MY POST ON LONELINESS IS JUST 65% OVER - BUT I HAVE TO PUT A NEW TEMPORARY POST ( BAAAAD CAPTAIN ! ) .
ONE OF MY READERS HAVE PUT A QUERY. THE ANSWER CANNOT BE CONTAINED IN A SHORT COMMENT .
KERALA WOMEN NEVER HAD THIS PROBLEM 40 YEARS AGO -
NOW IT IS COMMONPLACE DUE TO TOXIC FOODS
XX
XX, 2015 at 4:03 AM
Dear Captain,
My mother is suffering from Thickened Endometrium condition for the past 5-6 years. She is 54 years old and the excessive bleeding goes on for days. After consulting doctors it was decided to remove the Uterus and the operation is being planned in a weeks time. I wanted to ask you if there is any solutions in Ayurveda for this problem as medicines have been tried for the past 4-5 years with only temporary relief to bleeding which resumes after a while. If we go through with the surgery will there be any severe after-effects to worry about? Worried and awaiting your reply.
Thanks,
XXX
ReplyDe
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Hi XX,
Ayurveda cure is covered in my post -
I have covered the hormones involved in my post-
In the above post the wannabe goragaands, Chutney Marys and Pickle Johns had attacked me .
Most Chutney Marys have the vaginal bleeding problems due to their polluted life styles-and they fell depressed and lonely .
They will NEVER put this info on Face Book . They will only put what a ball they had with their TATTU Pickle John partners and husbands.
Nowadays doctors recommend uterus removal ( hysterectomy) at the drop of a hat. This can be crushing news for a young woman who can produce babies but does NOT have one.
The basis for this recommendation is a “perceived” of endometrial cancer, to be developed in the future. – with an attached WARNING that the only other sensible alternative was to undergo PAINFUL endometrial biopsies at six-month intervals to monitor for the recurrence of hyperplasia or progression to cancer..
It is a total MONEY MAKING ploy.
However for old women , let the doctor decide ( it is safe and we have experienced surgeons ) .
You must always take a second opinion however if you deem fit, for your mother .
Endometrial hyperplasiais a thickening of the lining of the womb, caused by overgrowth of the cells that line the womb.
It is not cancer.
But in some women it can develop into womb cancer.
Endometrial hyperplasia is often related to a lack of balance between the two female hormones, oestrogen and progesterone. There may be times when the body is exposed to oestrogen without progesterone in the body to balance it.
There are two types of endometrial hyperplasia:---
Hyperplasia without atypical changes
Hyperplasia with atypical changes
Atypical changes mean that the cells have changed and become abnormal and this is associated with a higher risk of womb cancer.
The most common symptom of endometrial hyperplasia is abnormal vaginal bleeding. This might be prolonged, heavy periods, or bleeding between periods.
Endometrial hyperplasia can be diagnosed by , hysteroscopy— check out the Youtube video.
Women who don’t have atypical changes have a very small risk of developing a cancer. But women with atypical changes have an increased risk of womb cancer .
10% women with endometrial hyperplasia go on to develop womb cancer.
This risk is higher for women with atypical hyperplasia who have been through the MENOPAUSE.
If you are young and don’t have atypical cell changes, you just need treatment with progesterone to balance the effects of oestrogen.
But if you have been through the menopause, or have atypical cell changes, then there is NO big deal in undergoing surgery. This would be removal of your womb (hysterectomy) and ovaries.
WHAT I WRITE IS FOR INFO ONLY —
DOCTOR MUST DECIDE AND YOU MUST FOLLOW.
Hysterectomy is surgical removal of the uterus. It is a major operation .
It is carried out to treat various problems associated with periods, pelvic pain, tumours and other related conditions. The problem you are experiencing will determine what type of operation is required and whether the fallopian tubes, ovaries, and cervix will also be removed.
If you are still having your periods, a hysterectomy will stop them and you will no longer be able to get pregnant.. Some conditions which have no alternatives might include cancer, unbearable pain and EXCESSIVE bleeding.
