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ACNEAMENORRHOEAOSTEOPOROSISBREAST CANCERPELVIC INFLAMMATORY DISEASE (PID)MASTITISLEUCORRHOEAGONORRHOEACERVICAL CANCERMENORRHAGIA

Acne

It is a  common inflammatory skin disease that mainly  affects the face, neck, chest and upper back. it is caused by an interaction between hormones, bacteria and sebum produced by the comedones (pimples), pustiles (lesions  filled with pus) and occasionally CYSTS. This is possibly caused  by changing hormone levels.

Mild cases may be eased by washing  the face with a gentle toilet soap or by drying agents  such as benzoyl peroxide. Severe acne may need oral treatment  with antibiotics such as tetracycline or hormone therapy  such as Dianette, which also acts as a Contraceptive.

Very severe acne can be treated using a derivative of Vitamin A, called tretinoin or Retin A. This cream is applied in each night  and takes about  3 weeks  to be effective. An oral version called  Ro- accutane is very good against severe acne but carries serious risks  of foetal  abnormality during pregnancy.

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Amenorrhoea (Absence of periods) 

It is a failure to have periods, which may be described as primary or secondary . Primary amenorrhoea is the failure to menstruate  by age 16, and the main  cause is the late onset of puberty. A girl may have the other signs of puberty  but lack of periods. this may be a cause of a pituitary tumor, which can be found  via a skull X -ray , or because of cryptomenorrohea, where menstrual bleedings does occur but it is held inside the vagina  by an obstruction such as imperforate  Hymen. The condition  may arise because parts of the female reproductive system are missing. The most common reason for primary amenorrhoea is disruption  of the relationship  between  the ovaries  and the pituitary gland.

Secondary amenorrhoea occurs  when a woman stops  menstruating  for 3 months  or more  after normal menstrual  periods have been established but before the onset of the Menopause.  It may arise  as a result of stress, chronic  diseases.  Stopping the contraceptive pill, which affects  hormone  production  in the brain , can cause amenorrhoea for up to a year, and it may arise after child birth and breast feeding. Failure of ovaries, prompting a premature  menopause before the age of 40, is another cause.  Amenorrhoea is permanent after the menopause or if the uterus is removed in a Hysterectomy

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Leucorrhoea  

A discharge of white-yellow coloured mucus from the vagina. it may be normal condition, increasing before and after menstruation, but a copious vaginal discharge, especially if it has a strong smell, probably indicates an infection  in the genital tract. A common cause is thrush, but it may also be because of Gonorrhoea or some other sexually transmitted disease.

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Osteoporosis 

A condition in which the amount of bone mass decreases to the point where the bones are fragile and easily fractured, affecting twice as many women as men. Women are particularly risk from the osteoporosis as they have a lower density of bone, because of smaller body size than men. The risk increases those who have a premature menopause, early hysterectomy, previous anorexia nervosa etc. Also women who smoke or drink excessively are at the greater risk. Weight-bearing exercise , a diet rich in calcium, Vitamin D and other minerals, and not smoking can help to prevent bone loss. Hormone replacement therapy is the most effective preventive treatment but is not suitable for all women. Physiotherapy and acupunture can help to relieve pain. Osteoporosis can be detected by doing Bone Density Test

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Pelvic Inflammatory Disease (PID)

It is an inflammation of the Fallopian Tubes, ovaries and Uterus. The disease can be acute or chronic.  Acute PID causes severe abdominal pains, high fever , chills, foul-smelling vaginal discharge and abdominal tenderness. PID is a result of bacterial infection, but chlamydia and Gonorrhoea are responsible for mini cases. Treatment is by means of antibiotics and bed rest. The condition usually improve within two weeks. But if not, another antibiotics is given. If 3 courses of antibiotics do not clear the infection, then the disease is deemed to have become chronic, Chronic PID results in a low level of infection that can continue for weeks or months.

Symptoms are persistent  abdominal pain or cramps, fatigue, weakness and very heavy menstrual periods. Some mild cases have few  or no symptoms but can cause partial or total infertility. 

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Gonorrhoea

It is an extremely common venereal or sexually transmitted disease, that is caused by the bacterium Neissera-gonorrhoeae. The bacteria are found in the Mucous Membrances of the Vagina, Urethra, throat and mouth.  If gonorrhoea is not treated it can damage and inflame the Fallopian Tubes and other pelvic organs, and this can arise after only 8-10 weeks. Other possible damage includes eye infection that can cause blindness, septicaemia (blood poisoning), Gonococcal Arthritis, it may occur in conjunction with a painful skin rash and inflammation of heart valves. Symptoms of  gonorrheoa include vaginal discharge (green or yellow in colour), Dysuria,  possible inflammation  of the rectum  and a sore throat . To diagnose the disease, swabs of the discharge are obtained and organisms  grown are identified in the laboratory. Treatment  is by a single , very large dose of penicillin, or tetracycline if the organisms is resistant to penicillin.

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Mastitis inflammation of the breast

It occurs usually because of bacterial infection during breast feeding. Symptoms include, pain in the affected breast, tenderness, swelling, fever and possibly a chill. Treatment with warm compress and antibiotics normally resolves the condition. If the inflammation does not subside then a breast abscess may form.

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Menorrhagia 

It is menstruation  with abnormally heavy or prolonged  blood flow. This may be frequent periods, one that continuous for 7 days or more, or one with exceptionally heavy flow over two to three days. Menorrhagia can occur because of fibroids, inflammation in the pelvic cavity, an Intrauterine device  (IUD) or hormonal imbalance.

The bleeding can cause anaemia with pallor fatigue, which can be treated with iron supplements. Treatment depends on the cause and may include a D and C, the combined contraceptive  pill, removal of an IUD, or danazol, a drug that inhibits the hormones produced by the pituitary gland.

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Questions of
 Questions & Answers
 1.  Posted on : 21.8.2016  By  :  Jyoti Bahoria , Plot. no. 206 shree durga niwas, rewatinagar BESA View Answer (0) Post Answer
 

I am 30 years of age,I am diagnosed with PCOS last year, I always had regular periods and I am mother of a 4 year old boy my problem is my acne which I may facing since last 5to 6 years and it's recurring,I am fed up of this acne is there any treatment please suggest me It will be of great help.

 
 2.  Posted on : 6.7.2015  By  :  Poonam , Kolkata View Answer (0) Post Answer
 

My mother has got a renal mass in her right kidney approx 7cm and what we understood by her reports was that she has tiny multiple cysts in her lower pole, the doctor has told us that it is not malignant and non enhancing, but we have just done a ct scan and blood tests not even any biopsy so how can he be so sure it is not malignant, she seldom gets a lower back painin her right side, we are taking her to another consulting doctor for a second opinion, as to no what should be done, she is also type 2 diabetic

 
 3.  Posted on : 31.8.2014  By  :  Litu , Bangladesh View Answer (0) Post Answer
 

Hi, I am from Bangladesh. I donated blood to my wife without knowing the fact that it is dangerous. Now she is pregnant of two months. The blood group of both of us is O+. Could you tell me what risks may occur & what precaution should we take?

 
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