National President
Dr. Pawan Gupta MS. FSOG, FAIS, M.Ch.
Cancer Surgeon
Tel: 9811290152
Observer :
Mr. Suresh Prakash
Tel : 9891948444
President:
Yogender Agarwal
09412244844
Vice President
Mr. Ashok Singhal
Industrialist & Social worker
Tel.: 9412137232
V. President HRD :
Mr. Vinay Gupta
Pharma Distributor
Tel.: 9837084656
Vice President Event :
Mr. J.K. Goel
Mfg. of energic 31
Tel.: 9359702566
Secretary
Mr J.S.Agarwal
Jt. Secretary
Mr. Girish Kumar Singh
Businessman and Social Worker
Tel.: 9412664310
Jt. Secretary (HRD)
Mr. Gyanendra Kr. Mittal
Exporter & Social Worker
Tel.: 9837085559
Jt. Secretary (Event)
Mr. Rajeshwer Prasad Gahoi
Principal (Retd.)
Tel.: 9456057564
Treasurer
Sh. Jagannath Agarwal
Sr. Manager PNB (Retd.)Tel.: 0591-2471354
Executive Member Expert
Dr. Ajay Agarwal M.B.B.S., M.S. Tel.: 9837037566
Dr. Vimita Agarwal M.B.B.S., D.G.O. Tel.: 9997395130
Dr. R.C. Agarwal M.D. (Cardio)Tel.: 9412235395
Dr. Rajendra Kumar Sharma A.M.B.S Tel.: 9412635598
Executive Members :
Sh. Ajit Kumar Agarwal (C.A.) Tel.: 9837150633
Sh. Subodh Kumar Singhal Business Tel.: 0591-2472991
Mrs. Sarita Lal Social Worker Tel.: 9837540978
Thursday, July 30, 2009
I CAN WIN - Faridabad Chapter Office Bearers
Indian Cancer Winners’ Association
A Mission to “Win Over Cancer”
Faridabad Chapter:- H. No-2, Sector-8, Faridabad
National President
Dr. Pawan Gupta
MS. FSOG, FAIS, M.Ch.
Cancer Surgeon
Tel: 9811290152
Observer/Co-ordinator
Dr. Manish Wadhwa
MBBS; MD Path
Tel: 9811661298
Dr. Kulveen Wadhwa
MBBS, MD (Radiodiagnosis)
Tel: 9899125299
President
Dr. B.C. Gupta
Tel: 9810373490
Vice-President
Mr. Anil Rahat
Tel: 9811191874
Secretary
Dr. Prashant Gupta
Tel: 9813389010
Jt. Secretary
Dr. Vishal Juneja
Tel: 9811317662
Treasurer
Mr. Lalit Mahajan
Tel: 9811084363
Executive Member
Dr. Anil Soni
Tel: 9810350522
Dr. Neeta Dhabhai
Tel: 9811268495
Dr. Poonam Kataria
Tel: 9810973730
Dr. Pankaj Kataria
Tel: 9818096904
Dr. Sunil Parashar
Tel: 9811226394
Ms. Gunjan Jain
Tel: 999030514
Ms. Ruchi Sardana
Tel: 9811021757
A Mission to “Win Over Cancer”
Faridabad Chapter:- H. No-2, Sector-8, Faridabad
National President
Dr. Pawan Gupta
MS. FSOG, FAIS, M.Ch.
Cancer Surgeon
Tel: 9811290152
Observer/Co-ordinator
Dr. Manish Wadhwa
MBBS; MD Path
Tel: 9811661298
Dr. Kulveen Wadhwa
MBBS, MD (Radiodiagnosis)
Tel: 9899125299
President
Dr. B.C. Gupta
Tel: 9810373490
Vice-President
Mr. Anil Rahat
Tel: 9811191874
Secretary
Dr. Prashant Gupta
Tel: 9813389010
Jt. Secretary
Dr. Vishal Juneja
Tel: 9811317662
Treasurer
Mr. Lalit Mahajan
Tel: 9811084363
Executive Member
Dr. Anil Soni
Tel: 9810350522
Dr. Neeta Dhabhai
Tel: 9811268495
Dr. Poonam Kataria
Tel: 9810973730
Dr. Pankaj Kataria
Tel: 9818096904
Dr. Sunil Parashar
Tel: 9811226394
Ms. Gunjan Jain
Tel: 999030514
Ms. Ruchi Sardana
Tel: 9811021757
I CAN WIN - Ghaziabad Chapter Office Bearers
Indian Cancer Winners’ Association
A Mission to “Win Over Cancer”
Ghaziabad Chapter: Autar Estates, Autar Plaza, 61, Nehru Society, Opp. Nehru Yuva Kendra, Ambedkar
Road, Ghaziabad – 201001
National President
Dr. Pawan Gupta
MS. FSOG, FAIS, M.Ch.
