Hello friends, I am Dr Vandana Jain I am practising gynaecologist at Ghaziabad. Today I am going to speak on cervical cancer and its prevention by vaccination. Cervical cancer is the cancer of cervix and cervix is the opening of the uterus and it prevents infection entering into the uterus. Cervical cancer is the most common cancer in India and in world by it accounts for 5 Lac newer cases diagnosed per year and that accounts for 2.5 Lac deaths per year worldwide, in India it accounts for 1,32,000 cases per year and 74,000 deaths per year. This is the most common cancer even the more common than breast cancer in India need accounts for a most common cause of death in females in India. What causes cervical cancer, cervical cancer is caused by human papillomavirus and it is a virus which is usually sexually transmitted but sometimes it can infect a body without any sexual contact. There are about 100 type of strains of HPV out of those hundred strains there are 30 strains which are sexually transmitted and out of those 30 there are 15 strains of HPV which are oncogenic, oncogenic means cancer-causing virus, this virus remains in a body for a long, for once to years and it takes about 10 to 20 years to change a normal cervix into a cancer cervix and in a lifetime of a lady about 50 to 80% females are infected by these viruses. Mostly these viruses going into spontaneous remission they will cure by itself but in some cases, it progresses into cancer. So when there is a vaccine we can prevent cancer from occurring and causing death. There are two types of cancer cervix adenocarcinoma and squamous carcinoma, adenocarcinoma is more lethal, more difficult to diagnose and it is mostly in young females. Pap smear is the type of screening test which can detect early changes of cancer in cervix or invasive carcinoma but remember Pap smear is a screening test only it can't detect infection by HPV and also this vaccination is to prevent infection by HPV and the age group for this vaccination is from 9 years to 45 years. So a young girl of 9 years can go for vaccination up to 45 years of age, if you are feeling symptoms and you are old, symptoms of cancer cervix can we vaginal discharge, postmenopausal bleeding, interquartile bleeding, intermenstrual bleeding, excessive foul smelling discharge, then you should consult a Doctor go for a Pap smear and go for a vaccination if you are too not late and for any further queries you can contact me at my clinic, you can book appointment through Lybrate and my clinic is complete women health care. Thank you.read more
Hello, friends. I am Dr Vandana Jain. Today I will talk about your recommendation of Surrogacy.
Surrogacy is a practice where a woman bears and give birth to a child for the couple with the intention of handing over the child to the intended infertile couple after the birth.
What is Altruistic surrogacy?
Altruistic surrogacy is one in which no charge, expenses, fees, any incentive has taken by the doctor or the surrogate mother. Now in the newer bill, that is the surrogacy bill, which is finally implemented on 24th.aug, 2016, the government intenf=ds to ban surrogacy for any commercial purposes. And hence commercialization of surrogacy has been banned and only Altruistic surrogacy has been allowed.
Now, what other conditions are there so that surrogacy can be implanted? So when surrogacy will be allowed?
Surrogacy is allowed only when the couple is infertile for a long period of time. The age of female should be 25-50 years of age and the age of male should be 25-55 years of age. And if they both or either of them is suffering from infertility. And it is only for altruistic surrogacy and not for commercial surrogacy. No person other than a closed relative can be a surrogate. No woman should act a surrogate more than once in her life.
There are the cases in which after birth, the couple has an abundant born child because of his disability. So now there will not be any amendment of the born child because of surrogacy. The couple do not have any surviving child either biological or by adoption. It should be their first child by surrogacy.
Surrogacy is not for children producing for sale. It should not be a baby factory which can be used. In past, there was illegal trafficking also. Only the clinics which are registered under the act can conduct activities and procedure related to surrogacy. So surrogacy clinic must maintain their records atleast for 25 years.
Violation of any other provision shall be punishable with the imprisonment of 5 years and the fine of up to 10 lakhs. An amendment of the surrogate child is there, then the imprisonment will be for 10 years and a fine of up to 10 lakhs.
A National surrogacy board or a state surrogacy board will take care and keep the watch on the clinics which are registered under this act.
