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Menopause Wellness Panel Health Feed

Tips To Prevent Cervical Cancer!

MBBS, MS - Obstetrics and Gynaecology, Fellowship in Gynae Oncology
Gynaecologist, Jaipur
Tips To Prevent Cervical Cancer!
Cervical cancer (a malignant tumor of the cervix, the lowermost part of the uterus) is one of the most preventable types of cancer. Because of the Pap smear test, the number of cervical cancer cases has actually dropped over the past 20 years. However, many women still develop cervical cancer.

While some cases of cervical cancer cannot be prevented, there are many things a woman can do to reduce her risk of developing cervical cancer.

Reduce Your Risk of Cervical Cancer:

Get a regular Pap smear - A Pap smear can be the greatest defense against cervical cancer. It can detect cervical changes early on before they have a chance to turn into cancer.

Limit the number of sexual partners you have - Studies have shown that women who have many sexual partners increase their risk for cervical cancer. You also increase your risk of developing HPV, which has been shown to lead to cervical cancer.

Quit smoking or avoid secondhand smoke - Smoking cigarettes increases your risk of developing many cancers, including cervical cancer.

If you are sexually active, use a condom - Having unprotected sex puts you at risk for HIV and other sexually transmitted infections (STIs), which can increase your risk factor for developing cervical cancer.
Follow up on abnormal Pap smears - If you have had an abnormal Pap smear, it is important to follow up with regular Pap smears or colposcopies, and whatever else your doctor has recommended for you. If you have been treated for cervical dysplasia, you still need to follow up with Pap smears or colposcopies.

Get the HPV vaccine - If you are under 27, you may be eligible to receive the HPV vaccine, which prevents high-risk strains of HPV in women. The vaccine is most effective when given to young women before they become sexually active.
Again, cervical cancer prevention should be a top priority for all women. Small lifestyle adjustments, combined with regular medical care, can go a long way in preventing cervical cancer.
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Hormone Therapy - How Can It Help In Menopause?

Gynaecologist, Chennai
Hormone Therapy - How Can It Help In Menopause?
The menopause can take three very different routes for women. There are those who sail through it with very few symptoms or problems and don't even notice that their ovaries have stopped producing the hormone. Then there are those for whom it is a matter of a few hot flushes and a couple of night sweats, doesn't last long and not really a bother. This usually marks a relief from the periods. But for some, it is abject misery accompanied by crippling fatigue, absolute exhaustion, hot flushes, vaginal drying, mood swings along with low desire or lack of sexual feelings. These symptoms might persist for more than 7 years.

Hormone Replacement Therapy (HRT) is considered to be an effective treatment for menopausal symptoms. The other problems linked with menopause can also be influenced by HRT in a positive manner.

HRT is indicated in:

- Treatment of symptoms of menopause and the risk-benefit ratio is apt for the women and they have been informed about the same

- HRT is indicated in symptomatic patient, nearing menopause.There are other rare indication like osteoporosis. Your gynaecologist will decide it.

- HRT is started only after examination and after doing some blood tests, also mammogram if necessary.

Benefits of HRT:

The benefits of HRT usually are more than the risk if done in a woman who is under 60 years of age.
These include:

- Improvement of the quality of life by relieving muscle pains, and improving sleep

- The mood swings are controlled and low moods are usually alleviated by HRT. Low moods usually arise due to menopause.

- It reduces the vasomotor symptoms, usually within four months of the treatment with maximum benefit in three months

- HRT improves the urogenital symptoms by lowering the vaginal dryness, vaginal atrophy, urinary frequency and symptoms.

- HRT reduces the risk of osteoporosis. HRT is believed to preserve the bone mass density of the skeletal sites thus reducing the chances of vertebral and non-vertebral fractures.

- HRT also reduces the risk of colorectal cancer and cardiovascular diseases

Risks of HRT

The main risks of HRT are stroke, endometrial and breast cancer, thromboembolic disease, pulmonary embolism and gallbladder disease.

- It increases the risk of ischemic stroke

- There is a small risk associated with breast cancer and the risk increases more if the woman is underweight or overweight, alcohol user, smoker and stops HRT suddenly

- Estrogen-only HRT can increase the risk of endometrial cancer. If cyclical progestogen is used for 10 days for 28 cycles then the risk is eliminated.
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Hello doctor! I had a lap done in aug 2019 for endometriosis after that I was given lupride 11.25 which was valid for 3 months after 3 months I did not get my period then my doctor asked me to take deviry in jan 2020 after that I got period on 7th day after jan 2020 I did not get my periods I did preg test was negative it is may now my last period was 17th jan 2020. I still get hot flashes Dr. said it can be premature menopause I wss suppose to do some test to rule out menopause on 3rd day of period but due to covid 19 it was not possible. I took deviry again in april 15 but no period so no test was done. I was getting irritated with hot flashes then I started taking oziva herb for pcos and hormone bal .from the day I started taking oziva from 25th april my hot flashes stopped so I was happy can I go under premature meno because of lupride my age is 36 only and I do not have a child .i am really worried will oziva herb help to get my period back .recently I am have face dryness also what should be done to reverse premature menopause if it is there kindly help me pls I can not go into menopause because I do not have a child neither can I opt for ivf so pls let me know what to do.

