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CoronaVirus (Covid-19) and Prengancy
Pregnancy is a partial immunosuppression (decreased immunity) condition, pregnant women are more susceptible to viral infections, and the consequences of the flual infection may be worse even in seasonal flu. For these reasons; COVID-19 PANDEMIC can have serious consequences on pregnant women. The transmission of the virus from person to person has been proven. There is even a transition from patients without symptoms, and the poor course is considerable, especially in elderly patients with comorbidity (accompanying chronic disease).
COVID-19’ lu gebelerin ve yenidoğanlarının yönetimi ile ilgili kısıtlı klinik tecrübe , çok daha fazla sayıda (>100) şüpheli veya teyitli COVID-19 lu vaka olmasına rağmen , Çin ‘de Wuhan Üniversitesi Hastanesinde tedavi edilen COVID-19 tanılı 9 gebe ve 10 yenidoğana ait vaka serisine dayanmaktadır. Zaman içinde bildirilecek yeni vakalar ile COVID-19 için gebelerde hastalık yönetimi ve tedavisi için bakış açımızda değişiklikler olabilir.
If the infection occurs during the third trimester of pregnancy (in the last 3 months), there is some increased risk for premature rupture of membranes, preterm labor, fetal distress (distress in the baby). However, there was no evidence of transplacental (with placenta in the womb) based on these limited data, since amniotic fluid, cord blood, newborn throat swab, and breast milk samples had negative results for 6 of 9 patients. It is not known whether the virus is excreted through the vaginal route.
Since COVID-19 continues to spread, more infections will be seen in pregnant women in different regions and continents. Therefore, we recommend that they pay close attention to pregnant women and their relatives and create their own isolation areas.
For Early Diagnosis of Ovarian Cancer
Ovarian cancer is the most common cause of death of female genital organ cancers. Often around the age of 40-50, it is observed in those who enter early menopause or towards the end of the menopause. EARLY DIAGNOSIS is very important in ovarian cancer. In this way, necessary treatment measures are taken and it is life saving.
If a suspicious mass is observed in ovaries in routine annual examinations in patients without symptoms, it is very important to request tumor markers. The best method is to use HE4 and CA125 tests together. To date, only CA125 has been used for this purpose. However, since CA125 is not only specific to ovarian cancer, its high level causes the physician and the patient to be anxious.
It is the suggested look of HE4 and CA125. Based on these two tests, they are evaluated in a program called ROMA and the risk of ovarian cancer is revealed in percentages.
Can Urinary Incontinence be Treated Without Surgery?
Approximately 50% of women over 45 have occasional urinary incontinence complaints. A simple urinary tract infection can lead to this, as well as obesity, giving birth and events that increase intra-abdominal pressure (chronic constipation, severe cough, severe laughter, heavy sports, etc.) can cause the bladder to sag, thereby urinary incontinence. Also, loss of estrogen supplementation in menopause decreases the support of the bladder and may cause urinary incontinence.
In urinary incontinence; In addition to medication and surgical treatment according to the type of abduction, today we can prevent urinary incontinence by providing vaginal tissue renewal with Laser Treatments.
False Facts about Birth Control
Birth Control Pills Cause Infertility: False
birth control pills never infertility. The pills effective for 24 hours and protects ovulation by suppressing ovulation. Even if the pill is forgotten one day, the risk of conception increases 3%. It also facilitates conception in the period after it is stopped by regulating the hormone profile in diseases such as POLICISTIC OVER SYNDROME.
Birth Control Pills Cause Pubescence: False.
On the contrary, these are the pills are used frequently in pubescence treatment. We frequently use these for therapeutic purposes due to antiandrogen effects in PCOS or ovarian-induced testosterone height.
Birth Control Pills Cause: Cancer
Birth control pills does not cause cancer, and it has a protective effect against ovarian and intrauterine cancer in long-term use.
Birth Control Pills Cause Weight Gain
Especially in recent years, we do not have weight gain with mini dose hormone pills. It is true that he had some edema in the body in the premenstrual period, but this will be reflected as a temporary weight gain after menstruation.
Birth Control Pills are not Used for Breast Diseases: False
It can be used in for controlling patients with benign breast diseases and simple breast cysts. Compared to the group with no family history, no difference was found in terms of the risk of breast cancer in the group using and not taking pills.
Most Sexually Transmitted Viruses
The most common sexually transmitted viruses are; Hepatitis B and C are HIV (AIDS), Herpes Type II and HPV.
Please consult your doctor for any unusual conditions in yourself or in your partner.
When a different lesion (vesicle, wart, open wound) occurring in the genital area is not diagnosed and treated, it may cause bigger problems in the long term. For this reason, even if there is no active lesion, make your PAP-SMEAR test regularly once a year.
Protective sex is always safer. Make sure to protect yourself and your partner.
Op. Sibel Malkoç, MD
Gynecology and Obstetrics Specialist
Dr. Sibel Malkoç attended many domestic and international training seminars and congresses during 25 years of specialised physician service.
Pregnancy follow-up, urinary incontinence surgery and laser treatments, genital aesthetic surgery and laser applications and vaginismus treatment are of special interest.
It serves its patients especially in surgical and laser-assisted Vagina aesthetics.
