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Dr. Madhu Devarasetty

MBBS, MS - General Surgery, MCh - Surgical Oncology

Oncologist, Hyderabad

15 Years Experience  ·  500 at clinic
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Dr. Madhu Devarasetty MBBS, MS - General Surgery, MCh - Surgical Oncology Oncologist, Hyderabad
15 Years Experience  ·  500 at clinic
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Madhu Devarasetty
Dr. Madhu Devarasetty is an experienced Oncologist in Secunderabad, Hyderabad. Doctor has helped numerous patients in his/her 15 years of experience as a Oncologist. Doctor has done MBBS, MS - General Surgery, MCh - Surgical Oncology . You can visit him/her at Krishna Institute of Medical Sciences (KIMS) in Secunderabad, Hyderabad. Don’t wait in a queue, book an instant appointment online with Dr. Madhu Devarasetty on Lybrate.com.

Find numerous Oncologists in India from the comfort of your home on Lybrate.com. You will find Oncologists with more than 38 years of experience on Lybrate.com. Find the best Oncologists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MBBS - Osmania Medical College, Hyderabad - 2002
MS - General Surgery - Gandhi Medical College, Hyderabad - 2006
MCh - Surgical Oncology - MNJ Institute Of Oncology - 2012

Location

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Krishna Institute of Medical Sciences (KIMS)

#1-8-31/1, Minister Road, Krishna Nagar Colony, Begumpet Landmark : Near Krishna Nagar ColonyHyderabad Get Directions
  4.3  (16 ratings)
500 at clinic
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Hello madam/sir. I want to ask you that my mom's having CA right breast cancer. She is under treatment taking herceptin Injection along with saline once in a month. Suddenly she got feel paining on her left upper chest just upper portion from the left breast. What should we do is that heart disease? She has back thought out pain also. Spinal cord. Now seriously scared about that coz of cancer? Kindly help us.

General Surgeon, Pune
From your question it seems like you have not undergone any operative procedure for right CA breast. So there are high chances of the cancer spreading to the opposite breast, which might be causing pain in left chest/breast as you say. Also, CA breast commonly spreads to back bones of vertebral column and cause back pain. Herceptin also should be given only after cardiac examination, and is often given with other chemotherapy drugs, which you did not mention here. So, I'll advise you to meet a oncosurgeon or a general surgeon in person and get examined, and be prepared to undergo some investigations.
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Colposcopy and Cervical Biopsy - Procedure that is Followed

DGO , MBBS
Gynaecologist, Pune
Colposcopy and Cervical Biopsy - Procedure that is Followed

Colposcopy is a procedure that is used to get a closer view of a women’s cervix, vagina and vulva. It is a procedure carried on to detect the presence of any abnormal cells on the cervix and nearby areas. 

Why is Colposcopy done?
This procedure is carried out to see the problems in the vagina and cervix which may otherwise be not visible with a naked eye. A colposcopy is done when the Pap test results are abnormal. These abnormalities could be due to several reasons like viral infections namely human papillomavirus (HPV) infection or any other fungal (yeast), bacterial or protozoan (Trichomonas) infection. Atrophic vaginitis or natural cervical changes due to menopause can also lead to abnormal Pap test results. However one needs to be careful because these untreated cervical cell changes that lead to abnormal Pap tests can at times develop into precancerous or cancerous changes.

Cervical Biopsy
In case during colposcopy, an abnormal tissue is found in the problem areas, the doctor will remove a tiny sample of it and send it to the lab. This is normally known as a biopsy or cervical biopsy which is done from inside the opening of the cervix or endocervical canal.
 

Procedure for a colposcopy and biopsy
A colposcopy is normally a pain free procedure where at times some women might feel a slight tingling or burning sensation when the solution is applied. Biopsy might lead to a little discomfort like that of a sharp pinch or a menstrual cramp. During colposcopy a speculum or a small instrument is inserted into the vagina to spread apart the vaginal walls. In order to see the area more clearly the doctor dabs the cervix or vagina with a cotton swab dipped in vinegar (acetic acid) or Iodine (Lugol's solution). The solution is used to remove any kind of mucus and also makes the abnormal cells turn white in order to be clearly visible.

