<br>Pushpa Soni, Consultant Obstetrician & Gynaecologist, Columbia Asia Hospital, Pune, says: "Studies have found that 37.65 per cent women in rural India and 24 per cent women in urban India have uterine fibroid. Therefore, women must pay attention to the signs and symptoms that may point at the presence of a uterine fibroid, and the warning signs that require medical attention."She adds: "Uterine fibroids may vary in size and shape, and may impact the symptoms. They can be as small as the seed of an apple or as big as a grape. A grape-sized fibroid may cause pelvic pressure, making the woman look pregnant due to abdominal growth. Very large fibroids are unusual, but cannot be ruled out completely. They can cause medical conditions such as infertility and anaemia, and may affect an ongoing pregnancy."Soni points out: "Large fibroids may prevent the foetus from getting the correct foetal position, and increase the mother's risk of a breech birth (when a baby is born bottom first instead of head first) or mal-presentation of the foetal head. It may also increase the chances of a pre-term or a C-section delivery."Risk factors and symptoms of uterine fibroids:Several factors may influence the formation of fibroids although it is unclear why they develop. However, estrogen and progesterone, the two hormones produced by ovaries, cause the uterine lining to regenerate during each menstrual cycle and may stimulate the growth of fibroids. Fibroids may develop and grow rapidly during pregnancy, they may swell when estrogen levels are high, she says.Following are a few risk factors that may impact the chances of developing these muscle-and-tissue growths:* Obesity* Family history of fibroids* Women who are nulliparous (do not have children)* Getting period at a young age* Late menopauseCommon symptoms of uterine fibroids may include:* Heavy menstrual bleeding* Anaemia due to blood loss that may cause insomnia, fatigue, hair loss, and palpitations* Bleeding between periods* Painful intercourse* Increased urination* Pain in pelvis or lower back* Swelling or enlargement of the abdomen* Constipation* Leg painHowever, a woman must immediately consult a doctor if she has one or more of the following:* Pelvic pain that does not get better* Extremely heavy, prolonged or painful menstrual bleeding* Spotting between periods or menstrual cycles* Difficulty while urinating* Unexplained low Red Blood Cell (RBC) count, indicating anaemia<br> <br>Treatment of uterine fibroids:The expert states that depending on the size and location of the fibroids, the age, symptoms, and reproductive choices of the woman, uterine fibroids can be treated through medication or surgeries.Medications may include:* Birth control pills* Oral hormonal medications* Hormonal injections* Iron supplementsSurgical interventions may include:* Hormonal intrauterine device (IUD)* Hysterectomy (removal of uterus)* Myomectomy (removal of fibroids)* Minimally invasive procedures such as uterine artery embolization, radiofrequency ablation, and laparoscopic myomectomyIt is advisable to always consult the right treatment method with your gynaecologist and avoid self-medication.(Puja Gupta can be contacted at [email protected])--IANS<br>pg/sj/
Dr. Peeyush Saxena is a well-qualified pure Ayurvedic practitioner based out of Delhi. She has around 30 years of experience. She has her expertise Female Infertility and other Gynaecology related health problems. Dr. Peeyush Saxena practices from her clinic in Shalimar Bagh. Read her interview with Nirogstreet below.
Please tell us about your career background, Dr. Saxena.
I have done my B.A.M.S. from Shri Krishna Government Ayurvedic College under the Kurukshetra University. I passed it in the year 1987-88.
Why did you choose Ayurvedic practices?
Actually, I come from a doctor background. My father was an M.B.B.S. doctor. In his experience, he had already seen the side effects of western medicines. So, while I was deciding about my choosing my career, he asked me what I wanted to do. As I expressed my willingness to become a doctor, he suggested that I should opt for pure Ayurveda. He is no more in this world, but he gave me the most precious advice of my life. I have been practising pure Ayurveda from the very beginning and through all these years.
What is your experience when it comes to treating patients? Do they trust the treatment?
See, most of the patients who come for Ayurveda treatment are those who have tried all other Pathies, be it modern medicine, homoeopathy, or something else. Some trust the treatment, some are reluctant. Many of these patients are those who are referred to Ayurveda by someone after going through treatment in other pathies. Once I counsel them and make them understand why Ayurveda is so effective, they are convinced.
Any challenge that you face as a practitioner?
Since my specialization is in gynaecology and infertility in women, I think every case quite a challenge. there are P.C.O.D. cases, Hormonal issues, Asthmatic patients. Nonetheless, I have seen a 90% success rate so far, which makes me content.
How effective is traditional medicine as a cure?
Traditional medicine is very effective. And this mostly depends upon the quality of medicine. Pure herbal treatment has no side effects and good quality of medicines ensures good results.
What do you think of Ayurveda’s future and its role in integrated medicine?
Ayurveda has an excellent future. But let me put it in this way: as long as practitioners have faith in Ayurveda, it has a bright future indeed. They shouldn’t practice other Pathies and stick to pure Ayurveda. So, it all depends upon how practitioners create Ayurveda’s future, rather than the other way around.
About integrated medicine, frankly, I don’t believe in this concept. If there is a case that needs Allopathic care, simply refer it to a modern practitioner.
You are a gynaecology expert. Many practitioners say that Ayurveda cannot manage Gynae and Emergency cases well. What do you think?
It is correct that Allopathy is better equipped to handle Emergency cases and one should immediately refer to it if there is an urgent medical situation. In Gynae, however, what I see is Ayurveda is far better equipped. For example, there are no uterine tonics in Allopathy, but Ayurveda does have.
Do you think Nirogstreet is making a difference by striving to connect the Ayurveda practitioners and patients through dedicated technology platforms?
I am grateful that Nirogstreet is doing a wonderful job of encouraging practitioners. When I learned from your team members that it is a platform dedicated to pure Ayurveda, it gave me immense pleasure. I also shared it with my colleagues. It is a great initiative.
What are your hobbies?
I like listening to classical music and old songs. I also like to paint, although I hardly get the time these days. Yoga is also something I enjoy doing in my routine. Last but not the least, my passion is my profession.
Dr. Saxena, what message would you like to convey to the people on well-being?
As goes the saying, health is wealth. One common issue with people is their eating habits. Take the example of metropolitan cities. People consume junk food too often. It is really bad for their health. Another thing I’d like to share. Many people tend to panic or stress due to difficulties in day-to-day life. I’d say that if they have a healthy mind and body, they would have better-coping stamina and they will be able to deal with adverse situations in their life very efficiently.
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