Gynecology's archives

Although Big Breakfast Help Women in Weight Loss Yet Return To Obesity

heavy-bf.jpgThe scientists from Venezuela and the United States of America have found an amazing factor that big breakfast including carbohydrates and protein and then containing low carbohydrate and little calorie diet for the rest of the day tended to be more and more successful remedial measure in losing fats and keeping healthy and smart. This plan is being designed for the domestic and job holder women.

This study was presented at The Endocrine Society’s 90th Annual Meeting in San Francisco on Tuesday 17th June, by the guide writer Dr Daniela Jakubowicz of the Hospital de Clinicas, Caracas, Venezuela.

…Click here to read more

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

New Strategies to Curtail High STD Rate among Adolescent Girls

During the 2008 National STD Prevention Conference in Chicago , the researchers at ‘Centers for Disease Control and Prevention’ presented a paper pointing out to an alarming increase in large number of cases of teenaged girls and adolescent women being infected by sexually transmitted infections. It also stressed upon on addressing the prevention of these diseases as an important public health goal.

The paper was based on an investigation of data reported in the ‘2003-04 National Health and Nutrition Examination Survey’ done among a sample of 14- to 19-year-old girl participants. It was found that approximately one-fourth of this population sample was infected by at least one of the sexually transmitted infections, the maximum number of instances reported in the case of human papillomavirus. Other major infections were reported for the infections like ‘Chlamydia Trachomatis’ and ‘Trichomonas Vaginalis’. A small chunk of this group was also had herpes simplex virus type II and the one infected by STD had more than one infections. It reported about 1 in 4 female adolescents being infected by at least one sexually transmitted infection.

…Click here to read more

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A Supplementary Journal Talks about Emergency Contraception

Under the drive to address the wrong beliefs about “Emergency Contraception”, OBG Management has teamed up with” The Journal of Family” to publish “Emergency Contraception: When and how to use it”. This would be distributed as a supplementary copy to the February 2008 issues of journals like “OBG Management” and “The Journal of Family Practice”.The purpose of issuing this supplement is to increase awareness among the patients about emergency contraception. This would decrease the incidence of unintended pregnancy.

The supplement has been distributed among the clinicians. This would enable them to tackle the subject of emergency contraception more intelligently. They would be able to create awareness as most of the people are misinformed or uninformed about it. So this supplement would also serve as an excellent guide for clinicians to explain about its usage, when to take it and how it works.

…Click here to read more

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Uterine Fibroid Embolization (UFE) Recommended for Fibroid Tumors among Women

“Uterine Fibroid Embolization (UFE)” is a minimally invasive treatment for fibroid tumors in the uterus. Although fibroid tumors are not malignant, they may cause heavy menstrual bleeding, pain in the pelvic region and pressure on the bladder or bowel. They may interfere with urinary frequency, induce pain during intercourse and can cause miscarriage and affects fertility too. However the treatment is only administered by interventional radiologists and the specialist physicians.

A recent study presented at the ‘Society of Interventional Radiology’s 33rd Annual Scientific Meeting’ however analyzed that only few women are aware of this treatment. They conducted a research among 105 patients in the Atlanta metro area and found that only 18 percent of the women were informed by their gynecologists about ‘uterine fibroid embolization (UFE)’. Most of them knew about it primarily through the Internet or any media advertisement. Only among rare cases, they got referrals from their gynecologists.

 UFE has already been widely acclaimed as a safe treatment for benign and cancerous tumors. It is slowly replacing the popular treatments which were previously sought by the private physicians or the gynecologists while treating women for uterine fibroids like hysterectomy or myomectomy surgery.

 John Lipman, M.D., Director of Interventional Radiology at ‘Emory-Adventist Hospital’ in Atlanta professes UFE to be indisputably safe and effective and recommends it to be adopted by the physicians. He also adds that it should be physician’s responsibility to suggest treatment to his patients. “Gynecologists need to be the ones taking the lead on this, and I applaud Kaiser Permanente’s gynecologists for being the only ones in our area to consistently do this,” said John.