Cancer Surgeon
Tel: 9811290152
Observer/Co-ordinater
Sh. R.K. Goel
I.T.O. Noida
Tel: 9810705342
President
Mrs. Prabha Gupta
Tel: 9313481460
Vice-President
Vinod Kumar Agarwal
DGM (Mecon Ltd.)
Tel: 9868392510
V. President (HRD)
Sh. Rajesh Goel (Advocate)
Tel: 9810193902
V. President (Event)
Sh. Ajit Mathur
Excutive Engineer (Rtd.)
Tel: 9873498450
Secretary
Mr. Manish Goel (MBA)
Tel: 9999994737
Email:autar_estates@yahoo.co.in
Jt. Secretary
Dr. Ankur Tyagi (BDS)
Tel: 9868646988
Jt. Secretary Cultural Prog.
Mrs. Madhu Mahajan
Tel: 9818141378
Jt. Secretary (Event)
Mr. J.L. Nijhawan
Tel: 9891199180
Treasurer
Mrs. Pushpa Sharma
Tel: 9350045584
Executive Member Expert
Dr. Mrs. Malini Arora
Yoga Meditation & Vastu Expert
Tel: 9999633666
Executive Member
Anuj Goel
Tel: 9999993201
Sachin Singhal
Tel: 9810685523
Seema Nirwan
Tel: 9873939453
Sanjay Gupta
Tel: 9818223399
A Mission to “Win Over Cancer”
Ghaziabad Chapter: Autar Estates, Autar Plaza, 61, Nehru Society, Opp. Nehru Yuva Kendra, Ambedkar
Road, Ghaziabad – 201001
National President
Dr. Pawan Gupta
MS. FSOG, FAIS, M.Ch.
Cancer Surgeon
Tel: 9811290152
Observer/Co-ordinater
Sh. R.K. Goel
I.T.O. Noida
Tel: 9810705342
President
Mrs. Prabha Gupta
Tel: 9313481460
Vice-President
Vinod Kumar Agarwal
DGM (Mecon Ltd.)
Tel: 9868392510
V. President (HRD)
Sh. Rajesh Goel (Advocate)
Tel: 9810193902
V. President (Event)
Sh. Ajit Mathur
Excutive Engineer (Rtd.)
Tel: 9873498450
Secretary
Mr. Manish Goel (MBA)
Tel: 9999994737
Email:autar_estates@yahoo.co.in
Jt. Secretary
Dr. Ankur Tyagi (BDS)
Tel: 9868646988
Jt. Secretary Cultural Prog.
Mrs. Madhu Mahajan
Tel: 9818141378
Jt. Secretary (Event)
Mr. J.L. Nijhawan
Tel: 9891199180
Treasurer
Mrs. Pushpa Sharma
Tel: 9350045584
Executive Member Expert
Dr. Mrs. Malini Arora
Yoga Meditation & Vastu Expert
Tel: 9999633666
Executive Member
Anuj Goel
Tel: 9999993201
Sachin Singhal
Tel: 9810685523
Seema Nirwan
Tel: 9873939453
Sanjay Gupta
Tel: 9818223399
Saturday, July 25, 2009
ONCOWIN ROUND TABLE on BREAST AWARENESS
ONCOWIN Round Table at Faridabad July 17th, 2009
Topic: Breast Cancer Screening
Venue – Studio 220, SCF 220, Sector 9, HUDA Market, Faridabad
An ONCOWIN Tutorial on “Breast Cancer Screening” was held at Faridabad on 17th July 2009. The Program was conducted in collaboration with Faridabad Obstetrics and Gynaecological Society. and was attended by about 35 doctors.
Dr Kulveen putting "POSITIVE ABOUT LIFE-I CAN WIN" badge on Dr Maninder Ahuja
Dr Pawan Gupta
Dr B.C.Gupta President I CAN WIN -FARIDABAD, chairing the meet
Dr Natasha Das - Giving presentation on breast Awareness with Mannequin
Dr Ratnesh Srivastav
Dr Amitabh Singh - Advantages of Early Detection
Ms Gunjan, Ms Ruchi
Dr Rudra Acharya
In the words of Dr Rudra Acharya “In the absence of a proper screening program in India, opportunistic screening is what is required”. The essence of the program was to partner with the FOGS, who see the ladies in our society more often and can play a major role in “WIN OVER BREAST CANCER”. This was reiterated and emphasized by our National Vice-President, Dr Manish Wadhwa and President Faridabad Chapter Dr B.C.Gupta.
Dr B.C.Gupta suggested various means to create awareness that include putting up posters and reading material in the clinics. The slogan “3 Minutes, 3 Fingers once in 30 days can save your life” will be the slogan of the Association to create breast awareness amongst the masses.
Dr Pawan Gupta, Dr Ratnesh Srivastav, Dr Natasha Das, Dr Amitabh Singh, Dr Saurendra Das, Dr Shanu Gairola, Dr Rudra Acharya, Dr Prashant Gupta who were present as Member Expert, discussed and gave their presentations.
