Symptoms, causes and treatment for Breast Cancer Patients
Hello friends. My name is Dr. Gayatri Juneja. I’m a practicing gynecologist in Model Town for the last 20 years. I’m a visiting consultant in Apollo Cradle Hospital Moti Nagar, and Fortis Hospital Shalimar Bagh, and Sunder Lal Hospital Ashok Nagar. It’s a great pleasure for me to talk to you about certain problems which I think is becoming very important for all of us to know. I am going to talk about Breast Cancer.
Unfortunately, even in India, cancer breast is becoming very common. And it is not that it is a cancer which we cannot pick up at time. The only thing we need is to be aware of it. Only if we know what is happening with our body, is only then we can do what is normal, only then we can see what is not normal, right? It is one of the breast cancer is one of the easiest cancers to pick up. How? My body is my own. I should know what’s happening to me. So minimum a lady can do is do a self examination. Teach your daughters how to do a self examination for the breast. If you find any lump, any time, if you feel there is some pain, which was not there, if you see the nipple is not in the normal position, it is retracted inside, if you see there is skin changes on your breast, if you see any size difference. See minor size difference will be there. That is a natural thing. But if you see there is drastic change, and if you are not comfortable with something, do not neglect it. It’s not at all a normal thing. Go, see a gynaecologist.
It is a confidential thing between you and your doctor. Let her examine you. Let her guide you. You give her a proper history, if you have taken any contraceptive pills, even I-pill is very dangerous. I’ll come to it later how. The thing is…your doctor has examined you, then she will guide you what has to be done. There are various ways of diagnosing cancer of breast. First step is, you do a self examination. First step is over. You find the lump, you go to a doctor. Your doctor will ask for a sonography, that is ultrasound of the breast. And another part of it is an x-ray of the breast. Sometimes in younger age group the breast is very dense, and you cannot diagnose anything on mammogram.
You still are suspecting something, then your doctor might ask for an MRI. MRI is very effective in diagnosing, but we do not suggest it as first line treatment, first line of diagnosis. Once it is confirmed that yes, there is a lump, then what we do is, we ask for a biopsy. Now biopsy can be in 2 forms. It can be taken through the needle, which we call FNAC – Fine Needle Aspiration Cytology, and other is open biopsy, where we remove the whole lump, and send it for testing. If the test comes negative, good, fine, everything is fine. If it comes positive, then further treatment depends upon the type. Then they will do a special CT scan for you, where the will diagnose if any lymph nodes are involved.
Depending on preliminary staging, your doctor will ask for a surgery. Now the surgery will…it is better that the whole breast gets removed. Or what has to be done will be diagnosed, because it is not a single person specialty, it is going to be a multi-specialty treatment then. Now let’s come down to who are the people who are at higher risk. Why should I consider that I am at higher risk? What…who are those people? First, specially after menopause, obesity. If your lifestyle is not at all healthy, your food habits you eat lot of non-veg and processed food, like pizzas and burgers and frozen food, yes you are at risk. Then comes genetics.
If you have a family history of cancer in your nani, dadi, your bua, maasi, cousin, ya sister ya brother, or even cancer of ovaries, you are at high risk. But that doesn’t mean who all have had the history of cancer will also develop this. You are at higher risk, but it is better only to be careful. Then comes very tall ladies it has been seen they are also prone for diabetes. Obesity, and people who have had hormonal replacement therapy with…and once you’re diagnosed don’t get scared. It is a curable cancer, and life expectancy with variable modalities these days is quite good.The quality of life is also good.
So my suggestion would be, to conclude, that please be aware of what is happening with you, and take good care of yourself. If you are healthy, only then you can look after your family. Thank you so much.read more
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Initially the symptoms of gynae problems were not that severe but then it became worse. I owe her a big thanks for making me fine again. Even in case of long queues, the staff was managing people in a very positive manner. I was amazed that other doctors before him were not able to even diagnose my problem, but Gayatri Bala Juneja did it immediately and started the gynae problems for it. She is not just friendly, but also is very motivating. In order to diagnose my problem completely she asked me a number of questions.
I was having very bad thoughts regarding my pregnancy. I consulted many doctors but was not able to conceive. By chance, I approached Dr Gayatri for second opinion and thank god, i did because, she treated me without any surgery and all. She tols the reason and how the treatment will be done. I am so thankful to him for the treatment. Its been 1.5 years and now I have a beautiful daughter and for this Dr Rakhi is the reason. I must say she is the best gynaecologist in the city.
