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Vaginal Health After Breast Cancer: a Guide for Patients
Information Sheet Vaginal health after breast cancer: A guide for patients Key points • Women who have had breast cancer treatment before menopause may develop a range of symptoms related to low oestrogen levels, while post-menopausal women may have a worsening of their symptoms. • These symptoms relate to both the genital and urinary tracts. • A range of both non-prescription/lifestyle and prescription treatments is available. Discuss your symptoms with your specialist or general practitioner as they will be able to advise you, based on your individual situation. • Women who have had breast cancer treatment before menopause might find they develop symptoms such as hot flushes, night sweats, joint aches and vaginal dryness. • These are symptoms of low oestrogen, which occur naturally with age, but may also occur in younger women undergoing treatment for breast cancer. These changes are called the genito-urinary syndrome of menopause (GSM), which was previously known as atrophic vaginitis. • Unlike some menopausal symptoms, such as hot flushes, which may go away as time passes, vaginal dryness, discomfort with intercourse and changes in sexual function often persist and may get worse with time. • The increased use of adjuvant treatments (medications that are used after surgery/chemotherapy/radiotherapy), which evidence shows reduce the risk of the cancer recurring, unfortunately leads to more side-effects. • Your health and comfort are important, so don’t be embarrassed about raising these issues with your doctor. • This Information Sheet offers some advice for what you can do to maintain the health of your vagina, your vulva (the external genitals) and your urethra (outlet from the bladder), with special attention to the needs of women who have had breast cancer treatment. -
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Advances in Social Science, Education and Humanities Research, volume 356 2nd International Conference on Contemporary Education, Social Sciences and Ecological Studies (CESSES 2019) A New Exploration of the Combined Treatment of Symptoms and Social Work Psychology in Male Sexual Addiction Patients Chengchung Tsai Minyi Li School of Management School of Social Sciences Putian University University of Macau Putian, China Macau, China Abstract—Post-Orgasmic Illness Syndrome (POIS) was progesterone, low cholesterol, low dehydroepiandrosterone, first discovered by Professor Waldinger and Schweitzerl in low cortisol, high prolactin or hypothyroidism. Some cases 2002. After publishing several papers such as "POIS Records encountered by the author team indicate that when the of Emotional, Psychological and Behavioral Changes in Male mother was pregnant in the early years, she or her family had Patients" and "POIS Patients", "Clinical Observation Records smoking habits. Some mothers had long-term use of of Psychological and Behavioral Changes" and "POIS Male contraceptives or were used to eating animal internal organs. Disease Self-reports and Treatment Methods", in this paper, Even some cases were diagnosed as male gynecomastia. the author will cite the views of Chinese medicine practitioners on the treatment of POIS, and hope to provide more practical treatment methods and references for future research. TABLE I. SEVEN GROUPS OF POIS SYMPTOMS FOUND BY WALDINGER AND OTHER MEDICAL TEAMS Keywords—POIS; male; ejaculation; mental state; disorder; Body parts Various local sensations emotion Behavioral symptoms extreme fatigue, exhaustion, palpitations, forgetting words, being too lazy to talk, incoherent, inattention, irritability, I. INTRODUCTION photophobia, depression The main research objects of this paper are journalists, Flu symptoms fever, cold, hot, sweaty, trembling writers and other text workers, as well as creative designers Head symptoms head dizziness, groggy, confused and heavy who take creativity as the selling point as the research object. -
Details of the Available Literature on Sex for Induction of Labour