The doctor then uses a colposcope, a light magnifying device that looks like binoculars and has a bright light mounted to it. It also has a camera attached to it to take the videos or pictures of the cervix and vagina.
Biopsies are normally done by scraping away abnormal cells with a small brush or a small curette.

Results of colposcopy or cervical Biopsy
In case of Normal results the vinegar or iodine will not show the presence of any abnormal cells and the vagina and cervix look normal. But in case of abnormal results, there are abnormal tissues seen in the problem areas. It could also be a sore or a genital wart or infection in and around the vagina. The biopsy report would clarify whether it is cervical cancer or is likely to develop. If you wish to discuss about any specific problem, you can consult a gynaecologist and ask a free question.

2428 people found this helpful

High fat diet, prostate cancer prone

C.S.C, D.C.H, M.B.B.S
General Physician,
Diets high in saturated fat increase the risk of prostate cancer. As per a report from University of Texas M. D. Anderson Cancer Center in Houston published in the International Journal of Cancer:

• Men who consume high saturated animal fat diet are two times more likely to experience disease progression after prostate cancer surgery than men with lower saturated fat intake.

• There is also shorter "disease–free" survival time among obese men who eat high saturated fat diet compared with non–obese men consuming diets low in saturated fat.

• Men with a high saturated fat intake had the shortest survival time free of prostate cancer (19 months)

• Non–obese men with low fat intake survived the longest time free of the disease (46 months).

• Non–obese men with high intake and obese men with low intake had "disease–free" survival of 29 and 42 months, respectively.

Take home messages

• High saturated fat diet has been linked to cancer of the prostate

• Reducing saturated fat in the diet after prostate cancer surgery can help reduce the cancer progression.

• Cancer prostate has the same risk factors as that of heart blockages and both are linked to high saturated fat intake.

• With an increase in number of heart patients, a corresponding increase in prostate cancer patients is also seen in the society.

Common Prostate Problems Faced By Men!

MBBS, MS - General Surgery, DNB - Urology/Genito - Urinary Surgery
Urologist, Bangalore
Common Prostate Problems Faced By Men!

What menstrual problems are to women, prostate problems are to men. The prostate is a gland in the lower abdomen that aids in the production of semen. The prostate is walnut sized in a young man, but can get enlarged with age. As it grows bigger, it can cause a number of problems. These are commonly seen after a man celebrates his 50th birthday.

There are three common prostate problems faced by men. Some of the symptoms that can tell if a man has a prostate problem are:

1. Difficulty faced while urinating.
2. The urge to urinate frequently at night.
3. Constant feeling of a full bladder.
4. Pain while urinating.
5. Blood in urine.

Prostatitis

This can be defined as inflammation of the prostate gland. In most cases the cause of this inflammation is unknown. However, there are two types of prostatitis; bacterial and nonbacterial. While the former reacts well to antibiotics, the latter is more difficult to control. Symptoms of this disease vary from one person to the next. Some of the factors that could trigger this disease are:

1. Chemical irritants
2. Past bacterial infection
3. Dysfunctional pelvic floor muscles
4. Sexual abuse
5. Chronic anxiety

Enlarged prostate

As mentioned earlier, as men get older, the prostate gland tends to grow in size. This growth is benign, but can block the bladder neck and prostatic urethra. This can cause problems urinating and lead to acute urinary retention. This can be very painful. Inserting a catheter can provide temporary relief and help release stored urine. Chronic retention is much less common and is associated with high bladder pressure and can damage the kidneys.

Prostate cancer

Advancing age and family genetic history are said to be the main triggers of prostate cancer. This type of cancer can remain restricted to the prostate gland in its early stages but may spread to the other glands as the cancer advances. This can also cause the growth of secondary tumors in the bones.

