When it comes to dental health, India has its own problems. More than half of Indians who have dental problems turn to unreliable sources or general guidance rather than seeking a licensed dentist, according to the Ministry of Health and Family Welfare. In rural areas, access to quality dental treatment remains an acute issue, where there is only one dentist for every 50,000 to 2,50,000, depending on the specific region. Initiatives like the National Oral Health Program are being implemented to increase accessibility and raise awareness in order to close this gap.

The increasing percentage of people with dental problems is one of the main drivers for the growth of the Dental Industry. Around 2 billion individuals worldwide have cavities in their permanent teeth, and 514 million children have cavities in their primary teeth, according to the March 2023 World Health Organization (WHO) report. Furthermore, dental misalignment or other oral health issues affect 60–80% of children. As a result, the market has advanced immensely due to the rise in demand for necessary dental supplies.

In addition to the health risks, untreated dental issues have a significant financial cost. Untreated oral diseases result in productivity loss, multiple work and school hours are lost due to emergency dental appointments. In order to mitigate these economic and societal effects, governments everywhere, including India—are now prioritizing preventative measures and advanced dental treatment.

Expanding Dental Consumables Market

The global dental consumables market is a massive industry and is experiencing steady growth at a rate of 8.0%. This rise is driven by increasing awareness of oral health, advancements in dental technology, and a growing demand for cosmetic and restorative procedures. In India, the dental consumables market is experiencing significant growth, estimated at USD 190 Million  in 2024 and expected to reach USD 350 Million by 2030. This rapid expansion is fueled by a rising patient base, improved accessibility to dental care, and increasing adoption of modern dental materials and techniques.

Group Practices Are Expanding While Solo Practices Decline

Dental practices are changing as a result of the transition from solo to group practices. In many regions, independent dental clinics are giving way to organized group practices, driven by economic and operational advantages. This trend is particularly evident in the United States, where increased awareness of oral health and changing patient expectations are fueling the growth of structured dental networks. With the evolving landscape of dental healthcare, the transition toward collaborative practice models is expected to gain further momentum in India as well, aligning with global industry trends.

Group practices are becoming more and more common because of pooled administrative expenses, improved technology availability, and operational savings. Group settings are becoming a more appealing alternative to solo practitioners due to growing financial strains and changing patient expectations.

Public Awareness and Government Initiatives Drive Growth

Growing awareness of oral health is another key driver of change in the dental industry. WHO's "Global Oral Health Action Plan (2023-2030)" highlights that 3.5 billion people worldwide are affected by oral diseases, indicating the urgent need for preventive care and early intervention. Government initiatives, such as India's National Oral Health Program, aim to improve accessibility to dental care, especially in rural areas where the dentist-to-population ratio ranges from 1:50,000 to 1:2,50,000.

Despite increasing awareness, studies indicate that over 50% of Indians suffering from dental issues rely on unverified sources for treatment rather than seeking professional care. Bridging this gap through education and accessibility remains a priority for policymakers and healthcare providers.

The Rise of 3D Printing in Dentistry

3D printing is revolutionizing dental care by enabling the production of customized crowns, bridges, and aligners with high precision. The Indian custom-made crowns & bridges market is projected to grow significantly from 2024 to 2030, driven by advancements in dental technology, rising awareness about oral health, and increasing disposable incomes. The global market for custom-made crowns and bridges is estimated at 121.6 Billion USD in 2030. The Indian market for the same is expected to grow at a faster rate of 11.8% CAGR from USD 1.6 Billion in 2024 to USD 3.1 billion in 2030. The Indian Clear Aligner market, which is relatively underpenetrated, is expected to grow from USD 133.6 Million in 2023 at a much higher rate of 23.0% compared to the global market.

The ability to create personalized dental solutions in a fraction of the time has enhanced patient outcomes and reduced treatment durations. This technology is particularly beneficial in orthodontics and restorative dentistry, providing faster and more cost-effective alternatives to traditional methods.

Digital Marketing and Online Presence in Dentistry

The move toward digital marketing is changing how dental professionals connect with patients. Online consultations, patient education through social media, and search engine optimization (SEO) strategies are becoming essential for dental practices. Google reports that patients spend over two weeks researching before scheduling a dental appointment, highlighting the importance of a strong digital presence.

With patients becoming more proactive in their healthcare decisions, dental professionals who leverage digital platforms effectively can enhance engagement, build trust, and expand their practice reach. Educational content, virtual consultations, and targeted marketing are proving to be effective tools in modern dental care.

The dental sector has quickly evolved with these aforementioned trends and innovations. Looking ahead, we can expect even more progress in oral healthcare with investment in accessibility and new technologies.