If you need any guidance regarding surrogacy, test tube child, IVF etc., you can contact me through Lybrate. Also, you can book an appointment and can meet me in complete women health care.
Nowadays mostly all women are working. Pregnancy and motherhood become a huge responsibility for them. With the host of changes taking place in a working woman right from conception to child birth a woman needs both mental and physical care throughout the entire 9-month span. It is a real challenge to squeeze in the right diet, exercise and care both to the mother and the child and focus should be on regular antenatal visits to the doctor. A few things which pregnant women should focus on are;
- Regular antenatal checkups
- Daily sleep
- Eat well
- Exercise well.
- The doctor should provide you with additional nutritional supplementation.
- Keep stress at bay.
- Do not travel without informing your gynaecologist
- Do not smoke
- Do not lift heavy objects
- Do not take alcohol and strenuous exercises are to be avoided.
Doctor in Complete Women Health Care
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
Submit a review for Complete Women Health CareYour feedback matters!
Patient Review Highlights
Had a awesome experience with her. Very prompt and helpful responce
She is a good doctor,friendly behavior,value for money.
I had gone through C- section procedure as my pregnancy had lot of complication but her support all the made it easy and blessed me with beautiful girl child. I would also like to appreciate the teamwork during the procedure. Thanks to Dr, Vandana and her supportive hand. If you face any complication during pregnancy shall visit to dr.Vandana Jain.
I had irregular period made me stressed lot. I met to dr. Vandna Ji at her clinic in Gurgaon. Her advice was really very helpful to me. Staffs of the clinic is supportive to the patient. You all shouldn’t take your problem lightly, visit once to dr. Vandana Ji
She firstly looked for the cause and prescribed me medicine which worked very well to recover soon. Visit once to the dr.Vandana during any serious complication.
Staffs are supportive and always come forward for your help. I would like to recommend her for those who wants to be blessed with baby in their life.
Wonderful doctor,nicely explained me my problem.
Skilled doctor with good hand in surgery
I found the answers provided by the Dr. Vandana Jain to be very helpful, knowledgeable, caring, prompt and inspiring. Nice doctor ..
I found the answers provided by the Dr. Vandana Jain to be thorough. Very knowledgeable advice.
Regular preventive check ups are a must for being healthy and if you wait too long between check ups, it may become too late to detect a problem. Cervical cancer screening is especially important for women via a pap smear test, as it's the best way to detect cancer.
A Pap test is done to screen any changes in the cells of the cervix, including cervical cancer or conditions that may develop into cancer. Doctors recommend that Pap smear testing should begin at the age of 21 for women, and should be done every 3-5 years for women between the ages of 21 to 65 years.
For women between ages 30 - 65 years, the test can be done once in five years, if it is combined with testing for HPV. A doctor may recommend frequent Pap smear tests if a person is diagnosed with cervical cancer, HIV infection or a weak immune system caused due to organ transplant or chemotherapy.
When can you discontinue Pap smear Tests?
If you are sexually active, doctors may ask you to continue your Pap smear tests even after the age of 65. Women can discontinue Pap smear tests after getting a total hysterectomy. However, some women may still have to undergo the test if they have had the surgery for cervical or uterine cancers or if you are a high risk patient with HIV or have a weakened immune system. In these cases, women will have to continue getting Pap smear tests. Even if you stop getting Pap smear tests, it's advisable to keep getting regular pelvic tests.
What symptoms to watch out for between Pap smear tests?
- Pain is not an early warning sign of the disease, and not all people experience pain while suffering from cancer of the cervix. The symptoms to watch out for are abnormal bleeding in the cervix, which is one of the most common symptoms of cancer in cervix. If you get bleeding between your regular menstrual periods and after sexual intercourse that it is another sign that you should get a Pap smear done to check for cancer in the cervix.
- Abnormal vaginal discharge is another symptom of cancer of the cervix. You must get these symptoms checked from your doctor via a Pap smear test.
- It is advisable to discuss with your doctor and decide how frequently you need to decide what's best for you based on different risk factors.
