#One of the most common gynecological cancers: is uterine cancer also known as endometrial cancer. If you or a loved one are looking for trus

[medickpidia]

An Early Sign Of Uterine Cancer Can Save a Woman's Life

[laprosopicsurgon]

Best Ectopic Doctor In PCMC

Best Ectopic Doctor in PCMC: Dr. Balaji Nalwad Reddy

When it comes to managing delicate and life-threatening conditions like ectopic pregnancy, it’s important to have an experienced and reliable doctor. In PCMC, Dr. Balaji Nalwad Reddy is one of the most trusted gynecologists, known for his expertise in treating ectopic pregnancies. With his advanced skills in minimally invasive techniques like laparoscopy, hysteroscopy, and endoscopy, he provides safe and effective care for a wide range of gynecological conditions, including endometriosis, fibroids, and ovarian cysts.

Understanding Ectopic Pregnancy

An ectopic pregnancy occurs when a fertilized egg implants outside the uterus, most often in the fallopian tubes. This condition is dangerous and requires immediate medical attention because the growing embryo can cause the tube to rupture, leading to internal bleeding. The common symptoms of ectopic pregnancy include sharp abdominal pain, abnormal bleeding, and dizziness.

Dr. Balaji Nalwad Reddy offers specialized care for ectopic pregnancies, often using laparoscopic surgery. This minimally invasive procedure uses small incisions, allowing for a faster recovery and minimal scarring. By using advanced techniques, Dr. Reddy ensures that patients receive prompt and effective treatment, reducing the risk of complications.

Minimally Invasive Solutions: Laparoscopy and Hysteroscopy

Dr. Balaji Nalwad Reddy is highly experienced in performing laparoscopy and hysteroscopy, two minimally invasive procedures that provide numerous benefits, including shorter recovery time, less pain, and minimal scarring.

Laparoscopy is often used to treat ectopic pregnancies, ovarian cysts, and fibroids. It involves small incisions and the use of a camera, which helps guide the surgery with precision and accuracy.

Hysteroscopy allows doctors to examine and treat the inside of the uterus using a thin, lighted instrument. This procedure is helpful in diagnosing and treating conditions like fibroids, endometrial polyps, and abnormal uterine bleeding.

These advanced procedures make it easier for women to undergo surgery with fewer risks and complications, allowing for a quicker return to their daily lives.

Specialized Care for Endometriosis and Fibroids

In addition to treating ectopic pregnancies, Dr. Reddy provides expert care for women with conditions like endometriosis and fibroids.

Endometriosis is a condition where tissue similar to the uterine lining grows outside the uterus, leading to severe pain, heavy periods, and infertility. Dr. Reddy offers a range of treatments, including medical management and laparoscopic surgery, to help women manage their symptoms and improve their quality of life.

Fibroids are non-cancerous growths in the uterus that can cause heavy bleeding, pelvic pain, and pressure on other organs. Dr. Reddy uses laparoscopic techniques to remove fibroids, ensuring minimal discomfort and a faster recovery.

Dr. Reddy’s comprehensive approach to treatment ensures that each patient receives individualized care tailored to their unique needs.

Effective Treatment for Ovarian Cysts

Ovarian cysts are fluid-filled sacs that develop on the ovaries. While most ovarian cysts are harmless and disappear on their own, some may cause pain or other symptoms that require treatment. Dr. Balaji Nalwad Reddy offers both observation and surgical options, depending on the size and type of the cyst.

For larger or symptomatic cysts, Dr. Reddy often performs laparoscopic surgery to remove the cyst with minimal impact on the surrounding tissues. This approach reduces recovery time and minimizes scarring, allowing women to resume their normal activities quickly.

Diagnostic Excellence with Endoscopy

Dr. Balaji Nalwad Reddy also uses endoscopy to accurately diagnose and treat a variety of gynecological conditions. Endoscopy involves using a thin, flexible tube with a camera to look inside the body, enabling early detection of conditions like endometriosis, fibroids, and other abnormalities.

By providing precise and non-invasive diagnostic procedures, Dr. Reddy ensures that patients receive the most appropriate and effective treatment for their condition.

Why Choose Dr. Balaji Nalwad Reddy?

Expert in Minimally Invasive Procedures: Dr. Reddy’s experience in performing laparoscopy, hysteroscopy, and endoscopy ensures that patients receive high-quality care with minimal discomfort and quicker recovery times.

Comprehensive Women’s Health Care: He provides expert care for a wide range of conditions, including ectopic pregnancies, endometriosis, fibroids, and ovarian cysts, offering both surgical and non-surgical solutions.

Patient-Centric Approach: Dr. Reddy takes the time to understand each patient’s concerns and offers personalized treatment plans to ensure the best possible outcomes.

For women in PCMC dealing with an ectopic pregnancy or other gynecological issues, Dr. Balaji Nalwad Reddy is the ideal choice. His expertise in minimally invasive techniques and commitment to patient care make him one of the most trusted gynecologists in the region.

Contact Dr. Balaji Nalwad Reddy today for a consultation and receive the expert care you deserve.

For More INfo-https://gynaeclaproscopicsurgeon.com/blog/2024/10/23/best-ectopic-doctor-in-pcmc/

[basavatarakam-cancer-hospital]

Understanding Uterine Cancer: Key Insights by Dr. Rakesh Pinninti

Uterine cancer, also known as endometrial cancer, is one of the most common cancers affecting women worldwide. In this informative video, Dr. Rakesh Pinninti, our Consultant Medical Oncologist, reviews the essential facts and shares expert insights on uterine cancer – from risk factors and symptoms to treatment and prevention.

What You Need to Know:-

Risk Factors: Age, obesity, family history, hormone therapy, and diabetes can increase the risk of uterine cancer.

Common Symptoms: Unusual vaginal bleeding, pelvic pain, and abnormal discharge can be early warning signs. Don’t ignore them!

Prevention: Maintaining a healthy lifestyle, managing weight, and regular gynecological check-ups are key steps for prevention.

Treatment Options: Surgery, radiation therapy, chemotherapy, and hormone therapy are available depending on the stage and condition of the patient.

Early detection is vital in improving survival rates. Stay informed and proactive about your health—knowledge and regular screenings can make all the difference.

Together, we can fight uterine cancer with awareness, early detection, and the right treatment.

[drchitrachampawat63]

What are the most common types of gynecologist surgeries?

Gynecologists perform various surgical procedures to diagnose, treat, and manage a wide range of gynecological conditions. Some of the most common types of gynecological surgeries include:

1. Hysterectomy : This surgical procedure involves the removal of the uterus. It may be performed for various reasons including uterine fibroids, endometriosis, abnormal uterine bleeding, pelvic pain, or certain types of cancer.

2. Oophorectomy : An oophorectomy is the surgical removal of one or both ovaries. It may be performed as part of a hysterectomy or as a standalone procedure to treat conditions such as ovarian cysts, endometriosis, or ovarian cancer.

3. Salpingectomy : This surgical procedure involves the removal of one or both fallopian tubes. It may be performed to treat conditions such as ectopic pregnancy, tubal ligation for permanent contraception, or to reduce the risk of ovarian cancer.

4. Myomectomy : A myomectomy is the surgical removal of uterine fibroids while preserving the uterus. It is often performed for women who wish to retain their fertility or who prefer not to undergo a hysterectomy.

5. Endometrial Ablation : Endometrial ablation is a minimally invasive procedure that involves the destruction or removal of the endometrial lining of the uterus. It is used to treat heavy menstrual bleeding in women who do not plan to have children in the future.

6. Cervical Conization : Also known as a cone biopsy, cervical conization involves the removal of a cone-shaped piece of tissue from the cervix. It may be performed to diagnose or treat cervical dysplasia or cervical cancer.

7. Pelvic Organ Prolapse Surgery : Pelvic organ prolapse occurs when the pelvic organs, such as the bladder, uterus, or rectum, bulge into the vaginal canal due to weakened pelvic floor muscles. Surgical procedures such as pelvic reconstructive surgery or vaginal mesh placement may be performed to repair the pelvic floor and support the organs.

8. Laparoscopic Surgery : Laparoscopic or minimally invasive surgery involves the use of small incisions and specialized instruments to perform surgical procedures such as hysterectomy, myomectomy, ovarian cystectomy, or treatment of endometriosis.

9. Tubal Ligation : Also known as "tying the tubes," tubal ligation is a surgical procedure for permanent contraception in women. It involves blocking, sealing, or cutting the fallopian tubes to prevent eggs from traveling from the ovaries to the uterus.

These are just a few examples of the many gynecological surgeries that may be performed by gynecologists to address various reproductive health issues. The specific type of surgery recommended will depend on the individual's condition, medical history, and treatment goals.

[oncologistseemasingh]

Risk Factors Of Uterine Cancer- Dr. Seema Singh

Uterine cancer, also known as endometrial cancer, is the fourth most common cancer in women worldwide. It occurs when abnormal cells in the lining of the uterus grow and multiply, forming a tumor. Although the exact cause of uterine cancer is not known, there are several risk factors that have been identified. Understanding these risk factors can help women to take steps to reduce their risk of developing uterine cancer. In this article, we will discuss in detail some of the key risk factors for uterine cancer.

Age: The risk of uterine cancer increases as women get older, with most cases occurring in women over the age of 50. Women who have gone through menopause are at an increased risk, as the body produces less progesterone, which helps to regulate the growth of the uterine lining.

Hormonal imbalances: Hormonal imbalances can increase the risk of uterine cancer. For example, women with an excess of estrogen in their bodies, such as those who have undergone hormone replacement therapy or have polycystic ovary syndrome (PCOS), are at a higher risk of developing uterine cancer. Similarly, women who have a deficiency of progesterone are also at an increased risk.

