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Even in 2024, the alarming issue of gender disparity in cancer diagnosis and treatment continues to plague healthcare systems globally. This disparity manifests in various ways, leaving women facing far greater challenges than men throughout their cancer diagnosis and treatment to post treatment rehabilitation. 

The Scope of the Problem in India


India presents a stark illustration of this disparity. With over 500 million women and girls facing the risk of cervical cancer, the annual death toll from the disease remains a staggering 77,000. The National Cancer Registry paints an even grimmer picture, estimating that by 2025, India will witness 230,000 new cases of breast cancer annually, with a concerning trend of increasing diagnoses in young women.

Several deeply rooted factors contribute to this significant disparity in women's cancer care:


1. Poverty: A significant barrier for countless women, particularly in rural areas. Poverty restricts access to quality healthcare, including preventive screenings, diagnostic tests, and specialized cancer treatment. This lack of access often leads to late diagnoses, when treatment options are limited and less effective.


2. Lack of Awareness and Education: Limited access to information and education regarding cancer symptoms, risk factors, and available screening options keeps many women unaware of the importance of proactive health management. This lack of awareness can delay seeking medical attention, jeopardizing early detection and successful treatment.


3. Cultural Stigmas and Taboos: Deep-seated societal norms and cultural taboos surrounding women's health can act as significant barriers. This can prevent women from openly discussing their symptoms, seeking medical advice, and making informed decisions about their health.


4. Gender Bias in Healthcare Systems: Instances of implicit and explicit gender bias within the healthcare system can contribute to the disparity. This can manifest as dismissiveness of women's concerns, inadequate communication, and a lack of sensitivity towards their specific needs and experiences.


5. Limited Research and Access to Advanced Treatment Facilities: The healthcare infrastructure in many regions lacks resources dedicated to women's specific health needs, including cancer research and specialized treatment facilities. This limited access to advanced diagnostic tools and treatment options further disadvantages women compared to men.


Addressing the Disparity


Empowering Women through Education: Comprehensive educational programs encompassing information on cancer types, risk factors, and available health services are crucial. This includes raising awareness not only among women but also within the community, fostering open communication, and tackling any cultural stigmas surrounding women's health.


Investing in Healthcare Infrastructure: Strengthening healthcare infrastructure in underserved areas is essential. This entails establishing accessible and well-equipped diagnostic centers, promoting early detection programs, and ensuring the availability of skilled healthcare professionals trained in women's cancer care.


Combatting Gender Bias: Healthcare institutions must actively address the gender bias within their systems. Implementing sensitivity training for healthcare professionals, promoting open communication practices, and ensuring equitable access to quality care for all genders are crucial steps in this direction.


Targeted Research and Development: Investing in research dedicated to women-specific cancers, exploring the impact of hormonal and biological factors, and developing targeted therapies must be prioritized.

Closing the gender gap in cancer care requires a combined effort from policymakers, healthcare institutions, and communities. By addressing the underlying social, economic, and systemic factors, we can ensure that all individuals, regardless of gender, have equal access to the information, support, and treatment they deserve in the fight against cancer. Inspire Inclusion encourages us to recognize the incredible resilience and strength of women keeping families and communities together and help them achieve equal access in the most difficult times of her life.

Poonam Pandey faked her death by Cervical Cancer. She did an awareness stunt on Cervical Cancer by her team posting news of her demise due to Cervical Cancer on social media platforms. Which in reality was fake news and she does not have Cervical Cancer. The detailed reason behind her act is said to be to promote HPV (human papillomavirus) vaccine as this is the second most common cancer diagnosed in women of India & globally it is the fourth most common cancer in women with 6,04,000 new cases in 2020. About 90% of the 3,42,000 deaths caused by Cervical Cancer occurred in low - and middle-income countries according to WHO's report.


But before moving further on Poonam Pandey and her motive behind it. Let’s have a better understanding about Cervical Cancer. Human Papillomavirus is a common infection transmitted sexually and can affect the skin, genital area and throat. Nearly all sexually active people once in their life get infected by it but, usually without any symptoms. As normally our immune system removes HPV from the body automatically. But regular infection with high risk HPv can cause abnormal cells to develop and can become cancer. Cervical Cancer occurs at the cervix, the lower narrow end of the uterus and connects to the vagina. 


But as we say the more we learn about it, educate society and take prevention, is always better than cure. So some of the Preventions are:


● Creating public awareness, educating the public and providing all the preventive services to society.