The only way to correctly diagnose a prostate problem is with a thorough physical examination. This includes a digital rectal exam where the doctor will insert a gloved finger into your rectum to check the size of your prostate, a blood test, mid stream urine tests and ultrasounds. In some cases a biopsy of the prostate may also be required. Depending on the diagnosis, your doctor may prescribe antibiotics, surgery, radiotherapy or hormone therapy to manage your prostate. If you wish to discuss any specific problem, you can consult an urologist.

1986 people found this helpful

Hai, my mother is currently suffering from breast cancer where under several test .Today she got confirmed on additional of tuberculosis when a surgery was performed at her neck side.Can i know what after this,what wud be my mother's upcomming treatment.?

MD - Oncology
Oncologist, Hubli-Dharwad
Breast cancer treatments like surgery , radiotherapy and chemotherapy to be given along with that anti tubercilar tablets to be started
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Melanoma - The 3 C's Of It!

MS - General Surgery, MCH - Oncology , MBBS
Oncologist, Pune
Melanoma - The 3 C's Of It!

The skin has the largest surface area and is most exposed to the external environment. This exposure causes a lot of wear and tear, and one of the worse complications including melanoma, which is a form of skin cancer. Read on to know about its causes, caution signs to stay alerted and how to take care of the skin.

Causes
The skin has cells known as melanocytes which give it the color. Generally, the more the number of melanocytes, the darker is the person’s complexion. This pigment is also present in skin, hair, nails, and eyes. The moles are skins are areas of higher concentration of these cells. Africans moles can be a precursor to melanoma, but not all moles turn to melanoma.

  1. Exposure to ultraviolet rays from the sun. Fair-skinned people are at greater risk than darker complexioned people. A single sunburn experience can also increase the risk of developing melanoma
  2. Use of tanning beds, especially in people below 30, ups the risk of melanoma. Indoor tanning beds is classified as having the highest record by WHO
  3. Family history
  4. Ethnicity, with Hispanics at the greatest risk and African-Americans at the least risk

Caution

  1. For those who have risk factors for developing melanoma, a monthly self-exam is advisable. A formal annual exam with a dermatologist is also advised. This will help in early identification of the condition and lead to early treatment and containment.
  2. Melanoma is not restricted to the skin, can also occur in feet, eyes, and scalp
  3. Use a mirror to check all over the body
  4. If you have moles, watch for change in their size, shape, and regularity. Any change should be immediately checked for.
  5. If you see any new irregularities on the skin anywhere, get medical attention.
  6. Any sore that has not healed
  7. Any swelling that is near the mole or has not regressed
  8. Change in sensation including itching or pain
  9. A quick way to remember is to check for ABCDE: Asymmetry of the lesion, irregularity of the borders, change in color, diameter greater than six mm, and speed of evolution. Watching for these can help in early diagnosis.

Care
Melanoma is directly linked to sun exposure, and so reducing sun exposure and taking adequate precautions can help in prevention.

  1. Avoid or reduce exposure to sun
  2. Use sunscreen religiously. The SPF should be at least 30 and should be reapplied every two hours
  3. Use a hat or cap, sunglasses, and cover up when out in the sun
  4. Be extra careful when out on the beach or in the mountains
  5. Avoid sun if possible between 10AM to 4PM
  6. Use tan removal agents after a sun exposure

If you wish to discuss about any specific problem, you can consult an Oncologist.

1764 people found this helpful

I am recovering from blood cancer . It is been 4 years now and am unmarried. How about the possibilities of me getting into healthy land wat should be done to put on weight and be healthy. Recommend some intakes.

