The Everywoman Clinic ( DR. RISHMA DHILLON PAI)

40 is an important milestone in a womans life. She can look forward to more time for herself and a productive few decades ahead of her. Yet this is often the time when a woman encounters a lot of health problems such as heavy or irregular menses, prolapse of the womb, leakage of urine on coughing, tumours such as fibroids and cancers such as those of the cervix (mouth of the womb), uterus (womb), ovary and breast. Medical problems such as diabetes and hypertension often begin at this age. Care at this stage can pick up a lot of serious problems of the future. A regular blood test especially for sugar, cholesterol, thyroid, and kidney functions will pick up specific problems. An annual gynaecological examination and consultation can give a lot of information on how to deal with common problems. A PAP Smear can be taken at the same time. This is a simple test to diagnose cancer of the mouth of uterus and should be done regularly from the time a woman is sexually active. Once a month breast self-examination helps pick up breast cancer, which is the commonest cancer amongst women in Mumbai. However by the time the tumour is felt by the hand it is already quite large and spread.Hence a yearly mammography should be done, which can pick up even very early cancer. Cancer of the uterus & ovary are very silent . A patient starts getting symptoms when the cancer has reached a very late stage.Hence an yearly sonography would be the right thing to do. Bones tend to start becoming weak …

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