endometrial cells flows back through the fallopian tubes and into the pelvic cavity instead of out of the body. These displaced endometrial cells stick to the pelvic walls and surfaces of pelvic organs, where they grow and continue to thicken and bleed over the course of each menstrual cycle.

  • Transformation of peritoneal cells. In what's known as the "induction theory," experts propose that hormones or immune factors promote transformation of peritoneal cells — cells that line the inner side of your abdomen — into endometrial cells.

  • Embryonic cell transformation. Hormones such as estrogen may transform embryonic cells — cells in the earliest stages of development — into endometrial cell implants during puberty.

  • Surgical scar implantation. After a surgery, such as a hysterectomy or C-section, endometrial cells may attach to a surgical incision.

  • Endometrial cells transport. The blood vessels or tissue fluid (lymphatic) system may transport endometrial cells to other parts of the body.

  • Immune system disorder. It's possible that a problem with the immune system may make the body unable to recognize and destroy endometrial tissue that's growing outside the uterus.

Risk factors

Several factors place you at greater risk of developing endometriosis, such as:

  • Never giving birth

  • Starting your period at an early age

  • Going through menopause at an older age

  • Short menstrual cycles — for instance, less than 27 days

  • Having higher levels of estrogen in your body or a greater lifetime exposure to estrogen your body produces

  • Low body mass index

  • Alcohol consumption

  • One or more relatives (mother, aunt or sister) with endometriosis

  • Any medical condition that prevents the normal passage of menstrual flow out of the body

  • Uterine abnormalities

Endometriosis usually develops several years after the onset of menstruation (menarche). Signs and symptoms of endometriosis end temporarily with pregnancy and end permanently with menopause, unless you're taking estrogen.

Complications

Infertility

The main complication of endometriosis is impaired fertility. Approximately one-third to one-half of women with endometriosis have difficulty getting pregnant. Endometriosis may obstruct the tube and keep the egg and sperm from uniting. But the condition also seems to affect fertility in less-direct ways, such as damage to the sperm or egg. Inspite of this, many women with mild to moderate endometriosis can still conceive and carry a pregnancy to term. Doctors sometimes advise women with endometriosis not to delay having children because the condition may worsen with time.

Ovarian cancer

Ovarian cancer does occur at higher than expected rates in women with endometriosis. Although rare, another type of cancer — endometriosis-associated adenocarcinoma — can develop later in life in women who have had endometriosis.

Diagnosis: To diagnose endometriosis and other conditions that can cause pelvic pain, the doctor will ask you to describe your symptoms, including the location of your pain and when it occurs.

Tests to check for physical clues of endometriosis include:

  • Pelvic exam. During a pelvic exam, the doctor manually feels (palpates) areas in your pelvis for abnormalities, such as cysts on your reproductive organs or scars behind your uterus. Often it's not possible to feel small areas of endometriosis, unless they've caused a cyst to form.

  • Ultrasound. A transducer, a device that uses high-frequency sound waves to create images of the inside of your body, is either pressed against your abdomen or inserted into your vagina (transvaginal ultrasound). Both types of ultrasound may be done to get the best view of your reproductive organs. Ultrasound imaging won't definitively tell the doctor whether you have endometriosis, but it can identify cysts associated with endometriosis (endometriomas).

  • Laparoscopy. Medical management is usually tried first. But to be certain you have endometriosis, the doctor may advise a surgical procedure called laparoscopy to look inside your abdomen for signs of endometriosis.

While you're under general anesthesia, the doctor makes a tiny incision near your navel and inserts a slender viewing instrument (laparoscope), looking for endometrial tissue outside the uterus. He or she may take samples of tissue (biopsy). Laparoscopy can provide information about the location, extent and size of the endometrial implants to help determine the best treatment options.

Treatment for endometriosis is usually with medications or surgery. The approach you and the doctor choose will depend on the severity of your signs and symptoms and whether you hope to become pregnant.

Generally, doctors recommend trying conservative treatment approaches first, opting for surgery as a last resort.

Pain medications

The doctor may recommend that you take an over-the-counter pain reliever, such as the nonsteroidal anti-inflammatory drugs (NSAIDs) ibuprofen (Advil, Motrin IB, others) or naproxen (Aleve, others), to help ease painful menstrual cramps.

If you find that taking the maximum dose of these medications doesn't provide full relief, you may need to try another approach to manage your signs and symptoms.

Hormone therapy

Supplemental hormones are sometimes effective in reducing or eliminating the pain of endometriosis. The rise and fall of hormones during the menstrual cycle causes endometrial implants to thicken, break down and bleed. Hormone medication may slow endometrial tissue growth and prevent new implants of endometrial tissue.

