Anovulation

As its name suggests, an anovulatory cycle occurs when a women skips ovulation. During ovulation, the ovary releases an egg, or oocyte. It’s not uncommon for a woman in her prime conception years to experience an anovulatory cycle occasionally. In fact, you may have experienced one and not even noticed. That’s because when a woman experiences anovulation, she may still seem to menstruate normally. In a normal cycle, the production of progesterone is stimulated by the release of an egg. It’s this hormone that helps a woman’s body maintain regular periods. But during an anovulatory cycle, an insufficient level of progesterone can lead to heavy bleeding. A woman may mistake this bleeding for a real period.

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Total Vaginal Hysterectomy

A total vaginal hysterectomy is a surgical procedure during which a woman’s uterus and cervix are removed through the vagina. Vaginal hysterectomies are the most minimally invasive approach available for hysterectomy since they are performed through a natural route with no external incisions. At the Pavilion for Women we believe that a vaginal approach for hysterectomy should be considered for all women, and performed when feasible.
Advantages of Vaginal Hysterectomy: Vaginal hysterectomies offer a safer, proven alternative with numerous patient benefits compared to traditional open surgery, and all types of laparoscopic hysterectomy. An open abdominal hysterectomy requires a large abdominal incision. A single-site laparoscopic hysterectomy is completed through a medium-sized incision at the navel. Laparoscopic hysterectomies typically involve three to four small incisions on the abdomen.

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Total Abdominal Hysterectomy

An abdominal hysterectomy is a surgical procedure that removes your uterus through an incision in your lower abdomen. Your uterus — or womb — is where a baby grows if you’re pregnant. A partial hysterectomy removes just the uterus, leaving the cervix intact. A total hysterectomy removes the uterus and the cervix. Sometimes a hysterectomy includes removal of one or both ovaries and fallopian tubes, a procedure called a total hysterectomy with salpingo-oophorectomy. A hysterectomy can also be performed through an incision in the vagina (vaginal hysterectomy) or by a laparoscopic or robotic surgical approach — which uses long, thin instruments passed through small abdominal incisions.

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Oral Contraceptive Pills

Oral contraceptives (birth control pills) are medications that prevent pregnancy. They are one method of birth control. Oral contraceptives are hormonal preparations that may contain combinations of the hormones estrogen and progestin or progestin alone. Combinations of estrogen and progestin prevent pregnancy by inhibiting the release of the hormones luteinizing hormone (LH) and follicle stimulating hormone (FSH) from the pituitary gland in the brain. LH and FSH play key roles in the development of the egg and preparation of the lining of the uterus for implantation of the embryo. Progestin also makes the uterine mucus that surrounds the egg more difficult for sperm to penetrate and, therefore, for fertilization to take place. In some women, progestin inhibits ovulation (release of the egg).

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Last Menstrual Period

Last menstrual period: By convention, pregnancies are dated in weeks starting from the first day of a woman’s last menstrual period (LMP). If her menstrual periods are regular and ovulation occurs on day 14 of her cycle, conception takes place about 2 weeks after her LMP. A lighter period than normal can be caused by many things, including pregnancy, stress, illness, and other things. This can be implantation bleeding, which is the earliest sign of pregnancy, that is sometimes mistaken for a menstrual cycle. It can also be that your period simply is lighter that month. woman’s obstetric date is different from the embryologic date (the age of the embryo). The obstetric date is about 2 weeks longer than the embryologic date).

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Mastectomy

Mastectomy is the medical term for the surgical removal of one or both breasts, partially or completely. A mastectomy is usually carried out to treat breast cancer. In some cases, people believed to be at high risk of breast cancer have the operation as a preventative measure. Mastectomy is the removal of the whole breast. There are five different types of mastectomy: “simple” or “total” mastectomy, modified radical mastectomy, radical mastectomy, partial mastectomy, and subcutaneous (nipple-sparing) mastectomy. A simple or total mastectomy is appropriate for women with multiple or large areas of ductal carcinoma in situ (DCIS) and for women seeking prophylactic mastectomies — that is, breast removal in order to prevent any possibility of breast cancer occurring.

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Lumpectomy

Lumpectomy is surgery to remove cancer or other abnormal tissue from your breast. Lumpectomy is also called breast-conserving surgery or wide local excision because — unlike a mastectomy — only a portion of the breast is removed. Doctors may also refer to lumpectomy as an excisional biopsy. Lumpectomy is a surgery to remove cancerous breast tissue along with a rim of normal tissue surrounding it called a surgical margin. At Memorial Sloan Kettering, our breast surgeons perform lumpectomy as an outpatient surgical procedure, meaning that you can return home on the same day as your procedure. During lumpectomy, a small amount of normal tissue around the lump (also described as clean or normal margins of breast tissue) also is taken to help ensure that all the cancer or other abnormal tissue is removed. Lumpectomy helps confirm a diagnosis of cancer or rule it out. Lumpectomy is also a first treatment option for some women with early-stage breast cancer. In cases where cancer is found, lumpectomy usually is followed by radiation therapy to the breast to reduce the chances of cancer returning.

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Pap Smear (Papanicolaou Test)

A procedure in which a small brush or spatula is used to gently remove cells from the cervix so they can be checked under a microscope for cervical cancer or cell changes that may lead to cervical cancer. A Papanicolaou test may also help find other conditions, such as infections or inflammation. It is sometimes done at the same time as a pelvic exam and may also be done at the same time as a test for certain types of human papillomavirus (HPV). Also called Pap smear and Pap test. A Pap smear involves collecting cells from your cervix — the lower, narrow end of your uterus that’s at the top of your vagina. Detecting cervical cancer early with a Pap smear gives you a greater chance at a cure. A Pap smear can also detect changes in your cervical cells that suggest cancer may develop in the future. Detecting these abnormal cells early with a Pap smear is your first step in halting the possible development of cervical cancer.

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Placenta Previa

Placenta Previa is a condition where the placenta lies low in the uterus and partially or completely covers the cervix. The placenta may separate from the uterine wall as the cervix begins to dilate (open) during labor. Placenta previa affects about 1 in 200 pregnant women in the third trimester of pregnancy. Placenta Previa is more common in women who have had one or more of the following: More than one child, A cesarean birth, Surgery on the uterus, Twins or triplets. Uterine factors that can predispose to placenta previa include scarring of the upper lining tissues of the uterus. This can occur because of prior Cesarean deliveries, prior instrumentation (such as D&C procedures for miscarriages or induced abortions) of the uterine cavity, or any type of surgery involving the uterus.

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Ectopic Pregnancy

Ectopic pregnancy is a complication of pregnancy in which the embryo attaches outside the uterus. Signs and symptoms classically include abdominal pain and vaginal bleeding. Fewer than 50 percent of affected women have both of these symptoms. From fertilization to delivery, pregnancy requires a number of steps in a woman’s body. One of these steps is when a fertilized egg travels to the uterus to attach itself. In the case of an ectopic pregnancy, the fertilized egg doesn’t attach to the uterus. Instead, it may attach to the fallopian tube, abdominal cavity, or cervix. The pain may be described as sharp, dull, or crampy. Only about half of women with an ectopic pregnancy will have all three of the main signs: a missed period, vaginal bleeding, and belly pain. Other common symptoms of ectopic pregnancy include: Nausea and vomiting with pain. Sharp abdominal cramps.

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