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ENDOMETRIOSIS Endometriosis is a painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. Endometriosis most commonly involves your ovaries, fallopian tubes and the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond pelvic organs. With endometriosis, displaced endometrial tissue continues to act as it normally would — it thickens, breaks down and bleeds with each menstrual cycle. Because this displaced tissue has no way to exit your body, it becomes trapped. When endometriosis involves the ovaries, cysts called endometriomas may form. Surrounding tissue can become irritated, eventually developing scar tissue and adhesions — abnormal bands of fibrous tissue that can cause pelvic tissues and organs to stick to each other. Endometriosis can cause pain — sometimes severe — especially during your period. Fertility problems also may develop. Fortunately, effective treatments are available. Symptoms The primary symptom of endometriosis is pelvic pain, often associated with your menstrual period. Although many women experience cramping during their menstrual period, women with endometriosis typically describe menstrual pain that's far worse than usual. They also tend to report that the pain increases over time. Common signs and symptoms of endometriosis may include: • Pelvic pain • Painful periods (dysmenorrhea) • Pain with intercourse • Pain with bowel movements or urination. • Excessive bleeding • Infertility. Endometriosis is first diagnosed in some women who are seeking treatment for infertility. • fatigue • diarrhea • constipation • bloating or nausea, especially during menstrual periods. The severity of your pain isn't necessarily a reliable indicator of the extent of the condition. Some women with mild endometriosis have intense pain, while others with advanced endometriosis may have little pain or even no pain at all. Endometriosis is sometimes mistaken for other conditions that can cause pelvic pain, such as pelvic inflammatory disease (PID) or ovarian cysts. It may be confused with irritable bowel syndrome (IBS), a condition that causes bouts of diarrhea, constipation and abdominal cramping. IBS can accompany endometriosis, which can complicate the diagnosis. Causes Although the exact cause of endometriosis is not certain, possible explanations include: • Retrograde menstruation. In retrograde menstruation, menstrual blood containing endometrial cells flows back through the fallopian tubes and into the pelvic cavity instead of out of the body. These displaced endometrial cells stick to the pelvic walls and surfaces of pelvic organs, where they grow and continue to thicken and bleed over the course of each menstrual cycle. • Transformation of peritoneal cells. In what's known as the "induction theory, " experts propose that hormones or immune factors promote transformation of peritoneal cells — cells that line the inner side of your abdomen — into endometrial cells. • Embryonic cell transformation. Hormones such as estrogen may transform embryonic cells — cells in the earliest stages of development — into endometrial cell implants during puberty. • Surgical scar implantation. After a surgery, such as a hysterectomy or C-section, endometrial cells may attach to a surgical incision. • Endometrial cells transport. The blood vessels or tissue fluid (lymphatic) system may transport endometrial cells to other parts of the body. • Immune system disorder. It's possible that a problem with the immune system may make the body unable to recognize and destroy endometrial tissue that's growing outside the uterus. Risk factors Several factors place you at greater risk of developing endometriosis, such as: • Never giving birth • Starting your period at an early age • Going through menopause at an older age • Short menstrual cycles — for instance, less than 27 days • Having higher levels of estrogen in your body or a greater lifetime exposure to estrogen your body produces • Low body mass index • Alcohol consumption • One or more relatives (mother, aunt or sister) with endometriosis • Any medical condition that prevents the normal passage of menstrual flow out of the body • Uterine abnormalities Endometriosis usually develops several years after the onset of menstruation (menarche). Signs and symptoms of endometriosis end temporarily with pregnancy and end permanently with menopause, unless you're taking estrogen. Complications • Impaired fertility. Diagnosis • Pelvic exam • Transvaginal ultrasound • Laparoscopy. Treatment • Medications : Pain medications • Hormone therapy • Progestin therapy • Surgery ENDOMETRIOSIS TREATMENT IN JALANDHAR
CLINICAL FEATURES The conditions may not produce any clinical manifestation. GYNECOLOGICAL : INFERTILITY AND DYSPAREUNLA are often related in association with vaginal septum. : DYSMENORRHEA in bicornuate uterus or due to cyrptomenorrhea ( pent up menstrual blood in rudimentary horn). : MENSTRUAL DISORDERS ( menorrhagia, crymtomenorrhea) are seen. Menorrhagia is due to increased surface area in bicornuate uterus. OBSTETRICAL : MIDTRIMESTER MISCARRIAGE which may be recurrent. : Rudimentary HORN PREGNANCY may occur due to transperitoneal migration of sperm or ovum from the opposite side, cornual pregnancy (ectopic) inevitably ends in rupture around 16th week. Dr Ruche Bhargava Gynecological in Jalandhar