Dr Maninder, President FOGS, Dr Neeta Dhabai, Secretary FOGS, has agreed to collaborate more with the I CAN WIN Association to further the cause to WIN OVER CANCER.
The program was followed by sumptuous high tea – arranged by Dr Kulveen, Ms Gunjan and Ms Ruchi.
We appreciate and thank the members of FOGS for their contribution towards WIN OVER CANCER
Dr B.C.Gupta - President
Dr Prashant Gupta - Secretary
Indian Cancer Winners' Association - Faridabad Chapter
ROUND TABLE on BREAST AWARENESS with FOGS
Program
CHAIRPERSON: Dr. B.C.Gupta Dr Maninder Ahuja
MODERATOR : Dr Pawan Gupta
ANCHOR: Dr Kulveen Wadhwa
Introduction: Dr Manish Wadhwa
Breast Symptoms: Dr Pawan Gupta
Breast Cancer Risk Factors: Dr Ratnesh Srivastav
Self Breast Examination: Dr Natasha Das
Radiological Investigations: Dr Kulveen Wadhwa
Pathological Investigation: Dr Prashant Gupta
Advantages of Early Diagnosis: Dr Amitabh Singh
Discussion: Dr Rudra Acharya, Dr Shanu Gairola
Topic: Breast Cancer Screening
Venue – Studio 220, SCF 220, Sector 9, HUDA Market, Faridabad
An ONCOWIN Tutorial on “Breast Cancer Screening” was held at Faridabad on 17th July 2009. The Program was conducted in collaboration with Faridabad Obstetrics and Gynaecological Society. and was attended by about 35 doctors.
Dr Kulveen putting "POSITIVE ABOUT LIFE-I CAN WIN" badge on Dr Maninder Ahuja
Dr Pawan Gupta
Dr B.C.Gupta President I CAN WIN -FARIDABAD, chairing the meet
Dr Natasha Das - Giving presentation on breast Awareness with Mannequin
Dr Ratnesh Srivastav
Dr Amitabh Singh - Advantages of Early Detection
Ms Gunjan, Ms Ruchi
Dr Rudra Acharya
In the words of Dr Rudra Acharya “In the absence of a proper screening program in India, opportunistic screening is what is required”. The essence of the program was to partner with the FOGS, who see the ladies in our society more often and can play a major role in “WIN OVER BREAST CANCER”. This was reiterated and emphasized by our National Vice-President, Dr Manish Wadhwa and President Faridabad Chapter Dr B.C.Gupta.
Dr B.C.Gupta suggested various means to create awareness that include putting up posters and reading material in the clinics. The slogan “3 Minutes, 3 Fingers once in 30 days can save your life” will be the slogan of the Association to create breast awareness amongst the masses.
Dr Pawan Gupta, Dr Ratnesh Srivastav, Dr Natasha Das, Dr Amitabh Singh, Dr Saurendra Das, Dr Shanu Gairola, Dr Rudra Acharya, Dr Prashant Gupta who were present as Member Expert, discussed and gave their presentations.
Dr Maninder, President FOGS, Dr Neeta Dhabai, Secretary FOGS, has agreed to collaborate more with the I CAN WIN Association to further the cause to WIN OVER CANCER.
The program was followed by sumptuous high tea – arranged by Dr Kulveen, Ms Gunjan and Ms Ruchi.
We appreciate and thank the members of FOGS for their contribution towards WIN OVER CANCER
Dr B.C.Gupta - President
Dr Prashant Gupta - Secretary
Indian Cancer Winners' Association - Faridabad Chapter
ROUND TABLE on BREAST AWARENESS with FOGS
Program
CHAIRPERSON: Dr. B.C.Gupta Dr Maninder Ahuja
MODERATOR : Dr Pawan Gupta
ANCHOR: Dr Kulveen Wadhwa
Introduction: Dr Manish Wadhwa
Breast Symptoms: Dr Pawan Gupta
Breast Cancer Risk Factors: Dr Ratnesh Srivastav
Self Breast Examination: Dr Natasha Das
Radiological Investigations: Dr Kulveen Wadhwa
Pathological Investigation: Dr Prashant Gupta
Advantages of Early Diagnosis: Dr Amitabh Singh
Discussion: Dr Rudra Acharya, Dr Shanu Gairola
Tuesday, July 14, 2009
Myths about breast cancer
This afternoon, Dr Pawan and I were discussing about the myths people have about breast cancer. That's when I remembered an article I once wrote on the topic. Here's a link to the article.
Ten things you have heard about breast cancer: Myths or facts?
Ten things you have heard about breast cancer: Myths or facts?
Monday, July 6, 2009
ONCOWIN Tutorial at Chandigarh 4.7.2009
ONCOWIN MEET at Chandigarh July 4th, 2009
Harmony Health Care Chandigarh – Dr K.K. Naik, Dr Deepak Bansal, Dr Sunil Kumar
Venue – Western Court, Sector 43, Chandigarh
An ONCOWIN Tutorial on “Surgical Oncology update”was conducted at Chandigarh on 4th July 2009. The Program was conducted in collaboration with Harmony Health care Chandigarh. The program was attended by around 75 local physicians and their spouses.