I thought it was something very normal, but then I realised the cause of no periods is something else. I was in too much pain, but even after consulting a number of doctors, I was not getting any relief. I saw Dr Gayatri clinic's advertisement in newspaper and that is how we referred her. The overall atmosphere in the Sunderlal Jain Hospital is very soothing. It's been more than a year now, and I have noticed considerable change in myself.
I thought it was something very normal, but then I realised the problems is something else. The entire Sunderlal Hospital is very nicely designed. Over the period of time I noticed a number of changes in myself. With the help of her gynae problems treatment I am feeling so great. The overall atmosphere in the Sunderlal Jain Hospital is very soothing. I remember, I read an article of Gayatri Bala Juneja in the paper and made contact
It's been more than a year that I was experiencing Breast Pain. I was having very bad thoughts regarding my breast pain. the facilities available in the Sunderlal Jain Hospital are very nice. Dr. Gayatri Bala Juneja never gets frustrated, even when I ask a number of queries. Gayatri Bala Juneja has so much knowledge that for everything my family takes her reference. I feel so great after the completion of treatment.
I was having very bad thoughts regarding my infertility. She is very talented and seasoned doctor. Someone from the office, referred us her name. Even though my problem was very big, the entire experience of undergoing infertility treatment was very relaxing with Dr gayatri. Sunderlal Jain Hospital can handle all types of emergency cases.
she did my gynecology laparoscopy. It was amazing, the Sunderlal Jain Hospitall was so nicely made. I owe her a big thanks for making me fine again. Hygiene is very important, and I must Sunderlal Jain Hospital was extremely clean. Even though Gayatri Bala Juneja is not from our city, she is still very famous, so we consulted her.
Dr Gayatri is very patient with all her patients. I was quite concerned, as my health was degrading day by day, but due to my her and the laparoscopy I didn't lose hope. They took very nice care of me, i never felt that I am in a Sunderlal Jain Hospital.
She is very professional and is a really patient listener. The Sunderlal Jain Hospital have proper facilities for disabled patients as well. During the treatment, Dr Gayatri supported me a lot.She certainly knows the in and out of her speciality.
Dr. Gayatri Bala Juneja provides answers that are very helpful. Thank you mam.present medicn Novelon.which medicn suggest for weight loss i am happy
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I found the answers provided by the Dr. Gayatri Bala Juneja to be very helpful. Thank you madam....
Dr. Gayatri Bala Juneja provides answers that are very helpful. Thanks doctor
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Most women attain menopause between the ages of late 40s and early 60s, the average age being about 51. This is an important milestone in a women-s gynecological history. One major change is altered female hormone levels, and this leads to a lot of physiological changes. From hot flashes to mood swings, there is also increased predisposition to osteoporosis and uterine cancer.
If you have not had your menstrual cycles for close to 12 months, chances are you are into menopause. So, that means absolutely no vaginal bleeding anymore whatsoever. However, if you experience bleeding, even spotting, be on the alert. It is not normal and needs to be examined, and if required, diagnosed and treated.
Postmenopausal bleeding or PMB as it is popularly called can be due to a variety of reasons. While it could be something as trivial as inflammation of the uterine or vaginal lining, it could also be an indication of more severe issues like cancer.
- Atrophic vaginitis - Decreasing hormonal levels lead to increased dryness and therefore inflammation of the vaginal and uterine tissue. This is one of the common causes of bleeding after menopause.
- Endometrial atrophy - Also caused by lower hormone levels, the lining of the body of the uterus gradually thins down and can get inflamed.
- Polyps - Noncancerous growths in the uterus, cervix, vulva, or vagina can also lead to bleeding
- Infections - General infection of any area along the uterine tract could lead to occasional bleeding
- Cancers - Though only 1 in 10 PMB cases turn out to be cancers, the prognosis improves with early diagnosis and intervention.
Diagnosis: As repeated above, reach out to your doctor if you notice postmenopausal bleeding. Diagnostic methods could include the following:
- Physical examination
- Transvaginal ultrasound
- Endometrial biopsy
- Dilatation and Curettage
Treatment: Needless to say, this would depend on the diagnosis.