Pelvic or abdominal pain is a pain that occurs below a woman's belly button. The pain can usually occur due to their periods or menstruation. Pelvic pain can be acute or chronic and varies from woman to woman. Acute means that you are having this pain for the first time. Chronic means that pain has been a problem for a long time may be more than six months. Pelvic pain is more common in women than in men.
Causes of Chronic Female Pelvic Pain:
The commonly known causes of pelvic pain are a urinary disorder, such as bladder or kidney problems, a bowel problem or a problem with the reproductive system which includes the uterus, Fallopian tubes and ovaries. Scar tissue in the pelvic area after an infection or surgery can also lead to such pain. At times physical or sexual abuse is also attributed to such a pain.
How to diagnose chronic female pelvic pain:
You should always see a doctor if you are not sure of what is causing the pain. The doctor will ask questions regarding your periods, urine and bowel movements and about general symptoms such as fever, nausea and vomiting.
- Next, the doctor will examine your abdomen and may examine you internally if necessary. The doctor may ask you to have a urine test done which can be tested for infection. If you have symptoms of vaginal discharge or other related symptoms the doctor may take some vaginal swabs. A pregnancy test may be advised. The doctor may ask you to undergo a routine ultrasound scan to diagnose problems such as ovarian cysts.
- If the first tests don't find a cause, you may have other tests that show pictures of the organs in your belly. These may include Transvaginal ultrasound, MRI, CT scan of the pelvis.
- You may also have to undergo a minor surgery called laparoscopy which is basically a surgical diagnostic procedure which is used to examine the organs inside the abdomen.
You will be treated for the particular problem that causes pelvic pain. Some common treatments include:
- Prescribing birth control pills or hormone treatment for problems related to your periods
- You might have to undergo a surgery to remove a growth, cyst, or tumor
- Medicine to treat the problem, such as an antibiotic for infection or medicine for irritable bowel syndrome
- You can try some home remedies as well-
- Try nonprescription medicine, such as ibuprofen
- Apply heat on the lower abdomen or the area where you feel the pain
- Lie down and elevate your legs by placing a pillow under your knees to reduce the back pain
- You can go in for some relaxation techniques, such as meditation, yoga and some breathing exercises as well.
In case you have a concern or query you can always consult an expert & get answers to your questions!
While pregnancy is a wonderful time as you are anticipating the arrival of your child, it can bring many skin problems along with it. While these are nothing major, you do need to take care of these problems as they may either leave marks on your skin post-pregnancy and even cause discomfort during it. Some of these problems are discussed here.
- Stretch Marks: Pregnancy stretch marks are minute thin lines, which occur during the later stages of pregnancy on the abdomen. These stretch marks develop when the belly tries to adjust rapidly to the increasing weight of the fetus in the stomach, but the skin cannot withstand the pressure. The elastic fibers under the skin rupture and produce stretch marks.
- Affected areas: Although not common, the stretch marks can also be found in thighs, buttocks, breasts, upper arm region and the hips in some cases. During pregnancy, the marks look reddish, which gradually transform into white after pregnancy. The marks depend on how quickly you gain weight and how much you gain during pregnancy.
What can be done?
After pregnancy, the stretch marks usually disappear but only a laser surgery can eliminate them. In order to prevent them from appearing at all, the doctors suggest a healthy & balanced diet full of anti-oxidants, vitamin A, vitamin E, lots of vegetables & water from the early pregnancy stages. Doctors also suggest exercises like yoga, which will retain the elasticity of the skin.
As your pregnancy develops, you might experience severe (at times recurrent) itching around your growing belly. In order to get rid of the itching, the doctors will recommend usage of cold moisturizers. You should avoid bathing in hot water and try keeping your skin as moist as possible to get rid of the itching. If the itching tends to be extreme, you should seek the help of a doctor.
There might be other significant skin changes due to pregnancy. Doctors suspect that an elevated level of pregnancy hormones causes the melanocytes (melanin producing skin cells) to produce an excessive amount of pigments. To avoid the skin changes, the doctors might recommend a prescribed application of sunscreen lotion. Most of the skin changes tend to disappear after delivery. The skin changes that might affect you during pregnancy are:
- There might be appearances of several dark patches around your face (melasma or the pregnancy mask).