Obesity: Being overweight or obese increases the risk of uterine cancer. This is because excess body fat can cause an increase in estrogen levels, which can stimulate the growth of the uterine lining. Women who carry excess weight around their waist are at a higher risk than those who carry it around their hips.

Family history: Women who have a family history of uterine cancer are at an increased risk of developing the disease themselves. This risk is particularly high if a close relative (such as a mother, sister, or daughter) has had the disease.

Reproductive history: Women who have never had children, those who have had infertility, or those who have started menstruating at a younger age and/or gone through menopause at a later age may have an increased risk of uterine cancer. This is because these factors are associated with a longer exposure to estrogen.

Diabetes: Women with diabetes are at an increased risk of developing uterine cancer, possibly due to the hormonal changes associated with the condition.

Radiation therapy: Women who have undergone radiation therapy to the pelvic area are at an increased risk of developing uterine cancer. This is because the radiation can damage the cells in the lining of the uterus.

Lynch syndrome: Lynch syndrome is an inherited condition that increases the risk of several types of cancer, including uterine cancer. Women with Lynch syndrome have a higher risk of developing uterine cancer at a younger age than women without the condition.

Ethnicity: Women of certain ethnicities are at a higher risk of developing uterine cancer. For example, African American women are more likely to develop the disease than women of other races.

Use of tamoxifen: Tamoxifen is a medication that is commonly used to treat breast cancer. However, it can also increase the risk of uterine cancer. Women who are taking tamoxifen should be closely monitored for any signs of uterine cancer.

In conclusion, understanding the risk factors for uterine cancer is important for women to take steps to reduce their risk of developing the disease. Women can reduce their risk of uterine cancer by maintaining a healthy weight, exercising regularly, and controlling any hormonal imbalances or other medical conditions they may have. It is also important to attend regular gynecological check-ups and speak with a healthcare provider about any concerns or questions. By being proactive about their health, women can reduce their risk of uterine cancer.

Delhi has several well-equipped hospitals and cancer centers that offer comprehensive breast cancer treatment. Some of the prominent cancer hospitals in Delhi include the All India Institute of Medical Sciences (AIIMS), Fortis Memorial Research Institute, Dr. Seema is considered one of the best female oncologist in Delhi.

These hospitals have state-of-the-art facilities and a team of experienced oncologists, surgeons, and radiation therapists. They also offer support services such as counseling, nutritional advice, and physical therapy to help patients manage the side effects of treatment and improve their overall quality of life.

[ivfjunction]

All You Need to Know About Fibroids and Its Laparoscopic Surgery

Fibroids, also known as myomas, fibromas, and leiomyomas are benign (non-cancerous) growths that form in the uterus. There can either be no symptoms of fibroids or the symptoms can range from heavy bleeding during periods and abdominal pain. The cause for fibroids is not known and they usually shrink after menopause. Fibroids and Infertility are topics that might be on your mind if you’re trying to conceive. Some people want to get laparoscopic surgery for fibroids to get rid of fibroids while some people want to know how to shrink fibroids fast. If you think you might require infertility testing because you have fibroids-related symptoms, it is important to know that only a gynecological examination can tell you the cause behind these symptoms. It is important to be aware of Gynecological health and take consultation if you think you might have a gynecological problem.

Table Of Contents

Feel Free to skip ahead if one topic catches your eye :

Types of Fibroids

Who can develop Fibroids?

Symptoms of Fibroids

Diagnosing Fibroids

Treating Fibroids

Take Away

Types of Fibroids and Fibroids and Infertility

Fibroids can be of the following types depending on their location –

Intramural Fibroids – These fibroids grow in the muscular wall of the uterus and are the most common type of Fibroids. If they grow larger they can stretch the uterus.

Subserosal Fibroids – These fibroids grow on the outside of the uterus or on the “Serosa”. If these fibroids grow large in size they can make the appearance of the uterus larger on one side.

Pedunculated fibroids – Subserosal fibroids that have a “stem”, a slender base that supports it is called pedunculated fibroids.

Submucosal Fibroids – These fibroids are uncommon when compared to other fibroids and develop in the muscular middle layer of the uterus called the myometrium.

Fibroids usually do not cause infertility, but fibroids and infertility might be possible depending upon where the fibroid is located, for example, fibroids can block fallopian tubes making it difficult to conceive. It is important to get gynecological treatment if you want to know how to shrink fibroids fast.

Who can develop Fibroids?

The cause of fibroids is unknown but some factors can be responsible for their formation.

Hormonal Issues – Estrogen and progesterone are responsible for the formation of the uterine lining and may contribute to the formation of fibroids.

Family History – If you have a family history of fibroids, you might develop fibroids too.

Pregnancy – The hormones estrogen and progesterone are elevated during pregnancy and that may trigger the formation of fibroids.

Age 30 or older – Women over the age of 30 have an increased risk for the formation of fibroids.

African-American – It is observed that African-American women have more fibroids formation.

Weight – It is seen that women had higher body weight have an increased risk of fibroids formation.

Symptoms of Fibroids

The symptoms of fibroids include –

Heavy menstrual bleeding with blood clots

Pelvic and lower back pain

Increased menstrual cramps

Increased urination

Pain during intercourse

Pressure and fullness in the lower abdomen

Swelling and enlargement of the abdomen

These symptoms of fibroids are unpleasant and you would want to know how to shrink fibroids fast. It is important that you consult with your gynecologist and start your fibroids treatment.

Diagnosing Fibroids

If you think you might have uterine fibroids, it is important that you consult your gynecologist. Your gynecologist would be able to perform the necessary gynecological examinations required for the diagnosis of fibroids.

Your gynecologist would check the uterine condition, shape, and size and may recommend some imaging tests.

Some commonly recommended imaging tests are –

Ultrasound – The gynecologist may recommend an ultrasound to better see the inside of the uterus. A transvaginal ultrasound may be recommended.

Pelvic MRI – A pelvic MRI would provide imaging for the structures in the pelvic region including the uterus and ovaries.

Treating Fibroids and Laparoscopic Surgery For Fibroids

Your doctor would prescribe a treatment that suits your age, fibroids size, and overall health.

Your doctor may prescribe lifestyle changes, medications, or surgery. If your fibroids are causing no symptoms, your doctor may recommend you don’t require fibroids treatment in Delhi at the moment but might need it if the fibroids begin to grow larger or cause symptoms.

Lifestyle Changes and Natural Treatments

Your doctor may recommend you to follow a healthier lifestyle and take acupuncture, yoga, massage, traditional medicines such as traditional Chinese medicines, and heat therapy for cramps (Heat is not to be applied if you have heavy menstrual bleeding).

Making Dietary changes, managing stress levels, and reducing weight may also be recommended.

Medications

Your doctor may prescribe certain medications if they think that you will benefit from them.

Most of these medicines work by regulating your hormonal levels and reducing pain.

Some commonly prescribed medications are –

Gonadotropin-Releasing Hormone  (GnRH) Agonists – These medications cause the estrogen and progesterone levels to drop which would eventually stop menstruation and shrink the fibroids.

Gonadotropin Releasing Hormone (GnRH) Antagonists – These medications stop the body from producing hormones such as Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH). These medications help to shrink the fibroids.

Intrauterine Device (IUD) – These devices use the hormone progestin.

Over-The-Counter (OTC) anti-inflammatory pain relievers – These medications help reduce the pain due to fibroids.

Birth Control Pills

Surgery and Laparoscopic Surgery For Fibroids

Surgery may be required if the fibroids are causing symptoms and growing larger.

Different types of surgeries used for the removal of fibroids are –

Myomectomy – For Abdominal Myomectomy a large incision is made in the abdomen and the uterus is accessed to remove the fibroids. Myomectomy can also be performed laparoscopically using small incisions from where the surgical tools and the camera are inserted for the surgery.

Hysterectomy – If other treatment options are not effective for your fibroids, Hysterectomy or removal of the uterus may be recommended. Since the uterus is removed in this surgery, the person would not be able to bear children in the future.

Non-Invasive and Minimally Invasive Procedures

Forced Ultrasound Surgery (FUS) – In this non-invasive surgical procedure you lie down inside a special MRI machine that allows your doctor to see the inside of your uterus. The fibroids are destroyed using high-energy, high-frequency sound waves.

Myolysis – This involves the use of procedures that shrink the fibroids using heat sources electric current or laser, or freeze the fibroids using cryomyolysis.

Endometrial Ablation – This procedure involves the destruction of the uterine lining by inserting a special instrument into the uterus and destroying the uterine lining using heat, electric current, hot water, or extreme cold.

Uterine Artery Embolization – In this procedure the blood supply of the fibroids is cut off using small particles that are injected into the uterus.

Take Away

Uterine Fibroids are a common condition that affects a number of women. If you think you might have uterine fibroids, it is best to consult with a gynecologist to discuss how to manage the fibroids. The gynecologist would be able to help you with a treatment plan that suits you.

If you have any infertility or reproductive questions, you must submit your questions to our Support Forum which is a non-judgmental space for everything related to reproductive health. You can discuss other symptoms such as recurrent urination, frequent urine infection, and back of legs ache at IVF Junction Support Forum where no questions are too embarrassing to ask when it comes to reproductive health.

If you want to start your Infertility treatment journey but don’t know where to begin, contact us so that we can help you with the best approach for your infertility treatment. Our no hidden costs approach and complete transparency ensure that we prioritize our patient’s health and only promote ethical practice while providing you information about the best IVF specialist in Delhi. Let our experts help you in your infertility treatment journey.