For very minor cases with diagnosis like altered hormone levels, no treatment may be required other than modification of the hormone replacement therapy.
For endometrial atrophy and atrophic vaginitis, use of estrogen creams and pessaries would be sufficient.
Polyps would require removal followed by cauterization (application of slight heat) to stop the bleeding.
Cancer - this would depend on the type and location and require a combination of chemotherapy and surgery. Removal of the uterus also may be required in some cases.
So, if you have had bleeding of any sort after ayear of menopause, do not ignore it. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
The amount of emotional upheaval that periods, or no periods (for that matter) can cause, is something that every woman is aware of. It's normal to miss your period for different reasons occasionally, but develops to be a concern if this absence persists over a period of time. The condition is then termed as a case of secondary amenorrhea. Although most people are quick to consider pregnancy while dealing with the various reasons for missed periods, there are a number of possibilities which are seldom mulled over but should be considered in order to take the effective precautions and seek proper medical care:
Body weight is responsible for affecting the hypothalamus and this may, in turn, upset your menstrual cycle. BMI level under 18-19 may result in triggering irregularities since enough estrogen will not be created. This is also why underweight women, who suffer from bulimia or anorexia, tend to miss their periods frequently.
On the other hand, overweight women may stop ovulating due to increase in the production of estrogen and therefore, have heavy, infrequent periods. Therefore, it is essential that body weight be regulated to avoid any disappointment at 'the time of the month.'
Any type of physical or emotional stress is bound to affect your cycle. This is because, the production of stress hormones in the body increases and an elevated level of adrenaline and cortisol may impair the functioning of the reproductive system. Under stressful situations, the body employs its amino acids to assist the neurotransmitters to produce stress hormones over sex hormones. As a consequence, the chances of missing your periods increase.
3. Exercising Too Much:
While regular workout is indispensable for battling a sedentary lifestyle, overdoing it might cause your body to produce lesser estrogen and delay your periods. Women, who are into athletics and gymnastics, are more likely to suffer from amenorrhea. In fact, other aspects of over-exercising, like sleeping less, fasting, and infections also contribute to such irregularities.
4. Brest Feeding:
Prolactin is the hormone that aids in milk production and may also repress ovulation for a while. Many breastfeeding moms may not get their periods for a month or more as a result. But this doesn't do away with your chances of getting pregnant. A span of three months is expected to pass before the abnormalities are done away with.
5. Food Allergies:
Celiac disease or untreated gluten allergy can directly harm hormone production. They are directly related to your gut health and your adrenal glands which is why they can influence the sex hormone creation. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
What is the best vegetarian diet to eat in the ninth month of pregnancy for a healthy child and normal delivery? Please suggest a diet chart.
Ovaries are the primary reproductive organs in the female body which produces the eggs that need to be fertilized to form a fetus in the womb. Ovarian cancer is a type of cancer that develops in the ovaries and spreads till the pelvis and the abdomen. This cancer is usually cured by either a surgery or chemotherapy.
Ovarian cancer is mostly caused due to a genetic mutation which transforms the healthy cells of the ovaries into abnormal cancerous cells. The abnormal cells then generally form a tumor which spreads further inside the female body. The type of cell in which the cancer begins determines the type of ovarian cancer you have. Ovarian cancer types include:
- Epithelial tumors: it is the most common type of ovarian cancer which begins from the thin layer that covers the ovaries.
- Stromal tumors: this type begins in those tissues which contain the hormone producing cells.
- Germ cell tumors: this usually happens among relatively younger women, and it originates from the egg producing cells of the ovaries.
Factors that boost your risk of getting an ovarian cancer are listed below:
- Age: The risk of ovarian cancer is greater in women who are between 50 to 60 years. However, ovarian cancer is such a condition that can occur at any age.
- Estrogen hormone replacement therapy: This therapy tends to alleviate menopausal symptoms and renews the hormones of a woman's body. If you are undergoing this therapy then you are at a risk of developing ovarian cancer.
- Congenital: The risk of ovarian cancer can sometimes also be due to an inherited gene mutation and can be passed on from the parents to the offspring.
- Menstrual risk: If you had started menstruating before the age of 12 or had a menopause before the age of 52 then the risk of you developing ovarian cancer increases.