Dr K.K.Naik, welcomed all the guests and he emphasized on the need for an cancer awareness amongst the health care providers, to be able to guide the patients for optimum treatment and for Quality of life.
Dr Pawan Gupta spoke “Changing Concepts in Surgical Oncology”. It is the treating the patient as an human being and not treating the cancer which is important. A holistic multimodality approach including pretreatment, post treatment counseling along with long term rehabilitation is important to “WIN OVER CANCER”. The physicians need to provide a positive environment to the patient to tide over the stressful situation.
Dr Sunil outlined the rehabilitation program required following surgery.
Dr Deepak gave a vote of thanks to all the participants and the speakers.
The program was followed by sumptuous dinner.
We thank Dr Reddys’ Laboratories for sponsoring the program.
Dr Pawan Gupta
President
Indian Cancer Winners’ Association
Harmony Health Care Chandigarh – Dr K.K. Naik, Dr Deepak Bansal, Dr Sunil Kumar
Venue – Western Court, Sector 43, Chandigarh
An ONCOWIN Tutorial on “Surgical Oncology update”was conducted at Chandigarh on 4th July 2009. The Program was conducted in collaboration with Harmony Health care Chandigarh. The program was attended by around 75 local physicians and their spouses.
Dr K.K.Naik, welcomed all the guests and he emphasized on the need for an cancer awareness amongst the health care providers, to be able to guide the patients for optimum treatment and for Quality of life.
Dr Pawan Gupta spoke “Changing Concepts in Surgical Oncology”. It is the treating the patient as an human being and not treating the cancer which is important. A holistic multimodality approach including pretreatment, post treatment counseling along with long term rehabilitation is important to “WIN OVER CANCER”. The physicians need to provide a positive environment to the patient to tide over the stressful situation.
Dr Sunil outlined the rehabilitation program required following surgery.
Dr Deepak gave a vote of thanks to all the participants and the speakers.
The program was followed by sumptuous dinner.
We thank Dr Reddys’ Laboratories for sponsoring the program.
Dr Pawan Gupta
President
Indian Cancer Winners’ Association
Sunday, July 5, 2009
Possible sexual side effects of cancer treatment for women
Cancer treatment for women: Possible sexual side effects
Cancer treatment for women: Possible sexual side effects
Cancer treatment can cause physical changes that make having sex more difficult.
By Mayo Clinic staff
Sex might be the last thing on your mind as you start thinking about cancer treatment options and begin coping with the anxiety that comes with a cancer diagnosis. But as you start to feel more comfortable during cancer treatment and afterward, you'll want to get back to a "normal" life as much as you can. For many women, this includes resuming sexual intimacy.
An intimate connection with a partner can make you feel loved and supported as you go through your cancer treatment. But sexual side effects of cancer treatment can make resuming sex more difficult. Find out if you're at risk of sexual side effects after cancer treatment and which treatments can cause these side effects.
Who's at risk of sexual side effects?
Women with the greatest risk of sexual side effects include those being treated for:
* Bladder cancer
* Breast cancer
* Cervical cancer
* Colon cancer
* Ovarian cancer
* Rectal cancer
* Uterine cancer
* Vaginal cancer
Treatment for each of these cancers carries the risk of causing physical changes to your body. But having cancer also affects your emotions, no matter what type of cancer you have. For instance, you may feel anxious and worn out about your diagnosis, your treatment or your prognosis. These emotions can also affect your attitude toward sex and intimacy with your partner.
What sexual side effects are most common?
The treatment you receive and your type and stage of cancer will determine whether you experience sexual side effects. The most commonly reported side effects among women include:
* Difficulty reaching climax
* Less energy for sexual activity
* Loss of desire for sex
* Pain during penetration
* Reduced size of the vagina
* Vaginal dryness
Not all women will experience these side effects. Your doctor can give you an idea of whether your specific treatment will cause any of these.
How does cancer treatment cause sexual side effects?
Cancer treatments that are more likely to cause sexual side effects include:
Chemotherapy
Many women experience a loss of libido during and after chemotherapy. Often the side effects of the treatment, such as fatigue, nausea, hair loss, and weight loss or gain, can make you feel unattractive. Side effects usually fade soon after treatment ends. But it may take time to rebuild your self-confidence to bring back your desire for sex.
Chemotherapy can cause a sudden loss of estrogen production in your ovaries. This can lead to symptoms of menopause, such as a thinning vagina (vaginal atrophy) and vaginal dryness, both of which can cause pain during penetration.
Ask your doctor about what you can expect from your chemotherapy drugs, as some can cause permanent ovary damage. Depending on your cancer type, your doctor may prescribe estrogen replacement therapy — also called hormone therapy for menopause — to reduce the sexual side effects you experience. Topical estrogen creams applied to the vaginal area can also be used. However, women with hormone-sensitive breast or ovarian cancer should discuss any type of hormone therapy carefully with their doctors.