Article Authored By:  Dr. Vikas Agarwal, CEO & Founder, Dentalkart

A cancer diagnosis in a child is overwhelming, but breakthroughs in medical science have significantly enhanced treatment success and survival rates, offering a ray of hope to many families. While childhood cancers are rare, certain types, like rhabdomyosarcoma, require early detection and specialized care. Awareness of its symptoms, diagnosis, and treatment options can make a crucial difference in terms of better outcomes and recovery.

Rhabdomyosarcoma (RMS) is a rare and aggressive form of cancer that develops in the soft tissues, particularly in the muscles that attach to bones. It primarily affects children and adolescents, making up about 3-4% of all childhood cancers. Despite its rarity, RMS is one of the most common soft tissue sarcomas in children, requiring early detection and specialized treatments.

What Causes Rhabdomyosarcoma?

Although the exact cause remains unclear, genetic mutations play a key role in its development, causing uncontrollable muscle cell growth and formation of malignant tumors. While most cases occur sporadically, certain genetic conditions, such as Li-Fraumeni syndrome and neurofibromatosis type 1, may increase the risk of developing RMS.

There are two main types of RMS, each with different characteristics:

1️. Embryonal Rhabdomyosarcoma (ERMS):

• Most common in children typically under 5 years old

• Usually found in the head, neck, bladder, or reproductive organs

• Responds well to treatment

•  

2️. Alveolar Rhabdomyosarcoma (ARMS):

• More aggressive; often affecting older children and teenagers

• Commonly found in the arms, legs, chest, or trunk

• Requires intensive treatment due to its tendency to spread rapidly

•  

Symptoms of Rhabdomyosarcoma

RMS symptoms depend on the tumor's location, but common signs include:

• Painless swelling or a lump

• Persistent pain or discomfort in the affected area

• Bulging eyes or vision problems (if in the head or orbit)

• Difficulty urinating or blood in the urine (if in the bladder)

• Nasal congestion or nosebleeds (if in the sinuses or throat)

•  

Because these symptoms can mimic other conditions, early diagnosis is critical for effective treatment.

How Is Rhabdomyosarcoma Diagnosed?

Diagnosing RMS involves a combination of imaging tests and biopsies to confirm the presence of cancer and determine its spread. Tests may include:

• MRI and CT scans to visualize the tumor

• Biopsy to examine the tumor cells under a microscope

• Bone marrow tests and PET scans to check if the cancer has spread

•  

Treatment Options for Rhabdomyosarcoma

Treatment for RMS is determined by the type, location, and stage of the cancer. The main treatment options include:

·       Surgery – To remove the tumor, if possible

·        Chemotherapy – A combination of drugs to shrink tumors and kill cancer cells

·        Radiation Therapy – Targeted radiation to destroy remaining cancer cells

·        Targeted Therapy & Immunotherapy – Emerging options for advanced cases

With advancements in paediatric oncology, survival rates have improved significantly, especially when the cancer is detected early and treated aggressively.

Hope for the Future

While rhabdomyosarcoma remains a challenging diagnosis, ongoing research and clinical trials continue to improve treatment options. Early detection, access to specialized care, and advancements in therapy are increasing survival rates and giving children a fighting chance against this rare cancer.

If you notice unusual lumps, swelling, or persistent pain in a child, seeking medical attention can make all the difference. Awareness and early intervention remain the key to improving outcomes for children battling rhabdomyosarcoma.

Attributed to Dr Monika Bukhar, Paediatric Haematology Oncology, HCG Cancer Centre, Jaipur.

Early detection is the key to preventing kidney diseases. Although higher segments of the population are becoming highly aware of their health, the awareness around kidney diseases is relatively low. However, its prevalence is increasing globally and has now emerged as the seventh leading risk factor for mortality worldwide. Owing to other factors such as demographic trends, obesity and other lifestyle factors increase the likeliness of kidney disease further. According to recent stats, approximately 2 lakh new patients in India develop End-Stage Kidney Disease (ESKD) every year which requires regular dialysis as a critical line of treatment for their survival.

Dialysis has become a common treatment across medical and healthcare centres but its accessibility showcases a significant challenge due to inadequate infrastructure, financial constraints and geographical barriers. Most centres that provide dialysis are located in metropolitan cities and public hospitals offering this treatment are usually overcrowded which puts strain on the healthcare system. To address this challenge, home dialysis enabled patients to receive treatment in a familiar and controlled environment.