● Vaccination drives at the age of 9-14 years of girls and is one of the most effective ways of preventing HPV-related infections.

● Early screening at the age of 30 and 25 in the case of women living with HIV, will help detect HPV cancer.

● Take immediate action in case any symptoms, early detection and treatment can help to cure cervical cancer on time.


Indian Government’s Initiative on Cervical Cancer


The Government of India has recently launched a vaccination programme for girls aged between 9 - 14 years to prevent Cervical Cancer, Under the Nari Shakti and the government will also promote this vaccination amongst the eligible age categories.


The vaccination campaign has been recently launched by Union Minister for Finance & Corporate Affairs, Smt. Nirmala Sitharamanin recently presented an interim budget of 2024 - 25, aiming for Viksit Bharat by 2047.


Symptoms of Cervical Cancer


Although it is difficult to detect Cervical Cancer at an early stage. As symptoms occur usually after the spread of cancer.

The symptoms of cervical cancer may include


● Vaginal bleeding after intercourse

● Vaginal bleeding during periods, or heavy periods & bleeding after menopause.

● Foul smelling watery vaginal discharge

● Pelvic pain especially during intercourse 


Detection of Cervical Cancer


There are some screening tests to go for routine checkups or for early detection of the growth of abnormal cells in the cervix like Pap test, HPV DNA test which includes testing of cells from the cervix for HPV infection.


Cervical Cancer Vaccine


Cervical Cancer is a preventable and curable disease if detected at an early stage. One of the most effective ways of preventing it is through vaccination.


Doctor’s View On Cervical Cancer - Dr Astha Dyal, Lead Consultant Obstetrician Gynecologist Laparoscopic and Robotic Surgeon “So, Cervical Cancer is the second most common cancer of women in India after breast cancer. Generally, if we say over five lakh women in the world are going to have cervical cancer, then one lakh women will be from India. But according to the statistics who are diagnosed with cervical cancer may be 40% - 50% of them will not survive and in India, about 60% will not survive reason being late diagnosis of this cancer. 


The most unfortunate part is that this is preventable cancer and the only cancer in the world which has a vaccine against it. Secondly, it is a very slow-growing cancer and if we do a regular screening with Pap smear and HPV testing we can detect the cancer fifteen years before it forms.


So if the Pap test is showing an abnormal result today, then I know it can become cancer 10-15 years later & if treated right now with a very simple procedure, then it will not become cancer. So it is so preventable and we have so many steps where we can stop it.


So the lack of awareness in our country & expensive vaccines. These are the things that are playing a role where we are not able to control it. 


In most of the developed countries, vaccination to school children is a universal approach & in India a lot of people are not even aware about it.


Only because of the recent social media awareness stunt happened, five people got the vaccine from me. Also, I talk about the vaccine with every patient that comes to me. 

Cervical Cancer has a lot of points where it can be stopped from happening but still because of our ignorance we generally don't take that action”.


Poonam Pandey On Her Fake Death News “I am sorry for whom I have hurt, my intention to shock everyone into the conversation that we are not talking enough about - which is Cervical Cancer. Yes, I faked my demise, extreme I know. But suddenly we all are talking about cervical cancer. It is a disease that silently takes your life and this disease needs the spotlight urgently. I am proud of what my death news has been able to achieve”.


Voice Of Healthcare’s View On The Current Scenario


As a healthcare media platform, we believe that cervical cancer is not something to be ignored or just trending news. It is a serious condition which is preventable with timely vaccination, regular screening and timely treatment. We would not like to see the number of cases and deaths rising in the near future because of cervical cancer anywhere, especially in our country. 


So, we are standing strong in this awareness campaign for cervical cancer with the global strategy of eliminating it by 2030 according to the vision of the World Health Organisation.

The path to parenthood is a journey filled with its share of challenges, and for some couples, fertility struggles can add unexpected twists. While medical factors can certainly influence fertility, lifestyle choices also wield significant power in this narrative. By making positive adjustments to their diet and stress management, couples can enhance their odds of conception and a healthy pregnancy.


Dietary Choices for Fertility


A well-balanced and nutrient-rich diet not only supports overall health but also plays a pivotal role in bolstering fertility. Some dietary choices can be fertility-friendly, while others may pose hurdles.


Embracing Nutrient-Rich Foods


Whole grains: Whole grains like brown rice, quinoa, and oats offer essential nutrients, including fiber and B vitamins, which play a vital role in reproductive health.