BHMS, CGO
Homeopath, Pune
I am recovering from blood cancer . It is been 4 years now and am unmarried. How about the possibilities of me gettin...
A cancer of blood-forming tissues, hindering the body's ability to fight infection. Leukaemia is cancer of blood-forming tissues, including bone marrow. Many types exist such as acute lymphoblastic leukaemia, acute myeloid leukaaemia, and chronic lymphocytic leukaemia. Many patients with slow-growing types of leukaemias don't have symptoms. Rapidly growing types of leukaemia may cause symptoms that include fatigue, weight loss, frequent infections and easy bleeding or bruising. Treatment is highly variable. For slow-growing leukaemia, treatment may include monitoring. For aggressive leukaemias, treatment includes chemotherapy that's sometimes followed by radiation and stem-cell transplant. Requires a medical diagnosis many patients with slow-growing types of leukaemias don't have symptoms. Rapidly growing types of leukaemia may cause symptoms that include fatigue, weight loss, frequent infections and easy bleeding or bruising. People may experience: pain areas: in the bones or joints whole body: cancer-related fatigue, chills, dizziness, fatigue, fever, loss of appetite, night sweats, weakness, or sweating gastrointestinal: blood in stool, diarrhoea, or nausea skin: rashes or red spots also common: bleeding, easy bruising, frequent infections, headache, infection, mouth ulcer, nosebleed, pallor, shortness of breath, swelling, swollen lymph nodes, or unintentional weight loss.
1 person found this helpful
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How to reduce your risk of developing breast cancer?

MBBS, MS - General Surgery, MRCS (Edinburgh), Fellowship In Breast Surgery, Fellowship In Onco-plastic Breast Surgery
Oncologist, Gurgaon
How to reduce your risk of developing breast cancer?
Breast cancer is the now the most common cancer amongst indian women. One in 22 indian women will be affected from this cancer during their lifetime.

Adopt a healthy lifestyle to reduce your risk of getting this disease:

1. Regular exercise - at least 30 mins of exercise 4 times a week
2. Avoid smoking
3. Avoid alcohol consumption
4. Over-weight and obese individuals have a higher incidence of breast cancer. Maintain your weight in the normal range (bmi - 18-25)
8. If there is a family history of breast cancer, do consult your oncologist to discuss your risk of breast cancer. Also discuss the need to getting genetic testing.

Breast cancer can also be detected early. Remember these three simple tips:

1. Be breast aware - do regular self examinations
2. Clinical breast examination by an experienced breast surgeon after the age of 35 years (annually)
3. Regular mammograms after 40 years of age

My mother is 42 years old suffering from fourth stage cancer now the cancer cells have compressed the urinary bladder.

DNB, MBBS
Oncologist, Faridabad
Is she suffering from carcinoma cervix? if yes then she can get palliative radiation therapy done to relieve the obstruction and also she can try with some chemotherapy if condition permits.
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I am a male aged 58. I have prostate problem with a slow speed urination. If I will not urinate when I feel to do so, urination will happen only in installments. I have no sleep problem or other symptoms of this disease. Can any medication improve my urination speed. My disease is almost 6 years old.

MBBS
Nephrologist, Kolkata
I am a male aged 58. I have prostate problem with a slow speed urination. If I will not urinate when I feel to do so,...
Yes there are medications that can control your symptoms bt I aslo need to know if you hav done any usg report where the size of prostate is mentioned, if you hav diabetes or hypertension. So consult with the above mentioned information nd for necessary medications as prescribing meds in an open forum is unethical fr me. Thanks stay healthy stay happy.
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have a swelling on neck doctor told cervical adenitis submental triangle is it symptoms of cancer or not?

M.Ch - Surgical Oncology, MS - General Surgery, MBBS
Oncologist, Delhi
Not necessarily, get an ultrasound of the neck done and if needed an fnac to rule out any cancer. Alternatively you may try a course of antibiotics for a week and see if there is any improvement.
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My prostate size is 44 cc. I am taking Tasulin (0.4) once in night. But now a days I am not comfortable. What to do? Increase dose or change medicine.

MS - General Surgery
General Surgeon, Patan
My prostate size is 44 cc. I am taking Tasulin (0.4) once in night. But now a days I am not comfortable. What to do?
...
Treatment does not depend on size of prostate but on the symptoms you have. Start taking tamsulosin dutasteride combination tablet. Get an ultrasound of kub with post void residual volume. Depending upon your symptoms we can change the medicine but no advantage of increase the dose.
1 person found this helpful
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What are the symptoms of uterus cancer how can we detect it and remedies to control it by home remedies.