Commenting on the pivotal role of home dialysis, Dr.Aswini Kumar Panigrahi, Sr.Consultant, Nephrology, Apollo Hospitals, Jubilee Hills, Hyderabad said, “This model not only improves patient outcomes by reducing hospital-acquired infections and enhancing comfort but also alleviates pressure on existing healthcare facilities. By integrating technology and expanding reach, home dialysis has the potential to redefine kidney care in India, making it more accessible and efficient.”

Enhancing accessibility and well-being of patients

One of the primary benefits of home dialysis is improved quality of care as it provides dedicated attention to patients from assigned healthcare providers, significantly, enhancing patient care and overall treatment outcomes. This personalized approach ensures better adherence to treatment protocols for better clinical outcomes.

“The model bridges the burgeoning gap in the accessibility of dialysis for kidney care. It approach simplifies the accessibility criteria and helps patients in obtaining enhanced treatment within their comfort and budget,” Dr. Aswini added.

Since dialysis is performed in a home environment, patients are less exposed to infections which are highly common in hospital settings, reducing the chances of complications. Another advantage of homecare is comfort and flexibility which directly adds a layer of convenience, minimizes the stress of frequent hospital visits and makes the treatment more manageable, especially for the elderly or those with mobility challenges.

Strengthening healthcare infrastructure

Home dialysis can act as an additional care delivery model. It reduces the burden on existing hospitals and dialysis centres as most of them have very tight appointment schedules. In tandem, the home dialysis model can bring medical services to remote locations where such centres are not available, increasing the penetration across underserved areas. 

“Home dialysis brings a significant shift to the healthcare delivery system considering its accessibility, affordability and scalability. The providers can further collaborate with government bodies to design dedicated programs and provide subsidised dialysis for patients who are unable to access the treatment due to affordability factors,” Dr. Aswini added.           

Apart from this, the home dialysis model integrates telemedicine and AI which allows healthcare professionals to monitor and track patient’s progress remotely and intervene promptly when necessary. Moreover, shifting stable and low-risk patients to home-based care can help medical facilities allocate their manpower and infrastructure to high-risk cases and optimize overall healthcare.

Bottom Line

Home dialysis exhibits a paradigm shift in kidney disease management, offering substantial benefits to both patients and the healthcare ecosystem. With improved access and increased comfort, this model continues to pave the way for a more efficient and patient-centric approach to care. 

Author: Dr.Aswini Kumar Panigrahi, Sr.Consultant, Nephrology, Apollo Hospitals, Jubilee Hills, Hyderabad 

Introduction

World Glaucoma Day, observed on March 12th, is part of World Glaucoma Week, running from March 9th to 15th in 2025. This year's theme, "Uniting for a Glaucoma-Free World," highlights global efforts to combat vision loss caused by glaucoma. As a leading cause of preventable blindness, glaucoma affects approximately 80 million people worldwide. However, projections indicate that this number could reach 111.8 million by 2040, underscoring the urgent need for action. This article explores advancements in glaucoma treatment, commercial initiatives, and government programs aimed at improving awareness and outcomes.

Signs and Symptoms of Glaucoma

Glaucoma is often asymptomatic in its early stages, earning it the name "the silent thief of sight." Symptoms vary by type:

• Open-Angle Glaucoma: Gradual peripheral vision loss, progressing to tunnel vision in advanced stages.
• Angle-Closure Glaucoma: Severe eye pain, blurred vision, halos around lights, redness, nausea, and vomiting.
• Congenital Glaucoma: Cloudy cornea, excessive tearing, light sensitivity, and eye enlargement.
•  

Diagnostic Tools

A comprehensive approach to glaucoma diagnosis includes:

• Intraocular Pressure (IOP) Measurement: Applanation tonometry, with pachymetry or OCT for corneal thickness adjustment.
• Optic Nerve & Retinal Nerve Fiber Layer (RNFL) Assessment: OCT scans detect structural changes.
• Visual Field Testing: Computerized exams identify peripheral vision loss.
• Gonioscopy: Determines open-angle or closed-angle glaucoma for treatment planning.
•  

Current Treatment Landscape

Glaucoma management focuses on reducing IOP to slow disease progression:

• Topical Medications: Prostaglandin analogs (latanoprost, travoprost), beta-blockers, alpha-adrenergic agonists, and carbonic anhydrase inhibitors.
• Laser Therapy: Selective Laser Trabeculoplasty (SLT) enhances fluid drainage; Laser Peripheral Iridotomy (LPI) prevents angle closure.
• Surgical Interventions: Minimally Invasive Glaucoma Surgery (MIGS) offers safer, faster-recovery options, while trabeculectomy is reserved for severe cases.
•  

Recent Advancements in Treatment

Innovative research is transforming glaucoma management:

• Gene Therapy: Investigating genetic modifications to protect and regenerate retinal ganglion cells (RGCs).
• Stem Cell Therapy: Potential for optic nerve regeneration to reverse vision loss.
• Neuroprotective Agents: Citicoline and Coenzyme Q10 show promise in slowing disease progression.
• Rho Kinase Inhibitors: New class of drugs enhancing aqueous outflow while offering neuroprotection.
•  
• Drug Delivery Systems:
  • iDose® TR Implant: FDA-approved for sustained drug release over three years.
  • Biannual Injections: Hydrogel-based drug delivery (Georgia Tech research) enables long-term IOP control.
  •  

Technological Innovations

Cutting-edge technology is reshaping glaucoma care:

• Artificial Intelligence (AI): AI-driven OCT image analysis aids early detection and personalized treatment planning.
• Wearable & Smart Technologies: Smart contact lenses monitor real-time IOP fluctuations.
• Personalized Medicine: Genetic profiling enables targeted therapy based on individual risk factors.
•  

Industry & Commercial Initiatives

Pharmaceutical and medical device companies are key players in advancing glaucoma treatment:

• Pharmaceutical Leaders: Novartis, AbbVie (Allergan), and Santen drive innovation in medications and drug delivery systems.
• Medical Device Manufacturers: Glaukos, Ivantis, and Alcon lead in developing MIGS devices and diagnostic tools.
•  
• Public Awareness Campaigns:
  • Bausch + Lomb: “Faces of Glaucoma” raises awareness through patient stories.
  • Santen: Engages in World Glaucoma Week initiatives.
  • Entod Pharmaceuticals: Runs #GetTestedForGlaucoma in India.
  •  

Government Initiatives

Government support plays a vital role in glaucoma prevention:

• National Eye Institute (NEI): Funds glaucoma research and public education.
• Public Health Campaigns: Nationwide efforts to promote regular eye screenings.
• Research Funding: Grants support innovation in diagnostics and therapies.
•  

Conclusion

World Glaucoma Day 2025 underscores the importance of early detection, advanced treatments, and global collaboration in preventing blindness. With cutting-edge research, industry advancements, and government initiatives, the fight against glaucoma is gaining momentum. A glaucoma-free world is achievable through awareness, innovation, and united efforts.

Genetic disorders are illnesses that result from alterations in a person’s DNA. These changes can be due to mutations in one or more genes or even chromosome defects. Some of the genetic disorders include, but are not limited to, Down's syndrome, sickle cell anemia, Sturge-Weber Syndrome, Laughing Syndrome, Barret’s Syndrome, Joubert Syndrome, Duchenne Muscular Dystrophy, and many others. These genetic disorders can affect almost every organ of the body depending on the genes involved in those organs, the developmental problems, or the genetic diseases represented. These genetic disorders can be passed on from one parent to the child or they can occur on their own. In almost all genetic diseases, some changes occur in the way cells or tissues function and their development, ranging from morphology and physiology to metabolism, all of which lower one’s quality of life significantly.

Conventional Approach to Genetic Diseases -

Genetic diseases have always been viewed as incurable and hence the focus has been on dealing with the symptoms. The traditional way had been to use medications, physical therapy, and modify one’s lifestyle to deal with the problem. For example, medication can assist in controlling the signs and symptoms of genetic diseases like ataxia, Friedrich’s ataxia, balancing, sickle cell anemia, G6PD deficiency, Suxamethonium in patients with colestre’s deficiency, Antisense Nucleotide Therapies in genetic diseases and hence, fully relying on these medications for life long is required.

Pills to cells offer a promising alternative, as cell-based therapies aim to address the root cause of genetic diseases rather than just the symptoms. When a pill doesn’t respond we advocate cells to replace them as a promising alternative. Unlike traditional medication, these advanced treatments involve modifying or replacing affected cells, which can potentially restore normal function or significantly slow disease progression. Pills have serious disadvantages. They often do not slow the progression of the disease or make the body's functions normal again. Moreover, certain medications may have adverse effects that negatively impact a patient’s quality of life. For example, the use of hydroxyurea for sickle cell anemia may decrease the episodes of painful crises, but the genetic alteration cannot be changed. Another instance is related to Duchenne muscular dystrophy (DMD) which is an X-linked disease and is characterized by progressive loss of muscle strength because it lacks dystrophin, facilitating the loss of independent movement and life-threatening conditions such as heart failure. A person with Down syndrome due to a duplication of the 21st chromosome (Trisomy) maintains a particular set of deficits that is responsible for delay in brain development and deformities in physical development like Wide Eye Canthus, and Nose-shaped High Arched Palate.