Fruits and vegetables: Packed with antioxidants, vitamins, and minerals, colorful fruits and vegetables are crucial for sperm quality, egg development, and overall reproductive well- being.

Healthy fats: Avocados, nuts, seeds, and olive oil contain healthy fats that support hormone production and reproductive function.

Lean proteins: Opt for fish, chicken, beans, and lentils as they provide the building blocks for healthy cells, including reproductive ones.

Exercising Moderation

Processed foods: Processed foods, often laden with unhealthy fats, excessive sodium, and added sugars, can harm overall health and fertility.

Caffeine: While moderate caffeine consumption is generally safe, excessive intake may disrupt ovulafion and impair sperm quality, so mindful consumpGon is key.

Alcohol: Alcohol intake can negatively affect sperm quality and increase the risk of miscarriage, making it advisable to limit alcohol for both men and women striving to conceive.


Stress Management for Fertility


Stress is an inherent part of life, but chronic or excessive stress can exert a considerable toll on various aspects of health, including fertility. It can disrupt hormone production, impair sperm quality, and interfere with ovulation. Incorporating stress management techniques into your daily routine can create a more relaxed and fertile environment for conception.


Effective Stress Management Strategies


Mindfulness and meditation: These practices can help reduce stress, induce relaxation, and enhance overall well-being.

Regular exercise: Physical activity can lower stress levels, boost mood, and promote general health.

Quality sleep: Prioritize 7-8 hours of quality sleep each night to allow your body to recharge, rest, and minimize stress hormones.

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Period Poverty in Rural Settings: How Malnutrition Can Worsen the Issue

By - Dr. Vishesh Kasliwal, MBBS, DEM & Founder, Medyseva

16 Dec 2023

In many parts of the world, the term "period poverty" has gained prominence recently, shedding light on a persistent issue affecting millions of women and girls. Period poverty refers to the inability to access and afford menstrual hygiene products, often due to economic constraints. While this issue is widespread, its impact is particularly severe in rural settings. 


Defining Period Poverty in Rural Settings


Period poverty, in general, is a multifaceted issue that encompasses several challenges. In rural settings, these challenges become even more pronounced. Women and girls living in these areas often have limited access to education and employment opportunities and are more likely to face economic hardships. As a result, they struggle to meet their basic needs, including menstrual hygiene.


In rural regions, the cost of menstrual hygiene products can be a significant burden. Pads, tampons, and other sanitary items are not always readily available; when they are, they can be costly. The financial strain of purchasing these products every month can lead to women resorting to makeshift solutions or using unsanitary alternatives, which can have serious health consequences.


The Link Between Malnutrition and Period Poverty


Malnutrition, particularly among women and girls in rural areas, is another pressing concern. The lack of access to a balanced diet, proper nutrition education, and healthcare facilities can result in undernourishment. Malnutrition can manifest in different forms, including undernutrition (low body weight) and micronutrient deficiencies. When girls and women are malnourished, they face a heightened risk of developing various health problems, including anemia.


Anemia, a condition characterized by low levels of red blood cells, is a common consequence of malnutrition. The loss of blood during menstruation can exacerbate anemia, making women and girls more vulnerable to fatigue, weakness, and other health issues. In such cases, dealing with the physical and emotional challenges of menstruation becomes even more difficult.


The Vicious Cycle


The relationship between period poverty and malnutrition in rural settings forms a vicious cycle. On one hand, limited access to menstrual hygiene products due to financial constraints can force women and girls to use unhygienic methods during their periods. This increases the risk of infections and other health problems, further compromising their overall well-being.


On the other hand, malnutrition, particularly anemia, can make the experience of menstruation more physically demanding. Girls and women who are malnourished may experience heavier and more prolonged periods, exacerbating their need for menstrual hygiene products. This increased need can further strain their already limited financial resources, perpetuating the cycle of period poverty.


Breaking the Cycle


Breaking the cycle of period poverty and malnutrition in rural areas requires a multifaceted approach. Here are some steps that can be taken to address these interconnected issues:


Education: Comprehensive education programs should be implemented in rural areas to teach women and girls about menstrual hygiene, nutrition, and their interplay. Empowering them with knowledge is the first step towards improving their well-being.


Access to Menstrual Hygiene Products: Governments, NGOs, and local organizations should work together to ensure that affordable and accessible menstrual hygiene products are available in rural areas.