- Other risk factors: These factors do not pose a subsequent amount of threat of having an ovarian cancer, but they slightly increase the risk. These are activities like: regular smoking, fertility treatments, never being pregnant, use of an intrauterine device and polycystic ovary syndrome. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
Can a unmarried couples visit a doctor for MTP treatment? My girlfriend is pregnant We are worry about it Can you please help us.
I sex with my gf before 10 days ago. Her period was not coming and she feel vomiting. I can't understand what can I do. Please help me right now and please suggest me what can I do for that which medicine is useful for unwanted pregnancy after 10 day her age was 17.
Cervical cancer is a type of cancer which emerges from the cervix. It occurs due to the abnormal growth of cells in the cervix (lower part of the uterus) of the female reproductive system. Cervical cancer is the most common type of cancer found in women, worldwide, and can be treated with successful results, if discovered at an initial stage.
This type of cancer can be caused by multiple factors, some of which are:
- Human papillomavirus - One of the major causes of cervical cancer is the human papillomavirus (HPV). There are more than 100 types of HPV. During sexual intercourse, a minimum of 40 types of HPV are passed, out of which 15 of them are high risks for cervical cancer, including types 16 and 18. 7 out of 10 women, who suffer from cervical cancer, are infected by types 16 and 18. However, most women, who are sexually active, will come under the influence of at least one type of HPV in their lifetime, without any kind of harm caused to them.
- Smoking - Smoking increases the risk of cervical cancer in women. It helps in the development of HPV, which is a major cause of this type of cancer. If a woman is already HPV-positive, smoking increases the probability of being diagnosed with cervical cancer by leaps and bounds.
- Oral contraceptives - Research shows that taking contraceptive pills increases the risk of cervical cancer in women. Women who've been on contraceptive pills for over 5 years are twice as more prone to being diagnosed with cervical cancer than those who are not on the pill. But as soon as you stop the intake of pills, the increased risk of cancer drops immediately.
- Multiple pregnancies - Having multiple pregnancies is linked with increased risk of cervical cancer. Having seven or more pregnancies increases the risk of this type of cancer in those women who are already influenced by HPV by four times. And those who have had one or two full-term pregnancies, also under the influence of HPV have two to three times the risk of being diagnosed with this illness.
Knowing about the symptoms of cervical cancer can help in the early diagnosis of this disease. However, in the early stages of the disease, there are no such noticeable symptoms. Although these signs can help you understand if you've got cervical cancer:
1. Abnormal vaginal bleeding, i.e. bleeding after sexual intercourse or after menopause
2. Longer period cycles
3. Bleeding after douching
Symptoms in the advanced stages of the illness are:
1. Loss of weight
2. Back pain
3. Leg pain
5. Swelling of legs
7. Pelvic pain
8. Leakage of urine/feces from vagina
If you wish to discuss any specific problem, you can consult a gynaecologist.
Hi soha is my wife she is suffering from heavy stomach pain from last one year last year we got some tests it shows blood clot at abdomen but no doctor is saying any correct info abt that every month before one week of periods the pain will occur and at the time of periods the pain will be so horrible so we are seeking for correct solution for this problem Thank You.
Hello doctors, My 30 year old wife had a c section delivery last July and from last 3 months she is suffering from repetitive severe vaginal bleeding occurring every 15 days for about 6-7 days. Her ultrasound report was normal done two months ago. She had recently completed a 25 day course of Duoluton N Ethinylestradiol and levonorgestrel prescribed by the GYN doctor. Prior to that she had taken progesterone BD for 25 days and now on no medicine. Please suggest what and where to seek advise or please advise accordingly. Many thanks in advance. Ashish.
Hi, My wife get pregnant and doctor suggest Vibact DS tablet for 3 month from 13 th week and now he said that he suggest only for 3 week. Please suggest is this harm our baby. We are very much tense on overdose of medicine.
I have been seeing white flake like things in my urine for almost two weeks now however the urine color is fine. I have sore breasts and I get frequent pains in my tummy and back. My urination has increased. What could it be. Please suggest.
Blockage in the Fallopian tubes accounts for 40% of infertility in women, which is called Tubal Factor Infertility. Fallopian tubes are two thin tubes on each side of the uterus that aid the movement of mature eggs from the two ovaries to the uterus. Any kind of blockage in these tubes can prohibit the eggs from reaching the uterus and prevent pregnancy.
