scholarly journals AYURVED APPROACH TO ENDOMETRIOSIS – A CASE STUDY

2020 ◽  
Vol 8 (8) ◽  
pp. 4271-4277
Author(s):  
Divya Pawar ◽  
Sameer Gholap
Keyword(s):  
Quality Of Life ◽  
Treatment Protocol ◽  
Uterine Cavity ◽  
Lower Abdominal Pain ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Chief Complaints ◽  
The Subject

Endometriosis is the most upcoming disease that affects the quality of life of millions of women and their families worldwide. It is one of the obscure and captivating benign gynaecological disorders defined by implantation of functioning endometrial tissue outside the uterine cavity. Endometriosis is associated with a broad range of symptoms including Dysmenorrhoea, Dyspareunia, Chronic intermenstrual pelvic pain, and Infertility. The prevalence of Endometriosis in women of Reproductive age is 6-10%. It can be compared as a syndrome complex of Paripluta Yonivyapada in Ayurveda. Thus, Vata evum Pitta shaman treatment along with regimen is given in it. Aim and Objectives: To evaluate the efficacy of Shodhana Chikitsa as Yog Basti, Uttarbasti and Shamana Aushadhi, in the management of Endometriosis. Materials and Methods: It is the single arm, open labelled case study of the subject of 36 yrs. age with Endometriosis who has been treated with Shodhana Chikitsa as Yog Basti, Uttarbasti and Shamana Chikitsa simultaneously. Observation and Result Chief complaints of Patient i.e. Adhodarashula (Lower abdominal pain) and Kashtartava (Pain during menstruation) were relieved. USG reports confirms and substantiates the clinical symptom free evidence. Conclusion: The selected treatment protocol i.e. Shodhana Chikitsa as Yog Basti, Uttarbasti and Shamana Aushadhi, are found very effective in the management of Endometriosis.

scholarly journals MODERN VIEWS ON THE ETIOPATHOGENESIS, CLINICAL PATTERN AND TREATMENT OF DYSMENORRHEA

2017 ◽  
pp. 112-115 ◽  
Author(s):  
A. L. Unanyan ◽  
I. S. Sidorova ◽  
Y. I. Chushikov ◽  
A. D. Nikonets ◽  
D. V. Baburin
Keyword(s):  
Quality Of Life ◽  
Social Problem ◽  
Effective Means ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Clinical Pattern ◽  
Pathogenetic Therapy ◽  
The Subject ◽  
Topical Interest

The article is devoted to the subject of topical interest to women of reproductive age. Affecting not only the health of women, but also various aspects of their life, dysmenorrhea is a medical and social problem. The use of nonsteroidal anti-inflammatory agents in this condition is an effective means of pathogenetic therapy that significantly improves the quality of life of women.

Effect of combined oral contraceptive containing 17β—estradiol on female sexual function, depression and quality of life

2020 ◽  
Vol 18 (6) ◽  
pp. 43-48
Author(s):  
R. I. GABIDULLINA ◽  
◽  
E. I. GALIMYANOVA ◽  
V. I. EREMKINA ◽  
A. M. SHARAPOVA ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Oral Contraceptive ◽  
Female Sexuality ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Combined Oral Contraceptive ◽  
Function Index ◽  
17Β Estradiol ◽  
Severity Of Depression

The purpose — to evaluate the effect of combined oral contraceptive containing 17β-estradiol on sexuality, severity of depression and quality of life in women of reproductive age. Material and methods. The study involved 53 women in need of contraception aged 18 to 50 years. For the contraceptive purpose women used COC containing 1,5 mg of 17 β -estradiol (E2) and 2,5 mg of nomegestrol acetate (NOMAC) (E2/NOMAC). The questionnaires used in the study are: Female Sexuality Function Index (FSFI-6), Beck Depression Inventory, SF-36 — for evaluating Health-Related Quality of Life. The survey was conducted before and after six months of E2/NOMAC intake; the correlations between the studied parameters and the level of sex hormones in patient’s blood sample were determined. Results. The intake of E2/NOMAC for 6 months did not have negative effect on Female Sexuality Function Index. At the same time, a statistically significant improvement up to 5 points was revealed in such parameters as sexual satisfaction (p = 0,03) and lubrication (p < 0,001). There was a significant decrease in the frequency and severity of depression measured by the Beck Depression Inventory. The Short Form-36 Health Survey revealed a tendency to improve the physical and mental health components of the quality of life (p> 0,05). The change in total testosterone level had a moderate negative relationship with the change in Female Sexuality Function Index (r = — 0,32; p = 0,02). Conclusion. The intake of combined oral contraceptive containing 17β-estradiol for 6 months was associated with no adverse impact on female sexuality and quality of life in women of reproductive age, and reduced the levels of frequency and severity of depression.