Nutrition Programs: Initiatives focused on improving nutrition in rural communities should be established. These programs can include providing access to nutrient-rich foods, nutritional supplements, and healthcare services.


Economic Empowerment: Efforts should be made to create economic opportunities for women and girls in rural areas. By increasing their financial independence, they can better afford menstrual hygiene products and address their nutritional needs.


Healthcare Support: Establishing healthcare facilities in rural areas is crucial for addressing malnutrition and anemia. Regular check-ups and treatment options can help women and girls manage their health effectively.


Conclusion


Period poverty and malnutrition are intertwined issues that disproportionately affect women and girls in rural settings. The lack of access to menstrual hygiene products and proper nutrition can create a vicious cycle of poor health and financial struggles. Breaking this cycle requires a coordinated effort from governments, organizations, and communities. By addressing both period poverty and malnutrition, we can improve the overall well-being of women and girls in rural areas, ensuring that they have the resources and knowledge needed to lead healthy, dignified lives.

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Arthritis: Symptoms & Prevention

By - Dr.Amit Saraf, Prof & Head Orthopedics, TMU University

8 Dec 2023

Arthritis, swelling or joint inflammation.describes more than 100 ailments that have an impact on connective tissues, joints, and surrounding tissues. Symptoms of arthritis can vary depending on the type, but joint stiffness and pain are commonly experienced.


Even though there is no known cure for arthritis, receiving a diagnosis and receiving therapy can significantly enhance a person's quality of life and perhaps even halt the condition's growth. 


Osteoarthritis (OA) and rheumatoid arthritis (RA) are among the most prevalent forms of arthritis.


Osteoarthritis, the most prevalent form of arthritis, is brought on by non-inflammatory erosive wear and tear or degenerative reaction to age. It most frequently affects weight-bearing joints and the knuckles of your fingers. People with osteoarthritis may feel pain, stiffness, and swelling when the cartilage in a joint begins to deteriorate. 


Rheumatoid arthritis (RA) is an autoimmune and inflammatory condition brought on by the immune system of the body attacking the membrane lining a joint. Inflammation from RA most frequently affects the hands, wrists, and knees. In addition to lung inflammation, scarring, and hardened heart arteries, the illness can also impact other tissues and organs. It starts as morning stiffness that lasts for more than an hour, gets worse when you're idle and gets better when you're moving around. 


Arthritis Symptoms


Depending on the type of arthritis a person has, specific symptoms may vary, but joint discomfort when using the affected body part is a defining symptom of the disorder.


Other arthritis symptoms can include:


• Swelling

• Redness

• Decreased range of motion

• Crepitus


Individuals with RA may also encounter fatigue, drowsiness, and physical weakness. Furthermore, enduring morning stiffness and pain lasting over an hour are typical RA symptoms. As a general guideline, seeking a medical assessment for arthritis is advisable if there's no relief after two to three weeks of activity adjustments, ice application, and joint elevation.


Expert-Backed Arthritis Prevention Tips 


Due to the uncontrollable nature of some risk factors, such as sex, genetics, and age, there is no surefire strategy to avoid arthritis. However, some modifiable lifestyle choices can raise the risk of developing arthritis. 


Maintaining a Healthy Weight 


Being overweight increases the chance of getting OA in the knees and can hasten the progression of the disease. In addition to reducing the risk of developing arthritis, keeping a healthy weight can help those who currently have the condition by easing their discomfort and enhancing joint function. 


Following an Anti-Inflammatory Diet


According to research, nutrition may affect the likelihood of getting RA and how quickly it progresses. While some foods may help to increase the risk of arthritis, others may have the opposite impact. 


Salt can also raise the risk of inflammation or exacerbate already present inflammation, just like sugar, red meat, high-calorie diets, and refined carbs. Some oils, like olive and flaxseed oils, fatty fish, vegetables, citrus fruits, and other components of the Mediterranean diet are additional foods that reduce inflammation. 


Incorporating Low-Impact Exercise 


Exercise won't help replace deteriorated cartilage because it can't repair itself. Resistance training, however, can boost bone density, which can aid in preventing injuries to joints. 


In a research study involving 264 individuals diagnosed with knee or hip osteoarthritis (OA), those who engaged in a supervised exercise program experienced reduced pain and improved quality of life three months into the program. These benefits were still evident when assessed again after 12 months.