The Role of Stem Cells in Treating Genetic Diseases-

StemRx emerging regenerative therapies, particularly stem cell treatments, are revolutionizing the management of genetic diseases by targeting the root cause rather than merely addressing symptoms. Unlike conventional treatments, pills to cells offer a paradigm shift by focusing on cellular-level interventions that directly address the underlying defects. Stem cells have the potential to address the root causes of genetic diseases by replacing or repairing defective cells. Stem cells, which can differentiate into any cell type, hold immense potential for repairing damaged tissues.

In sickle cell anemia, for example, hematopoietic stem cell transplants have successfully replaced defective blood cells with healthy ones, leading to long-term remission in some cases. While traditional medications provide symptomatic relief, they fail to correct the genetic mutation, which is where cells prove more effective than pills. Gene editing technologies, like CRISPR-Cas9, combined with stem cells, show promise in correcting mutations in diseases like DMD, potentially restoring dystrophin production and halting muscle degeneration. In such cases, stem cells can directly address the genetic defect, unlike pills, which can only manage symptoms temporarily. Similarly, in Down syndrome, research into neural stem cells aims to mitigate cognitive deficits. While pills may provide temporary improvements in managing associated health issues, cells can potentially regenerate damaged neural tissues, offering a deeper and more lasting solution. For GBS, stem cells are being explored to repair nerve damage and regulate immune responses, offering a chance for full recovery. The ability of stem cells to rebuild and repair damaged nerve tissues demonstrates how cellular therapies outperform the limitations of traditional pills.

Stem cell therapies mark a shift from symptomatic relief to curative potential. They address the genetic and cellular roots of diseases, offering lasting solutions. The transition from pills to cells signifies a new era in medicine, where treatments are no longer confined to symptom management but focus on disease eradication. While traditional medicine provides temporary relief for genetic diseases, it falls short of delivering a cure. Stem cell therapy represents a revolutionary approach with the potential to transform how we treat these conditions. By addressing the genetic root of the problem, stem cells offer hope for a future where genetic diseases can be effectively managed or even eradicated. Stem cell therapy along with energy medicine, peptides, and mitochondrial function brings renewed optimism to millions affected by genetic disorders worldwide.

Each year on World Cancer Day, we reflect on the global impact of cancer, the advancements in treatment, and the unwavering support of family and caregivers. At SUT Hospital, we understand that cancer is not just a medical condition—it affects every aspect of a patient’s life, from their emotional well-being to their physical strength. This day serves as a reminder of the progress we've made and reinforces the importance of standing together in the fight against cancer.

 Advancements in Cancer Treatment: A New Era of Hope

Over the past decade, cancer care has witnessed groundbreaking progress. Targeted therapies, immunotherapies, and personalized medicine have transformed treatment approaches, offering patients new hope with fewer side effects. These innovations not only improve survival rates but also enhance the quality of life for those undergoing treatment.

Early detection has also been a game-changer in cancer care. Advanced screening methods now allow for the identification of cancers at earlier, more treatable stages, significantly increasing the chances of recovery. Personalized medicine is revolutionizing treatment by tailoring therapies to an individual’s unique genetic makeup, ensuring greater efficacy and fewer risks.

The Silent Pillars of Strength: Family and Caregivers in Cancer Care

While medical advancements play a crucial role, the emotional and physical support provided by family members and caregivers is just as vital. The journey through cancer is filled with uncertainty, fear, and physical challenges, and caregivers serve as anchors of stability and strength during this difficult time.

 Emotional Support: A Shoulder to Lean On

Cancer can be emotionally overwhelming, not just for the patient but for their entire support system. During such times, a simple act of kindness—a listening ear, a reassuring presence, or a gentle hand to hold—can make a world of difference. Caregivers become a source of encouragement, offering comfort and motivation when hope seems distant.

 Managing the Journey: Practical and Logistical Support

Beyond emotional support, caregivers play a crucial role in managing medical appointments, coordinating treatments, ensuring medications are taken on time, and assisting with daily activities. They often serve as the bridge between healthcare teams and patients, ensuring that treatment plans are followed and that medical decisions are well-informed.

Caregivers do not just offer physical assistance—they provide mental and emotional resilience, helping patients navigate the unpredictable journey of cancer with courage and determination.

 Recognizing the Caregiver’s Role

Caregiving is a challenging, yet a deeply meaningful responsibility. It requires patience, strength, and selflessness. As we continue to make strides in cancer treatment, we must acknowledge that the battle against cancer is not fought alone. From scientific research to the unwavering support of loved ones, every contribution matters.