Hormone therapy isn't a permanent fix for endometriosis. You could experience a return of your symptoms after stopping treatment.

Therapies used to treat endometriosis include:

  • Hormonal contraceptives. Birth control pills, patches and vaginal rings help control the hormones responsible for the buildup of endometrial tissue each month. Most women have lighter and shorter menstrual flow when they're using a hormonal contraceptive. Using hormonal contraceptives — especially continuous cycle regimens — may reduce or eliminate the pain of mild to moderate endometriosis.

  • Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists. These drugs block the production of ovarian-stimulating hormones, lowering estrogen levels and preventing menstruation. This causes endometrial tissue to shrink. Because these drugs create an artificial menopause, taking a low dose of estrogen or progestin along with Gn-RH agonists and antagonists may decrease menopausal side effects, such as hot flashes, vaginal dryness and bone loss. Your periods and the ability to get pregnant return when you stop taking the medication.

  • Progestin therapy. A progestin-only contraceptive, such as an intrauterine device (Mirena), contraceptive implant or contraceptive injection (Depo-Provera), can halt menstrual periods and the growth of endometrial implants, which may relieve endometriosis signs and symptoms.

  • Danazol. This drug suppresses the growth of the endometrium by blocking the production of ovarian-stimulating hormones, preventing menstruation and the symptoms of endometriosis. However, danazol may not be the first choice because it can cause serious side effects and can be harmful to the baby if you become pregnant while taking this medication.

Conservative surgery

If you have endometriosis and are trying to become pregnant, surgery to remove as much endometriosis as possible while preserving your uterus and ovaries (conservative surgery) may increase your chances of success. If you have severe pain from endometriosis, you may also benefit from surgery — however, endometriosis and pain may return.

The doctor may do this procedure laparoscopically or through traditional abdominal surgery in more extensive cases.

Assisted reproductive technologies

Assisted reproductive technologies, such as in vitro fertilization (IVF) to help you become pregnant are sometimes preferable to conservative surgery. Doctors often suggest one of these approaches if conservative surgery doesn't work. If you wish to discuss about any specific problem, you can consult a gynaecologist.

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I am pregnant from 40 days and I have pain above vaginal hairs or you can say below stomach.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am pregnant from 40 days and I have pain above vaginal hairs or you can say below stomach.
That must be urinary tract infection. Urine microscopy to be done and then only treatment can be started.
3 people found this helpful
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MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Agra
A low fat diet is recommended at the time of menstruation. A fatty diet might increase estrogen production and cause gynae problems.
8 people found this helpful

Hy I had sex after periods on 8th day than I took I pill before week bt now im getting brown coloured liquid with white discharged liquid not like periods bt when urinate nd clean vagina that point of time I get since last 2 days ANd I gt boils on vagina before I shaved than I guess its nt a major prb ill b in periods.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hy I had sex after periods on 8th day than I took I pill before week bt now im getting brown coloured liquid with whi...
Hello, you are in your ovulation time and the cervical discharge is common during mid cycle indicating ovulation.
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When will my first period start after csec, I am breast feeding, have delivered on 14th November 2015. Please advise.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
When will my first period start after csec, I am breast feeding, have delivered on 14th November 2015. Please advise.
Menses usually starts after cesarean section between 6 months to 12 months. But even before menses starts you can get pregnant. Ideal contraception for breastfeeding woman is coppert which has highest efficacy. While choosing a method of contraception, it is important that it not interfere with lactation or have negative effects on the infant. Iucd or copper t is more effective than condoms and progesterone only pills. Oc pills suppresses milk production. Estrogen containing contraceptive pill either it is standard dose or low dose, it reduces the volume of breast milk. Progestin-only contraceptives like cerazette for 28 days are safe for use by breast-feeding mothers if copper t is not acceptable.
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Breast Cancer - Know More to Say 'No' More!

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Breast Cancer - Know More to Say 'No' More!

Cancer is the abnormal, uncontrolled growth of cells in a particular body part. With continued growth, pieces of this tissue travel through the blood to different body parts and continue to grow in the new area. This is known as metastases. Breast cancer is one of the most common forms of cancer and affects about 1 in 8 women in the USA. Read on to know more details of breast cancer – breast anatomy, causes, symptoms, risk factors, detection, prevention, and of course treatment.