Embolization is a common interventional radiology treatment. During the surgery, a little cut is made in the skin and a catheter is inserted into the femoral artery. The physician guides the catheter up the artery using real-time imaging, and then releases few grain sized particles  into the blood vessels which had been nourishing the fibroid, finally cuts off the blood supply to the fibroid and let it shrink and die and the accompanying symptoms to subside. It is a quick and less complicated treatment as compared to hysterectomy and myomectomy and most of the women treated with this are able to come back to normal course of life within few days. It normally doesn’t require any hospital stay during the treatment.

After hysterectomy the surgical patients have to spend much time at hospital and even have to wait for six to eight weeks additionally at home to recover fully. UFE patients on the other hand have much faster recovery even less than the normal hospital time.

Despite all this recommendation and overall comfort level associated with UFE, it has been interesting to note that there has been little downfall in the number of hysterectomy in the United States during the past decade. So in order to increase its awareness and popularity among the gynecologists, interventional radiology has consistently published about this treatment in the gynecology journals.

Interventional radiologists use MRI to delineate the location of each fibroid and provide second opinion to the women who is seeking UFE. They come to a great help to the gynecologists as efficacy of the treatment cannot be measured in gynecologist’s office by using ultrasound imaging.  Interventional radiologists specialize in minimally invasive, targeted treatments coupled with the most effective diagnostic and clinical techniques. As compared to open surgery, they offer less risk, less pain and less recovery time.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Higher Androgen Levels Diagnosed among the Female-to-Male Transsexuals

According to the popular notion, we credit the incidence of “Polycystic Ovary Syndrome (PCOS)” to give rise to ‘female-to-male transsexuals’; however a new study suggests that there are higher levels of androgen among the ‘Female to Male Transsexuals’. This new study has tried to diagnose PCOS by doing assessment of female-to-male transsexuals on the updated methodology and data and they have also included the results of ‘Transvaginal Ultrasonography (TS)’ adopted for its first kind of evaluation done for female-to-male transsexuals.

‘Polycystic ovary syndrome (PCOS)’ is a condition where there is misbalance of women hormones in the human body which generally initiates with upsetting of the periods in women, one hormonal change giving rise to another, and consequently producing more of androgens which are male sex hormones. This gives growth to extra facial and body hair, occurrence of acne and weight gain. If the symptoms are not treat at the early stage, it might along with these physical irregularities in a woman, may give rise to serious diseases like diabetes and heart diseases as it affects the release of insulin too in the body.

The study was conducted among a group of 61 female-to-male transsexual patients. These patients had never been administered any kind of hormonal medication during the treatment. The results were drawn taking into account the complete diagnostic procedures described in the ‘National Institutes of Health’ 1990 and Rotterdam 2003 criteria. The scientists also utilized the results out of ultrasound, clinical and biochemical tests done on this group. The result was then compared with the data collected among the 94 healthy unselected controls.

Higher levels of androgen were found among the patients and there was a likelihood of its being originated out of ovarian problems. However the researchers say that it might have also been possible that the patients had taken any kind of androgen therapy before, which went undetected, and could have led to higher androgen levels.

The major advancement in this study was that it studied a larger group of patients to reach the conclusion. Moreover it brought in use various techniques which were completely missing in the previous studies like ultrasound etc. for better diagnosis.

Dr. Andreas Mueller of Erlangen University Hospital in Erlangen, Germany says “This is the first prospective endocrine evaluation of using up-to-date state-of-the-art criteria incorporating for diagnosing PCOS or hyperandrogenemia”. Louis J. Gooren of Free University Medical Center in Amsterdam, the Netherlands; and Susanne Naton-Schotz, Susanne Cupisti, Matthias Beckmann, and Ralf Dittrich of Erlangen University Hospital in Erlangen, Germany were other researchers who contributed to the study.