Gynaecologist, Sattur
Hello doctor! I had a lap done in aug 2019 for endometriosis after that I was given lupride 11.25 which was valid for...
Hi lybrate-user, do not worry about getting premature menopause due to lupride because it's a temporary effect. You will become normal after a while because you may be in a down regulation phase. So try to get the serum amh and serum estradiol test done and send me the results. Meanwhile take calcium supplements. Take care.
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My sis is on the stage of premenopausal. She is suffering from mood swings. She frustrated vry soon. What should she does?

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
Thank you for connecting with me, I am happy to guide you on your concern. Menopause can lead to changes in mood ,anxiety and lower energy level. This is due to the body is adjusting to the decline level of hormones estrogen and progesterone in the body. Lack of sleep due to night sweats can also lead to do mood swings. Let's get connected over a call to discuss proper treatment options for you.
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My mother got cervical cancer last year done total hysterectomy stage 1b2. Now after a year its comes back locally advance in bladder wall rectum bladder neck don't know what to do. Is total pelvic exoneration is an option?

MD - Obstetrtics & Gynaecology, FMAS, DMAS, Fellowship in Assisted Reproductive technology, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Burhanpur
Hello, she may require a second look laparoscopy and exenteration followed by ccrt possibly. Please meet an onco-surgeon and medical oncologist for the same.
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Premature Menopause - What Physical Changes Does It Entitle?

DNB - Obstetrics & Gynecology, MBBS
Gynaecologist, Pune
Premature Menopause - What Physical Changes Does It Entitle?
During the natural course of events, a women's body starts its reproductive phase with menarche and at about 50 years of age, attains menopause. This is when the reproductive function ceases and the ovaries stop producing the hormone estrogen and progesterone. In some cases, for various reasons including medical, the ovaries stop functioning earlier, and this is medically termed early or premature menopause. Menopause that occurs before 40 years of age is termed premature menopause; it is due to primary ovarian insufficiency and occurs in 1% of the women. If it occurs between 45 to 50 years, it is termed early menopause.

Causes: Normal ageing, family history, genetic disorders, autoimmune disorders, toxins, and surgery are some reasons that could lead to premature menopause.

Effects: Estrogen and progesterone have a lot of beneficial effects on a women's body. Reduction in their levels leads to some of the below changes:

- Emotional changes like mood swings, irritability, and in some cases depression, especially in premature menopause.
- Irregular cycles before complete cessation of the menstrual cycles.
- General mucosal dryness leading to vaginal dryness, dry skin, dry eyes.
- There also would be urinary incontinence and reduced sex drive due to reduced hormone levels.
- For women who still would want to have children, infertility would be a big cause for concern. This could lead to other emotional issues, worsening the depression.
- Osteoporosis - Bones lose their density and get weak and are more prone to fracture.
- Cardiovascular health - Post menopause, women are more prone to heart attacks and stroke. Though not fully proven, this is believed to be true as the good role that estrogen plays on blood vessels is negated with menopause.
- Accelerated ageing - Menopause leads to accelerated damage of genetic structures, thereby leading to faster ageing. This also leaves a feeling in the women of being less attractive and less desirable.

There is also a good news, that after menopause women are at lesser risk of cancer - especially breast and ovarian.
It is not easy for women to handle premature menopause. The body undergoes some changes much earlier than expected, and it requires a lot of support and caring and comforting to come to terms with it - especially if associated with infertility or chemotherapy for cancer. Emotional issues of not being able to have children and feeling less attractive require frank talks to boost the person's confidence and increase self-worthiness.

It is easier said than done, but one of the key ways to handle premature menopause is an open discussion.
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Is endometriosis and abortion leftover tissues are looks same in ultrasound. I did medical abortion before 2 weeks. Small amount of leftover tissues are there. In my 1st pregnancy the doctor told that, I have endometriosis in right side. But in small size. So I have doubt now is both are looks same in tv scan.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Is endometriosis and abortion leftover tissues are looks same in ultrasound. I did medical abortion before 2 weeks. S...
Where it is differs considerably in both so usually no mistake is made in diagnosing both by ultra.
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Laparoscopy & Endometriosis - How Can Former Help Latter?

MBBS, MS - Obs & Gynae (Gold Medalist)
Gynaecologist, Delhi
Laparoscopy & Endometriosis - How Can Former Help Latter?
Laparoscopy is one of the most common procedures for diagnosing and removing endometriosis. Instead of giving a big incision, this procedure of surgery uses lightweight instrument through a small hole or incision. There could be one or more incisions based on the number of instruments that require access inside the body. This procedure involves the use of a camera to ascertain endometriosis as well as treat it in the same sitting. This brings drastic improvement in infertility as well as pain associated with the endometriosis. If a cyst is found in the ovary, laparoscopic surgeon removes it very delicately without causing any harm to the normal ovary, as a part of the Laparoscopic Surgery for Endometriosis.