Appendix 1: Details of the available literature on sex for induction of labour At term, nipple and genital stimulation have been advocated as a way of naturally promoting the release of endogenous oxytocin. 1 In 2005, a Cochrane Review examined the evidence for breast stimulation as a method for inducing labour and found six trials of 719 women, showing a decrease in the number of women not in labour at 72 hours with nipple stimulation compared with no intervention. 2 However, this finding was only significant among women who already had a favourable Bishop score (a cervical assessment used to predict the success of achieving a vaginal delivery). When breast stimulation was compared with intravenous oxytocin in the review, there was no difference in rates of cesarean delivery, number of women in labour at 72 hours or rates of meconium staining. However, the included studies did not look at time to vaginal delivery as an outcome. Overall, nipple stimulation seems to have minimal or no effect for women with an unripe cervix, but may be helpful for inducing labour in those with a ripe cervix. Few studies have looked at the role of intercourse as a cervical-ripening technique. However, prostaglandin concentrations have been shown to be 10 to 50 times higher in the cervical mucous of pregnant women two to four hours after intercourse, compared with concentrations before intercourse. 3 In a study of 47 women who had sex at term compared with 46 who abstained, there was no significant difference in Bishop scores. On average, the sexually active group delivered four days earlier, which was not considered clinically significant. -
Ordering Guide Why This Guide Is Important to You and Your Patients
ORDERING GUIDE WHY THIS GUIDE IS IMPORTANT TO YOU AND YOUR PATIENTS This ordering guide is meant to assist you when ordering a study with Radiology Ltd. The guide includes common indications as well as recommendations for the most appropriate examination. It is our goal to provide you and your patients with the most appropriate and complete imaging examination. After the correct order is placed, examinations are further tailored to each patient’s specific condition. Thus, it is very important for the radiologist to be aware of the clinical question or specific condition in question so that the appropriate imaging can be performed. When ordering an examination please include pertinent history as well as signs or symptoms. Please refrain from ordering “r/o” exams such as “rule out tumor” or “rule out anomaly” unless history and signs/symptoms are included as well. Feel free to specify a particular entity or condition you would like the Radiologist to comment upon in the report. We have also included a list of most commonly used ICD-9 codes. Please note that this is not a complete list so you may need to refer to your most current ICD-9-CM and ICD-10- CM code book for the most appropriate code. The note section at the end of the ICD-9 codes list allows you to add additional codes that are commonly used in your practice. In the back of the guide, you will find a list of our contracted insurance and network plans as well as our imaging centers, addresses and phone numbers. -
Risk Assessment of Military Populations to Predict Health Care Cost and Utilization
November 2005 Risk Assessment of Military Populations to Predict Health Care Cost and Utilization Final Report Prepared for Thomas Williams, Ph.D. Center for Health Care Management Studies TRICARE Management Activity; HPA&E 5111 Leesburg Pike, Suite 510 Falls Church, VA 22041 Prepared by Arlene S. Ash, Ph.D., Boston University Nancy McCall, Sc.D., RTI International Participating Investigators Jenn Fonda, M.A., Boston University Amresh Hanchate, Boston University Jeanne Speckman, M.Sc., Boston University RTI International 1615 M Street, NW Washington, DC 20036 and Boston University School of Medicine 715 Albany Street Boston, MA 02118 RTI Project Number 08490.006 RTI Project Number 08490.006 Risk Assessment of Military Populations to Predict Health Care Cost and Utilization Final Report November 2005 Prepared for Thomas Williams, Ph.D. Center for Health Care Management Studies TRICARE Management Activity; HPA&E 5111 Leesburg Pike, Suite 510 Falls Church, VA 22041 Prepared by Arlene S. Ash,1 Ph.D., Boston University Nancy McCall, Sc.D., RTI International Participating Investigators Jenn Fonda, M.A., Boston University Amresh Hanchate, Boston University Jeanne Speckman, M.Sc., Boston University RTI International2 1615 M Street, NW Washington, DC 20036 and Boston University School of Medicine 715 Albany Street Boston, MA 02118 1 Dr. Ash is a developer of the Diagnostic Cost Group (DCG) models and a founder of the company (DxCG, Inc.) that maintains and licenses DCG models, one of the models evaluated in this project. Although the company has been sold, Dr. Ash continues to work one day a week for the company, as a senior scientist. -
