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By 
Dt. Pooja Kulkarni 
A Woman is a caring mother, beloved wife, 
lovely sister and a grandmother too. She is 
the real architect of your home and of our 
society. 
But most of the times she forgets to take care 
of her own health due to the occupied tasks 
which she handles at a time. 
Too often they neglect even routine medical 
visits which are essential to maintain good 
health. 
Estimated global deaths from breast and cervical cancer, by
country level of development as defined by GLOBOCAN,a 1990,
2010 and 2030
Myth: Cancer is not curable
Fact: Cancer is very much curable, if detected in 
earlier stages. That’s why there’s the need for 
awareness to detect it early.
1. There are various factors that can cause cancer 
in women. One of the main reasons is obesity
First delivery beyond 30 years of age increase 
chances of developing breast cancer
Genetic predisposition – about 6‐8% of breast and 
ovarian cancers seem to be family‐based. The 
genetic changes are passed down the generation, 
which will increase their chance of developing 
cancer
Early menarche (start of menstruation) and late 
menopause which exposes the body’s cells to more 
than normal oestrogen. While oestrogen is an 
important and protective hormone, it has a 
proliferative effect on cells of the breast and uterus 
which results in cancer.
Smoking and tobacco are responsible for lung, oral 
cancer and also cancer of the upper parts of food 
pipe (the esophagus and stomach).
Multiple sexual partners predisposes to 
infection Human Papiloma Virus, which may be 
responsible for cancer of cervix
Most cancers produce symptoms only when 
they have reached at least stage 2. 
If a woman delays her treatment even for a few 
months, after the symptoms start to appear, it 
can reduce her survival be several years!! 
So it is essential that they are made aware of 
symptoms of various cancers and taught to 
report to the correct doctor. 
Regular Screening & Gynecologist Check up will 
help you in early diagnosis of disease 
A hard ‘knot’ or ‘lump’ in the breast
Bloody or ‘blood stained’ nipple discharge
A ‘lumpish’ feel sometimes can be cancerous
Recent inward pull on the nipple
Knot or lump in the arm pit
Bloody vaginal discharge
Post coital bleeding (bleeding after sexual 
intercourse)
Interval bleeding (bleeding in between menses
1. Uterine cancer:
Cancer of uterus occurs mostly in older women, who are 
post menopausal. 
Even a single vaginal bleeding episode after menopause, 
must be brought to a doctor’s attention, as it may be a 
sign of uterine cancer
2. Ovarian cancer
This is very notorious, as it does not produce any 
symptoms in early stages.
In advanced stages, it produces symptoms like bloating 
of abdomen, constipation, indigestion etc
Complete Physical 
Investigation ‐ Haemogram  Blood group ,Thyroid Function 
Test , Vit B12 , Vit D , BSL , Lipid Profile, Urine Routine , HBsAg , 
USG abdomen & pelvis, ECG , 2D Echo , Stress Test) HIV, VDRL 
,Chlamydia, and gonorrhea ( If doctor recommends
When To Do :
From the age of 21 years. Once every five years
until age 40 (If reports are normal)  
BMI
BSL
Lipid
Profile
Blood
Pressure
Heamogram
Urine
tests
Clinical breast exams
Mammograms
Pap tests
Human papilloma virus (HPV) tests
Pelvic exams
Diagnostic testing if results are abnormal –
Ca 125 , FNAC ( Fine nidle aspiration
Cytology)
• The Pap test /  Pap smear looks for cancers and pre 
cancers in the cervix 
• Why do I need a Pap test?
•To check the changes that can develop on cervix
•To find abnormal changes on cervix which can lead   
to cervical Cancer
• When to do :
From age 21 to 65 years ‐ Every 3 yearly
Cervical cancer can almost always be prevented, 
and having regular Pap tests is the key!
HPV is the most common sexually transmitted 
virus. 
In fact, most men and women are infected with 
HPV at some time in their lives. 
There are approximately 100 types of HPV. 
Some HPV types only infect the genital area and 
may cause warts, some cause mild changes in 
cervical cells that do not turn into cancer
Some cause changes that may become cervical 
cancer if present for many years
The HPV test can find any of the 13 types of HPV 
that are most commonly found in cervical cancer.
The presence of any of these HPV types  for many 
years can lead to cell changes that may need to be 
treated so that cervical cancer does not occur.
The HPV test is done at the same time as the Pap 
test by using a small soft brush
The HPV testing sample may be taken directly from 
the Pap sample.
It is an x‐ray picture of the 
breast.
It can be used to check 
for breast cancer in women 
who have no signs or 
symptoms of the disease.
It can also be used if you 
have a lump or other sign of 
breast cancer.
Breast Cancer
Cervical Cancer
Surgery
Radiation Therapy
Chemotherapy
Hormone Therapy
Targeted Therapy
Hysterectomy –
1. Total Hysterectomy
2. Radical Hysterectomy
Radiotherapy
Chemotherapy
Chemo-radiation
Avoid becoming overweight
Keep physical active
No addictions – Alcohol/ tobacco / smoke etc
Regular screening
Self examination
Avoid Hormone replacement therapy
Vaccines :
•Chiken Pox,
•Flu & typhoid
HPV vaccines
•Rubela (at
menarche/before )
For personalized discussion & detailed diet
plan;
Click on:
http://www.justforhearts.org/product-
category/online-diet-plans/
Read my blogs;
http://www.justforhearts.org/author/pooja-k/
You can also contact us on:
www.justforhearts.org
Call to reach us: 
020‐ 27293337  [9am – 7pm IST]
Drop an email – Info@justforhearts.org
Get connected with us 
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