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Posts with tag menstruation

Chemopause may help women survive breast cancer

Some women opt to remove their ovaries to prevent breast cancer recurrence. I considered it -- and then decided I would not take such an extreme measure when I wasn't all that sure I was done having children.

Now, ovary removal may not be necessary -- because a new chemical equivalent of surgery allows women to temporarily shut down their ovaries while preserving their fertility.

The shutdown of the ovaries is called chemopause, and women who choose to go this route receive monthly injections -- considered a super-hormone treatment -- of a drug that blocks the male hormone testosterone and is often used to treat prostate cancer.

Chemopause has big advantages. It doesn't require surgery. And it's not permanent. Women who want to have children can stop the treatment in order to conceive. And women who have trouble with side effects can discontinue use of the surgery-sparing drugs.

The ovary-suppressing drugs -- triptorelin, goserelin, leuprolide, and buserelin -- can be used in place of or on top of standard chemotherapy and hormone therapy and are showing promise in their ability to decrease incidences of breast cancer recurrence.

Medical professionals agree there is value in ovarian suppression. Studies show women whose periods do not return after chemotherapy -- which often causes early menopause -- have lower relapse rates than women whose periods resume. So shutting down the ovaries and stopping menstruation may not be such a bad idea -- and not such an extreme measure either.

Girls should see gynecologist in early teens

The American College of Obstetricians and Gynecologists recommends that girls see a gynecologist for the first time between the ages of 13 and 15. While this visit does not normally include a pelvic exam, it does jump-start a relationship that should be on-going for the duration of a woman's life.

This first visit is likely to include a discussion about menstruation, sexuality, and healthy lifestyle habits -- and may even involve education about the newly FDA-approved cervical cancer vaccine, recommended for females ages 9 to 26.

According to the American Cancer Society, all women should begin receiving pelvic exams for purposes of cervical cancer screening within three years after the onset of vaginal intercourse and no later than age 21. Testing should be done every year with the regular Pap test or every two years using the newer liquid-based Pap test.

Sunday Seven: Seven sobering slide show images

Photographer Paula Lerner was diagnosed with breast cancer just after beginning work on Why We Walk: The Inspirational Journey Toward a Cure for Breast Cancer -- a book that captures through photographs the momentum of millions who year after year crowd America's streets and walk to conquer this disease.

A peek into this book is offered in the form of an online slide show, hosted by the Washington Post. Set to inspiring music and lyrics and lasting just three minutes and 59 seconds, this media presentation tells a story about a disease that strikes every three minutes and kills every 14 minutes.

Gripping photographs and sobering facts dominate this powerful piece. There are shots of women in pink wigs and pink tutus, children hosing off physically and emotionally drained walkers, women holding up photographs of lost loved ones -- one with a printed message that reads, Mom, we would walk forever to bring you back. May 14, 2004. There are smiles and cheers and tears. Every image packs an emotional punch.

The facts that appear throughout the slide show really stand out. They spell out in black and white some of the most important facts about breast cancer. And here they are -- all seven of them.
  • 40,970 women and 460 men will die from breast cancer annually.
  • Breast cancer is the most common cancer in African American women but ranks second to lung cancer in cause of cancer deaths.
  • People over the age of 50 account for 77 percent of breast cancer cases.
  • Breast cancer is most commonly diagnosed among Hispanic women and is the leading cause of cancer death among this group.
  • Being overweight is linked to a higher risk of breast cancer, especially after menopause.
  • Risk is increased by onset of menstruation before age 12, menopause after 50, first child after 30, or no children.
  • Family history of breast cancer increases risk, especially if close relatives are diagnosed before the age of 50. A first-degree relative -- mother, sister, daughter -- with breast cancer approximately doubles the risk of breast cancer.

Angiogenesis and cancer growth

One of the keys to finding a cure for cancer is to understand how cancer grows and spreads within the body. Angiogenesis is our body's ability to form new blood vessels. This is important and needed for the body to help heal wounds and is also a part of a woman's menstruation each month. Its function in our bodies is a positive thing most of the time.

Angiogenesis also has a role in how cancer cells grow to become tumors. Cancer cells need a blood supply to live and grow. The cancerous tumor actually develops its own blood supply by sending messages to nearby blood vessels. These vessels then have the ability to grow toward the tumor. The tumor then has its own blood vessels to thrive, survive and grow.

This was not taken seriously back in 1961 when Dr. Judith Folkman came up with the theory of angiogenesis. He felt strongly that tumors could not grow bigger than a head of a pin without blood supply. He thought that an entirely new way to treat cancer would be to block this blood vessel growth to the tumor. Decades of work has proven this theory to be correct. What changed a lot of people's minds was an experiment that was done at the end of the 1970's at Dr. Folkman's lab. Tumor cells were put into a rabbit's eye, a place in the eye where there are no blood vessels. Blood vessels did grow toward and into the eye where the cancerous cells lived.

Continue reading Angiogenesis and cancer growth

Family doctor blogs painful breast lumps breast cancer

Marjory, who is currently undergoing chemotherapy for breast cancer and her husband Gordon, a family physician, both blog Beating Breast Cancer. Marjory shares her perspective as a breast cancer patient and Gordon shares his knowledge as a doctor. I check in on Marjory and Gordon regularly, as Beating Breast Cancer is one of my favorite blogs in the cancer community.

In a recent post, Gordon admits to checking the blog's traffic report to see who is visiting and what they are searching for when they arrive at the Beating Breast Cancer blog. He noticed that a search for information on painful lumps in the breast is a topic frequently searched for -- and so he put together easy to understand information for readers interested in learning more about breast pain and painful breast lumps. Gordon is reassuring in letting women know most breast lumps do not turn out to be breast cancer (although he insists that a woman see her physician immediately should she find a lump in her breast) and he explains the causes of painful breast lumps. To learn more, visit Gordon's A Painful Breast Lump - Could It Be Breast Cancer?

Pink tampons for breast cancer

Has anyone else questioned the intent of businesses hitching their product wagon to the pink campaign for breast cancer? I am not picking on this business in particular, it's just the business news press release of the day announcing another company going pink for breast cancer charity. According to vendPINK, a division of the dittie company -- in announcing the launch of its new cause-related pink vending program -- states that the vendPINK program will be supporting women in and out of the bathroom. The company goes on to state that "VendPINK vends the fun, feminine and fabulous dittie tampons that inspires and supports women during that time of the month. While out of the bathroom, vendPINK is inspiring those women fighting breast cancer." Okay. They said it -- not me.

"Our vendPINK programs reflects dittie's commitment to creating a network of women dedicated to supporting one another," said Barbara Carey, dittie and vendPINK president and founder. "Everyone has been affected by breast cancer in one way or another. We are passionate about creating this support system and do not want anyone to ever feel they have to face breast cancer alone." 20 percent of the profits from the sale of this product are going to breast cancer charity. I like all companies who donate a portion of their profits to cancer charity. But there is a small part of me that is becoming cynically exhausted by the pink. Maybe it's just me. How do you feel about the pink?

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