Anatomy: The main function of the breast is lactation through its milk-producing tissue that are connected to the nipple by narrow ducts. In addition, there is surrounding connective tissue, fibrous material, fat, nerves, blood vessels and lymphatic channels which complete the structure. This is essential to know as most breast cancers develop as small calcifications (hardened particles) in the ducts or as small lumps in the breast tissue which then continues to grow into cancer. The spread can happen through lymphatic or blood flow to other organs.

Warning signs/symptoms: The following are some symptoms that need to be watched out for if you have a predisposition to breast cancer.

  1. A lump in either of the breasts or armpits
  2. Change in size, shape, or contour of either breast
  3. Redness of your breast or nipple
  4. Discharge of clear or bloody fluid
  5. Thickening of breast tissue or skin that lasts through a period
  6. Altered look or feel of the skin on the breast or the nipple (dimpled, inflamed, scaly, or puckered)
  7. One area on the breast that looks very different from the other areas
  8. Hardened area under the breast skin

Either one or a combination of these should be an indication to get a detailed checkup done. Early diagnosis results in controlling the disease with minimal treatment and reduced complications.

Causes and risk factors: The exact cause for breast cancer is yet to be pinned down. However, risk factors are clearly identified, and women with risk factors need to watch out for warning signs.

  1. Family history: Of all the risk factors, the family history is the most important. Breast cancer runs in families, and if there is a first-degree relative with the breast cancer, the chances of developing it are almost double. Two genes BRCA1 and BRCA2 are the carriers of the disease, and this testing can be done in women to identify if they are at risk.
  2. Family history of other cancers: Even if there is no breast cancer, if there are other cancers that run in the family, watch out.
  3. Age: Women over 50 are at higher risk of developing breast cancer.
  4. Race: Caucasian and Jewish women are at higher risk of breast cancer than African-American women.
  5. Hormones: Greater exposure to the female hormone estrogen increases the chances of developing breast cancer. Women who use birth control pills for contraception and hormone replacement after menopause are at a higher risk of developing breast cancer.
  6. Gynecologic milestones: Women who have abnormal menstrual milestones need to watch out. These include those who attain menarche before 12 years of age, get pregnant after 30, attain menopause after 55, and have menstrual cycles shorter than 26 days or longer than 29 days.
  7. Obesity and alcohol abuse are also likely to increase a woman’s chances of developing breast cancer.

Stages: Starting from stage 0, higher stages indicate advanced disease.

  1. Stage 0: The growth which has begun in the milk-producing tissue or the ducts has remained there (in situ) and not spread to any other area, including the rest of the breast.
  2. Stage I: The tissue slowly becomes invasive and has begun to affect the surrounding healthy tissue. It could have spread to the fatty breast tissue and some breast tissue may be found in the nearby lymph nodes.
  3. Stage II: The cancer at this stage grows considerably or spreads to other parts. There are chances that cancer may grow and also spread.
  4. Stage III: It may have spread to the bones or other organs but small amounts are present in up to 9 to 10 of the lymph nodes in the armpits and collar bones which makes it is difficult to fight.
  5. Stage IV: The cancer is widespread to far-flung areas like the liver, lungs, bones, and even the brain.

Screening: This is one of the most effective ways to identify the disease in its early stages. This will help in controlling cancer from spreading with minimal treatment.

  1. Self-examination: A thorough self-examination to look for changes in terms of shape, size, colour, contour, and firmness should be learned by all women. Watch for any discharge, sores, rashes, or swelling in the breasts, surrounding skin, and nipple. Examine them while standing and when lying down.
  2. In most women, annual screening mammograms are advised after the age of 40. However, in women who have a strong family history or genetic makeup, it is advisable to have screening mammograms starting at age 20 every 3 years and then annually from the age of 40.
  3. Women in high-risk categories should have screening mammograms every year and typically start at an earlier age.
  4. Ultrasound screening can also be given in addition to mammograms.
  5. Breast MRI is another way to screen for breast cancer if the risk is greater.

Breast Cancer Prevention: Now that there is so much awareness about causes and risk factors, there are definitely ways to prevent or delay the onset of the disease.

  1. Exercise and a healthy diet with reduced amount of alcohol are definitely effective in minimising the chances of developing cancer.
  2. Tamoxifen is used in women who are at high risk for breast cancer.
  3. Evista (raloxifene) which is used to treat osteoporosis after menopause. It is also widely used in preventing breast cancer.
  4. In high-risk women, breasts are surgically removed to prevent the development of cancer (preventive mastectomy).

Treatment: As with all cancers, treatment would depend on the stage at which it is identified and include a combination of chemotherapy, radiation, and surgery. As noted earlier, if you are at risk, look out for warning signs as early diagnosis is the key to maximum recovery.

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