Source: http://ivfjunction.com/blog/treating-fibroids-with-laparoscopic-surgery/

[garima3meds]

WHO ARE AT HIGH RISK OF ENDOMETRIAL CANCER

Endometrial cancer may be a form of cancer that begins within the uterus. The uterus is that the hollow, pear-shaped pelvic organ where fetal development occurs.

Endometrial cancer begins within the layer of cells that form the liner (endometrium) of the uterus. endometrial carcinoma is typically called uterine cancer. Other kinds of cancer can form within the uterus, including uterine sarcoma, but they're much less common than endometrial carcinoma. Endometrial cancer is commonly detected at an early stage because it frequently produces abnormal vaginal bleeding. If endometrial carcinoma is discovered early, removing the uterus surgically often cures carcinoma.

Symptoms

Signs and symptoms of carcinoma may include:

 Vaginal bleeding after menopause

 Bleeding between periods

 Pelvic pain

Causes

Doctors do not know what causes endometrial carcinoma. What's known is that something occurs to form changes (mutations) within the DNA of cells within the endometrium — the liner of the uterus.

The mutation turns normal, healthy cells into abnormal cells. Healthy cells grow and multiply at a group rate, eventually dying at a group time. Abnormal cells grow and multiply out of control, and that they don't die at a group time. The accumulating abnormal cells form a mass (tumor). Cancer cells invade nearby tissues and might break away an initial tumor to spread elsewhere within the body (metastasize).

Risk factors

Factors that increase the chance of carcinoma include:

• Changes within the balance of female hormones within the body. The ovaries make two main female hormones — estrogen and progesterone. Fluctuations within the balance of those hormones cause changes within the endometrium.

A disease or condition that increases the number of estrogen, but not the extent of progesterone, in your body can increase your risk of endometrial carcinoma. Examples include irregular ovulation patterns, which could happen in polycystic ovary syndrome, obesity and diabetes. Taking hormones after menopause that contain estrogen but not progesterone increases the chance of endometrial carcinoma. A rare kind of ovarian tumor that secretes estrogen can also increase the chance of carcinoma.

• More years of menstruation. Starting menstruation at an early age — before age 12 — or beginning menopause later increases the danger of endometrial carcinoma. The more periods you've had, the more exposure your endometrium has had to estrogen.

• Never having been pregnant. If you've never been pregnant, you have got the next risk of carcinoma than someone who has had a minimum of one pregnancy.

• Older age. As you age, your risk of carcinoma increases. Carcinoma occurs most frequently after menopause.

• Obesity. Being obese increases your risk of endometrial carcinoma. This could occur because excess body fat alters your body's balance of hormones.

• Hormone therapy for carcinoma. Taking the hormone therapy drug tamoxifen for carcinoma can increase the chance of developing endometrial carcinoma. If you are taking tamoxifen, discuss this risk together with your doctor. For most, the advantages of tamoxifen outweigh the little risk of endometrial carcinoma.

• An inherited carcinoma syndrome. Lynch syndrome, also called hereditary nonpolyposis colorectal cancer (HNPCC), may be a syndrome that increases the danger of carcinoma and other cancers, including endometrial carcinoma. Lynch syndrome is caused by a genetic mutation passed from parents to children. If a friend has been diagnosed with Lynch syndrome, discuss your risk of the genetic syndrome together with your doctor. If you have been diagnosed with Lynch syndrome, ask your doctor what cancer screening tests you must undergo.

Treatment

Treatment for carcinoma is sometimes with surgery to get rid of the uterus, fallopian tubes and ovaries. another choice is radiotherapy with powerful energy. Drug treatments for endometrial carcinoma include chemotherapy with powerful drugs and hormone therapy to dam hormones that cancer cells depend upon. Other options can be targeted therapy with drugs that attack specific weaknesses within the cancer cells and immunotherapy to assist your system fight cancer.

1) Surgery- Treatment for carcinoma usually involves an operation to get rid of the uterus (hysterectomy), yet on remove the fallopian tubes and ovaries (salpingo-oophorectomy). A hysterectomy makes it impossible for you to become pregnant within the future. Also, once your ovaries are removed, you'll experience menopause, if you haven't already.

During surgery, your surgeon also will inspect the areas around your uterus to seem for signs that cancer has spread. Your surgeon may additionally remove lymph nodes for testing. This helps determine your cancer's stage.

2) Radiation therapy- Radiation therapy uses powerful energy beams, like X-rays and protons, to kill cancer cells. In some instances, your doctor may recommend radiation to scale back your risk of a cancer recurrence after surgery. In certain situations, irradiation may additionally be recommended before surgery, to shrink a tumor and make it easier to get rid of.

Choose the best healthcare service providers for proper treatment.

3) Chemotherapy- Chemotherapy uses chemicals to kill cancer cells. you will receive one chemotherapy drug, or two or more drugs may be utilized in combination. you'll receive chemotherapy drugs by pill (orally) or through your veins (intravenously). These drugs enter your bloodstream so travel through your body, killing cancer cells. Chemotherapy is usually recommended after surgery if there's an increased risk that the cancer might return. It also can be used before surgery to shrink the cancer in order that it's more likely to be removed completely during surgery. Chemotherapy could also be recommended for treating advanced or recurrent carcinoma that has spread beyond the uterus.

You can buy Cancer drugs online in Delhi, the only thing you have to do is just upload your prescription on 3MEDS website, place your order and get medicines on on your doorstep.

4) Hormone therapy- Hormone therapy involves taking medications to lower the hormone levels within the body. In response, cancer cells that depend upon hormones to assist them grow might die. Hormone therapy could also be an option if you've got advanced carcinoma that has spread beyond the uterus.

Conclusion

Endometrial cancer is the most common malignancy in gynecology. Stage and treatment are primarily surgical, with adjuvant radiation and chemotherapy administered as indicated by grade and stage. Implications for nursing practice: prevention of cancer, response to treatment and quality of life can be affected by lifestyle factors, including nutrition, exercise and tobacco use. The only way to prevent this is by taking care of your lifestyle.

[siva3155]

300+ TOP GYNECOLOGY Interview Questions and Answers

GYNECOLOGY Interview Questions for freshers experienced :-

1. Is some bleeding normal when starting Hormone Replacement Therapy? Yes, it is not uncommon to notice some light spotting during the first 3 months after beginning Hormone Replacement Therapy. Heavy bleeding like your menstrual cycle is not normal and should be reported to the doctor immediately. 2. Should I continue to have a pelvic exam each year if I have had a Hysterectomy? Women should have a yearly physical exam by a physician which includes a pelvic exam and breast exam beginning in their late teens and early twenties. All women should have their cholesterol checked every 3 to 5 years. A yearly mammogram is essential after age 40. Women over 50 need a screening colonoscopy every 5 years. There are different opinions concerning whether women should have a pap smear every year after hysterectomy. You should discuss your individual medical history with your doctor before deciding whether you should continue to get a pap smear after hysterectomy 3. Is there an ovarian tumor with hair and teeth? Dermoid cysts, also known as mature cystic teratomas, are the commonest ovarian tumor. They occur primarily in the reproductive years, but can also occur in children. The tumor has all three germ layers that are seen in the body - ectoderm, mesoderm and endoderm. As such, the tumor has fat, hair and teeth in it. Teratomas sometimes can be very organized and appear to form fetal-like tissues. Dermoids are bilateral 15-20 percent of the time. Treatment is surgical removal prior to torsion or rupture. 4. Is it possible to have a polyp in the uterus? Polyps can form where there is glandular tissue, i.e. in the colon, nose or uterus. Endometrial polyps occur in the uterus and patients will have the symptom of heavymenstrual periods. These polyps can be resected with a simple procedure called hysteroscopy. With a small telescope inserted through the cervix and into the uterus, the polyp can be directly visualized and removed. 5. What should I do if I miss a birth control pill? If you miss one pill, you should take it as soon as you remember and take the next one as usual. If 2 pills are missed during the first 2 weeks of your cycle, then you should take 2 pills a day for the next 2 days and use a back-up method such as a condom for the next 7 days. If 2 pills or more are missed in the 3rd week of the cycle then you should take 2 pills a day for the next 2 days and then complete the pack of pills. You should then begin your new pack on a Sunday. A back-up form of birth control should be used for the next 7 days such as a con.... 6. What are fibroids? Fibroids, also known as leiomyomas, are benign smoothmuscle tumors that occur in the uterus. They grow under the influence of estrogen and progesterone, and are thus seen in the reproductive years. By the age of 40, 40% of women have fibroids. African-American women may be prone to get symptomatic fibroids in their 20’s. With menopause and the decrease in hormones, fibroids also decrease in size. The most common symptom fromfibroids is abnormal bleeding. When fibroids grow, it can also cause pressure symptoms on the bladder, rectum or pelvis. There may be a genetic predisposition to havingfibroids and multiple fibroids. 7. Should I continue to have a pelvic exam each year if I have had aHysterectomy? Women should have a yearly physical exam by a physician which includes a pelvic exam and breast exambeginning in their late teens and early twenties. All women should have their cholesterol checked every 3 to 5 years. A yearly mammogram is essential after age 40. Women over 50 need a screening colonoscopy every 5 years. There are different opinions concerning whether women should have a pap smear every year afterhysterectomy. You should discuss your individual medical history with your doctor before deciding whether you should continue to get a pap smear after hysterectomy 8. Is there an ovarian tumor with hair and teeth? Dermoid cysts, also known as mature cystic teratomas, are the commonest ovarian tumor. They occur primarily in the reproductive years, but can also occur in children. The tumor has all three germ layers that are seen in the body - ectoderm, mesoderm and endoderm. As such, the tumor has fat, hair and teeth in it. Teratomas sometimes can be very organized and appear to form fetal-like tissues. Dermoids are bilateral 15-20 percent of the time. Treatment is surgical removal prior to torsion or rupture. 9. Is irregular bleeding common when starting a new birth control pill? Yes. It can take up to 3 months after switching to new a birth control pill before your menstrual period becomes regular. You should not discontinue your new pills for at least 3 months to see if they are going to begin working. Spotting between your cycle, nausea and occasional vomiting and headaches are all common when starting a new birth control method. 10. Should I continue to have a pelvic exam each year if I have had a Hysterectomy? Women should have a yearly physical exam by a physician which includes a pelvic exam and breast exambeginning in their late teens and early twenties. All women should have their cholesterol checked every 3 to 5 years. A yearly mammogram is essential after age 40. Women over 50 need a screening colonoscopy every 5 years. There are different opinions concerning whether women should have a pap smear every year after hysterectomy. You should discuss your individual medical history with your doctor before deciding whether you should continue to get a pap smear after hysterectomy