- Development of a dark patch in the adjoining skin between the navel and the pubic region known as linea nigra
- There might be a significant darkening of the skin around the nipple regions from the thirteenth to the twenty-eighth week of pregnancy.
- During pregnancy, you might also develop numerous pimples in your body.
- Some women might experience a certain redness on their hands that tends to be itchy.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Pregnancy brings a lot of changes in the personal life, social life, physical appearance, and most importantly internal changes in the body of the mother-to-be. From quitting smoking, cutting on alcohol and moving towards a healthy lifestyle are some of the many changes in the life of the expecting mother that are needed to give birth to a healthy baby.
Every woman undergoes some or the other changes during this journey of becoming a mother, including sore and bigger breasts, itchy nipples, nausea, vomiting, constipation, mood-swings, endocrine system changes, change in physical structure, shift in the centre of gravity of the body, heartburn, skin changes, abnormal food cravings, Linea Nigra, sleep disorders, swollen feet, increased respiratory rate and so on.
As the pregnancy progresses, the breasts begin to become more tender, larger, and fuller, caused by the increased level of estrogen and progesterone and increased blood flow. Women often experience itchy nipples in the early pregnancy, as the breasts grow larger and become heavy, they become dry and start getting cracks, resulting into itchy nipples.
How to Treat Itchy Nipples:
- Maternity/Nursing Bra: Investing in a good nursing bra can work wonders to the itchiness that the women experience during pregnancy since it provides relief, comfort, reduces sweating, and reduces the stress of itchy nipples.
- Lotions and Moisturizers: The usage of lotions containing a good amount of moisturizer, such as Aloe Vera, vitamin E and cocoa butter. Application of moisturizer regularly after bath keeps the skin nourished and reduces the chances of developing itchiness in the nipples. Regular usage of the lotion can reduce the itchiness in the nipples and help to provide comfort to the expecting mother. The lotions should be used at least twice a day to provide the moisture required.
- Avoid harsh chemicals: Less exposure to the harsh chemicals leads to a better skin, similarly avoiding harsh chemicals around the nipple benefits the breasts and nipples, making the nipples less prone to the itchiness, hence harsh soaps, fragrances, perfumes etc. should be avoided.
- Usage of natural oils: Application of a mixture of natural oils, such as almond oil, lavender oil, and olive oil on the affected area helps in reducing the itchiness caused.
- Petroleum jelly: Petroleum Jelly application regularly several times in a day, helps in locking the moisture in the breasts making the nipples not itchy and maintaining smooth skin.
- Hydration: Drinking a lot of fluids helps in reducing the dry skin, which is also one of the reasons causing itchiness in the nipples.
- Personal hygiene: Maintaining a good personal hygiene is one of the most basic requirements to keep any body part itch-free. Discussing such things with the doctor not only helps one to be away from itchy nipples but also helps to understand the various reasons why the current regime being followed is not working.
Having itchy nipples is not related to having a bad health and can be reduced easily so that the pregnancy can be enjoyed without much worry.
In case you have a concern or query you can always consult an expert & get answers to your questions!
The presence of a lump or a tumor in the breast is not always indicative of breast cancer. In some instances, the breast tumor can be benign or noncancerous as well. Thus, to understand breast cancer better, one should know the difference between a benign and malignant breast tumor. In this article, we will discuss the factors that differentiate a benign breast tumor from a malignant one.
- Breast Fibroadenomas are benign breast tumors that often affect women in their early 20s and 30s (can also affect women of other age groups). Research suggests that in spite of being benign and noncancerous, breast fibroadenomas make a woman more susceptible to breast cancer in the future.
- It may be difficult to decipher the underlying factor that triggers fibroadenomas. However, increased use of birth control pills (that results in an elevated estrogen level) can be a contributing factor.