Pelvic pain Every woman experiences pelvic pain due to one or other reason many times in their life. Sometimes pelvic pain may be hinting towards a major disorder, while other times it may be part of a normal menstrual cycle. Here you can read the possible causes and treatment of pelvic pain. What is pelvic pain? As you know, pelvic region refers to the organs in your lower abdomen. Organs in your pelvic area include womb, bowel, bladder, fallopian tube, cervix, vagina ovaries etc. A pelvic pain occurs due to irregularities or dysfunction of any of these organs. The pain in the pelvic region may be acute or chronic. What causes pelvic pain? Pelvic pain may be caused by any disorder, infection or condition related to urinary, reproductive or digestive system in woman. Pelvic pain is one of the major symptoms of diseases affecting the reproductive system in woman. It includes: Endometriosis: A common gynaecological disorder in which the endometrium (uterine lining) grows outside the uterine cavity. Dysmenorrhoea: The menstrual cramps accompanying the periods may turn severe in women sometimes. Ovarian torsion: Twisting or rupturing of the ovary caused by ovarian masses or cysts. Uterine fibroids: Non-cancerous tumours that grow inside the female reproductive system leading to heavy bleeding Ovarian/cervical/uterine cancer: A cancerous growth in the pelvic region Pelvic inflammatory disease: A common infection that occurs in the pelvic region Ovulation: A pelvic pain that lasts for a few hours may occur when the egg is released from the ovaries. Ectopic pregnancy: A condition in which the fertilised egg attaches itself anywhere outside the uterus and begins to develop. Miscarriage during pregnancy: Loss of pregnancy in the initial 24 weeks. Premature labour: Labour occurring before 37 weeks of pregnancy. Placental Abruption: An emergency condition in which the placenta detaches from the uterus partially or wholly, before the baby is born. Chronic pelvic pain: The pain which lasts for more than six months. It can be caused due to history of accidents, physical abuse, chronic stress or depression etc. gynecologist hospital in Jalandhar
Breast pain Breast pain (mastalgia) is the most common breast related complaint among women; nearly 70% of women experience breast pain at some point in their lives. Breast pain may occur in one or both breasts or in the underarm (axilla) region of the body. The severity of breast pain varies from woman to woman; approximately 15% of women require treatment. Though breast pain is not normally associated with breast cancer, women who experience any breast abnormalities, including breast pain, should consult their physicians. Breast pain can range from mild to severe. It may occur: Just a few days a month, in the two to three days leading up to your period. This normal, mild-to-moderate pain affects both breasts. A week or longer each month, starting before your period and sometimes continuing through your menstrual cycle. The pain may be moderate or severe, and affects both breasts. Throughout the month, not related to your menstrual cycle. When to see a doctor Make an appointment with your doctor if breast pain: Continues daily for more than a couple of weeks Occurs in one specific area of your breast Seems to be getting worse over time Interferes with daily activities Breast specialist in Jalandhar Breast Treatment in Jalandhar
Ovarian cancer Treatment in Jalandhar Ovarian cancer is often called “The Silent Killer” because the symptoms are so nonspecific and are often blamed on something else. Thus it is possible to have been experiencing early warning signs of this disease for years and not realize anything is seriously wrong. This is very understandable, as the symptoms, if they are seen at all, most often seem benign at first. However, if you have had one or more of these symptoms for several weeks or months, please consider calling your physician and scheduling a check-up. Cancer is a scary word and most people would prefer to just assume everything is fine and hope whatever is bothering them simply “goes away.” However, consider that ovarian cancer statistics show that 70% to 80% of diagnoses are made in late stages when the prognosis is not so good. To give yourself the best chance at long-term survival and even a complete cure, these are 7 of the symptoms to watch out for: 1. Persistent indigestion. 2. Bloating, feeling of fullness, tightness of clothes. 3. Painful intercourse, or dyspareunia. 4. Pelvic discomfort or pain. 5. Unexplained weight loss or weight gain. 6. Leg pain. 7. Change in character of menstrual periods. Ovarian cancer hospital in Jalandhar
Ovarian cyst treatment in Jalandhar Ovarian cyst are fluid-filled sacs within or on the surface of an ovary. Many women have ovarian cysts at some time during their lives. Most ovarian cysts present little or no discomfort and are harmless. The majority of ovarian cysts disappear without treatment within a few months. Ovarian cyst — especially those that have ruptured — sometimes produce serious symptoms. The symptoms of ovarian cyst, if present, may include: • Menstrual irregularities • Pelvic pain — a constant or intermittent dull ache that may radiate to your lower back and thighs • Pelvic pain shortly before your period begins or just before it ends • Pelvic pain during intercourse (dyspareunia) • Pain during bowel movements or pressure on your bowels • Nausea, vomiting or breast tenderness similar to that experienced during pregnancy • Fullness or heaviness in your abdomen • Pressure on your rectum or bladder that causes a need to urinate more frequently or difficulty emptying your bladder completely. Infrequent complications associated with ovarian cysts include: • Ovarian torsion- Cysts that become large may cause the ovary to move out of its usual position in the pelvis. This increases the chance of painful twisting of your ovary, called ovarian torsion. • A cyst that ruptures may cause severe pain and lead to internal bleeding. To identify the type of cyst, your doctor may perform the following procedures: Pregnancy test Pelvic ultrasound Laparoscopy CA 125 blood test The treatment depends upon the type/ stage of the cyst; or the presence of complications. Please talk to your gynecologist for treatment options.