Ethical Aspects of Talking to a Patient

2016 ◽  
pp. 203-235
Author(s):  
Roman Ossowski ◽  
Paweł Izdebski
Keyword(s):  
Quality Of Life ◽  
Medical Personnel ◽  
Ethical Principles ◽  
Ethical Aspects ◽  
Ethical Theories ◽  
Results Of Treatment ◽  
Modern Physics ◽  
The Subject

A very important role in the diagnosing process is played by the conversation with a patient, which should always have a diagnostic-therapeutic character. The subject of interest of this paper are the relations between medical personnel and patients. The chapter aimed to explain the application of main ethical theories in conversation with patients as a diagnostic-therapeutic instrument. As an example, a case study illustrates basic ethical principles of such a conversation. It as an instrument of diagnosis and therapy retained its value despite introducing numerous methods of diagnosis based on the findings of modern physics or electronics. In our view, the conversation should always aim at the benefit of the patient and the results of treatment as well as sustaining patient's subjectivity and hope for achieving a higher quality of life.

scholarly journals COVID-19 Compromises In The Medical Practice And The Consequential Effect On Endometriosis Patients

2021 ◽  
Author(s):  
Shaked Ashkenazi ◽  
Ole Linvaag Huseby ◽  
Gard Kroken ◽  
Luis Adrian Soto ◽  
Marius Pents ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Mental State ◽  
Medical Management ◽  
Uterine Cavity ◽  
Well Being ◽  
Reproductive Age ◽  
Cross Sectional Survey ◽  
Keywords Endometriosis

Background and purpose In response to the ongoing coronavirus disease 2019 (COVID-19) pandemic, self-isolation practices aimed to curb the spread of COVID-19 have severely complicated the medical management of patients suffering from endometriosis and their physical and mental well- being. Endometriosis, the main cause for chronic pelvic pain (CPP), is a highly prevalent disease characterized by the presence of endometrial tissue in locations outside the uterine cavity that affects up to 10% of women in their reproductive age. This study aimed to explore the effects of the global COVID-19 pandemic on patients suffering from endometriosis across multiple countries, and to investigate the different approaches to the medical management of these patients based on their self- reported experiences. Methods A cross-sectional survey, partially based on validated quality of life questionnaires for endometriosis patients, was initially created in English, which was then reviewed by experts. Through the process of assessing face and content validity, the questionnaire was then translated to fifteen different languages following the WHO recommendations for medical translation. After evaluation, the questionnaire was converted into a web form and distributed across different platforms. An analysis of 2964 responses of participants from 59 countries suffering from self-reported endometriosis was then conducted. Results The data shows an association between COVID-19 imposed compromises with the reported worsening of the mental state of the participants, as well as with the aggravation of their symptoms. For the 1174 participants who had their medical appointments cancelled, 43.7% (n=513) reported that their symptoms had been aggravated, and 49.3% (n=579) reported that their mental state had worsened. In comparison, of the 1180 participants who kept their appointments, only 29.4% (n=347) stated that their symptoms had been aggravated, and 27.5% (n=325) stated their mental health had worsened. 610 participants did not have medical appointments scheduled, and these participants follow a similar pattern as the participants who kept their appointments, with 29.0% (n=177) reporting aggravation of symptoms and 28.2% (n=172) reporting that their mental state had worsened. Conclusions These findings suggest that COVID-19 pandemic has had a clinically significant negative effect on the mental and physical well-being of participants suffering from endometriosis based on their self-reported experiences. Thus, they show the importance of further assessment and reevaluation of the current and future management of this condition in medical practices worldwide. Keywords Endometriosis, COVID-19, questionnaire, Quality of life, Mental health, Physical health

scholarly journals UNDERSTANDING OF DEPRESSION: A CASE STUDY

2020 ◽  
Vol 11 (5) ◽  
pp. 28-30
Author(s):  
Palak Rathod ◽  
Srelekshmi . ◽  
Manjunath Adiga
Keyword(s):  
Quality Of Life ◽  
Mental Disorders ◽  
Treatment Protocol ◽  
Signs And Symptoms ◽  
Common Disorder ◽  
Health Loss ◽  
Choice Of Treatment ◽  
Patent Medicine

Depression is common disorder and contributes largely to nonfatal health loss characterized by feeling of sadness or loss of interest in activities which can be correlated to kaphaja Unmada. In Ayurveda, choice of treatment for Kaphaja Unmada is Vamana with Satwavajaya Chikitsa, Shamana Aushadhi, and Medhya Rasayana. A treatment protocol was designed based on signs and symptoms of the patient and was administered Sarvanga Udvartana with Bashpa Sweda, Sirotalam, Vamana, Patent medicine (Composed of Jyotishmati Taila, Shuddha Gandhaka, Shankhapushpi, Vacha, Jatamamsi and Bhringraja) and Saraswatarishta. This treatment was helpful in reducing the intensity of symptoms and improving his quality of life of an extent. This helps us to understand the scope of Ayurvedic intervention for mental disorders. Ayurveda provides various effective solutions to various diseases which come under the umbrella of Unmada.

