Jul
27
2011
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GYNECOLOGICAL CANCER: PHYSICAL CHANGES AND SEXUAL RELATIONS

GYNECOLOGICAL CANCER: PHYSICAL CHANGES AND SEXUAL RELATIONS
Adjustment to surgical scars takes time. Because the surgery often requires extensive removal of major organs, the scar can be long and invasive. Depending on how quickly you heal, the redness and swelling can take some time to reduce. Women with surgical scars often feel a need to hide their body in intimate settings for fear that their partner will be ‘turned off. Many start wanting to have sex in the dark or be covered prior to sex. They fear that their nakedness will expose the scarring and reduce their partner’s impression of them as sexual. It takes a very sensitive and understanding partner to help the woman acknowledge her feelings and sense of ‘loss’ and to accept the scar as irrelevant to their femininity and sexuality. Think of the scar as your life saving device. Show your partner the scar straightaway in hospital. Applying creams or other oils to the scar on a daily basis can feel like a positive step to healing. Discuss the best approach with your nurse. The alternative (a cancer-ridden body and no scar) is not a welcome outcome. If love and intimacy was based purely on body shape and image there would be millions of ‘loveless’ people in the world – both men and women!!
Women with vulva cancer often have the greatest readjustment to make because of the radical extent of the surgery and radiation therapy. Because surgery requires the removal of the external genitals that provide much of the stimulation during sexual intercourse, traditional and former ways of sexual expression are often no longer possible. The vulva is the visible outward sign of female sexuality as the penis is for men. Many women with vulva cancer experience acute pain, inability to have satisfactory penetrating sex, inability to orgasm due to psychological trauma, lack of feeling in the genital area and lymphoedoema in the groin, and in some cases radiation burns on the upper thighs. For some women, especially those in heterosexual relationships the fact that their external genitalia have been removed creates an intense and obsessive desire for its return, and a profound sense of loss of a balanced sexual life. In cases of radical vulvectomy, the external appearance is radically altered with some women describing it as ‘gaping holes’ … in fact this is the removal of the exterior padding of the genitalia. These feelings are quite normal, but often slow down the process of acceptance that the surgery was necessary to preserve their life and realization that a satisfying (but different) sex life can still be achieved – including the ability to still experience orgasm. It is the one gynecological cancer where professional sexual counseling, contact with vulva cancer survivors and extreme sensitivity and understanding on the partner’s part are essential.
*39/144/5*
Adjustment to surgical scars takes time. Because the surgery often requires extensive removal of major organs, the scar can be long and invasive. Depending on how quickly you heal, the redness and swelling can take some time to reduce. Women with surgical scars often feel a need to hide their body in intimate settings for fear that their partner will be ‘turned off. Many start wanting to have sex in the dark or be covered prior to sex. They fear that their nakedness will expose the scarring and reduce their partner’s impression of them as sexual. It takes a very sensitive and understanding partner to help the woman acknowledge her feelings and sense of ‘loss’ and to accept the scar as irrelevant to their femininity and sexuality. Think of the scar as your life saving device. Show your partner the scar straightaway in hospital. Applying creams or other oils to the scar on a daily basis can feel like a positive step to healing. Discuss the best approach with your nurse. The alternative (a cancer-ridden body and no scar) is not a welcome outcome. If love and intimacy was based purely on body shape and image there would be millions of ‘loveless’ people in the world – both men and women!!
Women with vulva cancer often have the greatest readjustment to make because of the radical extent of the surgery and radiation therapy. Because surgery requires the removal of the external genitals that provide much of the stimulation during sexual intercourse, traditional and former ways of sexual expression are often no longer possible. The vulva is the visible outward sign of female sexuality as the penis is for men. Many women with vulva cancer experience acute pain, inability to have satisfactory penetrating sex, inability to orgasm due to psychological trauma, lack of feeling in the genital area and lymphoedoema in the groin, and in some cases radiation burns on the upper thighs. For some women, especially those in heterosexual relationships the fact that their external genitalia have been removed creates an intense and obsessive desire for its return, and a profound sense of loss of a balanced sexual life. In cases of radical vulvectomy, the external appearance is radically altered with some women describing it as ‘gaping holes’ … in fact this is the removal of the exterior padding of the genitalia. These feelings are quite normal, but often slow down the process of acceptance that the surgery was necessary to preserve their life and realization that a satisfying (but different) sex life can still be achieved – including the ability to still experience orgasm. It is the one gynecological cancer where professional sexual counseling, contact with vulva cancer survivors and extreme sensitivity and understanding on the partner’s part are essential.
*39/144/5*
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Written by admin in: Cancer |
Jul
18
2011
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PREGNANCY AND CHILDBIRTH: HOME BIRTH OR IN HOSPITAL?