Radiation therapy
Sexual side effects related to radiation therapy are most common in women receiving treatment to their pelvic area. Radiation to the pelvis causes:
* Damage to the ovaries. The amount of damage and whether it's permanent depends on the strength of your radiation treatments. Damaged ovaries don't produce estrogen. This causes menopause and its related signs and symptoms, such as vaginal dryness or hot flashes. If you've already been through menopause, you likely won't experience such symptoms.
* Changes in the vaginal lining. Radiation therapy can irritate healthy tissue in its path. This can cause the lining of your vagina to become inflamed and tender. Penetration during sex may be uncomfortable during treatment and for a few weeks afterward. As the lining of your vagina heals, it may become thickened and scarred, causing your vagina to tighten and resist stretching during penetration. Your doctor might recommend using a vaginal dilator to prevent scar tissue from forming after radiation.
Talk to your doctor about what you can expect from your specific radiation treatments. Some side effects may be preventable. For instance, surgery to relocate your ovaries to another part of your body might spare them from the damage of radiation and preserve your fertility. Ask your doctor about your options.
Surgery
Whether surgery affects your ability to have sex will depend on your type of cancer, where it's located and its size. Surgical procedures that are likely to cause sexual side effects include:
* Radical hysterectomy. A woman with cervical cancer may opt for a radical hysterectomy to remove the uterus and related ligaments, as well as the cervix and part of the vagina. A shortened vagina usually doesn't change your ability to have sex, though it may take some adjustment. Women may also have their ovaries removed during this procedure. If you're premenopausal when your ovaries are removed, you'll experience menopause.
* Radical cystectomy. In this operation for bladder cancer, the surgeon removes your bladder, uterus, ovaries, fallopian tubes, cervix, the front wall of your vagina and your urethra. Your surgeon reconstructs your vagina, though it may be shorter or narrower than it was before surgery. This can make sex painful. If you haven't been through menopause, removal of your ovaries will cause early menopause.
* Abdominoperineal (AP) resection. AP resection is used if you have colon or rectal cancer. Your surgeon removes your lower colon and rectum. Without the cushion of the rectum, you might experience pain in your vagina during penetration. Some women who have an AP resection also have their ovaries removed. If you're premenopausal, this will cause premature menopause.
* Vulvectomy. You may undergo vulvectomy if you have cancer of the vulva. Your surgeon removes the entire vulva, including the inner and outer lips, as well as the clitoris. These play a major part in sexual arousal in women. Removing the vulva and the clitoris can make the area less sensitive and make it harder for you to reach orgasm.
Hormone therapy
If you have a hormone-sensitive cancer, you might receive hormone-blocking therapy through medications, such as tamoxifen or aromatase inhibitors, or through surgery, such as removal of your ovaries (oophorectomy). If your cancer is sensitive to hormones, these hormone-blocking therapies can be effective in shrinking or killing the cancer and can decrease the chance of a cancer recurrence.
Both medications and surgery for hormone therapy cause menopausal signs and symptoms, including vaginal atrophy and dryness. Removing your ovaries causes permanent menopause. Side effects of hormone therapy medications usually wear off after you stop taking them. Women taking hormone therapy for cancer usually take these drugs for five years or more.
What can you do to regain your sexual function?
Knowing what sexual side effects to expect before you begin your cancer treatment can help you be more prepared to deal with them as you go through treatment. If you experience sexual side effects, find out as much as you can about what's impeding your sexual function. This will help you feel more in control and help guide you to treatment options. You may also want to:
* Talk with your health care team. It can feel uncomfortable to talk about the sexual side effects you're experiencing. Though talking about sex can be awkward, you'll not likely find a solution if you don't let someone know what you're experiencing. Write down your questions if it makes you feel more comfortable. In addition, your doctor may be embarrassed or hesitant to talk about sex. If this is the case, ask to be referred to a specialist or seek support from other members of your health care team, such as nurses and counselors.
* Talk with your partner. Let your partner know what you're experiencing and how he or she can help you cope. For instance, you might find that using a lubricant eases your vaginal dryness or changing positions helps you avoid genital pain during sex. Together you can find solutions to ease you back into a fulfilling sex life.
* Explore other ways of being intimate. Intercourse isn't the only option for closeness with your partner. Consider spending more time together talking, cuddling or caressing. Connecting in other ways might help make you feel more comfortable and less anxious about the sexual side effects you're experiencing.
* Talk with other cancer survivors. Your health care team might be able to steer you to a support group in your town. Otherwise, connect with other cancer survivors online. If you're embarrassed about discussing sex face to face with strangers, the online environment provides you anonymity. Start with the American Cancer Society's Cancer Survivors Network.
It may simply take time for you to regain your sexual function after cancer treatment. While that can be frustrating, remember that if you had a positive and satisfying sex life before cancer, you'll likely resume that after your treatment.
