Sunday 12 April 2009

What are the Different Stages of Endometriosis


An Endometriotic Cyst

The Stages of Endometriosis



The Stages of Endometriosis
By Eric A. Daiter MD



Endometriosis symptoms can vary greatly from one person to the next. Symptoms can be severe while the endometriosis itself is mild. Mild symptoms can be present or even undetectable and endometriosis can be very advanced. The endometriosis symptoms you experience could have no correlation at all to the extent or severity of the endometriosis itself.

Endometriosis tissue is much like the lining of your uterus. It reacts hormonally the same as the uterine lining. It grows and sheds along with your menstrual cycle. It is widely believed that in some cases, when the uterine lining is shed, it does not leave the body as it is supposed to. Instead, it travels up the fallopian tubes and into the abdominal cavity. Here, it infests the reproductive organs, surrounding tissues and even the nearby organs.

Endometriosis is a progressive disease and can get worse over time. It can spread to the lower back, bowels, kidneys, lungs and other organs, inhibiting organ function. This is why it is particularly important to treat endometriosis even if you do not have infertility concerns.

Symptoms can be mild or severe. They include heavy, painful or irregular periods. Lower back pain and kidney problems are also not uncommon. Many women are not diagnosed with endometriosis until they experience infertility. Endometriosis is usually discovered during a diagnostic laparoscopic surgery while an infertility specialist is looking for infertility causes. A laparoscopic endometriosis treatment may be necessary to restore fertility. Laparoscopy is the only way to definitively diagnose endometriosis.

Endometriosis severity is measured in stages. Stage 1 is referred to as minimal endometriosis and may or may not have an effect on fertility. Stage 1 endometriosis is usually treated with medications unless you are trying to conceive. If you are having trouble conceiving, then even minimal amounts of endometrial implants and lesions may need to be surgically removed. Another reason to treat stage 1 endometriosis is because it is progressive and can lead to dangerous organ damage down the line.

Stage 2 endometriosis is mild, but more than just the occasional lesion or implant is visible. Stage 2 endometriosis usually means that at least one of the ovaries has endometriosis present. This can lead to your fallopian tubes being blocked by scar tissues or the ovaries themselves being compromised by the present implants.

Stage 3 endometriosis is considered moderate. Stage 3 is used to describe endometriosis, usually on both ovaries as well as the uterus. Implants and lesions may be deeper and take up more area than stage 2 implants and lesions. Surgical treatment of stage 3 and stage 4 endometriosis historically has had the greatest impact on fertility associated with endometriosis.

Stage 4 is the most severe. Stage 4 is used to describe endometriosis that is prominent in the abdominal cavity. Stage 4 endometriosis can affect many surrounding organs and be very dangerous. This is the stage most commonly associated with infertility.

If you are experiencing any endometriosis symptoms and are having trouble conceiving, then you could have an advanced level of endometriosis. You should never ignore endometriosis symptoms or prolong treatment.



The article The Stages of Endometriosis was Submitted by Eric A. Daiter MD through Articles.GetACoder.com network. Here's the additional information: This information is brought to you by Dr. Daiter, Eric MD. About the Author: Dr. Eric Daiter MD, the medical director of The NJ Center for Fertility and Reproductive Medicine, LLC.





Photo credit: http://farm4.static.flickr.com

Saturday 11 April 2009

Tips For Dealing With Your Post-Pregnancy Body



Source of photo: http://upload.wikimedia.org/wikipedia/commons/8/80/Pregnant_belly_button.jpg


Your Sexy Self



Your Sexy Self



Author: Jennifer Wider, Md


Here are a few tips for dealing with your post-pregnancy body and keeping the spark alive:

• Review your expectations. If you were under the impression that you'd slip right back into your hippest pair of jeans right after the baby was born, you may need to accept that for most women, this just isn't realistic. Sure, there are the lucky few who can be seen lounging poolside in sexy bikinis three or four weeks post-baby, but if you're reading this, you are probably not among them.

Remember, it takes time and effort to get that body back. And a few extra pounds, plus a stretch mark or three (and a varicose vein), shouldn't stop you from getting it on with your partner, especially if you're in the mood. Some of these changes will fade or disappear altogether, but others may be here to stay, so you'll have to get used to them. Chances are your partner will be so excited to get a little action, he won't care about the changes you're obsessing about.

• Give yourself a break. You've just been through a tremendous event that has taken an inevitable toll on your body. You should feel beautiful and proud, not embarrassed or self-conscious. That body of yours is a magnificent organism which has just produced a baby. What a great gift it has given you. Love yourself from the inside out, and give yourself the time and emotional space to gradually get back into shape.

• Keep in mind: Sex doesn't necessarily correlate with pounds. Among my mommy friends, the woman with the most active sex life was the one who was the last to lose her extra pounds.

• Dim the lights. As basic as this tip sounds, the advice can go a long way. Turning down the lights can actually make you feel more comfortable. You won't need to worry that your partner is taking notice of all of your imperfections. You can just focus on making each other feel desired! To make it more romantic, light a scented candle and play some mood music.

