Uterine cancer is still the most common pelvic cancer in women. The average woman has a lifetime risk of 1/38 of getting uterine cancer. Since risk factors for endometrial cancer, or lining cancer of the uterus (the most common type) include diabetes, being over weight, and irregular periods, there are many women with potentially treatable conditions that are still at risk for this cancer. Screening tests don't exactly exist for uterine lining cancer, the pap rarely picks up uterine cancer and ultrasounds can show abnormalities but we don't routine do ultrasound in everyone. It is not linked to HPV disease or any infections, so testing for those conditions won't help the diagnosis of uterine cancer. Most women with uterine cancer have had treatment for a polyp or a thickening of their uterine lining, so if you have had one of these treatments you are known to be at risk. But prevention is possible with uterine cancer. The best protection factors against uterine cancer include birth control pills, eating well, normalizing your weight and having had children. But there may be an almost simple form of protecting yourself. Can you spare 20 minutes a day if it helped you not get uterine cancer? We know that being over weight increases your risk of lining cancer of the uterus, and we can't exactly prove what weight loss would be necessary to cut your cancer risk, but 20 minutes a day of exercise was all it takes in the newest study of women, regardless of their size. They looked at about 50 minutes of moderate-to-vigorous exercise per week may reduce their
chances of getting endometrial cancer, regardless of their body mass
index, researchers found. So another reason to get off the couch! See you in the pool, on the court or at the track!
Decidual Cast Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously. It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you
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