How does the procedure go?

Eating and drinking should be suspended before 8 hours of the laparoscopic surgery. The doctor takes a call on whether to give general or local anesthesia. Mostly, General anaesthesia is given during such procedures. A person specialised in Gynecological Endoscopy ( Gynaec Laparoscopic Surgeon) is the best to perform such a procedure.

How is the procedure performed?

The abdomen is first inflated with gas with the help of a needle. It pushes the abdominal wall from the organs to give clear visibility to a surgeon. The laparoscopic camera is then pushed through an incision or a set of incisions to examine the internal organ. If the scar tissue or endometriosis needs to be removed, a doctor can use one of the several laparoscopic techniques such as electrocautery, excision etc. Post the surgery, the incision is closed with stitches. The whole procedure usually takes 30-60 minutes depending upon the severity of endometriosis.

Why is laparoscopy done?

If the endometriosis pain has returned after a hormone therapy
If there is a growing endometriotic cyst
If the scar tissue found on the pelvic wall poses a threat to fertility
If the endometriosis interferes with other organs such as the bladder etc.
If the pain during menses ( dysmenorrhoea) refuses to subside
Duration of hospital stay:
Operations such as these are usually conducted at the outpatient facility owing to their less risky nature. A patient need not spent more than a day in the hospital. Rarely in severe cases of endometriosis overnight hospitalisation may also be required. One can successfully return to normal work within 1 week of the surgery.

Post-surgical recovery: Once the laparoscopy is done, the next steps of treatment are decided based on the patient's age and severity of endometriosis. Few hormonal medicines are advised according to the desire for fertility etc. If a patient is over and above 35 years of age, the risk of miscarriages double. Since the quality of egg declines by the year, it makes sense to undergo infertility treatment such as the in vitro fertilization, intake of fertility drugs, insemination etc. If, however, the patient is below 35 years of age, makes sense to conceive naturally first and consult a doctor simultaneously. A routine check-up post-laparoscopic surgery on alternate six months for a year will keep any risks at bay.
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Menopause - Have Homeopathy For It!

BHMS, MD - Homeopathy
Homeopathy Doctor, Yavatmal
Menopause - Have Homeopathy For It!
The disruption of the normal female cycles of menstruation and ovulation after the age of 45 and the loss of her ability to conceive naturally is known as menopause. The associated symptoms of menopause are heat flushes, insomnia, weight gain, depression, nausea and fatigue. While hormone replacement therapy is the most common procedure to provide relief from menopausal symptoms, natural homeopathic remedies can also be used for the same. These remedies are completely safe as opposed to hormone replacement therapy which has a number of side effects.

The following homeopathic medicines and remedies can be used to treat menopause:

1. A balanced diet which provides you with optimal nutrition can be helpful in treating menopausal symptoms. When you get enough vitamins and minerals, the physical discomfort caused by the symptoms can be reduced greatly.
2. Phosphorus can help with migraines, extreme sweating, numb hands, fast pulse, memory problems and dry and itchy skin. Foods high in phosphorus content are meat, fish, cheese, nuts and seeds of pumpkins, sunflowers etc.
3. Excessive deposition of fat can interfere with the hormonal cycles and cause imbalances in the level of estrogen and progesterone. So, regular yoga and exercise can be helpful.
4. Amylenum nitrosum can provide relief from profuse sweating, shortness of breath and palpitations.
5. Phytoestrogen or dietary estrogen is a compound found in foods such as soybeans, oats, barley, carrots, fenugreek, rice etc. Phytoestrogen can provide natural relief from menopausal symptoms.
6. Aurum metallicum is used to get the tissues and organs to function normally again and control feelings of anxiety and claustrophobia.
7. Aconitum napellus (wolf's bane) is a flowering plant and its extracts can reduce panic attacks, heat flushes, over excitability and depressive symptoms.
8. Argentum nitricum is a nitrate compound of silver which is used to control excessive bleeding in the pre-menstrual stages.
9. Belladonna (deadly nightshade) is beneficial for a large number of symptoms such as headaches, fatigue, insomnia, frequent urination, osteoporosis, abnormal weight gain and other nervous disorders.
10. Bryonia alba, a flowering plant, is used as a remedy for vaginal infections, rashes and vaginal dryness that are common during menopause.
11. Natrum muriaticum, in small amounts, helps to reduce stress. Stress can cause problems in thyroid function, cognitive functioning, digestive system functioning and it can elevate blood pressure levels rapidly.
12. Nux vomica (strychnine) is a common homeopathic medicine for nausea, vomiting and indigestion. These problems are seen frequently in menopausal women, especially after meals at night.
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