GYNECOLOGY Interview Questions 11. Is irregular bleeding common when starting a new birth control pill? Yes. It can take up to 3 months after switching to new a birth control pill before your menstrual period becomes regular. You should not discontinue your new pills for at least 3 months to see if they are going to begin working. Spotting between your cycle, nausea and occasional vomiting and headaches are all common when starting a new birth control method. 12. Can an ovarian cyst be normal? During a woman?s menstrual cycle, ovarian cystformation is normal. These cysts are part of developing an egg to ovulate or to make hormones to support a potential early pregnancy, and are called functional cysts. These type of cysts should disappear with each cycle. I get worried that a cyst is abnormal if it persists for more than 2 cycles, if it is larger than 5 cm, or if it has unusual features such as a septum or solid elements. Sometimes a functional cyst can cause severe pain and internal bleeding if it should rupture internally. This is usually an emergent situation that requires immediate evaluation. 13. If I am no longer having my monthly period because ofmenopause, when should I be worried about new onset vaginalbleeding? If you have not had a menstrual cycle in over 6 months you are probably in the menopause. The loss of your monthly period along with occasional hot flashes or night sweats usually indicate menopause. This begins for most women between the ages of 45 and 52. Any bleedingafter the menopause is considered abnormal and requires evaluation by a doctor immediately. 14. How Is Called The Small Opening Of The Uterus That Sperm Would First Enter? Cervix 15. In Scanning Report Of My Wife At Gender Column It Is Written As Iii, What Is The Meaning? in scanning report both testostorone and progestron hormone found tats why she is not male or female. 16. 35 Year Second Gravida With Single Umbilical Artery And Ctev (club Foot)? ctev is asso. with consanguity, oligohydroamnios, breech presentation and some cong. malformations. single umb. artery is ass. with increased risk for cong. malformation e.g. renal and cardiac. so screening should be done for other cong. malformation 17. 34 Year Old Woman Is Found To Have A Monochorionic Twin Pregnancy At 12 Weeks Gestation In Her First Pregnancy. She Requests Information On The Antenatal Risks To Her And Her Fetuses And Their Management. How Would You Counsel Her? because of the age of the woman, it will be too dificult to countinue the pregnancy. Other than the multiple pregnancy, She have only one plasenta for bothe child. so better she can do LSCS at the onset of labour. Tell the posibilty and de merits of the LSCS to the PT. 18. How Would You Assess And Treat A 52 Year Old Woman Who Complains Of Heavy Prolonged Menstrual Bleeding? It may or maynot be any symptom of ovarian Ca, or fiberus formation of the uterus or any other complications. So better she go for hysteroscopy, and blood study for any infestations of micro organism. check the platelet level in blood, and WBC count and BT,CT . Her age is abow 50. so in this age there is less chance menstuation. 19. A 35 Year Old Woman Has Been Listed For Hysteroscopy. What Are The Indications For Hysteroscopy In A Woman Of This Age? Abnormal uterine bleeding, Habitual abortion, pelvic pain, cancer,GIFT, ZIFT, TET, FIVET, Bone metaplasia of the endometrium are some of the diagnostics observed in this age. 20. What Is The Most Effective Form Of Birth Control? There are many birth control methods on the market today that are highly effective. The primary methods of birth control available include Barrier Methods - Generally speaking, barrier methods do not prevent pregnancy as effectively as hormonal methods or IUD's, and they must be used EVERY TIME that you have sex. Barrier methods Include condoms, sponges, and diaphragms. Hormonal Methods - Statistically very good at preventing pregnancy. Hormonal methods include birth control pills, shots (Depo-Provera), and the vaginal ring. Intrauterine Devices (IUD's) - IUD's are inserted into your uterus, work for 5-10 years at a time, and are a generally safe and effective way to prevent pregnancy. The Mirena IUD contains a hormone that can help with heavy periods and cramping. Natural Family Planning - Also referred to as "fertility awareness," Natural Family Planning can be effective provided that you and your sexual partner are extremely careful, and are especially mindful of what times of the month are best to engage in sexual activity. Women practicing natural family planning are strongly encouraged to keep good records so as to know when they are fertile; and for times when you ARE fertile, you will need to abstain from sex, or use a barrier method. With all of this in mind, it's important to remember that all women are different, and that the best way to find out what method is best for you is by consulting with a licensed OB GYN. GYNOCOLOGY Interview Questions and Answers pdf Download Read the full article

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ESTROGEN TYPES AND FUNCTIONS Estrogen is the primary female hormone that plays a vital role in supporting the development and maintenance of the female sex characteristics of the body in both men and women, which includes breasts growth, fertility, armpit, and pubic hair. More than its functions to the reproductive system, estrogen affects the brain by regulating body temperature and enhancing the ‘feel-good’ chemicals in the brain, namely endorphin, oxytocin, serotonin, and dopamine. It also prevents aging by improving the collagen content of the skin that enhances its quality and thickness. The hormone promotes bone strength and prevents bone loss. Moreover, estrogen prohibits the development of cardiovascular diseases like stroke and heart attack by controlling cholesterol production in the liver. Women have higher amounts of estrogen produced in the ovaries that have a significant function in their reproductive health and menstrual cycle. On the other hand, men have low levels of estrogen that are made in their adrenal glands and testes. There are three forms of estrogen naturally found in the body: Estrone (E1) – This steroidal hormone only produced during the menopausal stage. It is less potent than the other forms of estrogen and only present in most muscles and fats in small amounts. This functions in converting other forms of estrogen for Estradiol (E2) – This is the primary female sex hormone responsible for regulating the menstrual cycle and developing reproductive tissues during puberty such as the mammary gland, uterus, and vagina. Abnormal levels of Estradiol leads to several gynecological illnesses like endometriosis, fibroids, and endometrial cancer. Estriol (E) – This form of estrogen is mostly detected during pregnancy and considered to be the weakest type. More than as a natural hormone, estriol is used for menopausal hormone therapy. These three forms of endogenous estrogens have significant roles in the body, especially for women from puberty, menstruation, and menopausal stages How the changes in the levels of Estrogen affects us? Similar with other types of hormones, estrogen levels continuously fluctuates all throughout the stages of development from childhood to adulthood, particularly among women as estrogen is a major hormone that contributes to most female body parts and functions. Estrogen levels can be too low or too high depending on how much the ovaries produce it, which can be influenced by several daily activities, lifestyle, diet, medication, and even other kinds of sickness. Abnormal levels of estrogen can cause moderate to severe symptoms, manifested in a variety of ways. Symptoms and Complications of High Estrogen Women who have high levels of estrogen can experience bloating, fatigue, insomniac episodes, light spotting, irregular periods, heavy bleeding, severe PMS, extreme mood swings, depression and anxiety, hair loss, headaches, noncancerous breast lumps, uterine fibroids, low sex drive, and issues with memory. Those who are vulnerable to an increased in estrogen levels are the ones taking hormonal contraceptives, drinking certain antibiotics, and consuming herbal medicines. Obesity, liver disease, and tumors in the ovary can also contribute to acquiring this condition. Complications such as blood clots, heart attack, stroke, thyroid illnesses, ovarian, and breast cancer may develop once high estrogen levels perpetuate to be untreated. Symptoms and Complications of Low Estrogen Typically women who have low estrogen levels experience irregular or absent menstruation, mood swings, hot flashes, breasts tenderness, migraines, fatigue, urinary tract infection (UTI), depression, and problems with concentration. Bones can easily be fractured or broken due to a decrease in bone density. Low levels of estrogen can be attributed to malnutrition due to anorexia or other eating disorder, Polycystic Ovarian Syndrome (PCOS), menopause, low-functioning pituitary gland, chronic kidney disease, a genetic or autoimmune condition that causes premature ovarian failure. Excessive exercises and extreme physical workouts can also be a big factor in the decline of estrogen production. How are estrogen-related symptoms treated? Common treatment options for patients involves medication through Hormone Replacement Therapy (HRT), surgery, and a complete lifestyle and dietary change. It is also important for women who are experiencing symptoms of abnormal levels of estrogen to stay active and to maintain the ideal body weight through consuming foods high in fiber and estrogen like cruciferous vegetables, soy and nuts that are abundant in isoflavones that boost estrogen, and fruits with phytoestrogen like peaches and strawberries. Another known treatment is taking DIM supplements that support the balance of good and bad estrogens in the body, alleviating the symptoms of estrogen dominance. Unbalanced estrogen levels mainly happen as women starts to enter perimenopause or the stage nearing the cessation of their menstrual cycle, during this time an array of symptoms may manifest as early as 10 years before menopause. The ideal way is to begin preparing for the physical, mental and emotional transitions through keeping oneself healthy, strong and active.

