Noble Plus Hospital, Ghatkopar

Complete Women Care Under One Roof

HPV Vaccine

Why are HPV vaccines needed?

Human papillomavirus (HPV) vaccines reduce the risk of cervical, vaginal, vulvar, and anal cancer as well as oropharyngeal cancer.

An immediate effect of HPV vaccination is a reduction in abnormal Pap test results. Those individuals with untreated HPV infection are at a high risk of developing HPV-associated cancer, of which cervical cancer in women is the most common.

Who should get vaccinated?

Human papillomavirus vaccination is recommended for girls and boys aged 11–12 years but can be given as early as age 9 years and as late as 13–26 years. The vaccines are U.S. Food and Drug Administration (FDA) approved for all females and males aged 9–26 years. Children are best protected from HPV before they are exposed through close genital skin-to-skin contact or sexual intercourse.

How many doses are needed?

For girls and boys who receive their first dose of HPV vaccine before age 15 years, only two doses are needed. The interval between the two doses is 6–12 months. If these two doses are given at an interval of less than 5 months, a third dose is recommended. If females or males receive their first dose at 15 years or older, three doses are needed and given at 0 months (baseline), 1–2 months after the first dose, and 6 months after the first dose.

Laparoscopic Hysterectomy

Laparoscopic Hysterectomy

Hysterectomy is a surgery to remove the uterus. It is one of the most common types of surgery for women in the world. Removing your uterus means that you can no longer become pregnant.

Why is hysterectomy done?

Hysterectomy is used to treat many women oriented health conditions. Some of these conditions involves:

  • Uterine fibroids (this is the most common reason for hysterectomy)
  • Endometriosis
  • Pelvic support problems (such as uterine prolapse)
  • Abnormal uterine bleeding
  • Chronic pelvic pain
  • Gynecologic cancer

Are there alternatives to hysterectomy?

It totally depends on your condition, you may have to try other options first that don’t include surgery or to “watch and wait” to see if your condition improves on its own. Some women wait to have a hysterectomy until after they have completed their families. If you choose another option besides hysterectomy, keep in mind that you may need additional treatment later.

What structures are removed during a hysterectomy?

There are different types of hysterectomy:

  • Total hysterectomy—the entire uterus, including the cervix, is removed.
  • Supracervical (also called subtotal or partial) hysterectomy—the upper part of the uterus is removed, but the cervix is left in place. This type of hysterectomy can only be performed laparoscopically or abdominally.
  • Radical hysterectomy—this is a total hysterectomy that also includes removal of structures around the uterus. It may be recommended if cancer is diagnosed or suspected.

What other organs besides the cervix and uterus may be removed during a total hysterectomy?

If needed, the ovaries and fallopian tubes may be removed if they are abnormal (for example, they are affected by endometriosis). This procedure is called salpingo-oophorectomy if both tubes and ovaries are removed; salpingectomy if just the fallopian tubes are removed; and oophorectomy if just the ovaries are removed. Your surgeon may not know whether the ovaries and fallopian tubes will be removed until the time of surgery. Women at risk of ovarian cancer or breast cancer can choose to have both ovaries removed even if these organs are healthy in order to reduce their risk of cancer. This is called a risk-reducing bilateral salpingo-oophorectomy.

Removing the fallopian tubes (but not the ovaries) at the time of hysterectomy also may be an option for women who do not have cancer. This procedure is called opportunistic salpingectomy. It may help prevent ovarian cancer. Talk with your surgeon about the possible benefits of removing your fallopian tubes at the time of your surgery.

What will happen if my ovaries are removed before I have gone through menopause?

You will experience immediate menopause signs and symptoms. You also may be at increased risk of osteoporosis. Hormone therapy can be given to relieve signs and symptoms of menopause and may help reduce the risk of osteoporosis. Hormone therapy can be started immediately after surgery. Other medications can be given to prevent osteoporosis if you are at high risk.

What are the different ways hysterectomy can be performed?

A hysterectomy can be done in different ways: through the vagina, through the abdomen, or with laparoscopy. The choice will depend on why you are having the surgery and other factors. Sometimes, the decision is made after the surgery begins and the surgeon is able to see whether other problems are present.

PAP Smear

What is a Pap smear?

A Pap smear, also known as a Pap test, is a procedure used to collect cells from the cervix to check for abnormalities that may indicate cervical cancer or precancerous conditions.

Why is a Pap smear important?

Pap smears can detect abnormal cells in the cervix early, before they develop into cancer. Early detection through regular screening can significantly reduce the risk of cervical cancer.

Who should get a Pap smear?

Guidelines vary, but generally:

  • Women should start getting Pap smears at age 21.
  • Women aged 21 to 29 should get a Pap smear every three years.
  • Women aged 30 to 65 should have a Pap smear every three years or a Pap smear combined with an HPV test every five years.
  • Women over 65 may not need Pap smears if they have had regular screenings with normal results.