On World Cancer Day, we not only celebrate medical advancements but also honor the silent warriors—family members and caregivers—who stand beside cancer patients through every hurdle. By fostering awareness, supporting research, and ensuring compassionate care, we can make a difference in the lives of those affected by cancer.

Every cancer diagnosis carries a deeply personal journey, woven with grief, pain, strength, and hope. At SUT Hospital, we believe in a care model that goes beyond medicine—one that is centered around empathy, compassion, and understanding. Because true healing comes not just from treatment, but from the love and support that surrounds a patient every step of the way.

Together, we can make a difference.

Col. Rajeev Mannali 

Chief Executive Officer

SUT Hospital, Pattom

 

Does talking openly about reproductive health with a friend or loved one make you uneasy? Have you ever had the chance to have that conversation? Even today, discussions around reproductive health remain taboo in many communities across India, despite their direct impact on the well-being of individuals, families, and future generations. Staying silent doesn’t just lead to misinformation — it leaves those facing challenges feeling isolated and alone. Here’s why speaking up matters and how it can lead to healthier, happier lives.

Stigma Silences Support

One of the most harmful effects of stigma around reproductive health is the isolation it creates. Many people keep their struggles with infertility, menstrual disorders, or hormonal imbalances hidden, fearing judgment or unwanted advice. This silence can take a toll on their emotional, mental, and physical well-being. But here's the truth: it only takes a little courage to break that silence. When people open up, they realize they’re not alone — and that science offers solutions to many of these challenges.

Misinformation Thrives in Silence

When reproductive health is treated as a taboo topic, myths and misconceptions spread unchecked. Beliefs like "infertility is only a woman's issue" or "contraceptives cause permanent infertility" stop people from seeking the right care at the right time. Open, expert-led conversations can debunk these myths and provide people with accurate, science-based information, empowering them to make informed choices about their health.

Early Intervention Saves Lives

Talking about reproductive health encourages people to seek timely medical advice. Early diagnosis and treatment significantly improve outcomes. Despite advancements in reproductive healthcare, many women in India still face unmet healthcare needs. For instance, studies show that a significant number of women lack access to fertility-related care, underscoring the need for greater awareness and access to services.

A Path to Stronger Relationships

Talking openly about reproductive health is just as important in relationships as it is in clinics. Conversations about family planning, menstrual health, or fertility treatments can strengthen bonds and foster mutual understanding. Couples often grow closer when they navigate fertility challenges together, learning to support one another through honest communication. Breaking the stigma paves the way for deeper emotional connections and shared decision-making.

How We Can Start the Conversation

Here are some simple ways to start breaking the silence around reproductive health:

Educate Yourself: Learn about reproductive health and share your knowledge with others. Understanding the facts builds confidence to talk about sensitive topics.

Ask, Don’t Assume: If someone shares their story, listen without judgment or giving unsolicited advice. Offer credible information if they seek help.

Normalize Health Check-Ups: Encourage yourself and your loved ones to get regular reproductive health check-ups.

Support Open Dialogue: Advocate for comprehensive reproductive health education in schools and workplaces.

Address Misinformation: In the plethora of information available on the internet, it's crucial to challenge myths and misconceptions. Share accurate, credible knowledge to help others distinguish facts from fiction and build a supportive, informed community.

Start Young: Encourage age-appropriate conversations about reproductive health in schools and colleges. Early education fosters awareness, breaks taboos, and empowers individuals to make informed choices throughout their lives.

A Future Without Stigma

Imagine a world where talking about reproductive health is as normal as chatting about fitness or nutrition. A world where people seek care without fear of judgment, where facts replace myths, and where empathy triumphs over silence.

It starts with us — every conversation we dare to have, every myth we challenge, and every hand we extend to those in need. By doing so, we not only improve individual lives but help create a healthier, more informed, and compassionate society.

Authored By: Dr. Maunica Sorakayalapeta, IVF Specialist, Ferty9 Fertility Center, L.B. Nagar

By: Dr Sandeep Nayak, Director, Department of Surgical Oncology, Fortis Hospital, Bannerghatta Road, Bengaluru

A cancer diagnosis can be devastating at any stage of life, but for young patients, it presents unique emotional and psychological challenges. Beyond the physical toll, it disrupts plans, creates uncertainty about the future, and places immense strain on relationships, careers, and family responsibilities. This burden is magnified for young parents or professionals as they wrestle with fears about their loved ones and their ability to maintain their roles in their personal and professional lives. 

This article highlights the emotional struggles of two young cancer patients—a 34-year-old mother battling ovarian cancer and a 40-year-old professional recovering from oral cancer. Their journeys illustrate how cancer affects not just the body but the mind and heart, reshaping their priorities and introducing new concerns about their families and futures. 