Cancer treatment for women: Possible sexual side effects
Cancer treatment can cause physical changes that make having sex more difficult.
By Mayo Clinic staff
Sex might be the last thing on your mind as you start thinking about cancer treatment options and begin coping with the anxiety that comes with a cancer diagnosis. But as you start to feel more comfortable during cancer treatment and afterward, you'll want to get back to a "normal" life as much as you can. For many women, this includes resuming sexual intimacy.
An intimate connection with a partner can make you feel loved and supported as you go through your cancer treatment. But sexual side effects of cancer treatment can make resuming sex more difficult. Find out if you're at risk of sexual side effects after cancer treatment and which treatments can cause these side effects.
Who's at risk of sexual side effects?
Women with the greatest risk of sexual side effects include those being treated for:
* Bladder cancer
* Breast cancer
* Cervical cancer
* Colon cancer
* Ovarian cancer
* Rectal cancer
* Uterine cancer
* Vaginal cancer
Treatment for each of these cancers carries the risk of causing physical changes to your body. But having cancer also affects your emotions, no matter what type of cancer you have. For instance, you may feel anxious and worn out about your diagnosis, your treatment or your prognosis. These emotions can also affect your attitude toward sex and intimacy with your partner.
What sexual side effects are most common?
The treatment you receive and your type and stage of cancer will determine whether you experience sexual side effects. The most commonly reported side effects among women include:
* Difficulty reaching climax
* Less energy for sexual activity
* Loss of desire for sex
* Pain during penetration
* Reduced size of the vagina
* Vaginal dryness
Not all women will experience these side effects. Your doctor can give you an idea of whether your specific treatment will cause any of these.
How does cancer treatment cause sexual side effects?
Cancer treatments that are more likely to cause sexual side effects include:
Chemotherapy
Many women experience a loss of libido during and after chemotherapy. Often the side effects of the treatment, such as fatigue, nausea, hair loss, and weight loss or gain, can make you feel unattractive. Side effects usually fade soon after treatment ends. But it may take time to rebuild your self-confidence to bring back your desire for sex.
Chemotherapy can cause a sudden loss of estrogen production in your ovaries. This can lead to symptoms of menopause, such as a thinning vagina (vaginal atrophy) and vaginal dryness, both of which can cause pain during penetration.
Ask your doctor about what you can expect from your chemotherapy drugs, as some can cause permanent ovary damage. Depending on your cancer type, your doctor may prescribe estrogen replacement therapy — also called hormone therapy for menopause — to reduce the sexual side effects you experience. Topical estrogen creams applied to the vaginal area can also be used. However, women with hormone-sensitive breast or ovarian cancer should discuss any type of hormone therapy carefully with their doctors.
Radiation therapy
Sexual side effects related to radiation therapy are most common in women receiving treatment to their pelvic area. Radiation to the pelvis causes:
* Damage to the ovaries. The amount of damage and whether it's permanent depends on the strength of your radiation treatments. Damaged ovaries don't produce estrogen. This causes menopause and its related signs and symptoms, such as vaginal dryness or hot flashes. If you've already been through menopause, you likely won't experience such symptoms.
* Changes in the vaginal lining. Radiation therapy can irritate healthy tissue in its path. This can cause the lining of your vagina to become inflamed and tender. Penetration during sex may be uncomfortable during treatment and for a few weeks afterward. As the lining of your vagina heals, it may become thickened and scarred, causing your vagina to tighten and resist stretching during penetration. Your doctor might recommend using a vaginal dilator to prevent scar tissue from forming after radiation.
Talk to your doctor about what you can expect from your specific radiation treatments. Some side effects may be preventable. For instance, surgery to relocate your ovaries to another part of your body might spare them from the damage of radiation and preserve your fertility. Ask your doctor about your options.
Surgery
Whether surgery affects your ability to have sex will depend on your type of cancer, where it's located and its size. Surgical procedures that are likely to cause sexual side effects include:
* Radical hysterectomy. A woman with cervical cancer may opt for a radical hysterectomy to remove the uterus and related ligaments, as well as the cervix and part of the vagina. A shortened vagina usually doesn't change your ability to have sex, though it may take some adjustment. Women may also have their ovaries removed during this procedure. If you're premenopausal when your ovaries are removed, you'll experience menopause.
* Radical cystectomy. In this operation for bladder cancer, the surgeon removes your bladder, uterus, ovaries, fallopian tubes, cervix, the front wall of your vagina and your urethra. Your surgeon reconstructs your vagina, though it may be shorter or narrower than it was before surgery. This can make sex painful. If you haven't been through menopause, removal of your ovaries will cause early menopause.
* Abdominoperineal (AP) resection. AP resection is used if you have colon or rectal cancer. Your surgeon removes your lower colon and rectum. Without the cushion of the rectum, you might experience pain in your vagina during penetration. Some women who have an AP resection also have their ovaries removed. If you're premenopausal, this will cause premature menopause.