Breast cancer treatment In Jalandhar 1. Breast cancer treatment options depending on the location and size of the tumor in his chest. 2. Various methods of treatment of breast cancer Breast cancer treatment can be local or systemic. Radiation therapy and surgery is the treatment of breast cancer. Local breast cancer treatment that is used to destroy, remove or control the growth of cancer cells. Hormonal therapy and chemotherapy is a systemic treatment. Systemic treatment is targeted to control or destroy cancer cells throughout the body. Various forms of breast cancer treatment can be determined at the same time or one after the other. The operation is one of the treatment of breast cancer is the most common. Many types of surgical interventions can be used. Surgical intervention to remove the breast is called mastectomy. Surgery is done to remove the cancer cells without affecting the size of the breast is called breast conserving surgery or breast-saving. Radiation therapy or radiotherapy: The breast cancer treatment specialist using high energy radiation to kill cancer cells and to stop them from growing. Chemotherapeutic breast cancer treatment: The Specialist using different types of drugs or combination from different drugs to kill cancer cells or to stop them from growing. Drugs given in cycles; time of treatment followed by a longer recovery period followed by another breast cancer treatment. Hormone therapy for breast cancer treatment: It used to stop the growth of cancer cells that affects the female hormones. Breast cancer treatment may include the use of drugs, which changed the way hormones work or surgery to remove the ovaries produce female hormones. Breast Cancer Specialist in Jalandhar
POLYCYSTIC OVARY SYNDROME (PCOS) PCOS is one of the most common causes of infertility in women worldwide, accounting for almost 70 percent of all infertility cases. A disorder of the endocrine system, PCOS results in multiple cysts in one or both ovaries, leading to problems with ovulation or the release of egg, which in turn hinders conception. Statistics indicate that approximately 5-10% of women in their reproductive age are affected by PCOS.Apart from causing problems in natural conception, untreated PCOS can increase the risk of health disorders such as diabetes, hypertension and heart disease. Polycystic ovary syndrome (PCOS) is a health problem that can affect a woman's: Menstrual cycle Ability to have children Hormones Heart Blood vessels Appearance ith PCOS, women typically have: High levels of androgens. These are sometimes called male hormones, though females also make them. Missed or irregular periods (monthly bleeding) Many small cysts (sists) (fluid­filled sacs) in their ovaries. POLYCYSTIC OVARY SYNDROME (PCOS) Treatment in Jalandhar PCOS treatment in Jalandhar
Breast Cancer Cancer has always been considered a disease which strikes you at later stages of your life. This holds true to a certain extent, but if we look at breast cancer, the age at which women develop breast cancer has undergone a sea change in the last two decades. An increasing number of breast cancers are detected in the 25-40 years age group. The age where one settles down, plans to have a family and is busy with raising children. India is now witnessing more and more numbers of patients being diagnosed with breast cancer to be in the younger age groups. What every woman should know Breast cancer is the most common non-skin cancer among American women. One in eight women will develop invasive breast cancer during her lifetime. But advances in breast cancer treatment mean many women can expect to beat the disease and maintain their physical appearance. Strand Center studied genes that may increase a women’s risk of suffering from breast cancer. Our scientists have identified 50 mutations (variants of a gene) in genes that are present in the Indian population, which can cause breast cancer. Some of these gene mutations have been identified earlier. Our analysis showed that there are 19 new mutations that have not been identified by other researchers. So, all in all, these gene variations have increased the chances of breast cancer amongst Indian women. Symptoms A lump in the breast Pain in armpits or breast that does not seem to be related to the woman’s menstrual period Pitting or redness of the skin of the breast A rash around (or on) one of the nipples A swelling (lump) in one of the armpits An area of thickened tissue in a breast One of the nipples has a discharge; sometimes it may contain blood The nipple changes in appearance; it may become sunken or inverted The size or the shape of the breast changes The nipple-skin or breast-skin may have started to peel, scale or flake news A successful treatment of cancer is possible, if detected at an early stage. Breast Cancer Specialist in Jalandhar Breast Cancer Treatment in Jalandhar
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