Case 1: A 34-Year-Old Mother Battling Ovarian Cancer

Diagnosed with ovarian cancer in November 2024, this young mother is currently undergoing treatment. For her, the physical challenges of chemotherapy and other therapies are overshadowed by a singular concern: her 4-year-old child. 

Every time she visits her doctor or undergoes treatment, her primary question is, “What will happen to my child?” This worry is not just about her health but about ensuring her child is cared for, loved, and provided for if her treatment takes a toll. 

For her, the idea of not being there for her child’s milestones—the first day of school, birthdays, or even small daily moments—causes immense emotional pain. 

Cancer doesn’t just affect her—it impacts her entire family. Her spouse juggles caregiving responsibilities, work, and managing the household, all while trying to support her emotionally. Extended family members often step in to help, but the uncertainty surrounding her health weighs heavily on everyone. 

The child, though young, senses the changes in routine and the emotional strain in the household, adding another layer of guilt and worry for the mother. 

Despite her illness, she tries to maintain some sense of normalcy for her child. However, the fatigue, side effects, and frequent hospital visits make this difficult. This constant struggle adds to her psychological burden, leaving her feeling torn between focusing on her treatment and being present for her child. 

Case 2: A 40-Year-Old Professional Recovering from Oral Cancer

In December 2024, this young professional completed surgery for *oral cancer*. While the physical recovery is progressing well, his emotional recovery is a different story. His main concerns revolve around his appearance, his ability to advance in his career, and his family. 

Oral cancer surgery often affects the face, mouth, or jaw, leaving scars or changes in appearance. For someone in a professional setting, this can lead to self-consciousness and a fear of being judged. He worries about how colleagues and clients perceive him and whether his physical changes will impact his confidence and ability to communicate effectively. 

Before his diagnosis, he was excelling in his career. Now, he’s uncertain whether he’ll be able to maintain that momentum. He questions whether his recovery will affect his productivity or whether his colleagues will see him as less capable. These fears, while often self-imposed, are common among cancer survivors and can significantly affect mental well-being. 

As the primary breadwinner, he feels an added pressure to ensure his family’s stability. The financial strain of treatment and the possibility of future health issues weigh heavily on his mind. He wants to ensure his family is secure, but the uncertainty surrounding his long-term health creates anxiety. 

The Psychological Impact of Cancer on Young Patients

The journeys of these two individuals highlight some of the key psychological challenges faced by young cancer patients: 

Family Concerns:

   - For the 34-year-old mother, her primary worry is her child’s well-being. 

   - For the 40-year-old survivor, it’s about being able to support his family financially and emotionally. 

   Cancer forces young patients to confront difficult questions about their ability to care for and provide for their loved ones, creating immense emotional strain. 

Career and Identity:

   - The oral cancer survivor is worried about his professional growth and whether his appearance will affect how others perceive him. 

   - Many young patients, especially professionals, struggle with the fear of losing their identity or being seen as "less capable" due to their diagnosis or treatment. 

Uncertainty About the Future:

   Both patients are grappling with the unknown—whether it’s the mother worrying about her ability to raise her child or the survivor fearing a recurrence of cancer. This uncertainty can lead to anxiety, depression, and a sense of helplessness. 

Impact on Relationships:

   Cancer affects not just the patient but their entire family. Spouses, children, and even extended family members often take on caregiving roles, which can lead to emotional burnout, financial stress, and changes in family dynamics. 

How to Support Young Cancer Patients

Addressing the psychological burden of cancer requires a holistic approach that prioritizes emotional, social, and practical support: 

Counseling and Therapy:

   - Professional therapy can help patients navigate their fears, build resilience, and process their emotions. 

   - Family counseling can also help loved ones better understand and support the patient while addressing their concerns. 

Support Groups:

   - Joining support groups with other young cancer patients can provide a sense of community and reduce feelings of isolation. Sharing experiences can help patients feel understood and less alone in their journey. 

Parenting Support:

   - For young parents like the 34-year-old mother, parenting support programs or childcare assistance can ease some of the burden. 

   - Open communication with children in an age-appropriate manner can help them feel secure and reduce their anxiety. 

Career Support:

   - For professionals like the oral cancer survivor, career counseling or mentorship programs can help rebuild confidence and provide strategies for returning to work. 

   - Employers can play a crucial role by offering flexible work arrangements or accommodations during recovery. 

Body Image and Confidence Building:

   - Programs that address self-esteem, such as counseling or reconstructive surgery options, can help patients regain confidence in their appearance. 