scholarly journals Bleeding

2020 ◽  
Author(s):  
Kizito Omona
Keyword(s):  
Quality Of Life ◽  
At Risk ◽  
Abdominal Pain ◽  
Sexual Intercourse ◽  
Pelvic Pain ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Abnormal Bleeding ◽  
Monthly Period

Fibroid, also called leiomyomas, is common tumor of the uterus. Usually, women of reproductive age are at risk of getting it. However, majority of these women develop fibroid (s) by the age of 50 years. This condition usually causes painful and unpleasant symptoms such as; heavy bleeding, prolonged periods, inter-menstrual bleeding, abdominal pain and cramps, anemia, pelvic pain and pain during sexual intercourse, among others. Abnormal bleeding, such as bleeding that occurs with fibroids and heavy periods, often lasts more than 10 days per month. This fibroid symptom involves persistent bleeding between cycles, which can severely impact one’s quality of life. Abnormal bleeding, especially in fibroids, can be taken as missing three or more periods in a woman who had been having regular monthly period, or periods that last less than 21 days or more than 35 days apart from each other. Another indication of an abnormal period is bleeding through multiple pads and tampons in a short amount of time.

Comparison of indicators quality of life in women after operative rehabilitation on uterine fibroids

2016 ◽  
pp. 94-97
Author(s):  
O. Makarchuk ◽  
◽  
G. Gavrilyuk ◽  
Keyword(s):  
Quality Of Life ◽  
Short Form ◽  
Uterine Fibroids ◽  
The Body ◽  
Reproductive Age ◽  
Control Group ◽  
Psychosomatic Disorders ◽  
Women Of Reproductive Age ◽  
Surgical Recovery

One of the most common benign hyperproliferative diseases of the female reproductive organs are uterine leiomyoma, the frequency of which, according to various literature in women of reproductive age is between 20% and 40%, and is the main indication for surgery, including removal of the organ. Long-term effects of surgical interventions for uterine fibroids have been the subject of numerous debates. In modern literature is not much research on the assessment of the quality of life both in organ treatment of uterine fibroids, and after surgical recovery. Quality of life have undoubtedly significant prognostic value and can be used in selecting the optimal treatment of uterine fibroids, as well as the development of individual approach to postoperative rehabilitation of patients. The objective: was the study of quality of life and the search for possible ways to improve in women after surgical healing uterine fibroids. Materials and methods. A survey of 80 women of reproductive age (study group), which was conducted without hysterectomy applications. Clinical and laboratory examination conducted in the dynamics of the postoperative period and at 6, 12 months and 3 years after surgical recovery. Assessment of comparative analysis require further formation of two groups comparing 20 patients with myoectomy and 20 women with no uterus amputation supravaginal applications. The control group consisted of 20 healthy patients. Assessment of quality of life survey conducted by using common clinical trials and monitoring at the individual questionnaire MOS 36- Item Short-Form Health Survey- MOS SF-36. Statistical analysis of the survey results was carried out using the software package Microsoft Office Excel and Statistica 6.0 for Windows. Results. In women, the main indicators of psycho-emotional and vegetative manifestations were most pronounced immediately after surgery and remained stable in three years with no significant deviations in the comparison group. Among the most frequently observed fatigue (76.25%), sleep disorders (88.75%), irritability and mood changes (76.25%) and emotional lability, anxiety and depressive symptoms. Of The results of evaluation of quality of life should be noted that first disturbed functioning role of women because of poor physical and emotional state, as evidenced by the significant differences obtained on the scale of General Health (GH) (overall health). Three years after the rapid improvement in women’s core group established stable condition posthisterektomy pronounced effect on quality of life. Thus, in total 33.75% of the principal groups characterized as low quality of life, compared with 5.0% of patients in the control group and 10,0% of women with myoectomy. Conclusions. The highest level of dissatisfaction with life studied patients presenting in health – 28.75% (23) cases, slightly less professional – 22.5% (18), emotional – 17.5% (17) and as in the sexual sphere – 13.75% (11) cases. That associated complications related symptoms posthisterektomy syndrome, increases the level of stress and hysterectomy as the body creates prerequisites for psychosomatic disorders. This action provides additional risk factors for the development of psychosocial distress in this group of patients. Key words: uterine fibroids, hysterectomy, posthisterektomy syndrome, psychosomatic disorders, quality of life.

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