[altiushospital]

Best Endometriosis Treatment in Bangalore

Endometriosis is a condition that affects a woman's reproductive organs. It occurs when cells similar to those that line the uterus are found in other parts of the abdomen.

Often women have questions about the effect of endometriosis on their bladder and bowel, fertility, emotional health and relationships. Knowing where to go for advice and support is important.

It can be hard trying to explain to your friends and family that your period pain is too intense to make plans, or that you can't predict one month to the next how much pain you will be in. Endometriosis pain can create strained relationships, as seeing partners, family and friends less frequently or having to change plans at the last minute can take its toll. This condition can leave you feeling vulnerable.

The more you can understand about the condition, the symptoms, and your treatment options, the better armed you will be to make the best decisions for your care and get back to living a normal life.

What Is Endometriosis?

Endometriosis is a chronic estrogen dependent disease that can cause incapacitating pain, organ failure, infertility, and other severe medical consequences if not adequately treated.

How Does It Present?

Extreme pain during menstruation, Subfertility/infertility, excruciating pain during sexual intercourse, soring lower back, hip and leg pain, and severe bowel and bladder dysfunction are among other symptoms experienced by women with endometriosis.

What are Atypical Or Less Well-Known Symptoms?

It's important to note that some women, pre-teen, and teenage girls may not consistently experience the most well-known symptom of endometriosis: extremely painful periods. Women and girls may also experience acyclic chronic pelvic pain; that is, pain at any time during the month. In other cases, women and girls have no symptoms and don't know they have the disorder until years later when they're experiencing fertility issues.

What are the Endometriosis Risk Factors?

A woman who has a mother or sister with endometriosis is much more likely to develop endometriosis than other women.

You are also more likely to have endometriosis if you:

Started your period at a young age.

Never had children.

Have frequent periods or ones that last 7 or more days.

Have a closed or otherwise blocked hymen (imperforate hymen, congenital aplasia), which blocks the flow of menstrual blood out of your body during menstruation.

Have other uterine abnormalities such as a double uterus, septate uterus, or bicornuate uterus.

Have fibroids

How Common Is Endometriosis?

Endometriosis is fairly common, affecting an estimated 10%-15% of women and girls, usually during their reproductive years.

Where Does Endometriosis Grow?

Endometriosis has been found in every organ and anatomical structure in the body except the spleen. However, the lower abdominal cavity (pelvic cavity).While less common, endometriosis can also grow in other areas, including on blood vessels, the cervix, diaphragm, lungs, nerves, ureters, vagina, and inside of cesarean or other surgical scars.Rare cases of endometriosis. Although exceedingly rare, endometriosis can even invade other vital organs and structures.

Why Is It Often So Painful?

Unlike normal endometrial cells found in the lining of the uterus, these errant endometriotic growths do not get expelled from your body each month as a period. Instead, they implant and begin reacting to the monthly hormones that trigger menstruation, causing them to bleed and shed and grow, month after month and year after year if left untreated. Although these endometriotic growths are benign (not cancer), it appears that the body still recognizes that they shouldn't be growing outside of the uterus, and therefore usually launches an inflammatory response in order to try to destroy them. As a result, the affected areas become extremely inflamed and therefore potentially extremely painful.

Is there a permanent cure for endometriosis?

Surgery does not cure endometriosis; lasers do not cure endometriosis; pregnancy does not cure endometriosis; hysterectomy does not cure endometriosis; menopause does not cure endometriosis; birth control pills do not cure endometriosis; dietary changes do not cure endometriosis. There is no cure for endometriosis.

How Is Endometriosis Diagnosed?

As part of your initial diagnostic work-up, your .doctor usually starts with the following:

Review of medical history & symptoms.

Pelvic exam.

Transvaginal ultrasound.

Ultrasound with Color Doppler.

Laparoscopy with biopsy- the most specific for the diagnosis.

Can Diagnostic and operative laparoscopy perfomed on the same day?

Please note that, at our Center, we perform both a diagnostic and operative laparoscopy on the same day. This way, you can avoid having to undergo two surgical procedures.

Any alternatives forsurgery?

In mild symptoms - Exercise and relaxation techniques.

Nonsteroidal anti-inflammatory drugs (NSAIDs), prescription painkillers to relieve cramping and pain

FOR MORE SERIOUS SYMPTOMS - For women who experience more severe symptoms, treatment options can include: Prescription medications to control pain

For More data Contact Us:

Telephone: +91 8023151873 | +91 9900031842

Fax: +91 8023116750

Email: altiushospital@yahoo.com | endoram2006@yahoo.in

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Gynecologist in Bangalore | IVF Treatment Center in Bangalore | Fibroid Uterus Removal in Bangalore | Best Uterus Removal Surgery in Bangalore | Gynecology Hospitals in Bangalore | Pelvic Floor Dysfunction Treatment in Bangalore | IVF Treatment Center in Rajaji Nagar | Laparoscopic Treatment in Bangalore

[peoplium]

Let’s ask what is Endometriosis?

According to Dr Kristin Patzkowsky 1 – a minimally invasive surgeon from the department of Gynecology on Johns Hopkins Medicine- Endometriosis is the presence of endometrial glands and stroma outside of the uterus. Or where we found the endometrial tissue outside the womb rather than inside.

Endometriosis. Endometriosis occurs when bits of the tissue that lines the uterus (endometrium) grow on other pelvic organs, such as the ovaries or fallopian tubes

On research by Endometriosis Foundation of America 2, it found that: Endometriosis may not just affect women with 25 and 35 years, which are arguably their most productive years. But also it might affect women under the age of 20. Endometriosis can cause painful periods, exhaustion, bloating, back pain, and can result in fertility problems.

What are the signs of Endometriosis?

The symptoms vary and not linked with the severity of the disease. They can get worse over time but tend to decrease during pregnancy and stop with menopause. Or you may have no symptoms at all. The treatment depends on the symptoms’ severity, the age of the woman, and her desire to have children. The most common symptoms are:

Pain with periods.

Pain outside of periods.

Feeling pain with intercourse.

Pain with bowel movements.

Discomfort with urination.

Low back pain.

…

We can also diagnose Endometriosis when evaluating other gynecological problems or an assessment of infertility.

How to test for Endometriosis?

Pelvic Exam:

First of all, your doctor diagnoses Endometriosis by a Pelvic Exam. During this exam, your doctor manually examines the areas of your internal reproductive organs for anomalies, such as cysts, abnormal flows, or scars behind your uterus. Often, it is not possible to feel small areas of Endometriosis unless it causes the formation of a cyst.

A pelvic exam is a doctor’s visual and physical examination of a woman’s reproductive organs. During the exam, the doctor inspects the vagina, cervix, fallopian tubes, vulva, ovaries, and uterus.

Endometrial biopsy:

An endometrial biopsy is removing a sample of endometrial tissue for testing. It may be done to screen for cancer or precancerous cells or to investigate fertility problems. Furthermore, it can be done in your doctor’s office in 10 to 15 minutes without the use of a sedative.

Similarly to the pelvic exam, you will lie on an examination table. Your doctor or nurse will extend the walls of the vagina by inserting an instrument called a speculum to expose the cervix. An anesthetic spray can also be applied.

The doctor will use a tenaculum to keep the uterus stable for biopsy. Using a catheter, the doctor will insert it through the cervical opening into the uterus. And it will then gently rotate and move the tip of the catheter to collect small pieces of endometrial tissue, which he send it to the lab for review.

An endometrial biopsy is a procedure performed to obtain a small tissue sample from the lining of the uterus, called the endometrium.

Risks during Biopsy:

Even if the biopsy of the Endometriosis is secure, there is a risk of bleeding and contamination. The wall of your womb could also get notched by equipment used at some stage of the biopsy; however, it is infrequent. And don’t forget to tell your doctor that you may be pregnant. The biopsy could cause you to abort.

Laparoscopic surgery:

In some cases, you will need to do a laparoscopy, which is a surgical procedure allowing a doctor to visualize the inside of your abdomen. Usually, under general anesthesia, your doctor makes a small incision near your navel and inserts a slender visualization instrument (laparoscope) to detect signs of irregularities in your pelvic organs.

Laparoscopic or minimally invasive surgery is a specialized technique for performing surgery.

Laparoscopy can provide information on the location, extent, and size of endometrial implants. Your doctor may take a tissue sample (biopsy) for further testing. Often, with accurate surgical planning, your doctor can properly treat Endometriosis during laparoscopy.

My fertility: Can be affected?

The Journal of the Florida Medical Association 3 published research admitting that women with Endometriosis multiply by eight their chances of being infertile. But researchers don’t fully understand all how Endometriosis may impact your ability to become pregnant.

In some cases, there is scarring inside the abdomen, which probably affects the ability of an egg to make it from the ovary into the uterine cavity. They also think that endometrial implants seem like it produces factors that can impact the ability of implantation.

Endometriosis Treatment Options:

There are many treatment options that range from medical to surgical. Most of these options are hormonally based, a combination of birth control pills or progesterone.

And also, medicines that can put you into a temporary menopausal state are additional options that you can use. Research confirms that taking a hormonal contraceptive can stop the abundant menstrual bleeding that usually coexists with Endometriosis. So, Your doctor may advise you to take a hormonal contraceptive on an ongoing basis for three to six months or more to prevent you from having your period.

For the surgical treatment options, it depends on the stage of the disease, and also someone’s symptoms and childbearing wishes. Both minimally invasive surgery and open surgery are different routes of achieving the same outcome for the treatment.