   - Support groups that focus on body positivity can also be empowering. 

Mindfulness and Stress Management:

   - Practices like yoga, meditation, or mindfulness can help patients manage anxiety and focus on the present moment. 

   - Relaxation techniques can also be beneficial for families dealing with the emotional strain of caregiving. 

Cancer is not just a physical battle—it is a deeply emotional journey that impacts every aspect of a young patient’s life, from family responsibilities to career aspirations. The stories of the 34-year-old mother with ovarian cancer and the 40-year-old oral cancer survivor illustrate the profound psychological burden that young patients face.

For the mother, the overwhelming worry about her child’s future adds an emotional layer to her already demanding treatment. For the professional, the fear of being judged by his appearance and the uncertainty about his ability to grow in his career weigh heavily on his mind. 

These challenges are real and valid, but with the right support—counseling, therapy, support groups, and understanding from loved ones and workplaces—young cancer patients can navigate these struggles and rebuild their lives. Cancer may change their journey, but it doesn’t define their destination. With compassion, resilience, and guidance, they can find their way to a brighter future.

Ramona (Name changed), a 30-year-old international patient, arrived at Wockhardt Hospitals, Mumbai Central, during her 6th month of pregnancy. She had been diagnosed with a large uterine fibroid measuring 15 x 12 cm and was advised in her home country to undergo a hysterectomy at the time of delivery. Concerned about this recommendation, particularly as this was her first pregnancy, the patient sought expert care in India under the supervision of Dr. Indrani Salunkhe, Consultant Gynaecologist at Wockhardt Hospitals.

Challenges Identified
Upon admission, Ramona was closely monitored through biweekly check-ups. The challenges in her case included:

·  Presence of multiple fibroids: The anterior fibroid measured 15 x 12 cm, while a second posterior fibroid of 5 x 6 cm was later identified during the cesarean.

·   Risk of preterm labor: The size and location of the fibroids restricted space for fetal growth, leading to increased risk of early delivery.

·  Nutritional concerns: The baby’s weight was initially below expected levels, necessitating protein supplements.

Treatment Approach
Dr. Indrani Salunkhe and her team adopted a proactive treatment strategy:

1.  Preventing Preterm Labor: The patient was started on biweekly injections to stop uterine contractions and additional injections to accelerate fetal lung maturity in case an early cesarean became necessary.

2.   Nutritional Support: The mother was given protein supplements to optimize fetal weight gain.

3.   Close Monitoring: Regular sonography ensured continuous assessment of both the baby’s development and fibroid growth.

Delivery and Outcome
At 32 weeks (8th month), Ramona developed severe pain and minimal vaginal discharge, indicating preterm labor. Despite attempts to control contractions, the team decided to proceed with a cesarean section. The challenges during surgery included:

· Fibroid obstruction: The fibroids prevented access to the lower uterine segment, necessitating a classical (vertical) uterine incision.

·  Placental positioning: The placenta was near the os, causing controlled bleeding during the procedure.

Dr. Indrani Salunkhe successfully delivered a 1.8 kg female baby. The newborn cried immediately at birth but was admitted to the Neonatal Intensive Care Unit (NICU) for 10 days due to mild respiratory distress and for weight gain. Post-surgery, the mother recovered without complications and did not require a blood transfusion.

Speaking about the case Dr. Indrani commented “This case was particularly challenging due to the presence of large fibroids, which obstructed the baby’s growth and complicated access during delivery. The decision to perform a classical cesarean section ensured the safety of both mother and baby. Post-delivery, the fibroids were not removed due to increased blood supply during pregnancy. However, we advised follow-up after 6 months to 1 year, as fibroids can be managed laparoscopically in most cases without open surgery.”

Postpartum Recovery and Follow-up
Ramona stayed in India for 2 months post-delivery to ensure both she and her baby were in stable health. The fibroids were closely monitored, and she was advised to undergo a follow-up sonography to assess their regression and decide on further treatment if necessary.

Key Learnings

1.     Fibroids during pregnancy can lead to complications such as restricted fetal growth and preterm labor, depending on their size and location.

2.     Proper monitoring and timely intervention, including advanced neonatal care, can significantly improve outcomes for both mother and baby.

3.     Surgical expertise plays a critical role in managing complex cases, as demonstrated through the successful delivery performed by Dr. Indrani Salunkhe.

Conclusion
This case highlights Wockhardt Hospitals’ commitment to providing world-class medical care for high-risk pregnancies. Through meticulous monitoring, nutritional support, and expert surgical intervention, the patient and her baby achieved a successful outcome, ensuring Ramona returned to her home country with her child in good health.