ICD-9 Codes for Family Medicine 2011-2012: the FPM Short List
ICD-9 Codes for Family Medicine 2011-2012: The FPM Short List I. Infectious & Parasitic Diseases 269.9 Nutritional deficiencies, unspec. 340 Multiple sclerosis 574.20 Cholelithiasis, NOS 790.7 Bacteremia (not septicemia) ➤ 278.00 Obesity, NOS 359.9 Myopathy, unspec. 571.5 Cirrhosis, NOS 052.9 Chickenpox, NOS ➤ 278.02 Overweight 349.9 Nervous system, NOS ➤ 564.00 Constipation, unspec. 078.11 Condyloma acuminata 241.0 Thyroid nodule 357.9 Neuropathy, unspec. 555.9 Crohn’s disease, NOS 111.9 Dermatomycosis, unspec. 332.0 Parkinsonism, primary 525.9 Dental, unspec. 057.9 Exanthems, viral, unspec. IV. Blood Diseases 333.94 Restless legs syndrome 522.5 Dental abscess 007.1 Giardiasis 288.9 Abnormal white blood cells, unspec. 327.23 Sleep apnea, obstructive 521.00 Dental caries, unspec. 098.0 Gonorrhea, acute, lower GU tract 285.1 Anemia, acute blood loss 333.1 Tremor, essential/familial 562.11 Diverticulitis of colon, NOS 041.86 Helicobacter pylori 285.29 Anemia, chronic disease, other 781.0 Tremor/spasms, NOS 562.10 Diverticulosis of colon 070.9 Hepatitis, viral, NOS 285.21 Anemia, chronic kidney disease 350.1 Trigeminal neuralgia 536.8 Dyspepsia 053.9 Herpes zoster, NOS 285.22 Anemia, chronic neoplastic disease 530.9 Esophageal disease, unspec. 054.9 Herpetic disease, uncomplicated ➤ 280.9 Anemia, iron deficiency, unspec. VII. Circulatory System 530.10 Esophagitis, unspec. 042 HIV disease ➤ 285.9 Anemia, other, unspec. 411.1 Angina, unstable 564.9 Functional disorder intestine, unspec. V08 HIV positive, asymptomatic 281.0 Anemia, pernicious 413.9 Angina pectoris, NOS 575.9 Gallbladder disease, unspec. -
Leading Article Sexuality and Women with Complete Spinal Cord Injury
Spinal Cord (1997) 35, 136 ± 138 1997 International Medical Society of Paraplegia All rights reserved 1362 ± 4393/97 $12.00 Leading Article Sexuality and women with complete spinal cord injury Beverly Whipple1 and Barry R Komisaruk2 1College of Nursing Rutgers, The State University of New Jersey, 180 University Ave, Newark, NJ 07102; 2Psychology, Rutgers, The State University of NJ, 101 Warren Street, Newark, NJ 07102, USA Keywords: spinal cord injury; sexual aspects; women Introduction There is very little known about sexual response in brain.7 However, women who have been diagnosed as women with SCI.1 Although it is well documented that having `complete' SCI reported to us anecdotally that women with spinal cord injury (SCI) are able to they experience orgasms. menstruate, conceive and give birth,1 the literature This led us to hypothesize that in women with concerning orgasm in women with SCI is scant. complete SCI, there may still exist intact genital Money2 referred to orgasms that people with SCI sensory pathways from the peripheral sensory recep- reported during their dreams; he called these orgasms tors to the brain. This hypothesis is based on studies in `phantom'. The term `phantom orgasm' is still used in laboratory animals that demonstrate multiple sensory the literature and rehabilitation settings today. How- pathways from the genital system to dierent levels of ever, this term is misleading, because it confuses the spinal cord as well as directly to the brain. perception of orgasm, which is real, with the absent or denervated peripheral sensory receptor, which is Nerve Pathways `phantom'. For example, in the case of `phantom limb pain', the pain is real but the limb is `phantom'. -
Pregnancy and Breast Cancer