Your Doctor Might Suggest A Hysterectomy If You Have:--
Uterine Fibroids (myomas)
These are non-cancerous tumours of different sizes that usually shrink after menopause. Fibroids are common and normally don’t need treatment unless they cause symptoms. However, larger fibroids can press against the pelvic organs and may cause bleeding, anaemia, pelvic pain, pain during sex or bladder pressure. This is the most frequent reason for a hysterectomy.
Endometriosis
When the tissue lining the uterus grows outside of the uterus and onto surrounding organs, it can cause painful periods, abnormal vaginal bleeding, scarring, adhesions, and infertility (difficulty getting pregnant). It is the second most common reason for women to have a hysterectomy.
Uterine prolapse
The uterus moves down into the vagina because the tissues that hold the uterus in place weaken. The condition may lead to urinary incontinence (problems holding your urine), pelvic pressure or difficulty with bowel movements. Childbirth, obesity, persistent cough or straining, and hormonal changes (loss of estrogen after menopause) are typical causes.
Pelvic Pain
Endometriosis, fibroids, adhesions, infections or injury may be a few causes of pelvic pain.
Abnormal Uterine Bleeding
Common causes are hormonal imbalances, fibroids, polyps, infections of the cervix and cancer. Related symptoms may include heavy or long periods, bleeding between periods or bleeding after menopause. .
Cancer
Depending on its extent, endometrial cancer (cancer of the lining of the uterus), cervical cancer and cancer of the ovaries or fallopian tubes often require a hysterectomy to stop it from spreading to other organs.
An endometrial biopsy ( see video ) is needed to determine whether the thickened endometrium is due to endometrial cancer. The pathologist will look at the endometrial tissue specimen under the microscope to determine whether the cells are normal, pre-cancerous (atypical endometrial hyperplasia), or cancerous.
Fibroids are muscular tumors that grow in the wall of the uterus (womb). Another medical term for fibroids is "leiomyoma" or just "myoma". Fibroids are almost always benign (not cancerous). Fibroids can grow as a single tumor, or there can be many of them in the uterus. They can be as small as an apple seed or as big as a grapefruit- believe me sometimes as big as a soccer ball.
Today a large percentage of indian women develop fibroids by the time they reach age 50-due to polluted/ toxic non-veg foods . Fibroids are most common in women in their 40s and early 50s. Not all women with fibroids have symptoms. Women who do have symptoms often find fibroids hard to live with. Some have pain and heavy menstrual bleeding.
Fibroids also can put pressure on the bladder, causing frequent urination, or the rectum, causing rectal pressure. Should the fibroids get very large, they can cause the abdomen (stomach area) to enlarge, making a woman look pregnant.
Fibroids also can put pressure on the bladder, causing frequent urination, or the rectum, causing rectal pressure. Should the fibroids get very large, they can cause the abdomen (stomach area) to enlarge, making a woman look pregnant.
After menopause, fibroids usually shrink.. Women who are overweight are at higher risk for fibroids.
Eating plenty of organic green vegetables and Chembu kizhangu , Arrow root Koova protect women from developing fibroids.
Most fibroids grow in the wall of the uterus. Doctors put them into three groups based on where they grow:
Submucosal - fibroids grow into the uterine cavity.
Intramural - fibroids grow within the wall of the uterus.
Subserosal - fibroids grow on the outside of the uterus.
Some fibroids grow on stalks that grow out from the surface of the uterus or into the cavity of the uterus.
They might look like mushrooms. ( poor mushrooms are always in the dark BAHOOT NAAINSAAAFI HAI ) . These are called pedunculated fibroids.
Most fibroids do not cause any symptoms, but some women with fibroids can have:-
Heavy bleeding (which can be heavy enough to cause anemia) or painful periods
Feeling of fullness in the pelvic area (lower stomach area)
Enlargement of the lower abdomen
Frequent urination
Pain during sex
Lower back pain
Complications during pregnancy and labor, including a six-time greater risk of cesarean section
Reproductive problems, such as infertility, which is very rare
Like I said, fibroids are almost always benign (not cancerous).