How is a Pap smear performed?

During the procedure:

  • You will lie on an exam table with your feet in stirrups.
  • A speculum is inserted into the vagina to widen it.
  • A small brush or spatula is used to gently collect cells from the cervix.

Is a Pap smear painful?

Most women experience little to no pain during a Pap smear, although some may feel mild discomfort or pressure.

How should I prepare for a Pap smear?

  • Schedule the test for a time when you are not menstruating.
  • Avoid intercourse, douching, and using vaginal medications or spermicides for 48 hours before the test.

What do the results mean?

  • Normal: No abnormal cells were found.
  • Abnormal: Abnormal cells were found, which may require further testing or monitoring.

What if my Pap smear results are abnormal?

An abnormal result does not necessarily mean you have cancer. It may indicate:

  • Inflammation or infection
  • HPV infection
  • Precancerous changes
  • Further tests, such as a colposcopy or biopsy, may be recommended.

Can a Pap smear detect other conditions?

A Pap smear primarily detects cervical cell changes. It is not designed to detect other conditions, but sometimes infections or inflammation may be noted.

How often do I need a Pap smear if I had a hysterectomy?

If your hysterectomy was for reasons unrelated to cancer and you have no history of cervical cancer or significant precancerous conditions, you may not need further Pap smears. Consult your doctor for personalized advice.

Can I get a Pap smear during pregnancy?

Yes, Pap smears are safe during pregnancy and are often done during the first prenatal visit.

Does insurance cover Pap smears?

Most health insurance plans cover Pap smears as part of preventive care. Check with your insurance provider for details.

What are the risks of a Pap smear?

Pap smears are generally safe, but there are minimal risks such as slight bleeding or discomfort.

Can I refuse a Pap smear?

Yes, you have the right to refuse any medical procedure. Discuss your concerns with your healthcare provider to make an informed decision.

What is the difference between a Pap smear and an HPV test?

A Pap smear looks for abnormal cervical cells, while an HPV test detects the presence of high-risk HPV types that can lead to cervical cancer. These tests are often done together in women over 30.

If you have any more questions or need further information, consult with your healthcare provider

Pregnancy

How can I confirm that I am pregnant?

You can confirm pregnancy through a home pregnancy test, which detects the hormone hCG in your urine. For more accurate results, especially early in the pregnancy, a blood test performed by a healthcare provider can be used.

What are common early signs of pregnancy?

Common early signs include missed periods, nausea (often called morning sickness), tender and swollen breasts, fatigue, increased urination, and food aversions or cravings.

How long does pregnancy last?

A typical pregnancy lasts about 40 weeks, counting from the first day of your last menstrual period to the birth of the baby.

What foods should I avoid during pregnancy?

Avoid raw or undercooked seafood, eggs, and meat, unpasteurized dairy products, certain fish high in mercury (like shark, swordfish, king mackerel, and tilefish), and limit caffeine and alcohol intake.

Can I exercise during pregnancy?

Yes, regular exercise is beneficial during pregnancy. Activities like walking, swimming, and prenatal yoga are generally safe. However, consult your healthcare provider before starting any new exercise routines.

What vitamins and supplements should I take?

Prenatal vitamins, which include folic acid, iron, calcium, and DHA, are recommended. Folic acid is especially important in the first trimester to prevent neural tube defects.

How often should I see my doctor during pregnancy?

Typically, you will see your doctor every 4 weeks until the 28th week, every 2 weeks until the 36th week, and weekly until delivery. Your schedule may vary based on your health and your provider’s recommendations.

What should I do if I experience spotting or bleeding?

While light spotting can be normal, especially in early pregnancy, contact your healthcare provider immediately if you experience any bleeding to rule out complications.

What are the warning signs that require immediate medical attention?

Contact your healthcare provider immediately if you experience severe abdominal pain, heavy bleeding, severe headaches, vision changes, swelling of the hands and face, painful urination, or if you notice a significant decrease in fetal movement.

Can I travel during pregnancy?

Travel is generally safe up to 36 weeks for most women with uncomplicated pregnancies. However, consult your healthcare provider before traveling, especially if you are flying or going to a remote area.

How much weight should I gain during pregnancy?

Weight gain recommendations vary based on your pre-pregnancy weight. Generally, women of average weight should gain 25-35 pounds, underweight women should gain 28-40 pounds, and overweight women should gain 15-25 pounds. Consult your healthcare provider for personalized guidance.

How can I ensure my baby is developing normally?

Regular prenatal check-ups are essential for monitoring your baby’s development. Eating a balanced diet, taking prenatal vitamins, avoiding harmful substances, and managing health conditions are all important for healthy development.

What should I expect during ultrasounds?

Ultrasounds are used to check the baby's development, monitor the pregnancy, and sometimes determine the baby's sex. The first ultrasound is usually done between 8-14 weeks, and a more detailed anatomy scan is done around 18-20 weeks.

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