But minimally invasive surgery allows your doctors to use procedures that limit the number of cuts and the size of the incisions that they need to make. It usually tends to be safer and reduce blood loss than open surgery. You will return to daily life more quickly, spend less time in the hospital, and feel more relaxed during your recovery.

What foods to eat if you have Endometriosis?

Certain foods may increase or decrease the risk of Endometriosis, and some women find that making dietary changes can help reduce symptoms. Here are the best diet strategies to overcome and manage Endometriosis.

“Good” Fat and “Bad” Fat: 

Firstly, you need to focus on Fats. As Endometriosis is an inflammatory disorder, it’s essential to focus on consuming foods that can reduce inflammation. I’m sure you’ve heard about “good” fats and “bad” fats. Well, bad fats promote inflammation, but good fats reduce it. So you need to check your Endometriosis diet for good fats.

For example, a fat found in processed foods such as fried food, pastries, cakes, biscuits, and refined oils is “bad” fat. They are produced through high levels of processing and induce an inflammatory response in your body. Check our article about some processed foods that are healthy.

Palmitic Acid: is another fat linked to increased rates of Endometriosis. This fat is found mostly in red meat and again heightens the inflammatory response in your body. So, a practical strategy would be to replace some of your red meat intake with vegetable sources of protein such as lentils, chickpeas, or tofu. 

Omega-3 Fats:  are anti-inflammatory fat, which can decrease Endometriosis inflammation. One observational study made by STACEY MISSMER 4, ScD From Brigham and Women’s Hospital found: that women who ate high levels of omega-3 rich foods have reduced by 22% the chance to have Endometriosis, compared to women who consumed the lowest amounts.

So adding fish, as well as, Soybeans, Nuts and Seeds on your diet, increase the portion of your anti-inflammatory fat. Here is a table providing the quantity of Omega-3 on some foods, according to Food Data Central 5. (last update 2019)

Fishes: Mackerel 5,72g/100g Herring  2,791g/100g Salmon 2,397g/100g Oysters 0,443g/100g Sardines 1,82g/100g    

Nuts: Walnuts 6,126 g/100g Almonds 3,802g/100g Soybeans 3.127 g/100g Pistachios 5g /100g

Antioxidants:

The second strategy is to boost your intake of Antioxidants. Women with Endometriosis have an increased number of highly reactive substances in their bodies, known as free radicals. Because of these little monsters “oxidative stress” is produced, which means they enhance inflammation. Antioxidants can reduce the number of free radicals by binding with them to create a more stable form. Antioxidants reduce the amount of oxidative stress and therefore reduce inflammation in those with Endometriosis.

Antioxidants may play a role in preventing heart disease, cancer, and other diseases. See which foods are abundant in antioxidants.

In 2012, published research that studied the effects of antioxidants 5 finds that the use of vitamin E and C supplements on diets in cases of Endometriosis decreased by 43% period pain and back pain compared to 0% in the group without supplementation. Not only this, but three different inflammatory markers were found to be significantly lower in those taking the antioxidant supplement compared to those without supplementation.

Getting your antioxidants from food will ensure that you’re getting all of the other vital nutrients that you need from these healthy foods too. For example, Vitamin C is found in oranges, strawberries, spinach, broccoli, mangoes, and kiwifruit, while Vitamin E is in avocados, nuts, seeds, and grain.

Fiber:

The third strategy is Fiber. Fiber can help excrete estrogen out of the body through a process known as “barrier protection” in which Fiber surrounds substances and takes them on a journey outside the body before they can be absorbed.

Excess estrogen in the body can worsen the effects of Endometriosis by promoting inflammation. Along with this, too much estrogen increase Endometriosis cell growth and numbers, meaning more giant cells and more of them. 

So, diets in Endometriosis with at least 25 grams of fiber per day from foods like:

Fruits: bananas, apples, oranges, mangoes, raspberries, strawberries.

Vegetables: beets, carrots, collard greens, broccoli, artichokes. The rule is: the darker the food color, the higher the fiber content.

Glycemic Index foods :

The fourth one is to focus on choosing low Glycemic Index foods. High GI foods enhance the insulin response, which may lead to an increase the numbers of Endometriosis cells. So, put down the white bread and potatoes and choose low GI foods like sweet potato, pasta, oats, and barley. 

Pesticides:

Finally, strategy number five is to reduce your intake of Pesticides. A diet rich in fruit and vegetables is a good idea, as they are rich in antioxidants and high in Fiber. However, exposure to pesticides and dioxins found on fruit and vegetables was positively associated with increasing by 30% to 70% the risk of Endometriosis 7 and its symptoms.

This association is probably due to certain pesticides interfering with hormonal pathways and contributing to oxidative stress. So, if you’ve got Endometriosis, or have a high risk of developing it, you may wish to consider trying organic freshest products on your diet and using a wide range of foods every day. Which would remove the risk of pesticides worsening your symptoms, and you still get all the benefits of eating fruit and vegetables.

Conclusion:

Advice for women who suspect that they may have Endometriosis: The first step would be going to your primary gynecologist to discuss your symptoms. An additional testing exam would be done. The first line of treatment is just medical therapy with something like birth control pills. If pain or symptoms persist, at that point, it should consult someone who specializes in the treatment of Endometriosis.

Resources:

Dr. Kristin Patzkowsky from Johns Hopkins Medicine (video) 1.

Endometriosis Foundation of America (Website) 2.

The Journal of the Florida Medical Association (Research) 3.

STACEY MISSMER from Brigham And Women’s Hospital (Research) 4.

Food Data Central (Website) 5.

Research about Antioxidants 6.

Environmental Health Perspectives 7.

The post Endometriosis appeared first on PeoPlium.

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Best IVF Center in Vadodara | Sneh IVF Center (Ami Hospital) | Elawoman

Gopal Fertility IVF Center

Gopal Fertility IVF Center in Dandia Bazar has built up the clinic and has gained a reliable customers in the course of recent years and is additionally as often as possible visited by a few superstars, aspiring models and other fair customers and international patients also.If you a question in you mind related Best IVF Center in Vadodara get answers from us at elawoman.com.

Gopal Fertility IVF Center In vitro preparation (IVF) is a procedure by which an egg is treated by sperm outside the body: in vitro. IVF is a noteworthy treatment for infertility when different techniques for helped regenerative innovation have fizzled. The procedure involves monitoring a lady's ovulatory procedure, removing ovum or ova (egg or eggs) from the lady's ovaries and letting sperm treat them in a liquid medium in a lab. At the point when a lady's regular cycle is checked to gather a normally chosen ovum (egg) for treatment, it is known as common cycle IVF. The treated egg (zygote) is then exchanged to the patient's uterus with the intention of establishing an effective pregnancy. The

principal effective birth of an "unnaturally conceived child", Louise Brown, happened in 1978. Louise Brown was conceived because of normal cycle IVF.If you want to know more about Best IVF Center in Vadodara can contact us at elawoman.com.

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Sneh IVF Center (Ami Hospital)

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Dr. Nisarg Dharaiya had adjusted more than years in different conceptive medicine and advances. With his aptitude, He has satisfied numerous moms' expectation including more than 3000+ fertility Test Tube Babies till date. He is remunerated with best IVF specialist in Ahmedabad, Gujarat and all over India on account of his quality fertility administrations.get more about Best IVF Center in Vadodara  can contact us at elawoman.com.

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Sneh IVF Center (Venus Multi Speciality Hospital)

Sneh IVF Center (Venus Multi Speciality Hospital) is a Multispeciality Center situated in Old Padra Road, Vadodara and offers administrations, for example, Infertility Assessment, Invitro Fertilization (IVF), Intrauterine Insemination (IUI), Hysterectomy, Normal vaginal conveyance methods.

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Anant Ivf Center in Vadodara treats the different infirmities of the patients by helping them experience top notch medicines and methods. Among the various administrations offered here, the clinic gives medications to Uterine Fibroids or Myomas, Ovarian Cysts, Endometriosis, Pelvic Organ Prolapse, Urinary Problems, Vaginal Discharge, Subfertility, Menopause, Gynecological Cancers, Abnormal Pap Smears - Pre-Invasive Cervical/Vaginal Disease and Vulva Conditions. The specialist is likewise recorded under Gynecologist and Obstetrician Doctors, Maternity Hospitals, IVF Centers, Infertility Clinics, Infertility Doctors, 24 Hours Nicu, Doctors For Laparoscopy, Medical Assistance For Gynecologist.

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Turmeric and flax seed are natural treatments for endometriosis

Turmeric and flax seed are natural treatments for endometriosis

This is a gynecological condition which is affecting approximately 10% of girls and women all around the world [1]. This condition is happening when the endometrium which is tissue that makes up inside the surface of the uterus, grows outside the uterine cavity. It can grow on the tissues lining the pelvis, bowel and ovaries. This misplaced endometrial tissue follows the normal menstrual cycle (it grows, thickens and breaks down) due to the hormonal changes that are happening in woman’s body. It has no way to exit her body and it becomes trapped and it is causing irritation and formation of scars and adhesions. This is causing severe pain during periods and possible fertility. Both factors can have a massive impact on the life of woman. Women from all ages are having risk of developing endometriosis. In the most cases it affects women from 25 – 40. The exact cause for this condition is now known. A key role in endometriosis can play backflow of menstrual fluid and the retrograde menstruation. Also there are other factors that could lead to endometriosis such as the reproductive system, the immune system, environmental toxins like dioxins that affect the body, a weak immune system and genetics. The most common symptoms of endometriosis are nausea, constipation, diarrhea, indigestion, swollen abdomen, infertility, fatigue, heavy or irregular bleeding during menstrual periods, painful bowel movements, pain during sexual intercourse, sharp pain during ovulation and pelvic pain and cramping during menstruation. The symptoms of endometriosis can vary from woman to woman. In the most cases women who suffer from endometriosis have no symptoms. This condition tends to get better when menopause begin. You can try some of the below mentioned home remedies to control the severity of endometriosis and alleviate the main symptoms of pain and infertility. You need to talk with your doctor before you start using some of the below mentioned home remedies for endometriosis if they are suitable for you and for the proper dosage.

