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ByĀ 
Dt.Ā PoojaĀ KulkarniĀ 
AĀ WomanĀ isĀ aĀ caringĀ mother,Ā belovedĀ wife,Ā 
lovelyĀ sisterĀ andĀ aĀ grandmotherĀ too.Ā SheĀ isĀ 
theĀ realĀ architectĀ ofĀ yourĀ homeĀ andĀ ofĀ ourĀ 
society.Ā 
ButĀ mostĀ ofĀ theĀ timesĀ sheĀ forgetsĀ toĀ takeĀ careĀ 
ofĀ herĀ ownĀ healthĀ dueĀ toĀ theĀ occupiedĀ tasksĀ 
whichĀ sheĀ handlesĀ atĀ aĀ time.Ā 
TooĀ oftenĀ theyĀ neglectĀ evenĀ routineĀ medicalĀ 
visitsĀ whichĀ areĀ essentialĀ toĀ maintainĀ goodĀ 
health.Ā 
Estimated global deaths from breast and cervical cancer, by
country level of development as defined by GLOBOCAN,a 1990,
2010 and 2030
Myth:Ā CancerĀ isĀ notĀ curable
Fact:Ā CancerĀ isĀ veryĀ muchĀ curable,Ā ifĀ detectedĀ inĀ 
earlierĀ stages.Ā Thatā€™sĀ whyĀ thereā€™sĀ theĀ needĀ forĀ 
awarenessĀ toĀ detectĀ itĀ early.
1. ThereĀ areĀ variousĀ factorsĀ thatĀ canĀ causeĀ cancerĀ 
inĀ women.Ā OneĀ ofĀ theĀ mainĀ reasonsĀ isĀ obesity
FirstĀ deliveryĀ beyondĀ 30Ā yearsĀ ofĀ ageĀ increaseĀ 
chancesĀ ofĀ developingĀ breastĀ cancer
GeneticĀ predispositionĀ ā€“ aboutĀ 6ā€8%Ā ofĀ breastĀ andĀ 
ovarianĀ cancersĀ seemĀ toĀ beĀ familyā€based.Ā TheĀ 
geneticĀ changesĀ areĀ passedĀ downĀ theĀ generation,Ā 
whichĀ willĀ increaseĀ theirĀ chanceĀ ofĀ developingĀ 
cancer
EarlyĀ menarcheĀ (startĀ ofĀ menstruation)Ā andĀ lateĀ 
menopauseĀ whichĀ exposesĀ theĀ bodyā€™sĀ cellsĀ toĀ moreĀ 
thanĀ normalĀ oestrogen.Ā WhileĀ oestrogenĀ isĀ anĀ 
importantĀ andĀ protectiveĀ hormone,Ā itĀ hasĀ aĀ 
proliferativeĀ effectĀ onĀ cellsĀ ofĀ theĀ breastĀ andĀ uterusĀ 
whichĀ resultsĀ inĀ cancer.
SmokingĀ andĀ tobaccoĀ areĀ responsibleĀ forĀ lung,Ā oralĀ 
cancerĀ andĀ alsoĀ cancerĀ ofĀ theĀ upperĀ partsĀ ofĀ foodĀ 
pipeĀ (theĀ esophagusĀ andĀ stomach).