Pregnancy and Breast Cancer Page 1 of 5 Disclaimer: This algorithm has been developed for MD Anderson using a multidisciplinary approach considering circumstances particular to MD Anderson’s specific patient population, services and structure, and clinical information. This is not intended to replace the independent medical or professional judgment of physicians or other health care providers in the context of individual clinical circumstances to determine a patient's care. Note: Any pregnant patient presenting to MD Anderson should have a Maternal Fetal Medicine (MFM) consult prior to initiation of any treatment. INITIAL EVALUATION Ductal carcinoma See Breast Cancer Non-Invasive algorithm in situ2 (DCIS) (Ductal Carcinoma In Situ) Palpable mass > 2 weeks1 ● History and physical Pathology review: ● Bilateral mammogram with fetal Core biopsy ● ER/PR status shielding/ultrasound of breast and ● HER2 status nodal basins Invasive See Clinical Stages on Pages 2-3 breast cancer Special considerations: ● There should be open communication with the patient, obstetrician, and oncologists (medical, surgical and radiation) ● Surveillance of children exposed in utero to chemotherapeutic agents should be documented ● Surgery will not be performed at MD Anderson post 22 weeks gestation 1 If metastatic disease at diagnosis, individualize treatment with multidisciplinary planning 2 Patients with DCIS should not receive chemotherapy Department of Clinical Effectiveness V8 Approved by The Executive Committee of the Medical Staff on 06/15/2021 Pregnancy and Breast Cancer Page 2 of 5 Disclaimer: This algorithm has been developed for MD Anderson using a multidisciplinary approach considering circumstances particular to MD Anderson’s specific patient population, services and structure, and clinical information. -
Face and Body: Independent Predictors of Women's Attractiveness
Arch Sex Behav (2014) 43:1355–1365 DOI 10.1007/s10508-014-0304-4 ORIGINAL PAPER Face and Body: Independent Predictors of Women’s Attractiveness April Bleske-Rechek • Carolyn M. Kolb • Amy Steffes Stern • Katherine Quigley • Lyndsay A. Nelson Received: 7 May 2013 / Revised: 10 September 2013 / Accepted: 8 February 2014 / Published online: 15 May 2014 Ó Springer Science+Business Media New York 2014 Abstract Women’s faces and bodies are both thought to women wearing swimsuits than among women wearing their provide cues to women’s age, health, fertility, and personal- original clothes. These results suggest that perceivers attend to ity. To gain a stronger understanding of how these cues are cues of women’s health, fertility, and personality to the extent utilized, we investigated the degree to which ratings of that they are visible. women’s faces and bodies independently predicted ratings of women’s full-body attractiveness. Women came into the lab Keywords Body shape Á Attractiveness ratings Á notknowingthey would bephotographed. InStudy 1 (N = 84), Face Á Body Á Female attractiveness we photographed them in their street clothes; in Study 2 (N = 74), we photographed women in a solid-colored two- piece swimsuit that revealed their body shape, body size, and Introduction breast size. We cropped each woman’s original photo into an additional face-only photo and body-only photo; then, inde- Women’s faces and bodies advertise socially-relevant infor- pendent sets of raters judged women’s pictures. When dressed mation. Women’s faces, for example, provide significant cues intheir originalclothes,women’s face-only ratings werebetter of their health, age, femininity, and personality traits (Booth- independent predictors of full-body attractiveness ratings than royd et al., 2008; Gray & Boothroyd, 2012; Gangestad & weretheirbody-onlyratings.Whencuesdisplayedinwomen’s Scheyd, 2005; Kramer et al., 2012). -
Breast Cancer: Your Emotions, Body Image and Sexual Health
Form: D-5822 Breast Cancer: Your Emotions, Body Image and Sexual Health What’s inside Your emotions .............................................................................2 Your body image .........................................................................5 Your sexual health .....................................................................7 Resources and contact information .........................................20 Your emotions An encounter with breast cancer can start when you notice a change. It may be a lump or a thickening in the breast. It could be nipple discharge (loss of fluid) or pain. Such uncommon signs may raise thoughts of cancer. The same thoughts of cancer can also start when your doctor becomes concerned after you have a mammogram (a test of the breast using low‑energy x‑rays). The doctor gives you a check‑up. He or she explains that cancer is a possible diagnosis (finding). While waiting for the diagnosis, it is common for patients to feel anxious, worried and to fear the worst. When the doctor tells you that you have breast cancer, your first reaction may be shock. You may feel anxious or even helpless. Questions may arise: • Will I live? • Will I need chemotherapy? • What will I look like after the surgery? This can be a difficult time with changing emotions and everyone reacts in their own way. You may feel you are able to manage or you may feel overwhelmed. It is important to know that coping with your normal feelings often means giving attention to your emotional recovery, as well as to your physical recovery from breast cancer. Common and normal emotions you may be feeling Fear When you feel your life is threatened, it is normal to feel scared. -