Home remedies for endometriosis

Wild asparagus: Wild asparagus in Ayurveda was known as shatavari. It is rich in folic acid and it can help to treat anemia as well as endometriosis that is caused by a deficiency of folic acid. Also it has Vitamin E which can help to alleviate the pain, particularly cramps. You should mix one teaspoon of wild asparagus powder in one glass of warm milk. You should drink this home remedy 2 times per day until you feel better. [2] Dandelion: There are many herbalists which are recommending dandelion as a natural treatment for alleviating the symptoms of endometriosis. It can strengthen kidneys and liver and also it can help to regulate the hormone levels. You should put one teaspoon of dried dandelion root in one cup. You should pour hot water in the cup, cover it and let it steep for ten minutes. Strain it and add honey for taste. You should drink this tea 2 or 3 times per day until you get better. [3] Turmeric: Turmeric has curcumin which has anti – inflammatory benefits which can be used as natural treatment for endometriosis. It has been shown that it has anti – endometriotic property [4]. You should bring 2 cups of water to boil and you should add one teaspoon each of ginger powder and turmeric powder and one tablespoon each of lemon juice and honey. Drink this home remedy once per day until you rid of the problem. Also you can take turmeric capsules (300 mg) 3 times per day. You should avoid turmeric remedies if you are taking blood – thinning medications. Flaxseed: This is a very effective home remedy for endometriosis. It has Omega – 3 fatty acids and antioxidants which can help to slow the growth of abnormal endometrial tissue. The flaxseed can help the body to eliminate the harmful toxins. You should soak 3 – 4 tablespoons of flaxseeds in one cup of water overnight. You should strain it and drink the water in the next morning. You should follow this home remedy until your symptoms subside. Also you can add ground flaxseeds to salads, soups, smoothies and yogurt. [5] Pelvic massage: You should massage your pelvic area and abdomen with essential oils like sandalwood or lavender because it can help a lot to relax and soothe minor pain that is associated with endometriosis. You should lie on the bed and stretch out your body. You should rub some essential oil on your stomach. You should gently massage in a rotating pattern for 5 – 10 minutes. You should do this natural treatment once per day. You should not do this massage during your menstrual cycle. You should try to maintain a healthy weight and you should avoid fatty foods. You should not drink homogenized milk. You should try to drink filtered water or spring water. Also you should avoid alcohol and do not smoke. You need to take all the necessary steps to reduce the stress.

Natural treatments for endometriosis

Sitz bath: Many naturopathy practitioners are recommending a contrast hot and cold sitz bath because it can help to reduce the symptoms of endometriosis. The hot bath will help to relax the pelvic muscles which in turn can reduce pain and cramping. The cold bath can help to reduce the inflammation and alleviate the pain. You should fill 2 large bathtubs, one with cold water and another with hot water. You should add ten drops of lavender essential oil or rosemary essential oil to each bath and stir well. You should sit in the tub with hot water up to your waist for 3 – 5 minutes. Then, you should sit in the tub of cold water up to your waist for one minute. You should repeat this natural treatment for 2 – 5 rounds. You should do this natural treatment 3 – 5 times a week. You should avoid this natural treatment during menstruation. Castor oil: This is one of the most effective home remedies for endometriosis. It can help your body to rid of the excess toxins and tissues. This home remedy should be used at the beginning of the menstrual cycle, when the cramping is first noticed. It can help to reduce the severity of symptoms throughout the cycle. You should mix ¼ cup of castor oil with 8 drops of lavender essential oil. You should soak a washcloth in this home remedy, fold it and heat it in the microwave until it is comfortably warm. You should place warm cloth directly on your lower stomach. You should put a piece of plastic on top of the cloth and you should place a hot water bottle on the top of that. You should use this pack once per day for thirty to sixty minutes. You should rinse it off with lukewarm water after each application. You should not use this home remedy during the menstrual flow. Chamomile: This home remedy has anti – inflammatory properties which can help to reduce the inflammation as well as swelling that is often associated with endometriosis. Also it acts as a natural diuretic which can help to flush out the bladder. You need to steep two teaspoons of dried chamomile in one cup of hot water for 5 minutes. Strain it, add a little honey and drink this tea. You should drink 2 – 3 cups of chamomile tea on daily basis until you feel better. Also you can take chamomile in the form of capsules or tincture but always talk with your doctor before you start taking them. [6] Ginger: This home remedy has strong anti – inflammatory properties which can relieve menstrual cramps and reduce inflammation [7]. Also it can relive the nausea that is happening with endometriosis. It plays a big role in clearing the liver of excess toxins. You should boil one tablespoon of grated ginger root in 2 cups of water for ten minutes. You should strain it, add honey and drink 2 – 3 cups of this herbal tea on daily basis. Also you can chew fresh ginger pieces several times per day to recover quickly. Motherwort: This is also a very effective home remedy for endometriosis. There are several components in the motherwort which can help to enhance the blood volume in the reproductive system which is very important for the proper functioning. This in turn can help to combat menstrual problems like poor flow or blood clots. You should steep one teaspoon of the dried motherwort in one cup of hot water for about fifteen minutes. You should drink this herbal tea at least two times per day until your condition improves. Also you can take motherwort in capsule or tincture form but talk with herbalist before you start taking them. if you are using any kind of sedating medications, then you should avoid this herb. [8] References: [1] Giudice LC. Clinical practice. Endometriosis. The New England Journal of Medicine. 2010;362(25):2389-98. [2] Kumar S, Mehla RK, Kumar Dang A. Use of shatavari (asparagus racemosus) as a galactopoietic and therapeutic herb - a review. Agricultural Reviews. 2008;29(2):132-138. [3] Wang T, Xue B, Shao H, et al. Effect of dandelion extracts on the proliferation of ovarian granulosa cells and expression of hormone receptors. Chinese Medical Journal. 2018;131(14):1694-1701. [4] Arablou T, Kolahdouz-Mohammadi R. Curcumin and endometriosis: Review on potential roles and molecular mechanisms. Biomedicine & Pharmacotherapy. 2018;97:91-97. [5] Chang VC, Cotterchio M, Boucher BA, et al. Effect of dietary flaxseed intake on circulating sex hormone levels among postmenopausal women: A randomized controlled intervention trial. Nutrition and Cancer. 2019;71(3):385-398. [6] Ali B, Al-Wabel NA, Shams S, et al. Essential oils used in aromatherapy: A systemic review. Asian Pacific Journal of Tropical Biomedicine. 2015;5(8):601-611. [7] Chen CX, Barrett B, Kwekkeboom KL. Efficacy of oral ginger (Zingiber officinale) for dysmenorrhea: A systematic review and meta-analysis. Evidence-based Complementary and Alternative Medicine. 2016;2016:6295737. [8] Lans C, Taylor-Swanson L, Westfall R. Herbal fertility treatments used in North America from colonial times to 1900, and their potential for improving the success rate of assisted reproductive technology. Reproductive Biomedicine & Society Online. 2018;5:60-81.

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Dr. Parul Jain Gynecologist and Cloudnine Hospital Gurgaon

Dr. Parul Jain is a senior obstetrician and gynecologist with over 22 years of experience Along with her own particular facilities at division 49 and area 51. She is a Senior Consultant at Cloudnine Hospital, Gurgaon.

She has aptitude in pregnancy catch up with uncommon skill in pregnancy, typical conveyances, barrenness, endoscopic surgeries including laparoscopy and hysteroscopy. She likewise has the distinct fascination in understanding fruitlessness issues in couples alongside performing endoscopic surgeries and tumor screening. She gives proper guiding to post-menopause ladies, young people and offers bias advising with extraordinary exactness.

Cloudnine Hospital Gurgaon trusts that a youngster is life's most noteworthy blessing and pregnancy is a standout amongst the most otherworldly encounters nature can offer. This blessing should be sustained and administered to, not exactly during childbirth, but rather for the whole length of your pregnancy. Which is the reason, to guarantee a solid and glad pregnancy, Cloudnine gives you world-class medicinal aptitude, best in class offices, a space loaded with affection and giggling and staff devoted to the all encompassing prosperity of you and your infant.

Cloudnine Maternity Hospital in Sector 47, Delhi is a set up mark name in the city having some expertise in maternity mind. This human services foundation offers world-class therapeutic ability, cutting edge offices and a sincere situation to guarantee a lady has a glad and solid pregnancy. Their complete care broadens well past just maternity mind, as at this healing center you can benefit administrations for pregnancy, barrenness, gynecological, neonatal, pediatric, new conceived escalated and high hazard pregnancy.

Cloudnine Hospital is known for lodging experienced Pediatricians. Dr. Bir Singh Yadav, a very much rumored Pediatrician, hones in Gurgaon. Visit this restorative wellbeing place for Pediatricians suggested by 52 patients.

What is abnormal uterine bleeding?

Abnormal uterine bleeding is any heavy or unusual bleeding from the uterus (through your vagina). It can occur at any time during your monthly cycle, including during your normal menstrual period.