M.Ch - Surgical Oncology, MS - General Surgery, MBBS
Oncologist, Delhi
Uterine cancers can present with irregular periods or bleeding following sexual intercourse. It may also present with persistent pain or unusual discharge from vagina. We can hope to detect it early by regular 3 yearly papa smears till the age of 65 years and routine ultrasound o the pelvis, so that it is more treatable then.
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My father has been diagnosed with Non-Small Cell Lung Cancer, Stage 4 with primary tumour in his Left Upper Lung and metastasis in Liver and Bone. The biopsy report has confirmed it to be adenocarcinoma. The cancer was detected while he was admitted at a hospital in Mumbai and was undergoing treatment for Acute Paraplegia which happened on 02 Nov 16, due to arteries-Venous Fistula at D-10 level resulting in oedema/ ischemia of the spine from D-5 to Conus. After two failed attempts of embolization, towards treatment of the AVF, surgical clipping of the fistula was undertaken on 10 Nov 16. As part of post-operative rehabilitation therapy for his paraplegia, he was given 65 session of Hyper-basic Oxygen Therapy at 2.4 ata pressure for about two and a half month and about two hour of Physiotherapy for the same duration. My father was recovering well and had started walking with the help of support (walker). MRI of the spine taken in mid Jan & Mid June 2017 indicates that the spinal cord oedema had improved significantly, although atrophy of the spine cord is still present. He complained of wheezing and breathing difficulty and towards ascertaining the cause a X-ray was taken on 23 Feb 17 which showed massive pleural effusion in his left lungs. A series of tests followed with the ultimate result as NSCLC Stage 3B. He was started with CCRT treatment which concluded on 05 May 17. During the treatment he was given daily dose of radiation therapy using IGRT (60 Gy/ 30 #/6 weeks) and weekly chemotherapy with paclitaxel (150 mg) & Carboplatin (300 mg) for 6 weeks. Despite the treatment, the cancer is advancing and has now spread to Liver and Bones as brought out in his latest PET CT report. Lung tissue which was obtained during CT guided biopsy conducted in the month of Mar 17, before the CCRT treatment was started, has tested positive for EGFR mutation – “E746_A750del is detected in EXON 19 of EGFR gene”. The medicine oncologist has however said that the gene profiling of the primary tumour tissue is not sufficient for starting Targeted Therapy and gene profiling of a tissue obtained from any of the metastatic site is necessary for the same. Three procedures have been undertaken to obtain tissue sample from the metastases site, twice from the liver and once from the pleural deposits, and all the three times the cancerous tissue could not be obtained. Due to non-availability of conformed cancerous tissue from the metastases site, a firm treatment plan has yet not been made for my father. In the meantime, the doctor has recently started my father on Erlotinib 150 mg OD as there has been considerable delay in his next phase of treatment due to non availability of metastases cancerous tissue. Could you please help me by answering the following:- 1.Can you suggest anything towards treatment of my father? 2.Is gene profiling of tissue from a metastases site absolutely necessary for starting targeted therapy for my father? 3.I read online that Erlotinib or Afatinib can be used as Targeted Therapy for patient with EGFR Lung cancer mutation. Is this true? If yes, will a daily tablet of these drugs be sufficient for his next phase of treatment, or a concurrent conventional chemotherapy is also required? 4.Can 65 session of Hyper-basic Oxygen Therapy at 2.4 ata given at a stretch of about 80 days, with a daily dose of 02 hour be a cause of his cancer? I have read it online that the oxygen free radical produced during HBOT treatment can cause cancer.

