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Uterine Cancer

What is uterine cancer?

Uterine cancer is a cancer that forms in tissues of the uterus, which is sometimes called the womb. The uterus is the place where a fetus grows during pregnancy.

There are two types of uterine cancer:

  • Endometrial cancer is the most common type. This type of cancer begins in the cells lining the uterus, known as the endometrium.
  • Uterine sarcoma is a rare, more aggressive cancer that is harder to treat. This type of cancer begins in muscle or other tissues in the uterus.
Who is more likely to develop uterine cancer?

Uterine cancer usually happens after menopause. The cause is unknown. However, some factors and conditions that change the balance of hormones in your body may increase your risk. These can include obesity or metabolic syndrome (a group of risk factors for certain health problems).

Other factors and conditions that may increase your risk for:

Endometrial cancer

  • Taking estrogen-only hormone replacement therapy (HRT) after menopause.
  • Having type 2 diabetes.
  • Starting menstruation at an early age or menopause at a later age.
  • Having never been pregnant.
  • Taking tamoxifen, a medicine used to prevent or treat breast cancer.
  • Having polycystic ovary syndrome.
  • Having a mother, sister, or daughter who has had endometrial cancer.
  • Having certain genetic conditions, such as Lynch syndrome.
  • Having endometrial hyperplasia (thickening of the uterine lining).

Uterine sarcoma

  • Having had past treatment with radiation therapy to the pelvis.
  • Taking tamoxifen, a medicine used to prevent or treat breast cancer.
What are the symptoms of uterine cancer?

The most common symptom of both endometrial cancer and uterine sarcoma is abnormal vaginal bleeding. Both types of uterine cancer may also cause pelvic pain or pressure, unusual vaginal discharge, or an enlarged uterus or pelvic mass.

Less common symptoms may include urinating (peeing) often, having trouble urinating, or pain during sexual intercourse.

How is uterine cancer diagnosed?

If you have symptoms of uterine cancer, your health care provider may:

  • Ask about your medical history and family health history.
  • Do a pelvic exam.
  • Order imaging tests.
  • Suggest a biopsy or a minor procedure called dilation and curettage (D & C) to check the lining of your uterus.
What are the treatments for uterine cancer?

Treatment may depend on your health, how much cancer you have, and whether it has spread. The most common treatment is having a hysterectomy, which is surgery to remove the uterus. Sometimes the surgery also removes the ovaries and fallopian tubes.

You may have more than one type of treatment. Other treatments may include:

  • Hormone therapy
  • Radiation therapy
  • Chemotherapy
Can uterine cancer be prevented?

There is no sure way to prevent uterine cancer. But you can do things that may help lower your risk such as aiming for a healthy weight, getting regular physical activity, and talking to your provider about the benefits and risks of hormone therapy.

NIH: National Cancer Institute

Vaginitis

What is vaginitis?

Vaginitis, also called vulvovaginitis, is an inflammation or infection of the vagina. It can also affect the vulva, which is the external part of a woman's genitals. Vaginitis can cause itching, pain, discharge, and odor.

Vaginitis is common, especially in women in their reproductive years. It usually happens when there is a change in the balance of bacteria or yeast that are normally found in your vagina. There are different types of vaginitis, and they have different causes, symptoms, and treatments.

What causes vaginitis?

Bacterial vaginosis (BV) is the most common vaginal infection in women ages 15-44. It happens when there is an imbalance between the "good" and "harmful" bacteria that are normally found in a woman's vagina. Many things can change the balance of bacteria, including:

  • Taking antibiotics
  • Douching
  • Using an intrauterine device (IUD)
  • Having unprotected sex with a new partner
  • Having many sexual partners

Yeast infections (candidiasis) happen when too much candida grows in the vagina. Candida is the scientific name for yeast. It is a fungus that lives almost everywhere, including in your body. You may have too much growing in the vagina because of:

  • Antibiotics
  • Pregnancy
  • Diabetes, especially if it is not well-controlled
  • Corticosteroid medicines

Trichomoniasis can also cause vaginitis. Trichomoniasis is a common sexually transmitted infection (STI). It is caused by a parasite.

You can also have vaginitis if you are allergic or sensitive to certain products that you use. Examples include vaginal sprays, douches, spermicides, soaps, detergents, or fabric softeners. They can cause burning, itching, and discharge.

Hormonal changes can also cause vaginal irritation. Examples are when you are pregnant or breastfeeding, or when you have gone through menopause.

Sometimes you can have more than one cause of vaginitis at the same time.

What are the symptoms of vaginitis?

The symptoms of vaginitis depend on which type you have.

With BV, you may not have symptoms. You could have a thin white or gray vaginal discharge. There may be an odor, such as a strong fish-like odor, especially after sex.

Yeast infections produce a thick, white discharge from the vagina that can look like cottage cheese. The discharge can be watery and often has no smell. Yeast infections usually cause the vagina and vulva to become itchy and red.

You may not have symptoms when you have trichomoniasis. If you do have them, they include itching, burning, and soreness of the vagina and vulva. You may have burning during urination. You could also have gray-green discharge, which may smell bad.

How is the cause of vaginitis diagnosed?