Quitting Smoking 


Smoking raises the chances of developing cancer, lung disease, and heart disease, and it's also a contributing factor to rheumatoid arthritis (RA). Additionally, smoking can exacerbate the progression of the disease.While the exact pathogenic effect of smoking on RA is still uncertain, the association between smoking and the development of RA is demonstrated in studies. 


Moreover, smoking can hinder the ability to engage in physical exercise, which plays a crucial role in effectively managing the symptoms of arthritis.


Avoiding Injury and Joint Trauma


Even while regular exercise is crucial for controlling arthritis, engaging in activities like soccer, football, long-distance jogging, and weightlifting may raise your chance of developing knee OA due to the possibility of joint damage. 

Activities involving twisting, turning, and jumping can exert substantial force on the knee joint, and when this occurs repeatedly over the years, it may contribute to joint degeneration.


Keeping up with Regular Doctors Appointments


Receiving a precise diagnosis promptly and adhering to your prescribed treatment regimen can help minimize symptoms and halt the progression of the condition. Consistent medical check-ups are particularly crucial for specific forms of arthritis, including lupus, rheumatoid arthritis, and gout.


When to See a Doctor 


A person experiencing arthritis symptoms should consider seeking care from their healthcare provider if the following factors occur: 


  • Persistent joint pain or swelling lasting for three days or more.
  • Repeated episodes of joint symptoms happen within a month.
  • No improvement in pain despite applying ice to the affected joint.
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Cell-based Therapy Offers Hope For Azoospermia

By - Dr Pradeep Mahajan, Regenerative Medicine Researcher & Founder, StemRx BioScience Solutions India

30 Nov 2023

Men, are you having azoospermia or absence of sperm? Then, don’t worry, we tell you about cell-based therapy, a promising option for dealing with this reproductive health condition.


Azoospermia, a condition characterized by the complete absence of sperm in a man's ejaculate, is a major cause of male infertility affecting millions of couples worldwide. While it can be a daunting diagnosis, recent advances in regenerative medicine are offering new hope to those affected by this condition. In this article, we will delve into azoospermia, its causes, and how regenerative medicine is emerging as a groundbreaking solution for treatment. Azoospermia, a condition found in approximately 1% of the male population, can be classified into two main types: obstructive azoospermia and non-obstructive azoospermia.


Obstructive Azoospermia: This type of azoospermia is caused by a physical blockage in the male reproductive tract, preventing sperm from reaching the ejaculate. Common causes include vasectomy, congenital anomalies, or infections.


Non-obstructive Azoospermia: In non-obstructive azoospermia, the testes do not produce sperm, usually due to hormonal imbalances, genetic factors, or testicular injury.


Causes of Azoospermia


Azoospermia can have various causes, and these may be due to genetic, environmental, or lifestyle factors:


Genetic: Some men may inherit genetic mutations that impact sperm production or cause obstructions in the reproductive tract.


Infections: Certain infections can lead to blockages in the male reproductive system, impairing sperm transport.


Hormonal Imbalances: Can influence sperm production, as hormones play a crucial role in sperm development.


Varicocele: Enlarged veins within the scrotum (varicocele) can raise testicular temperatures, affecting sperm production.


Medications: Certain medications, like chemotherapy drugs, can impair sperm production temporarily or permanently.


Lifestyle Factors: Smoking, excessive alcohol consumption, obesity, and drug use can adversely affect sperm quality and quantity.


Regenerative medicine is a new ray of hope for people with this condition


Regenerative medicine is now at the forefront of developing innovative approaches for treating male infertility.


Stem Cell Therapy: Stem cells, with their remarkable ability to transform into various cell types, hold great promise for regenerating sperm-producing cells. Researchers are exploring ways to use stem cell therapy to rejuvenate the testes and stimulate sperm production in men with non-obstructive azoospermia.


Genetic Editing: Cutting-edge gene editing techniques like CRISPR-Cas9 are being explored to correct genetic mutations responsible for azoospermia. This approach has the potential to reverse the genetic factors that cause the condition.


Tissue Engineering: Scientists are working on bioengineered testicular tissues that can replace damaged or non-functional testicular tissue. These artificial tissues can potentially restore normal sperm production.


Hormone Therapy: Hormone replacement therapy can correct imbalances in hormone levels that impact sperm production, particularly in cases of non-obstructive azoospermia.


Azoospermia can be a challenging diagnosis for men and couples trying to conceive, but regenerative medicine is bringing new hope to those affected. Soon there will be cells rather than pills.

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