Most women with fibroids have normal pregnancies. The most common problems seen in women with fibroids are:--
Cesarean section. The risk of needing a c-section is six times greater for women with fibroids.
Baby is breech. The baby is not positioned well for vaginal delivery.
Labor fails to progress.
Placental abruption. The placenta breaks away from the wall of the uterus before delivery. When this happens, the fetus does not get enough oxygen.
Preterm delivery.
The doctor can feel the fibroid with her or his fingers during an ordinary pelvic exam, as a (usually painless) lump or mass on the uterus. Often, a doctor will describe how small or how large the fibroids.
You might need surgery to know for sure if you have fibroids.
There are two types of surgery to do this:--
Laparoscopy – The doctor inserts a long, thin scope into a tiny incision made in or near the navel. The scope has a bright light and a camera. This allows the doctor to view the uterus and other organs on a monitor during the procedure. Pictures also can be made.
Hysteroscopy – The doctor passes a long, thin scope with a light through the vagina and cervix into the uterus. No incision is needed. The doctor can look inside the uterus for fibroids and other problems, such as polyps. A camera also can be used with the scope.
Fibroids are the most common reason that hysterectomy is performed.
Power morcellators break uterine fibroids into small pieces to remove them more easily.. This is a pea brained practice as uterine tissue may contain undiagnosed cancer. While breaking up the uterine tissue, power morcellators can spread an undiagnosed cancer to other parts of the body
The endometrium is the tissue lining the uterus (or womb). The endometrium is soft and spongy. Each month, the endometrium changes as part of the menstrual cycle.
Early in the cycle, the ovaries secrete a hormone called estrogen that causes the endometrium to thicken. In the middle of the cycle, the ovaries start secreting another hormone called progesterone. Progesterone prepares the innermost layer of the endometrium to support an embryo should conception (pregnancy) occur.
If conception does not occur, the hormone levels decrease dramatically. The innermost layer of the endometrium is then shed as menstrual fluid. This leads to the cyclical nature of the menstrual cycle.
The outer layer of the uterus is called the myometrium. The myometrium is thick and composed of strong muscles. These muscles contract during labor to push out the baby
Endometrial cancer occurs when cells of the endometrium undergo a transformation and begin to grow and multiply without the control mechanisms that normally limit their growth. As the cells grow and multiply, they form a mass called a tumor. Cancer is dangerous because it overwhelms healthy cells by taking their space and the oxygen and nutrients they need to survive and function.
Women who are more than 25 kg over ideal weight have a 10-times greater risk of developing endometrial cancer than women of ideal weight. Body fat produces estrogen, and women with excess fat have a higher level of estrogen than women without excess fat. The higher level of estrogen may increase the risk of cancer.
Women who begin their periods before 12 years of age are at an increased risk. 60 years ago western girls had period at the age of 15. Today at an average it is 12 due to emotional reasons-- this includes girls from Indian Chutney Mary families. . Probably one day I will dedicate a full post on this . Early puberty increases the number of years that the endometrium is exposed to estrogen.
Women who go through menopause after 52 years of age are at a higher risk of developing endometrial cancer than women who go through menopause earlier in life. Like early puberty, late menopause increases the number of years that the endometrium is exposed to estrogen.
The risk of developing endometrial cancer is increased by several times in women who take estrogen replacement therapy without added progesterone.
Women who use oral contraceptives at some time have half the risk of developing endometrial cancer as women who have never used oral contraceptives.
WARNING : In women who have been through menopause, any vaginal bleeding is abnormal and should be evaluated by a doctor. Probably your 54 year old mother belongs to this category
If cancer is suspected, a sample of the endometrium is obtained through a biopsy. A biopsy is the removal of a very tiny piece of tissue from the body. The tissue is examined under a microscope for abnormalities that suggest cancer.
Usually, a gynecologist or a gynecologic oncologist performs the biopsy, and the endometrial tissue is examined by a pathologist (a doctor who specializes in diagnosing diseases in this way).