MultipleĀ sexualĀ partnersĀ predisposesĀ toĀ 
infection HumanĀ PapilomaĀ Virus,Ā whichĀ mayĀ beĀ 
responsibleĀ for cancerĀ ofĀ cervix
MostĀ cancersĀ produceĀ symptomsĀ onlyĀ whenĀ 
theyĀ haveĀ reachedĀ atĀ leastĀ stageĀ 2.Ā 
IfĀ aĀ womanĀ delaysĀ herĀ treatmentĀ evenĀ forĀ aĀ fewĀ 
months,Ā afterĀ theĀ symptomsĀ startĀ toĀ appear,Ā itĀ 
canĀ reduceĀ herĀ survivalĀ beĀ severalĀ years!!Ā 
SoĀ itĀ isĀ essentialĀ thatĀ theyĀ areĀ madeĀ awareĀ ofĀ 
symptomsĀ ofĀ variousĀ cancersĀ andĀ taughtĀ toĀ 
reportĀ toĀ theĀ correctĀ doctor.Ā 
RegularĀ ScreeningĀ &Ā GynecologistĀ CheckĀ upĀ willĀ 
helpĀ youĀ inĀ earlyĀ diagnosisĀ ofĀ diseaseĀ 
AĀ hardĀ ā€˜knotā€™Ā orĀ ā€˜lumpā€™Ā inĀ theĀ breast
BloodyĀ orĀ ā€˜bloodĀ stainedā€™Ā nippleĀ discharge
AĀ ā€˜lumpishā€™Ā feelĀ sometimesĀ canĀ beĀ cancerous
RecentĀ inwardĀ pullĀ onĀ theĀ nipple
KnotĀ orĀ lumpĀ inĀ theĀ armĀ pit
BloodyĀ vaginalĀ discharge
PostĀ coitalĀ bleedingĀ (bleedingĀ afterĀ sexualĀ 
intercourse)
IntervalĀ bleedingĀ (bleedingĀ inĀ betweenĀ menses
1.Ā UterineĀ cancer:
CancerĀ ofĀ uterusĀ occursĀ mostlyĀ inĀ olderĀ women,Ā whoĀ areĀ 
postĀ menopausal.Ā 
EvenĀ aĀ singleĀ vaginalĀ bleedingĀ episodeĀ afterĀ menopause,Ā 
mustĀ beĀ broughtĀ toĀ aĀ doctorā€™sĀ attention,Ā asĀ itĀ mayĀ beĀ aĀ 
signĀ ofĀ uterineĀ cancer
2.Ā OvarianĀ cancer
ThisĀ isĀ veryĀ notorious,Ā asĀ itĀ doesĀ notĀ produceĀ anyĀ 
symptomsĀ inĀ earlyĀ stages.
InĀ advancedĀ stages,Ā itĀ producesĀ symptomsĀ likeĀ bloatingĀ 
ofĀ abdomen,Ā constipation,Ā indigestionĀ etc
CompleteĀ PhysicalĀ 
Investigation ā€ HaemogramĀ Ā BloodĀ groupĀ ,ThyroidĀ FunctionĀ 
TestĀ ,Ā VitĀ B12Ā ,Ā VitĀ DĀ ,Ā BSLĀ ,Ā LipidĀ Profile,Ā UrineĀ RoutineĀ ,Ā HBsAgĀ ,Ā 
USGĀ abdomenĀ &Ā pelvis,Ā ECGĀ ,Ā 2DĀ EchoĀ ,Ā StressĀ Test)Ā HIV,Ā VDRLĀ 
,Chlamydia,Ā andĀ gonorrheaĀ (Ā IfĀ doctorĀ recommends
WhenĀ ToĀ DoĀ :
FromĀ theĀ ageĀ ofĀ 21Ā years.Ā OnceĀ everyĀ fiveĀ years
untilĀ ageĀ 40Ā (IfĀ reportsĀ areĀ normal)Ā Ā 
BMI
BSL
Lipid
Profile
Blood
Pressure
Heamogram
Urine
tests
Clinical breast exams
Mammograms
Pap tests
Human papilloma virus (HPV) tests
Pelvic exams
Diagnostic testing if results are abnormal ā€“
Ca 125 , FNAC ( Fine nidle aspiration
Cytology)
ā€¢ TheĀ PapĀ testĀ /Ā Ā PapĀ smearĀ looksĀ forĀ cancersĀ andĀ preĀ 
cancersĀ inĀ theĀ cervixĀ 
ā€¢ WhyĀ doĀ IĀ needĀ aĀ PapĀ test?
