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Ovarian Cysts The ovaries are the very important part of a female body. They are a in a pair in the female reproductive system and are located one on each side of the uterus. Each ovary is about the size and shape of an almond. The ovaries produce eggs and are also the main source of the female hormones oestrogen and progesterone. They influence the development of a woman's breasts, body shape, and body hair. They also regulate the menstrual cycle and pregnancy. A cyst is a fluid-filled sac, and can be located anywhere in the body. Ovarian cysts are fluid-filled sacs or pockets within or on the surface of an ovary. Different types of cysts can form in the ovary. Many cysts are completely normal. These are called functional cysts and these are very commonly found. They occur during egg formation. Functional cysts normally shrink over time, usually in few months. If you have a functional cyst, you may need a check-up once again in 1 to 2 months to make sure that the cyst has become smaller or has it completely resolved. These cysts are almost never associated with cancer. But if you are menopausal and are not having periods, you will not have functional cysts. The other types of cysts are chocolate cyst, Simple cyst, or dermoid cyst. Many women have ovarian cysts without having any symptoms. In some the cyst will cause these problems: Pressure, fullness, or pain in the abdomen Pain during sexual intercourse Painful menstrual periods and abnormal bleeding Nausea or vomiting To identify the type of cyst, the following tests are needed: 1. Pelvic ultrasound 2. CA 125 blood test- It is a tumour marker and is often elevated in ovarian cancer. The ovarian cysts can be treated in the following ways- 1. Wait and watch- The patient waits and gets re-examined in one to three months to see if the cyst has changed in size. This is a common treatment option for women who are in their childbearing years, have no symptoms, and have a simple cyst less than 5 cm size. 2. Surgery- If the cyst does not go away after few menstrual cycles, has become larger, or looks unusual on the ultrasound, causes pain, or the woman is postmenopausal, then there is a need to remove it. There are two surgical methods- Laparoscopy-if the cyst is small and looks non-cancerous on the ultrasound, CA-125 is normal then laparoscopy can be done. This procedure is done under general anaesthesia. Very small incisions of 0.5 to 1.0 cm are needed in this surgery. Open Surgery-if the cyst is solid and looks suspicious, then open surgery is needed. The incision in open surgery is quite big. Gynecologist in Jalandhar near bus stand list of gynaecologist doctors 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.
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
What is the pancreas? The pancreas is a 6-inch long organ located behind the stomach in the back of the abdomen. It is spongy and shaped somewhat like a fish, extended horizontally across the abdomen. The head of the pancreas is on the right side of the abdomen where the stomach is attached to the first part of the small intestine (the duodenum). The tail of the pancreas - its narrowest part - extends to the left side of the abdomen next to the spleen. The pancreas contains exocrine and endocrine glands that create pancreatic juices, hormones, and insulin. Pancreatic juices, or enzymes, made by the exocrine glands are released into the intestines by way of a series of ducts in order to help digest fat, proteins, and carbohydrates. Over 95% of the pancreas is made up of exocrine glands and ducts. The endocrine cells are arranged in small clusters called islets of Langerhans, which release insulin and glucagon into the bloodstream. These two hormones manage levels of sugar in the blood. When they are not working properly, the result is often diabetes. Pancreas Treatment In Jalandhar ________________________________________ Classification of pancreatic cancer Pancreatic cancer is categorized depending on whether it affects the exocrine or endocrine functions of the pancreas. There is an important distinction between the two broad types of pancreatic cancer because they have different risk factors, causes, symptoms, diagnostic tests, treatments, and prognoses. A CT scan of the pancreas. Tumors that affect the exocrine functions are the most common type of pancreatic cancer. Sometimes these tumors or cysts are benign, called cystadenomas. However, it is more likely to find malignant tumors called adenocarcinomas, which account for 95% of exocrine pancreatic cancers. Adenocarcinomas typically start in gland cells in the ducts of the pancreas, but they can also arise from pancreatic enzyme cells (acinar cell carcinoma). Other types of pancreatic cancers that are associated with exocrine functions include adenosquamous carcinomas, squamous cell carcinomas, and giant cell carcinomas, named for their appearances underneath a microscope. There is also a disease called ampullary cancer (carcinoma of the ampulla of Vater) that starts where the bile duct and pancreatic duct meet the duodenum of the small intestine. Tumors that affect the endocrine functions of the pancreas are called neuroendocrine or islet cell tumors, but these are fairly uncommon. These tumors are named for the type of hormone-producing cell that is initially affected. For example: insulinomas (insulin), glucagonomas (glucagon), gastrinomas (gastrin), somatostatinomas (somatostatin), and VIPomas (vasoactive intestinal peptide or VIP). Functioning islet cell tumors still make hormones, while non-functioning ones do not. Most of these tumors are benign, but non-functioning tumors are more likely to be malignant, islet cell carcinomas. Cancer treatment Hospital in Jalandhar
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
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