MS, DNB (Surgical Oncology)
Oncologist, Jodhpur
Hi lybrate-user, You summarize the case very well. I understanding of your case says, he has Ca lung adenoca, treated with dCTRT, that progressed and now disseminated disease, which is not curable by any means. The goal of the treatment in such cases would be palliative only, which means to increase longevity without causing much side effects of the drugs and reduce his problem. Now going towards your questions, 1&2. At this juncture, Gene profiling is not necessary for me but to start the EGFR targeted medicines, which includes Erlotinib/Gefitinib or Afatinib. Usually patients with such mutation as in your case responded but unfortunately not for the indefinite period but averagely 6 to 10 months. On progression, you have to get the gene profiling to see the change in the mutational status. You can refer to NCCN guidelines or American cancer society information. 3. Your father should receive, targertd therapy only, no chemotherapy for sure. It is proven better than chemotherapy in terms of Quality of life and progression free survival (average duration to progress on Treatment) 4. Regarding etiology or causation of lung cancer, HBOT not implicated for such cancers. And more so any carcinogen if cause cancer, it has a reasonable time to show its effects, like you must have seen chronic (long term) smokers will develop lung cancer. HBOT cause local hypervascularization and produce free radicles, so many studies tried see its role as a carcinogen, but tilll date it is not proven carcinogen as per ICAR. Hoping it solves your query. It is nice to see a son is keen and read in-depth about his father's illness. Good luck for further treatment.
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Hello I am sagar of 19 I usually smoke 2 to 3 cigarettes a day . I did smoking from past 2 months . All I want to know is I am feeling a little pain in my chest , in the middle of the chest . The pain is felt in the bone ,in the middle of the chest from where ribs starts. Please suggest me any measure or is that is any symptoms of any health related problem ! And another question is . Is there any risk of developing lungs cancer ? And also tell me the exercise to neglect the effects of smoking without giving it up. thanks Sagar Srivastav.

M.Ch - Surgical Oncology, MS - General Surgery, MBBS
Oncologist, Delhi
Hello I am sagar of 19 I usually smoke 2 to 3 cigarettes a day .
I did smoking from past 2 months .
All I want to kno...
There is no way you can nullify the harmful effects of smoking without giving it up. You can try nicotine gums and patches if you wish to abstain. Smoking for 2 months, generally does not predispose to cancer, but it is never too soon, to develop cancer. It generally does not sound like cancer yet, but I would still advise to quit smoking. Its uncool.
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I'm 26 years old married women. I got married before 2 months on February. Now I'm having pain in my both breast from few days.

BHMS
Homeopath, Raebareli
Please note the following causes of breast pain -- You're PMSing - The most common cause of breast pain is a change in hormones that comes along with your period. This normal body response to shifts in estrogen typically manifests in swelling and tenderness on the day before your period begins and the first day of your flow This type of boob soreness is called cyclic pain, since it's related to your menstrual cycle. You're Upping Your Workouts You Pulled Something Your Bra Doesn't Fit Properly Your Sweat Session Lacks Support You Have Lumpy Breasts Take Belladonna 30 - thrice daily 4 pills for next 3-4 days Continue treatment.
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My cousin is having cancer on base of tongue nd doctor told chemotherapy nd radiotherapy bcoz tongue ke piece hai so operate nd surgery nhi ho skte toh what should we do.

MD - Oncology
Oncologist, Hubli-Dharwad
Yes he is right, tounge ke pichhe ke hisse mein tumor ho to surgery nahin ho sakta. Radiation and chemotherapy is the only treatment and results are still good.
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Hello sir I have a blood cancer and breast cancer and air to give me a reason for the breast cancer and give me answer sir please.

DNB, MBBS
Oncologist, Faridabad
Dear sir, breast cancer is a disease which has many causes,it is a lifestyle related disease and most common risk factors may be sedentary lifestyle, fatty diet, lack of exercise, alcohol or smoking etc. Other factors may be nulliparity or not having children, late conception, not breast feeding etc, Hormone replacement or manipulation may be another cause and sometimes it may run by family or genetically linked. For male breast cancer it may be genetic, Hormone related or may be lifestyle related.
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