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Dear Dr's I using tobacco products like chain, and cigarette in last one & half years. My question is how to avoid or precautions about cancer. please Give me a sujetion.
My mother had breast cancer and her left breast was removed due to this. What are the chances that I may have the same problem. I am 48 years old.
I'm 30 years old female. I have been experiencing pain in chest which then radiate to shoulders and arms. Mostly the pain radiates to right shoulder and arm. I have also located many painful nodules through out my body and mainly in both of my arms and breasts. I too experience a high heart rate with severe pain in left shoulder radiating towards left palm. I have consulted many doctors regarding my health issues. Some neurologist prescribed gabapentin for the chest and body pain and other general medicine doctor prescribed tramadol. The nodules were examined and they said it as FBD for breast nodules and lipofibrills for nodules present in arms. I have going through this pain for a long period, long as 5 years. Initially CT scans and MRI of my chest was done which were found perfectly normal. Another doctor said that my tonsils might have grown a bit and putting pressure on my spine. And that's why I might feel pain in my back. Now I'm confused as I have no idea what I'm suffering from and this pain is making me unfit for my day to day job. Could you please at least diagnose what I might be suffering from and which particular doctor I should consult.
Cancer is increasing in prevalence with improved detection and diagnostic techniques so prolonging the life and improving the quality of life.It has been observed to be affecting more of younger age groups so can have a lethal effect of the future fertility by destruction of their gametes (sperm or eggs). As doctor we feel need of spreading awareness at multidisciplinary level regarding preservation of future fertility which needs counseling and guidance at preliminary stages only before the damage happens.
- Oocyte/Egg cryopreservation
- Sperm Cryopreservation
- Embryo freezing
Method will vary as per the clinical status
Egg freezing means removing mature eggs and freezing them for later. This process may also be called egg banking . Its done in cancer patients preferably before exposure to chemo and radiotherapy.Its same like an IVF cycle except that embryos are not formed.Here medications are given to stimulate the development of multiple follicles in the ovaries.
Type of cancer can also decide the protocols.
Besides there are now more patient friendly mild stimulation protocol especially in estrogen sensitive cancers
The eggs are retrieved from the patient using a transvaginal technique under anesthesia and are kept frozen for future use by a method called vitrification.
Frozen eggs can be kept frozen for years(5 years as per ICMR but not specified for cancer cases) till the woman decides to use them for conception and once the patient is ready to get pregnant, the eggs are thawed and then fertilized using ICSI, an assisted reproductive technology that injects one sperm directly into the egg. The embryos (fertilized eggs) will then be transferred into the woman’s uterus (womb) in order to achieve a pregnancy.
It has the highest success rate compared to any other treatment. Its like normal IVF when eggs are retrieved and mixed with sperms. Once fertilized, the embryos (fertilized eggs) grow in the laboratory for 3-5 days until they are suitable for freezing.
Sperm Freezing is an effective and simplest way for men who have gone through puberty to store sperm for future use. Many men can store sperm (either from natural ejaculate or from a TESA sample