Vital and Health Statistics; Series 16, No. 7
Vital and Health Statistics Advance Data From Vital and Health Statistics: Numbers 61-70 Series 16: Compilations of Advance Data From Vital and Health Statistics No, 7 Data in this ,report from health and demographic surveys present statistics by age and other variables on ambulatory medical care; selected demographic characteristics of teenage wives and mothers; expected principal source of payment for hospital discharges; health practices among adults; and utilization of short-stay hospitals in the treatment of mental disorders, Estimates are based on the civilian noninstitutionalized population of the United States, These reports were originally published in 1980 and 1981, U.S. DEPARTMENT OF HEALTH AND HUfvfAN SERVICES Public Heaith Service Centers for Disease Control and Prevention National Center for Heaith Statistics Hyattsville, Maryland December 1993 DHHS Publication No. (PHS] 94-1866 .. -- Copyright information All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated. Suggested citation National Center for Health Statistics. Advance data from vital and health statistics: nos 61–70. National Center for Health Statistics. Vital Health Stat 16(7). 1993. National Center for Health Statistics Manning Feinleib, M.D., Dr. P.H., Director Jack R. Anderson, Depup Director Jacob J. Feldman, Ph.D., Associate Director for Aru+sis and Epidemiology Gail F. Fisher, Ph.D., Associate Director for Planning and lWramural Programs Peter L. Hurley, Associate Director for J%al and Health Statistics Systems Robert A. Israel, Associate Director for International Statistics Stephen E. Nieberding, Associate Director for Management Charles J. Rothwell, Associate Director for Data Processing and Services Monroe G. -
Quick Reference Chart for Clinical Breast Examination Normal Breast Lump Change in Volume/Shape
Quick reference chart for clinical breast examination Clinical breast examination (CBE) Normal breast includes careful history-taking, visual inspection, palpation of both breasts, arm pits and root of the neck as well as educating women on breast self- examination and awareness, particularly on breast lumps. History-taking should include the following: 123 456age at menarche, marital status, parity, Normal female breasts: Note Lateral view of normal female breasts: Note Normal female breasts: Note Normal nippple Inverted nipple, horizontal age at first child birth, history of lactation similar size and shape, similar size and shape, nipples at the same similar size and shape, nipples and areola slit is a normal variation. It and breast-feeding, age at menopause, nipples at the same level, level, normal nipples, areola and skin at the same level, normal should not be diagnosed family history of breast and ovarian normal nipples, areola and nipples, areola and skin as retracted nipple as skin there is no underlying cancers in first degree relatives (mother, lump or other sign of sisters, aunts, grandmothers), history and breast cancer duration of oral contraceptive use, hormone replacement therapy (HRT), Lump treatment for infertility and tobacco use. After taking history, both breasts should be visually inspected, both in the sitting and lying down positions and with arms down and up, for any of the following: swelling, lumps, changes in size and shape, skin dimpling, skin retraction, skin thickening, 789101112skin nodules, skin ulceration, the level of Single, painless, hard lump in Single, painless, hard lump Painless, hard lump in the upper outer quadrant of the left Lobulated hard Large, lobulated hard both nipples, retraction of either nipple, the lower outer quadrant of in the lower quadrants of breast with restricted mobility.