* Vulvectomy. You may undergo vulvectomy if you have cancer of the vulva. Your surgeon removes the entire vulva, including the inner and outer lips, as well as the clitoris. These play a major part in sexual arousal in women. Removing the vulva and the clitoris can make the area less sensitive and make it harder for you to reach orgasm.
Hormone therapy
If you have a hormone-sensitive cancer, you might receive hormone-blocking therapy through medications, such as tamoxifen or aromatase inhibitors, or through surgery, such as removal of your ovaries (oophorectomy). If your cancer is sensitive to hormones, these hormone-blocking therapies can be effective in shrinking or killing the cancer and can decrease the chance of a cancer recurrence.
Both medications and surgery for hormone therapy cause menopausal signs and symptoms, including vaginal atrophy and dryness. Removing your ovaries causes permanent menopause. Side effects of hormone therapy medications usually wear off after you stop taking them. Women taking hormone therapy for cancer usually take these drugs for five years or more.
What can you do to regain your sexual function?
Knowing what sexual side effects to expect before you begin your cancer treatment can help you be more prepared to deal with them as you go through treatment. If you experience sexual side effects, find out as much as you can about what's impeding your sexual function. This will help you feel more in control and help guide you to treatment options. You may also want to:
* Talk with your health care team. It can feel uncomfortable to talk about the sexual side effects you're experiencing. Though talking about sex can be awkward, you'll not likely find a solution if you don't let someone know what you're experiencing. Write down your questions if it makes you feel more comfortable. In addition, your doctor may be embarrassed or hesitant to talk about sex. If this is the case, ask to be referred to a specialist or seek support from other members of your health care team, such as nurses and counselors.
* Talk with your partner. Let your partner know what you're experiencing and how he or she can help you cope. For instance, you might find that using a lubricant eases your vaginal dryness or changing positions helps you avoid genital pain during sex. Together you can find solutions to ease you back into a fulfilling sex life.
* Explore other ways of being intimate. Intercourse isn't the only option for closeness with your partner. Consider spending more time together talking, cuddling or caressing. Connecting in other ways might help make you feel more comfortable and less anxious about the sexual side effects you're experiencing.
* Talk with other cancer survivors. Your health care team might be able to steer you to a support group in your town. Otherwise, connect with other cancer survivors online. If you're embarrassed about discussing sex face to face with strangers, the online environment provides you anonymity. Start with the American Cancer Society's Cancer Survivors Network.
It may simply take time for you to regain your sexual function after cancer treatment. While that can be frustrating, remember that if you had a positive and satisfying sex life before cancer, you'll likely resume that after your treatment.
Anger Management
Anger management tips: 10 ways to tame your temper
Anger management tips: 10 ways to tame your temper
By Mayo Clinic staff
Original Article:http://www.mayoclinic.com/health/anger-management/MH00102
Anger management tips: 10 ways to tame your temper
Controlling your temper isn't always easy. But these effective anger management tips will help give you the upper hand.
By Mayo Clinic staff
Do you find yourself fuming when someone cuts you off in traffic? Does your blood pressure go through the roof when your child won't cooperate? Anger is a normal and even healthy emotion, but learning how to deal with it in a positive way is important.
Uncontrolled anger can make both you and other people feel lousy. If your outbursts, rages or frustrations are negatively affecting relationships with family, friends, co-workers or even complete strangers, it's time to learn some anger management skills. Anger management techniques are a proven way to help change the way you express your anger.
10 tips to help get your anger under control
1. Take a 'timeout.' Although it may seem cliche, counting to 10 before reacting really can defuse your temper.
2. Get some space. Take a break from the person you're angry with until your frustrations subside a bit.
3. Once you're calm, express your anger. It's healthy to express your frustration in a nonconfrontational way. Stewing about it can make the situation worse.
4. Get some exercise. Physical activity can provide an outlet for your emotions, especially if you're about to erupt. Go for a brisk walk or a run, swim, lift weights or shoot baskets.
5. Think carefully before you say anything. Otherwise, you're likely to say something you'll regret. It can be helpful to write down what you want to say so that you can stick to the issues. When you're angry, it's easy to get sidetracked.
6. Identify solutions to the situation. Instead of focusing on what made you mad, work with the person who angered you to resolve the issue at hand.
7. Use 'I' statements when describing the problem. This will help you to avoid criticizing or placing blame, which can make the other person angry or resentful — and increase tension. For instance, say, "I'm upset you didn't help with the housework this evening," instead of, "You should have helped with the housework."
8. Don't hold a grudge. If you can forgive the other person, it will help you both. It's unrealistic to expect everyone to behave exactly as you want.
9. Use humor to release tensions. Lightening up can help diffuse tension. Don't use sarcasm, though — it's can hurt feelings and make things worse.
10. Practice relaxation skills. Learning skills to relax and de-stress can also help control your temper when it may flare up. Practice deep-breathing exercises, visualize a relaxing scene, or repeat a calming word or phrase to yourself, such as "Take it easy." Other proven ways to ease anger include listening to music, writing in a journal and doing yoga.