To find out the cause of your symptoms, your health care provider may:

  • Ask you about your medical history
  • Do a pelvic exam
  • Look for vaginal discharge, noting its color, qualities, and any odor
  • Study a sample of your vaginal fluid under a microscope

In some cases, you may need more tests.

What are the treatments for vaginitis?

The treatment depends on which type of vaginitis you have.

BV is treatable with antibiotics. You may get pills to swallow, or cream or gel that you put in your vagina. During treatment, you should use a condom during sex or not have sex at all.

Yeast infections are usually treated with a cream or with medicine that you put inside your vagina. You can buy over-the-counter treatments for yeast infections, but you need to be sure that you do have a yeast infection and not another type of vaginitis. See your health care provider if this is the first time you have had symptoms. Even if you have had yeast infections before, it is a good idea to call your health care provider before using an over-the-counter treatment.

The treatment for trichomoniasis is usually a single-dose antibiotic. Both you and your partner(s) should be treated, to prevent spreading the infection to others and to keep from getting it again.

If your vaginitis is due to an allergy or sensitivity to a product, you need to figure out which product is causing the problem. It could be a product that you started using recently. Once you figure it out, you should stop using the product.

If the cause of your vaginitis is a hormonal change, your health care provider may give you estrogen cream to help with your symptoms.

Can vaginitis cause other health problems?

It is important to treat BV and trichomoniasis, because having either of them can increase your risk for getting HIV or another STI. If you are pregnant, BV or trichomoniasis can increase your risk for preterm labor and preterm birth.

Can vaginitis be prevented?

To help prevent vaginitis:

  • Do not douche or use vaginal sprays.
  • Use a latex condom when having sex. If your or your partner is allergic to latex, you can use polyurethane condoms.
  • Avoid clothes that hold in heat and moisture.
  • Wear cotton underwear.

Vegetarian Diet

A vegetarian diet focuses on plants for food. These include fruits, vegetables, dried beans and peas, grains, seeds and nuts. There is no single type of vegetarian diet. Instead, vegetarian eating patterns usually fall into the following groups:

  • The vegan diet, which excludes all meat and animal products
  • The lacto vegetarian diet, which includes plant foods plus dairy products
  • The lacto-ovo vegetarian diet, which includes both dairy products and eggs

People who follow vegetarian diets can get all the nutrients they need. However, they must be careful to eat a wide variety of foods to meet their nutritional needs. Nutrients vegetarians may need to focus on include protein, iron, calcium, zinc and vitamin B12.

United States Department of Agriculture

West Nile Virus

What is West Nile Virus?

West Nile virus (WNV) is an infectious disease. It is most often spread by the bite of an infected mosquito. Most people have no symptoms, while some may develop mild symptoms. But WNV can sometimes cause serious symptoms if the virus enters your brain.

How does West Nile Virus spread?

WNV usually spreads to people through the bite of an infected mosquito. However, in rare cases, it can spread from person-to-person. This can happen through an organ transplant or blood transfusion. If you are preganant you can spread WNV to your fetus during pregnancy or delivery. And after delivery, it can spread to the baby during breastfeeding.

Who is more likely to develop West Nile Virus?

Anyone could be bitten by an infected mosquito and get WNV. But certain people are at higher risk for more serious illness they get a WNV infection. They include people who:

  • Are over age 60
  • Have certain medical conditions, such as cancer, diabetes, high blood pressure, or kidney disease
  • Had an organ transplant
What are the symptoms of West Nile Virus?

Symptoms can be mild to severe. But most people have no symptoms or mild symptoms.

Mild symptoms of WNV can include:

  • Fever
  • Headache
  • Body aches
  • Vomiting
  • Diarrhea
  • Skin rash

These symptoms usually go away on their own within a few days to several weeks. But some people will have weakness or fatigue that lasts for weeks or months.

Although rare, If West Nile virus enters your brain, it can be life-threatening. It may cause inflammation of the brain (encephalitis) or inflammation of the tissue that surrounds the brain and spinal cord (meningitis).

Serious symptoms of WNV can include:

  • High fever
  • Headache
  • Neck stiffness
  • Numbness
  • Coma
  • Muscle weakness
  • Vision loss
How is West Nile Virus diagnosed?

To find out if you have WNV, your health care provider:

  • Will do a physical exam
  • Will take your medical history, including asking about your symptoms
  • May order blood tests
What are the treatments for West Nile Virus?

There are no specific vaccines or treatments for human WNV disease. But rest, fluids, and over-the-counter pain medicines may relieve some symptoms. You may need to be hospitalized if you have serious symptoms.

Can West Nile Virus be prevented?

There are no vaccines or medicines to prevent WNV. The best way to avoid WNV is to help prevent mosquito bites:

  • Wear insect repellent with DEET or another U.S. Environmental Protection Agency (EPA)-registered insect repellent. Make sure to follow the instructions for using the repellent.
  • Wear long-sleeved shirts and pants if you're outside.
  • Get rid of mosquito breeding sites by emptying standing water from flowerpots, buckets, or barrels.
  • Stay indoors between dusk and dawn, when mosquitoes are most active.
  • Use screens on windows to keep mosquitoes out.

Centers for Disease Control and Prevention (CDC)

Anatomy

Anatomy is the science that studies the structure of the body. On this page, you'll find links to descriptions and pictures of the human body's parts and organ systems from head to toe.

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