ā€¢ToĀ checkĀ theĀ changesĀ thatĀ canĀ developĀ onĀ cervix
ā€¢ToĀ findĀ abnormalĀ changesĀ onĀ cervixĀ whichĀ canĀ leadĀ Ā Ā 
toĀ cervicalĀ Cancer
ā€¢ WhenĀ toĀ doĀ :
FromĀ ageĀ 21Ā toĀ 65Ā yearsĀ ā€ EveryĀ 3Ā yearly
CervicalĀ cancerĀ canĀ almostĀ alwaysĀ beĀ prevented,Ā 
andĀ havingĀ regularĀ PapĀ testsĀ isĀ theĀ key!
HPVĀ isĀ theĀ mostĀ commonĀ sexuallyĀ transmittedĀ 
virus.Ā 
InĀ fact,Ā mostĀ menĀ andĀ womenĀ areĀ infectedĀ withĀ 
HPVĀ atĀ someĀ timeĀ inĀ theirĀ lives.Ā 
ThereĀ areĀ approximatelyĀ 100Ā typesĀ ofĀ HPV.Ā 
SomeĀ HPVĀ typesĀ onlyĀ infectĀ theĀ genitalĀ areaĀ andĀ 
mayĀ causeĀ warts,Ā someĀ causeĀ mildĀ changesĀ inĀ 
cervicalĀ cellsĀ thatĀ doĀ notĀ turnĀ intoĀ cancer
SomeĀ causeĀ changesĀ thatĀ mayĀ becomeĀ cervicalĀ 
cancerĀ ifĀ presentĀ forĀ manyĀ years
TheĀ HPVĀ testĀ canĀ findĀ anyĀ ofĀ theĀ 13Ā typesĀ ofĀ HPVĀ 
thatĀ areĀ mostĀ commonlyĀ foundĀ inĀ cervicalĀ cancer.
TheĀ presenceĀ ofĀ anyĀ ofĀ theseĀ HPVĀ typesĀ Ā forĀ manyĀ 
yearsĀ canĀ leadĀ toĀ cellĀ changesĀ thatĀ mayĀ needĀ toĀ beĀ 
treatedĀ soĀ thatĀ cervicalĀ cancerĀ doesĀ notĀ occur.
TheĀ HPVĀ testĀ isĀ doneĀ atĀ theĀ sameĀ timeĀ asĀ theĀ PapĀ 
testĀ byĀ usingĀ aĀ smallĀ softĀ brush
TheĀ HPVĀ testingĀ sampleĀ mayĀ beĀ takenĀ directlyĀ fromĀ 
theĀ PapĀ sample.
ItĀ isĀ anĀ xā€rayĀ pictureĀ ofĀ theĀ 
breast.
ItĀ canĀ beĀ usedĀ toĀ checkĀ 
for breastĀ cancer inĀ womenĀ 
whoĀ haveĀ noĀ signsĀ orĀ 
symptomsĀ ofĀ theĀ disease.
ItĀ canĀ alsoĀ beĀ usedĀ ifĀ youĀ 
haveĀ aĀ lumpĀ orĀ otherĀ signĀ ofĀ 
breastĀ cancer.
Breast Cancer
Cervical Cancer
Surgery
Radiation Therapy
Chemotherapy
Hormone Therapy
Targeted Therapy
Hysterectomy ā€“
1. Total Hysterectomy
2. Radical Hysterectomy
Radiotherapy
Chemotherapy
Chemo-radiation
Avoid becoming overweight
Keep physical active
No addictions ā€“ Alcohol/ tobacco / smoke etc
Regular screening
Self examination
Avoid Hormone replacement therapy
Vaccines :
ā€¢Chiken Pox,
ā€¢Flu & typhoid
HPV vaccines
ā€¢Rubela (at
menarche/before )
For personalized discussion & detailed diet
plan;
Click on:
http://www.justforhearts.org/product-
category/online-diet-plans/
Read my blogs;
http://www.justforhearts.org/author/pooja-k/
YouĀ canĀ alsoĀ contactĀ usĀ on:
www.justforhearts.org
CallĀ toĀ reachĀ us:Ā 
020ā€ 27293337Ā Ā [9amĀ ā€“ 7pmĀ IST]
DropĀ anĀ emailĀ ā€“ Info@justforhearts.org
GetĀ connectedĀ withĀ usĀ 
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