Getting anger management help
You can practice many of these anger management strategies on your own. But if your anger seems out of control, is hurting your relationships or makes you feel physically violent or destructive, you may benefit from some help. Here are some ways you can get help to keep your frustrations in check:
* See a psychologist or licensed counselor. Seeing a therapist can help you learn to recognize your anger warning signs before you blow up, and how to cope with your anger. Ask your primary care doctor for a referral to a counselor specializing in anger management. Family and friends also may give you recommendations based on their experiences. Your health insurer, employee assistance program (EAP), clergy, or state or local agencies also may offer recommendations.
* Take an anger management class. An anger management class can teach you what anger is, how to recognize anger triggers and how to keep your anger under control. These courses can be done individually, with spouses or families, or in groups. In addition to the search methods for a psychologist or counselor, you can find organizations offering anger management courses on the Internet and through your district court.
* Read a book. There are a number of helpful books on anger management. A number of them focus on particular situations, such as anger in teens, anger in men or anger in couples. Many of them are workbooks, with exercises that teach concrete skills.
Anger and irritability can be signs of an underlying mental health condition, such as depression or bipolar disorder. If your symptoms don't improve, or you have signs or symptoms of anxiety or depression, see a mental health provider for help.
Anger management tips: 10 ways to tame your temper
By Mayo Clinic staff
Original Article:http://www.mayoclinic.com/health/anger-management/MH00102
Anger management tips: 10 ways to tame your temper
Controlling your temper isn't always easy. But these effective anger management tips will help give you the upper hand.
By Mayo Clinic staff
Do you find yourself fuming when someone cuts you off in traffic? Does your blood pressure go through the roof when your child won't cooperate? Anger is a normal and even healthy emotion, but learning how to deal with it in a positive way is important.
Uncontrolled anger can make both you and other people feel lousy. If your outbursts, rages or frustrations are negatively affecting relationships with family, friends, co-workers or even complete strangers, it's time to learn some anger management skills. Anger management techniques are a proven way to help change the way you express your anger.
10 tips to help get your anger under control
1. Take a 'timeout.' Although it may seem cliche, counting to 10 before reacting really can defuse your temper.
2. Get some space. Take a break from the person you're angry with until your frustrations subside a bit.
3. Once you're calm, express your anger. It's healthy to express your frustration in a nonconfrontational way. Stewing about it can make the situation worse.
4. Get some exercise. Physical activity can provide an outlet for your emotions, especially if you're about to erupt. Go for a brisk walk or a run, swim, lift weights or shoot baskets.
5. Think carefully before you say anything. Otherwise, you're likely to say something you'll regret. It can be helpful to write down what you want to say so that you can stick to the issues. When you're angry, it's easy to get sidetracked.
6. Identify solutions to the situation. Instead of focusing on what made you mad, work with the person who angered you to resolve the issue at hand.
7. Use 'I' statements when describing the problem. This will help you to avoid criticizing or placing blame, which can make the other person angry or resentful — and increase tension. For instance, say, "I'm upset you didn't help with the housework this evening," instead of, "You should have helped with the housework."
8. Don't hold a grudge. If you can forgive the other person, it will help you both. It's unrealistic to expect everyone to behave exactly as you want.
9. Use humor to release tensions. Lightening up can help diffuse tension. Don't use sarcasm, though — it's can hurt feelings and make things worse.
10. Practice relaxation skills. Learning skills to relax and de-stress can also help control your temper when it may flare up. Practice deep-breathing exercises, visualize a relaxing scene, or repeat a calming word or phrase to yourself, such as "Take it easy." Other proven ways to ease anger include listening to music, writing in a journal and doing yoga.
Getting anger management help
You can practice many of these anger management strategies on your own. But if your anger seems out of control, is hurting your relationships or makes you feel physically violent or destructive, you may benefit from some help. Here are some ways you can get help to keep your frustrations in check:
* See a psychologist or licensed counselor. Seeing a therapist can help you learn to recognize your anger warning signs before you blow up, and how to cope with your anger. Ask your primary care doctor for a referral to a counselor specializing in anger management. Family and friends also may give you recommendations based on their experiences. Your health insurer, employee assistance program (EAP), clergy, or state or local agencies also may offer recommendations.
* Take an anger management class. An anger management class can teach you what anger is, how to recognize anger triggers and how to keep your anger under control. These courses can be done individually, with spouses or families, or in groups. In addition to the search methods for a psychologist or counselor, you can find organizations offering anger management courses on the Internet and through your district court.
* Read a book. There are a number of helpful books on anger management. A number of them focus on particular situations, such as anger in teens, anger in men or anger in couples. Many of them are workbooks, with exercises that teach concrete skills.
Anger and irritability can be signs of an underlying mental health condition, such as depression or bipolar disorder. If your symptoms don't improve, or you have signs or symptoms of anxiety or depression, see a mental health provider for help.
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