Tag Archives: Women’s Health

Medicine: A Historical Look At Breast Cancer

Breast cancer is best looked at from the historical perspective, as did Lindsay Fitzharris in the December 3, 2022 issue of the Wall Street Journal.

Can you imagine having breast cancer in the mid 1800s before the germ theory was developed? 50% of all surgeries died of severe infection at that time.  Before the development of anesthesia, of course, cancer removal was extremely painful as well. Even if the patient escaped dying from infection, the one size fits all  often meant removal of some chest wall muscles, leading a gaping wound.

Today, prophylactic breast imaging (mammography) often discovers the cancer at a very early and treatable stage.

Searching the cancer cells for rogue genes and surface markers often shows the way to better treatment; no longer does one size fit all.

Sometimes the breast lump is removed with minimal surgery and radiation is used, often yielding better results than the old time radical mastectomy.

Surgery itself is often aided by tissue biopsy, and now, with “intelligent” knives, gases from the surgical cut, using mass spectrophotometry, can tell the surgeon whether the tissue being cut is cancerous or normal.

Immunization methods are in development which will help your immune system to conquer any residual cancer, and “smart” T cells can be used to attack cancer cells directly.

Breast cancer Is still the most common cause of cancer deaths in women, even with all of the modern developments. Early detection is very beneficial, as with Breast self-examination and regular mammograms as prescribed by your doctor.

Extra care should be taken in families with certain genetic markers like like the BRCA gene.

—Dr. C.

Prevention: The Benefits Of Well-Woman Exams

For women and people assigned female at birth (AFAB), taking care of your health requires more than an annual physical. You should also visit a women’s health specialist — like an Ob/Gynmidwife or nurse practitioner — each year to keep healthy. More than just a checkup for your breasts/chest and reproductive organs; well-woman exams can also help you develop rapport with a women’s health specialist. 

“Well-women exams are important for a number of reasons. No. 1 is that they help you to establish care with a specialist so that if there is a problem down the road, you have a provider that you know and feel comfortable talking to,” says Ob/Gyn Amanda Elbin, MD

That comfort level is important, too, especially because many of us may not feel comfortable talking with just anyone about issues “down there.”  

Read more at Cleveland Clinic

Women’s Health: What Is An Oophorectomy?

An oophorectomy is a surgical procedure where one or both of the ovaries are removed. This procedure can be done through a laparoscopic approach, a vaginal approach, or a laparotomy. Removing both ovaries will cause menopause to begin immediately.

There are many reasons why you may need an oophorectomy. This video provides a brief look at what the procedure is, how it’s done and important things to know.

Chapters: 0:00 What are ovaries? 0:17 What is an oophorectomy? 0:45 Why would you need an oophorectomy. 1:10 How is an oophorectomy performed? 2:13 Can you still get pregnant after an oophorectomy? 2:46 What is the recovery process after an oophorectomy? 3:38 Speak with your healthcare provider openly to discuss all of your options.

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Women’s Heart Disease: Three Steps To Lower Risk

Heart attack symptoms for women

The most common heart attack symptom in women is the same as in men — some type of chest pain, pressure or discomfort that lasts more than a few minutes or comes and goes.

But chest pain is not always severe or even the most noticeable symptom, particularly in women. Women often describe heart attack pain as pressure or tightness. And it’s possible to have a heart attack without chest pain.

Women are more likely than men to have heart attack symptoms unrelated to chest pain, such as:

  • Neck, jaw, shoulder, upper back or upper belly (abdomen) discomfort
  • Shortness of breath
  • Pain in one or both arms
  • Nausea or vomiting
  • Sweating
  • Lightheadedness or dizziness
  • Unusual fatigue
  • Heartburn (indigestion)

These symptoms may be vague and not as noticeable as the crushing chest pain often associated with heart attacks. This might be because women tend to have blockages not only in their main arteries but also in the smaller ones that supply blood to the heart — a condition called small vessel heart disease or coronary microvascular disease.

Diagnosis: What Is Painful Bladder Syndrome? (Q&A)

DEAR MAYO CLINIC: I am a 45-year-old woman with urinary challenges, including feeling the frequent urge to empty my bladder. My primary doctor said I might have interstitial cystitis and suggested I see a urogynecologist. Could you explain this condition? What are my treatment options, and will I recover?

ANSWER: Cystitis is the medical term for inflammation of the bladder. Most of the time, the inflammation is caused by an infection. But interstitial cystitis, also called painful bladder syndrome, is different. It is a disease that causes pressure or pain in the bladder and pelvis that is associated with trying to hold urine.

Symptoms can range from mild burning or discomfort to severe pain and a persistent, urgent need to urinate. Interstitial cystitis is a chronic condition that can be difficult to treat, which is why your primary care provider suggested a urogynecologist.

A urogynecologist is a specialist who cares for women with pelvic floor disorders. This includes bladder leakage, pelvic organ prolapse and pelvic pain.

Unlike other forms of cystitis, researchers don’t know the exact reason for interstitial cystitis. But many theories exist regarding its cause.

Some researchers believe that people with interstitial cystitis have a defect in the protective lining, or epithelium, of their bladder. A leak in the epithelium may allow substances in urine to irritate the bladder wall, causing pain.

It’s also possible that problems with the pelvic nerves cause people who have interstitial cystitis to feel the need to urinate more often and with smaller volumes of fluid than most people. Other theories about the cause of interstitial cystitis include an autoimmune, hereditary, infectious or allergic condition, but none of these has been proven.

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Women’s Health: Warning Signs Of Endometriosis

Really painful period cramps aren’t normal. They could mean you have endometriosis. Endometriosis is a gynecological condition affecting the lower abdomen or pelvic area. While some people don’t have symptoms, there are a few red flags that you should look out for. Here are 5 warning signs of endometriosis.

Chapters: 0:00 Introduction 0:15 What is endometriosis 0:44 5 warning signs of endometriosis 3:15 When should you see a medical professional?

Mammograms: How They Can Reveal Heart Disease

The routine mammograms women receive to check for breast cancer may also offer clues to their risk for heart disease, new research suggests.

White spots or lines visible on mammograms indicate a buildup of calcium in breast arteries. This breast arterial calcification is different from coronary artery calcification, which is known to be a marker for higher cardiovascular risk. For the study, researchers followed 5,059 postmenopausal women (ages 60 to 79) for six and a half years. They found that those with breast arterial calcification were 51% more likely to develop heart disease or have a stroke than those without calcification. The study was published March 15, 2022, in Circulation: Cardiovascular Imaging.

Osteoporosis: What What Women Need To Know

Bones are living organisms that build and break down, but when the body loses more bone than it makes, problems can arise. Early detection and treatment can help those with bone loss maintain active lifestyles. Dr. Ejigayehu Abate, a Mayo Clinic endocrinologist, explains what women should know about osteoporosis.

Diagnosis: The Early Signs Of Pancreatic Cancer

Dermatitis: Symptoms & Treatment Of Eczema

Atopic dermatitis is a sensitivity disease of the skin, similar to asthma in the lungs, hay fever in the sinuses and food allergies in the gut. It’s a chronic condition and tends to flare periodically. The symptoms vary. Adult eczema often occurs in patches on areas of the body prone to friction or sweat. If those self-care steps don’t help, your dermatologist may prescribe topical or oral medications, or other therapies.