• If you're breastfeeding, stop worrying about leakage. Some women worry that their breasts will leak during sexual activity -- so much that the anxiety gets in the way of their libido. Wearing a nursing bra with pads can do the trick, both because it solves the problem and because it reduces anxiety about the problem.


Low Sex Drive

He looks at you across the dinner table on your first night out since the baby was born. He's flirting, you think, but you hardly notice because you've been secretly checking your watch under the table, counting the minutes until you can get home to make sure your babysitter hasn't dropped the baby.

He reaches for your hand; you're still thinking about the baby. You hear something in the background which sounds like a baby and your breasts fill up with milk. He tells you how much he loves you and you start to leak. He is definitely trying to set the stage for a romantic and intimate evening and you, on the other hand, have to excuse yourself to change your breast pad in the bathroom.

How can he think about sex when sex is the furthest thing from your mind? You haven't thought about sex for, well, it's been about four months. Last night, he told you that he misses being with you. You start to feel bad. But then you check your watch again; only fifteen more minutes, you think, and then you can go home and be with the baby.


How come you're not in the mood (at all)?

There are so many explanations for why new moms aren't in the mood to have sex after the baby comes. A low sex drive can be frustrating for both you and your partner. But don't despair; it's a normal part of the picture. Reasons for a decreased libido include:

• Fluctuating hormone levels. After the baby is born, estrogen and progesterone levels drop, which can contribute to a decrease in your sex drive. If you are breastfeeding, a hormone called prolactin becomes elevated, which can further suppress the other hormone levels, and with them, your sexual desire. It can take months for your hormone levels to go back to their prepregnancy levels.

• Fatigue. I don't need to tell you that new moms frequently suffer from exhaustion. But fatigue and exhaustion can wreak more havoc on your body than you may realize. Studies have shown that disrupted sleep, night after night, can contribute to stress, moodiness, poor decision-making, a decreased immune response, and lowered sex drive.

• Concern about the way your body looks. As discussed above, many women are self-conscious about the changes in their bodies during the postpartum period and anxious about whether their partners will still find their bodies attractive. While these feelings are normal, they can get in the way of the desire to be intimate with your partner.

• Pain. Depending on the type of delivery you experienced, you may have incisions that have not yet healed and are still quite painful. Even if there is no episiotomy or Cesarean scar, the perineum, or area between the vaginal and rectal openings, has been stretched (beyond belief) and is most likely pretty sore. For many women, the thought of putting anything even close to that area can evoke fear and anxiety, which in turn can dramatically lessen sexual desire.

• Lack of vaginal lubrication. In breastfeeding women, elevated prolactin levels and lowered estrogen and progesterone levels can result in vaginal dryness. Without proper lubrication, sex can hurt, and as a result, women may steer away from relations with their partners, especially while breastfeeding.


It's been six weeks and I'm definitely not ready to have sex. Is something wrong with me? Are most women ready at this point?

No, nothing is wrong with you. Some women just take longer than others to be ready. I can't stress enough how individualized this all is. The decision to have sex after the baby comes is definitely not a one-size-fits-all milestone. Everyone is different. I knew women who had sex again right at the six-week mark and others who didn't have sex until the baby's first birthday!

Doctors recommend waiting six weeks because it gives the body a chance to heal. At this point, for most women, postpartum bleeding will have stopped, tears, sutures, and lacerations will be healed, and the cervix will have closed. But that doesn't necessarily mean you feel ready. Many womem complain of pain and soreness well after the six week mark. Other women deal with some of the issues we've already discussed. The decision to resume relations with your partner is entirely up to you. Don't let the six-week timeline -- or pressure from your partner -- dictate your decision; you need to feel comfortable, both mentally and physically.


The above excerpt is a digitally scanned reproduction of text from print. Although this excerpt has been proofread, occasional errors may appear due to the scanning process. Please refer to the finished book for accuracy.

The above is an excerpt from the book The New Mom's Survival Guide
by Jennifer Wider, M.D.
Published by Bantam Books; June 2008;$15.00US/$17.00CAN; 978-0-553-80503-1
Copyright © 2008 Jennifer Wider, M.D.

Author Bio
Jennifer Wider, MD, is a doctor, author, and radio personality who specializes in women's health issues. She is the medical advisor to the Society for Women's Health Research in Washington, D.C. Dr. Wider is a regular contributor to Cosmopolitan magazine and hosts a weekly segment on Cosmo Radio for Sirius Satellite. She has appeared as a health expert on The Today Show, CBS News, Good Day NY, Fox News, and a variety of cable channels. She lives with her physician husband, and their daughter and son, in Fairfield County, Connecticut.



Article Source: http://www.articlesbase.com/parenting-articles/your-sexy-self-591863.html



About the Author:

Visit the author at www.drwider.com.