PREGNANCY AND CHILDBIRTH: HOME BIRTH OR IN HOSPITAL?
As with all well planned events, there is a chance that all will not go according to plan, and the arrival of a new baby into the world is no exception to this rule. Babies can be born at any time and at any place and this may not be near a hospital or the desired place of birth.
Some parents now, as in days of old, choose to have a home birth in familiar surroundings and with the people they love. However, if anything does go wrong and medical help is needed then the best place to be is in hospital. Hospitals have changed in their attitudes to family involvement in the birth of a baby over the past years. The image of the father sitting in a little room out the back smoking cigarettes while the expectant mother lies in an unfriendly room, is no longer true. The truth is that many hospitals encourage the father-to-be by the mother’s side and play an active part in the joyous event. I have found that midwives are not only expert in what they do but also give helpful and loving emotional support. Also most hospitals allow the father and/or close relatives to visit the new mum and baby whenever they like. However, if a home birth is decided upon then it is important to have a qualified midwife in attendance because during the birth of a baby, although it is a natural and usually uncomplicated event, things can go wrong. A friendly hospital may be your best choice.
*18/199/5*
As with all well planned events, there is a chance that all will not go according to plan, and the arrival of a new baby into the world is no exception to this rule. Babies can be born at any time and at any place and this may not be near a hospital or the desired place of birth.
Some parents now, as in days of old, choose to have a home birth in familiar surroundings and with the people they love. However, if anything does go wrong and medical help is needed then the best place to be is in hospital. Hospitals have changed in their attitudes to family involvement in the birth of a baby over the past years. The image of the father sitting in a little room out the back smoking cigarettes while the expectant mother lies in an unfriendly room, is no longer true. The truth is that many hospitals encourage the father-to-be by the mother’s side and play an active part in the joyous event. I have found that midwives are not only expert in what they do but also give helpful and loving emotional support. Also most hospitals allow the father and/or close relatives to visit the new mum and baby whenever they like. However, if a home birth is decided upon then it is important to have a qualified midwife in attendance because during the birth of a baby, although it is a natural and usually uncomplicated event, things can go wrong. A friendly hospital may be your best choice.
*18/199/5*
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Written by admin in: Women's Health |
Jul
02
2011
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EVALUATING HIGH BLOOD PRESSURE

EVALUATING HIGH BLOOD PRESSURE
If you have high blood pressure, your doctor will want to obtain a careful medical history, perform a physical examination, and perform a limited number of tests to answer the following three questions before deciding on the best method of treatment:
1. Is there damage to any organs?
2. Are there other cardiovascular risk factors?
3. Is the high blood pressure primary or a form of secondary (and possibly curable) hypertension?
To answer these questions, your doctor may order some laboratory tests to determine whether you have cardiovascular disease and, if so, its severity. If the physical examination and laboratory findings are normal, most people with mildly elevated blood pressure will not need further tests. However, further assessment may be needed if any of the following conditions exist:
sudden onset or abrupt acceleration of high blood pressure
very high diastolic pressure (greater than 110 mm Hg)
low blood potassium level
evidence of kidney abnormalities
doctor hears a bruit (pronounced “BREW-ee”), which is the sound of blood flowing through a narrowed vessel.
Be sure to tell your doctor if you are taking any prescription or over-the- counter medications, for two reasons. First, some medications raise blood pressure. Cold, allergy and sinus  medicines, nose sprays, and diet pills can all raise blood pressure. Second, certain medications can have dangerous reactions with medications your doctor may prescribe for high blood pressure. These include certain heart medications, psychiatric medications, and diuretics (“water pills”).
*260\252\8*
If you have high blood pressure, your doctor will want to obtain a careful medical history, perform a physical examination, and perform a limited number of tests to answer the following three questions before deciding on the best method of treatment:
1. Is there damage to any organs?
2. Are there other cardiovascular risk factors?
3. Is the high blood pressure primary or a form of secondary (and possibly curable) hypertension?
To answer these questions, your doctor may order some laboratory tests to determine whether you have cardiovascular disease and, if so, its severity. If the physical examination and laboratory findings are normal, most people with mildly elevated blood pressure will not need further tests. However, further assessment may be needed if any of the following conditions exist:
sudden onset or abrupt acceleration of high blood pressure
very high diastolic pressure (greater than 110 mm Hg)
low blood potassium level
evidence of kidney abnormalities
doctor hears a bruit (pronounced “BREW-ee”), which is the sound of blood flowing through a narrowed vessel.
Be sure to tell your doctor if you are taking any prescription or over-the- counter medications, for two reasons. First, some medications raise blood pressure. Cold, allergy and sinus  medicines, nose sprays, and diet pills can all raise blood pressure. Second, certain medications can have dangerous reactions with medications your doctor may prescribe for high blood pressure. These include certain heart medications, psychiatric medications, and diuretics (“water pills”).
*260\252\8*
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Written by admin in: Cardio & Blood-Сholesterol |

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