- Thus, in spite of no discomfort, it is safe to get fibroadenomas removed by lumpectomy or by radiation therapy. There are also instances when fibroadenomas dissolved on their own.
- Sometimes, the lobules of the breast can undergo enlargement resulting in the formation of lumps (can be a tumor or a cyst) that are non-cancerous in nature. Such tumors are known as Adenosis.
- The benign tumor growth can also develop in the milk ducts of the nipples, a condition known as Intraductal papillomas (characterized by discharge from the nipples).
- To stay safe and lower the risk of breast cancer, doctors often recommend the removal of the tumor.
Differences between Benign and Malignant Breast Tumors
- One of the major factors resulting in a tumor is the abnormal growth of cells that could be triggered by an injury, an infection or prolonged inflammation.
- A factor that plays a pivotal role in differentiating malignant from benign breast lumps or tumors is its ability to metastasize or invade other organs, cells and tissues of the body.
- A malignant tumor starts off as a primary tumor that remains confined within its point of origin. Gradually, the cancerous growth metastasize, invading other neighboring as well as distant cells and body organs (Secondary cancer or tumor).
- Benign tumors, on the other hand, contains chemical adhesions that prevent their metastasis and invasion to the other vital organs in the body.
- As compared to malignant tumors, benign breast tumors, once removed, do not recur.
- On the cellular level, microscopic examination reveals that malignant breast tumors often contain unusual, mutated, and modified genes and chromosomes.
- More than often, malignant breast tumors give rise to Paraneoplastic Syndrome. The Paraneoplastic Syndrome is characterized by an elevated production of substances (can be antibodies or hormones) by the cancerous growths or tumors. The hormones or the antibodies circulate in the bloodstream and can alter the functioning of a host of vital body tissues and organs with deleterious health consequences.
Such things seldom take place in the case of benign breast tumors. In case you have a concern or query you can always consult an expert & get answers to your questions!
Hello friends, I am Dr Vandana Jain I am practising gynaecologist at Ghaziabad. Today I am going to speak on cervical cancer and its prevention by vaccination. Cervical cancer is the cancer of cervix and cervix is the opening of the uterus and it prevents infection entering into the uterus. Cervical cancer is the most common cancer in India and in world by it accounts for 5 Lac newer cases diagnosed per year and that accounts for 2.5 Lac deaths per year worldwide, in India it accounts for 1,32,000 cases per year and 74,000 deaths per year. This is the most common cancer even the more common than breast cancer in India need accounts for a most common cause of death in females in India. What causes cervical cancer, cervical cancer is caused by human papillomavirus and it is a virus which is usually sexually transmitted but sometimes it can infect a body without any sexual contact. There are about 100 type of strains of HPV out of those hundred strains there are 30 strains which are sexually transmitted and out of those 30 there are 15 strains of HPV which are oncogenic, oncogenic means cancer-causing virus, this virus remains in a body for a long, for once to years and it takes about 10 to 20 years to change a normal cervix into a cancer cervix and in a lifetime of a lady about 50 to 80% females are infected by these viruses. Mostly these viruses going into spontaneous remission they will cure by itself but in some cases, it progresses into cancer. So when there is a vaccine we can prevent cancer from occurring and causing death. There are two types of cancer cervix adenocarcinoma and squamous carcinoma, adenocarcinoma is more lethal, more difficult to diagnose and it is mostly in young females. Pap smear is the type of screening test which can detect early changes of cancer in cervix or invasive carcinoma but remember Pap smear is a screening test only it can't detect infection by HPV and also this vaccination is to prevent infection by HPV and the age group for this vaccination is from 9 years to 45 years. So a young girl of 9 years can go for vaccination up to 45 years of age, if you are feeling symptoms and you are old, symptoms of cancer cervix can we vaginal discharge, postmenopausal bleeding, interquartile bleeding, intermenstrual bleeding, excessive foul smelling discharge, then you should consult a Doctor go for a Pap smear and go for a vaccination if you are too not late and for any further queries you can contact me at my clinic, you can book appointment through Lybrate and my clinic is complete women health care. Thank you.