Friday 10 April 2009

Age and Physical Risk Factors in Breast Cancer



A Breast Cancer Cell

Age and Physical Risk Factors in Breast Cancer by Mai Brooks MD

Age is likely the most important overall factor associated with breast cancer risk. Breast cancer risk increases in the older post-menopausal population. For this reason, all breast cancer screening recommendations are based primarily on age. Obesity, however, may be the single most preventable risk factor associated with breast cancer. With the dramatic increase in obesity in the U.S., this may be the number one reason for a persistently high incidence in breast cancer. Other physical factors also play some roles in breast cancer risk. These include height, body shape, breast size, and mammographic density. These physical factors are summarized below. Body Weight and Breast Cancer: A woman's body weight does affect her risk of breast cancer but the effect is different for premenopausal and postmenopausal breast cancer. Most studies have found that heavier women (weighing more than 175 pounds) have a lower risk of breast cancer before menopause and higher risk of breast cancer after menopause, compared to thinner women (weighing less than 130 pounds). Since 80% of breast cancers occur after menopause, the negative effects of obesity far outweigh the beneficial effects. The results are the same whether body weight is examined directly or if body mass index is used to adjust for the effects of height on body weight. Body Shape and Breast Cancer: Several human studies have found that women who carry more of their body fat on their stomach (apple shaped) have higher rates of postmenopausal breast cancer compared to women with more of their body fat around their hips (pear shaped). This seems to be true regardless of women's body weight. The relationship of the location of fat on the body and premenopausal breast cancer risk has not been clearly determined Height and Breast Cancer: A woman's height has been associated with breast cancer risk in many studies. Taller women (5' 9" or taller) have a small increase in risk of both premenopausal and postmenopausal breast cancer compared to shorter women (5' 3" or shorter). A person's height is determined by the interaction of genetics and nutrition. How height might affect breast cancer risk is unclear. Breast Size and Breast Cancer: There is a popular belief that small breasts are at lower risk of breast cancer. This theory has been used to explain why women with breast implants have a smaller risk of breast cancer. However, most studies have found no association between breast size and breast cancer risk. One study, however, did find an increase in the risk of breast cancer among lean women with larger breasts. In this study, more than 4,000 women were grouped according to their bra size before childbirth. Women who were lean (chest size less than 34 inches) and had larger breasts (size B, C or larger cups) were at higher risk of post menopausal breast cancer relative to women of the same chest size with an A or smaller cup size. Women with other chest sizes had no association between breast cup size and breast cancer risk. More studies are needed to confirm these results Mammographic density: Numerous epidemiological studies have shown that breast density as measured on mammograms is a significant risk factor for breast cancer. The risk of breast cancer associated with the highest category of density has been estimated to be much greater than in the lowest density category. Mammographic density appears to be predictive for developing invasive cancer after DCIS (ductal carcinoma in situ). Increasing density is associated with increasing breast cancer risk in both premenopausal and postmenopausal women, with the effect persisting for ten years after mammography. Mammographic density has also been shown to be a risk factor for breast cancer in women with a family history of the disease. Mammographic density is probably important even in patients who are BRCA gene positive. In fact, mammographic density may actually have a substantial heritable component.

About the Author

Dr. Mai Brooks is a surgical oncologist/general surgeon, with expertise in early detection and prevention of cancer. More at www.drbrooksmd.com, thecancerexperience.wordpress.com and progressreportoncancer.wordpress.com.

Photo credit; http://www.news-medical.net

Why Should We Worry About Breast Fibroadenomas



















Even though fibroadenomas of the breast are ten times more common than breast cancer, the management of these can be associated with significant pitfalls. These tumors typically present as smooth mobile masses to the patient, often spherical or oval in shape. They are occasionally tender to touch. More often, they are asymptomatic and not detectable by touch alone, and are incidental findings on screening ultrasounds and mammagrams.
Read my article on suite101.com: Why Should We Worry About Breast Fibroadenomas: Pitfalls of Observing Breast Masses for Prolonged Periods - http://breast-health.suite101.com/article.cfm/why_should_we_worry_about_breast_fibroadenomas#ixzz0Bual4EUT


Photo shows an MRI picture of a "phyllodes tumor".

Thursday 9 April 2009

Welcome to Health Guide for Women















Dear reader,
I have been blogging and engaged in online publishing for a year now. I am now ready to come up with this new blog to serve you better. On top of my own posts, here you'll find writing and tips from other qualified medical practitioners. Some of them are freely sharing what they want to talk about. Others have had their arms twisted by your web-master (me) to churn out page after page of useful information.

All this is happening for this one particular purpose:
better health tips -> better knowledge about health -> better health habits -> better health

I should probably add that this blog also exists for my wish to involve similar minded physicians to build something bigger and better than my own blog. You can be reassured that all the articles you read here are written by medically qualified doctors and edited by myself, a specialist surgeon and an experienced online publisher.

Disclaimer:
Where as all effort is taken to ascertain the accuracy of the information provided here, the writers and publisher cannot be held legally responsible for the reader's loss in health in any form as a result of his / her personal application of this information.