Gynaecology and Pregnancy (III)

  1. The vaccine against cervical cancer also brings benefits to adult women sexually active?

The preventive effect of cervical cancer exist in addition to the 26 years. This age limit theoretically, had been spoken because initial studies only cover women between nine and 26 years. However, it has been extended under the same and there is a protective effect in preventing infection by HPV virus types more carcinogenic even at 40 years.

  1. How can it be made to cervical cancer prevention?

Make a regular, annual Gynecologic surveillance, with colpocitologias also. And avoid smoking. Cancer of the cervix is not hereditary, is acquired, and behind it is a virus, HPV, whose transmission, although not exclusive, is essentially that for your sexual prevention only condom use. Currently the vaccine will be able to prevent more than 2/3 of the cases of cervical cancer.

  1. In relation to breast cancer that we can have preventive care?

Under the general point of view, is that pregnancy and breast-feeding have a protective effect. Should do monthly breast self-exam after menstruation. You can do it in the shower (with the soapy hand is easier to slide along the breast and Axilla to figure out if there are differences compared to the previous month).

Mammography with ultrasound must be thought from the 35 years, or before if there are risk factors such as family history. Between 35 and 40 years is made a first examination and after the 40 is made every two years.

  1. When to perform a mammogram? It’s dangerous for health?

In addition to the above-mentioned screening criteria, can justify himself before a clinical suspect as the discovery of a breast lump. Despite being a radiological examination, done annually, does not bring any increased risk.

  1. How often must be revised contracetivo method?

A good adaptation there is no need for change. The frequency of annual consultations may be held, with the exception of the use of the IUD (intrauterine device) which happens to be every six months. The change of the pill may be advisable if, in addition to the contracetivo effect, justify other benefits that some pills are, particularly of the skin, hair, or to alleviate the symptoms of premenstrual syndrome.

  1. Take the pill increases the risk of breast cancer and affect fertility?

The pill has a protective effect as for benign breast pathology (cysts). As cancer is not known, but it is advisable not to exceed 15 years of continuous takes.

Fertility is not affected, what happens is that the ability of the woman is reduced over time and, while taking the pill, the menstrual cycles are regular a artificially and, if perhaps when began also aimed to regulate menstruation, when the suspend everything back to the same.

  1. What contracetivo recommends that a woman who does not intend to use a hormonal method?

The alternatives are few. As definitive and irreversible method there is a tubal ligation. In women who think in the medium-long term solution, the intrauterine device (IUD) can be a good option, since your effectiveness extends up to five years and may be removed at any time.

  1. It is true that the IUD should not be used by those who have not had children?

Your use is not recommended for those who have not had children. The IUD is a foreign body that is placed inside the uterus. Although the risks of infection are more related to the hygienic care at the time of placement, cause a local inflammatory reaction, since it is through this mechanism that he exercises the effect your contracetivo.

Will not modify the women’s menstrual pattern, i.e. If it was irregular will remain and, finally, a little more menstrual flow. There is an IUD that has a hormonal compounds whose release is exclusively intrauterina, which makes it an attractive method, because it eventually has the advantages of the pill (reduced menstrual flow, pain).

  1. What marks the beginning of menopause and when is considered early?

Hormonal instability by the lameness of the ovaries can start until ten years before the disappearance of the menses, manifesting the menstrual irregularities and hot flashes. The disappearance of menstruation before 45 years should be studied because it is considered an early menopause.

  1. When is indicated hormone replacement therapy? The risk of cancer is real?

The THS must be considered in all women on peri and post-menopausal women, since there are no contraindications. Benefits all organs and systems (skin, nervous system, cardiovascular, urogenital).

The risk of breast cancer, which has not changed, it remains slightly higher than the general population only after seven years of hormonal therapy, knowing that in this period there is no increased risk, and even then, there is no changes in mammography, there is no reason to stop. The alternatives, such as Phytoestrogens, some feature results in hot flashes.

Text: Manuela Valdez with Fernando surgeon (gynecologist)

Gallery

Gynaecology

Gynaecology

Source: www.slideshare.net

Obstetrics and gynaecology clinical cases uncovered copy

Obstetrics and gynaecology clinical cases uncovered copy

Source: www.slideshare.net

Obstetrics & Gynaecology

Obstetrics & Gynaecology

Source: w-hospital.in

Uterine and Embryonic Factors in Early Pregnancy : Jerome …

Uterine and Embryonic Factors in Early Pregnancy : Jerome ...

Source: www.bookdepository.com

Uterine and Embryonic Factors in Early Pregnancy : Jerome …

Uterine and Embryonic Factors in Early Pregnancy : Jerome ...

Source: www.bookdepository.com

5: Nifedipine versus atosiban for tocolysis in preterm …

5: Nifedipine versus atosiban for tocolysis in preterm ...

Source: www.ajog.org

S-1 plus cisplatin versus S-1 alone for first-line …

S-1 plus cisplatin versus S-1 alone for first-line ...

Source: www.thelancet.com

American Society for Reproductive Medicine

American Society for Reproductive Medicine

Source: gynsafe.com

Best Maternity Hospital

Best Maternity Hospital

Source: www.apollocradle.com

Evra Patch

Evra Patch

Source: www.medimove.co.uk

Power point swine

Power point swine

Source: www.slideshare.net

Left Abdominal Pain: Lower Left Abdominal Pain Ovulation

Left Abdominal Pain: Lower Left Abdominal Pain Ovulation

Source: leftabdominalpainagai.blogspot.com

Clexane Dosage & Drug Information

Clexane Dosage & Drug Information

Source: mims.com

Posture Definition: Position or attitude of the body …

Posture Definition: Position or attitude of the body ...

Source: slideplayer.com

Epilepsy in pregnancy By Dr Muhammad Akram KHan Qaim Khani

Epilepsy in pregnancy By Dr Muhammad Akram KHan Qaim Khani

Source: es.slideshare.net

Use of progesterone in obstetrics & gynaecology namkha …

Use of progesterone in obstetrics & gynaecology namkha ...

Source: www.slideshare.net

Low-dose Lupron for Endometriosis Is Effective, Lowers …

Low-dose Lupron for Endometriosis Is Effective, Lowers ...

Source: endometriosisnews.com

The current status of three-dimensional ultrasonography in …

The current status of three-dimensional ultrasonography in ...

Source: www.e-ultrasonography.org

Pre neet ob&gyn quation

Pre neet ob&gyn quation

Source: www.slideshare.net

Evra Patch

Evra Patch

Source: www.medimove.co.uk