The most widely used method for obtaining the endometrial tissue is to insert a thin tube into the endometrium through the cervix. A biopsy is usually performed in the doctor's office and takes just a few minutes. Often, the results of an endometrial biopsy give a definitive answer about cancer
If the results of the endometrial biopsy are not conclusive, a procedure called a dilation and curettage (D and C) may be performed . In a D&C, the doctor passes a thin instrument through the dilated cervix and scrapes tissue from the endometrium. The tissue is removed and examined by a pathologist. This procedure is usually performed as outpatient surgery and requires general anesthesia or sedation. Most women have minimal discomfort after this procedure and require a short recovery time.
Hysteroscopy ( see video ) : Sometimes, an endoscope is used to guide the endometrial biopsy or D and C. An endoscope is a thin tube with a tiny light and camera at the end. The tube is inserted into the uterus through the cervix. The endoscope sends pictures of the endometrium back to a video monitor. A hysteroscopy allows the doctor to view the inside of the uterus while collecting endometrial tissue samples.
The most common cause of type I endometrial cancer is having too much of the hormone estrogen compared to the hormone progesterone in the body. This hormone imbalance causes the lining of the uterus to get thicker and thicker. If the lining builds up and stays that way, then cancer cells can start to grow.
Because the endometrium builds up between menstrual cycles and then sheds during menstruation, the endometrium is thickest just before menstruation and thinnest just after menstruation ends
The symptom most frequently associated with endometrial hyperplasia is heavy, extremely long, or continuous bleeding without large blood clots. Large blood clots are typical of fibroids, but not with endometrial hyperplasia.
Estrogen and progesterone are hormones produced in the ovaries that balance each other. An example of how they work together is in the regulation of menstruation.
One of the functions of progesterone is to oppose estrogen, which causes the uterus to shed the endometrium during menstruation before a new cycle of proliferation, or building up, begins in preparation for the next menstruation.
Excess estrogen is stored in fatty tissue. Excess androgen is converted to estrogen, and then stored in fatty tissue. So another factor is weight. Endometrial hyperplasia is much more common in women who are significantly overweight.
An endocrine-disrupting diet, or the ingesting of endocrine-disrupting chemicals like bisphenol-A (BPA is present in many kinds of plastics), may also stimulate a production of excess estrogen that can lead to hyperplasia.
Like I said, the endometrium is thickest right before menstruation begins and thinnest right after it ends. So if an ultrasound is performed it should be completed within a day or two after menstruation stops-- when the thickness of the endometrium is usually between 4mm and 7mm.
The uterus and ovaries have many important lifelong functions. The most consistent problems women report after hysterectomy include a 15 kg average weight gain in the first year following the surgery, a loss of sexual feeling, a loss of vitality, joint pain, back pain, profound fatigue, and personality change ( Chutney Mary type behavior )
The endometrium, the tissue that lines the uterus, can become very thin after menopause because of lower estrogen levels. This may cause unexpected bleeding.
First understand how hormonal changes during a typical menstrual cycle affect your uterine lining.
Estrogen is made by the ovaries during the first part of your cycle. That leads to growth of the lining to prepare your body for pregnancy.
However, after an egg is released (ovulation), progesterone increases with the goal of supporting a fertilized egg.
But if pregnancy does not happen, levels of both hormones decline. That decrease in progesterone is what triggers your period, the shedding of the lining.
If you do not ovulate, progesterone is not made and the lining does not shed. So the lining may keep growing in response to the estrogen and, in time, the cells in the lining can become abnormal.
Young women, if you have a menstrual cycle shorter than 21 days, check with your doctor. Count from the first day of your period to the first day of your next one.
Endometrial hyperplasia can often be treated with progestin. This synthetic hormone is given either orally, topically as a vaginal cream, in an injection, or with an intrauterine device.
Below: Chutney Marys have PLAY PENS between their legs
By the way, the cervix is the opening between the uterus and the vagina..
Below: Bharatiya Naaris have NURSERYs
END OF STORY !
CAPT AJIT VADAKAYIL
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