There are very few symptoms to detect blocked fallopian tubes. Some of the most common are :
- A particular type of blocked fallopian tube is known as Hydrosalpinx, which causes pain in the lower abdominal or pelvic region with abnormal vaginal discharge
- Painful periods can be a warning sign of blockage in the fallopian tubes
- Painful intercourse is also a potent indicator
- Spotting or heavy periods
- Feelings of extreme tiredness
- Pre-menstrual abdominal cramps
Once you know the symptoms, it is imperative to know the cause behind blocked fallopian tubes in order to get proper treatment.
- Pelvic inflammatory disease (PID) is the most popular cause of blockage in the fallopian tubes. It can be sexually transmitted, but not all cases of PID are linked to STDs.
- Prior abdominal surgery
- Earlier ectopic pregnancy
- Previous occurrence of ruptured appendix
- STDs (sexually transmitted diseases) infections like gonorrhea and Chlamydia
- Uterine infection due to abortion or miscarriage
There are precautionary measures that can be adopted to prevent blocked fallopian tubes, which can be opened with a laparoscopic surgery or a Hysteroscopic procedure. If you are diagnosed with PID, be sure to start your treatment as soon as possible. The most important advice is to look for symptoms of blockage and get professional help if you find any.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Ectopic pregnancy happens if the egg implants itself in the fallopian tube in place of the uterus. That's why this form of pregnancy is called a tubal pregnancy as well. Many a time, it may also implant itself in the belly, ovary or the cervix. If the egg is allowed to develop in the fallopian tube, it brings about the bursting of the tube, leading to instances of heavy bleeding.
What really causes this condition?
In this type of pregnancy, the cause isn't always easy to arrive at. In many cases, certain conditions have been found to bring about this pregnancy and these are:
- Damages to the fallopian tubes in the form of scarring and inflammation due to a preceding medical infection, condition or surgery
- Imbalances in the body's hormone levels
- Abnormalities in the genes
- Birth defects
- Medical problems that have an effect on the shape and condition of the reproductive organs and fallopian tubes
- Though it's rare, ectopic pregnancy can occur while using an intrauterine device or system for birth control
- Inflammation of your reproductive system such as pelvic inflammatory disease
How do you know that you suffer from one?
In terms of signs that will help you to easily identify whether you're having an ectopic pregnancy, the initial signs are:
- Light bleeding from your vagina
- Pain in the abdomen or in the pelvic region, which tends to occur after 6-8 weeks of a missed period
The other symptoms of this condition reveal themselves as you progress through the pregnancy and include,
- Dizziness or fainting as a result of internal bleeding
- Shoulder pain brought on by bleeding in the abdominal region
- Signs of shock
- Worsening of pelvic or belly pain
- Heavy vaginal bleeding
Additionally, a person with ectopic pregnancy also experience signs associated with early pregnancy such as:
- Tender breasts
- Missed period
- Increased in frequency of urination
What is vaginitis?
Vaginitis refers to infections of the vagina. This condition results in inflammation of the muscular walls of the vagina due to contamination of bacteria, yeast or viruses and results in itching, soreness, reddening and pain of the vagina along with pungent odors and unusual discharge.
Vaginitis is a common medical condition that affects all women at some point in their lives. Most of the time, the problem is not severe and can be easily treated with simple remedies. But if the symptoms become chronic and remain persistent, it requires the immediate attention of a gynecologist.
What are the different types of vaginitis?
There are a number of different types of this condition, which have varying causes and symptoms. Some of the most common types of vaginitis are as follows:
1. Bacterial vaginosis
This is caused by the explosive growth of the bacteria that is usually present in small numbers in the vagina under normal conditions.
2. Yeast infection
A type of fungus is known as candida Albicans causes this type of infection.
3. Vaginal atrophy
This generally occurs after menopause and is caused by falling estrogen levels.
This type of injection is sexually transmitted and caused by parasitic infestation.
What are the symptoms of vaginitis?
Common symptoms of vaginitis include the following:
- Vaginal discharge with unusual colors or odors
- The occurrence of pain during urination
- The occurrence of pain during intercourse
- Itching, swelling and irritation of the vagina
- Vaginal bleeding and spotting
If you wish to discuss about any specific problem, you can consult a Gynaecologist.