Symptoms of abnormal uterine bleeding

Vaginal bleeding between periods is one symptom of abnormal uterine bleeding. Having extremely heavy bleeding during your period can also be considered abnormal uterine bleeding. Very heavy bleeding during a period and/or bleeding that lasts more than 7 days is called menorrhagia. For example, women may bleed enough to soak through 1 or more tampons or sanitary pads every hour.

What causes abnormal uterine bleeding?

A variety of things can cause abnormal uterine bleeding. Pregnancy is a common cause. Polyps or fibroids (small and large growths) in the uterus can also cause bleeding. Rarely, a thyroid problem, infection of the cervix, or cancer of the uterus can cause abnormal uterine bleeding.

In most women, abnormal uterine bleeding is caused by a hormone imbalance. When hormones are the problem, doctors call the problem dysfunctional uterine bleeding, or DUB. Abnormal bleeding caused by hormone imbalance is more common in teenagers or in women who are approaching menopause.

These are just a few of the problems that can cause abnormal uterine bleeding. These problems can occur at any age, but the likely cause of abnormal uterine bleeding usually depends on your age.

Women in their teens, 20s, and 30s

A common cause of abnormal bleeding in young women and teenagers is pregnancy. Many women have abnormal bleeding in the first few months of a normal pregnancy. Some birth control pills or the intrauterine device (IUD) can also cause abnormal bleeding.

Some young women who have abnormal uterine bleeding do not release an egg from their ovaries (called ovulation) during their menstrual cycle. This is common for teenagers who have just started getting their periods. This causes a hormone imbalance where the estrogen in your body makes the lining of your uterus (called the endometrium) grow until it gets too thick. When your body gets rid of this lining during your period, the bleeding will be very heavy. A hormone imbalance may also cause your body not to know when to shed the lining. This can cause irregular bleeding (“spotting”) between your periods.

Women in their 40s and early 50s

In the years before menopause and when menopause begins, women have months when they don’t ovulate. This can cause abnormal uterine bleeding, including heavy periods and lighter, irregular bleeding.

Thickening of the lining of the uterus is another cause of bleeding in women in their 40s and 50s. This thickening can be a warning of uterine cancer. If you have abnormal uterine bleeding and you’re in this age group, you need to tell your doctor about it. It may be a normal part of getting older, but it’s important to make sure uterine cancer isn’t the cause.

Women after menopause

Hormone replacement therapy is a common cause of uterine bleeding after menopause. Other causes include endometrial and uterine cancer. These cancers are more common in older women than in younger women. But cancer is not always the cause of abnormal uterine bleeding. Many other problems can cause bleeding after menopause. For this reason, it’s important to talk to your doctor if you have any bleeding after menopause.

How is abnormal uterine bleeding diagnosed?

The tests your doctor orders may depend on your age. If you could be pregnant, your doctor may order a pregnancy test. If your bleeding is heavy, in addition to other tests, your doctor may want to check your blood count to make sure you don’t have a low blood count from the blood loss. This could lead to iron deficiency and anemia.

An ultrasound exam of your pelvic area shows both the uterus and the ovaries. It may also show the cause of your bleeding.

Your doctor may want to do an endometrial biopsy. This is a test of the uterine lining. It’s done by putting a thin plastic tube (called a catheter) into your uterus. Your doctor will use the catheter to remove a tiny piece of the uterine lining. He or she will send that lining to the lab for testing. The test will show if you have cancer or a change in the cells. A biopsy can be done in the doctor’s office and causes only mild pain.

Dr. Parul Jain Gynecologist runs her own center in Gurgaon (Jain Maternity and Infertility Clinic) where patients can profit the offices, for example, laparoscopic surgery, barrenness, high-chance pregnancy, cervical growth screening, and immunization. Dr. Parul has gone to different national level workshops and gatherings and regularly welcomed as visitor speaker. She has composed numerous articles for national and universal productions. In over a time of training, she has arranged case reports and composed the proposition too. Patients suggest her since she gives cutting edge treatment.

Dr. Parul Jain is an accomplished Gynecologist in Sohna, Gurgaon. She has had numerous cheerful patients in her 15 years of trip as a Gynecologist. She examined and finished Fellowship in IUI, MS - Obstetrics and Gynecology, MBBS . She is as of now connected with Jain Maternity and Infertility Clinic-Special Focus On Normal Delivery in Sohna, Gurgaon. You can book a moment arrangement online with Dr. Parul Jain on elawoman.com.

Dr. Parul earned her medicinal degree at Manipal college. She finished her ophthalmology residency at Maulana Azad Medical school, New Delhi. She has been prepared in waterfall surgery, corneal clutters, outside ailment, refractive surgery, and visual injury at an indistinguishable organization from a piece of a three year comprehensive senior residency program at Guru Nanak eye centra, MAMC, Delhi. She has been associated with various research extends and has 40 Publications shockingly in listed and peer checked on diaries. She has additionally created parts In various books and has been effectively engaged with undergrad and postgraduate instructing. She is a dynamic individual from universal and national Ophthalmological Societies and has been an Active member in instructional courses and has exhibited papers and notices at different Conferences.

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I thought I was having bladder issues

New Story has been published on https://enzaime.com/thought-bladder-issues/

I thought I was having bladder issues

“I would recommend Dr. Chu to anyone facing a gynecologic cancer.”

I’m one of those lucky people who keeps in touch with my nine best friends from grade school. Every few years, we travel together. In the summer of 2009, the year we all turned 65, we planned to take a cruise. Unfortunately, I couldn’t join them that year.

In June 2009, I began spotting, which was concerning to me, as I was 65 and had already gone through menopause. I thought I was having bladder issues and went to a urologist. When all tests were negative, I saw my gynecologist, who performed a biopsy, which was also negative. After a D&C (dilation and curettage) procedure was finished, the pathology results revealed the source of the bleeding: I had endometrial cancer. The most common type of this disease is called endometrial adenocarcinoma, but my cancer was a less common and more aggressive form called uterine papillary serous carcinoma.

My gynecologist referred me to Dr. Charles Dunton’s practice at Lankenau Hospital in 2009. He performed a complete hysterectomy, followed by a course of chemotherapy. By October 2011, Dr. Dunton suggested that I seek a second opinion from Dr. Christina Chu, a surgical gynecologic oncologist who was at University of Pennsylvania at the time but later began practicing at Fox Chase Cancer Center. I still have the sticky note that Dr. Dunton passed across the desk when he suggested I see Dr. Chu. I was very appreciative to him for having the foresight to refer me to another specialist.

I felt comfortable with Dr. Chu and knew I was in good hands. At my first appointment, she reviewed my medical history, and with confidence and compassion, she told me, “I’ll be able to help you.” I knew I was in the right place and began treatment immediately. I would recommend Dr. Chu to anyone facing a gynecologic cancer. She’s compassionate and honest. She tells it like it is but instills a sense of confidence so you know she’ll take great care of you. She gave me hope, and I was so thankful I could follow her to Fox Chase.

After several rounds of chemotherapy, I took a 10-month break from the treatment (from May 2013 through March 2014). In April 2014, I began a new course of chemotherapy at Fox Chase Cancer Center. I had surgery in 2015 and was on a pill for most of 2015, but I haven’t had any chemotherapy or treatment since November 2015.

I was fortunate enough to never have had any intestinal issues with the treatments. After a while, I stopped filling the prescriptions I was given for nausea medication. I was very, very lucky, other than being extremely tired sometimes. I had vacation at work because I’d been there a long time, and I briefly took short-term disability when I was recovering from surgery. We were still able to have the grandkids over, and sometimes, I had to lie down more often than usual, but there was never a cloud over the house. We just took it easy.

I’ve recently reduced my time at work to four days per week. For the past 20 years, I’ve worked as an examiner for a title company, which is work that I enjoy. My coworkers have been very supportive. They’ve been wonderful about allowing me to take time off or come in late when I have a doctor’s appointment. I’m so appreciative of my husband, Michael, who is retired. He definitely spoils me—he does the food shopping, cooking, and cleaning. I come home to a nice meal each night!

I now see Dr. Chu every three months, and the week before my appointment, I have bloodwork done. Every three months, for the week leading up to my bloodwork and visit with Dr. Chu, I do get a little uptight not knowing what my results will be like, but I can honestly say that after we get the results and I see the doctor, I almost don’t even think of myself as having cancer. We’re not using the word remission yet, so we’re just going along here and hoping for the best!

I believe in the power of prayer and am thankful for everyone in my life. Due to my ongoing treatment, Michael and I haven’t traveled far, but we have enjoyed visiting with our four sons, eight grandchildren, and our newest family addition, a great-grandson who was born in December 2013.

Last year, when Michael and I celebrated our 50th anniversary, our four sons surprised us with a bench on Ocean City’s boardwalk. The plaque reads, “Happy Anniversary, Mike and Carol Desko, also known as Nanny and Pops.” It also includes the date and our song, Johnny Mathis’s “Misty,” with a line from the song at the bottom: “I get misty just holding your hand.” It was really special of them to do that, and we were so lucky that I was here to enjoy our 50th anniversary.

Until just this year, I didn’t know anybody who had my kind of cancer. In the waiting room at Fox Chase one day, my husband started a conversation with a girl who was with her mother, and it just so happened that the girl’s mother and I had the same kind of cancer. So, when I came out from seeing the doctor, the girl and I exchanged numbers, and she has called me several times to ask about my experience. It’s been nice to know somebody else who has this kind of cancer.

Everyone at Fox Chase has been so nice—from the maintenance crew, to the nurses, to the front desk staff. It takes a certain kind of person to work there. I’ve been to other hospitals where the infusion rooms are private. Fox Chase’s infusion room is more open and everyone gets to know each other, if only for a short visit. It’s very friendly, which is also nice for the family and caregivers, who are the real heroes!