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Worried About Accuracy of Routine Cancer Check-ups?

Dr Nandita

Dr Nandita Palshetkar  |59 Answers  |Ask -

Gynaecologist, IVF expert - Answered on Feb 12, 2025

Dr Nandita Palshetkar is the medical director of Bloom IVF.
She is a pioneer in ICSI, laser hatching, spindle view, oocyte and embryo freezing, IMSI, in vivo vaginal culture, metabolomics, embryoscope and spindle check technologies.
With over 30 years of experience, Dr Nandita is managing 10 centres across India.
She has written over 100 papers, edited 25 books and given over 1,000 lectures and speeches.
She has also won several prestigious awards, including the Dronacharya Award (2021), the Bharat Gaurav Award at the House of Commons in London (2014) and the Inspiring Gynaecologists of India (2018) to name a few.
Dr Nandita completed her MBBS from Grant Medical College and Sir J J Hospital, Mumbai, and her MD in obstetrics and gynaecology from Mumbai University."... more
Asked by Anonymous - Feb 04, 2025Hindi
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How accurate are routine gynecological check-ups in detecting cancer? Do you think women can opt for specialised screenings for certain types of cancers? Please advice.

Ans: A gynecological examination, while a part of routine cancer screening, is not highly accurate on its own for detecting most cancers, particularly in early stages; a pelvic exam is particularly poor at detecting ovarian cancer, and a Pap smear is primarily used for cervical cancer screening, meaning further tests like biopsies are usually needed for definitive diagnosis of most gynecological cancers.
Certain screening test are available to rule out cancers:
For women, the most common screening tests to rule out cancer include mammograms for breast cancer, Pap smears (along with HPV tests) for cervical cancer, and regular pelvic exams.
Mammograms:
An X-ray of the breast that can detect cancerous lumps early when they are easier to treat.
Pap smear:
A test that examines cells collected from the cervix to identify abnormal cell changes that could develop into cervical cancer. Me
HPV test:
Detects the human papillomavirus (HPV) which is a major risk factor for cervical cancer.
Co-Test: HPV WITH DNA
Endometrial cancer
Endometrial cancer often presents early with vaginal bleeding after menopause. Routine transvaginal ultrasound can be done.
IF NEEDED endometrial biopsy done and sent for testing for grading the endometrial cancer.
Ovarian cancer
A CA-125 blood test can indicate high levels of a biomarker that may be a sign of ovarian cancer along with other tumor markers CEA, LDH, AFP, ca19.9 Roma index
If needed MRI can be done to detect the extent of spread.
Self-breast examination
Once a month post menses can help patient to detect sny lump in breast or axilla or any nipple changes.
These screening methods help in early diagnoses n treatment of cancers in early stage.
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Dr Nandita

Dr Nandita Palshetkar  |59 Answers  |Ask -

Gynaecologist, IVF expert - Answered on Feb 12, 2025

Asked by Anonymous - Feb 04, 2025Hindi
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Health
I am 45 years old with a 12 year old daughter. What are the early signs of gynecological cancers, such as cervical or ovarian cancer, that women may overlook? Can early detection help improve survival rates?
Ans: Early signs of ovarian, cervical and breast cancer
1). OVARIAN CANCER:
Bloating
Abdominal pain cramps and discomfort
Pelvic pain
Change in bowel habits
Increase frequency of urination or dysuria
Fatigue
Irregular bleeding
Weight loss
CERVICAL CANCER:
Abnormal continuos vaginal discharge
vaginal bleeding after sex.
vaginal bleeding after menopause.
vaginal bleeding between periods or periods that are heavier or longer than normal.
vaginal discharge that is watery and has a strong odor or that contains blood.
pelvic pain or pain during sex.
BREAST CANCER
Lump in breast
Lump in axilla
Redness on lump if breast
Abnormal venous dilation on breast
Orange peel appearance of breast skin
Abnormal or bloody discharge of nipples
Pap smears, mammograms and colonoscopies all offer a way to detect cancer early —
The 2 tests used most often (in addition to a complete pelvic exam) to screen for ovarian cancer are transvaginal ultrasound (TVUS) and the CA-125 blood test.
Regular gynecological exams, including Pap smears and HPV tests, are used to help screen for cervical cancer.
Mammograms
Self-breast examination helps in early detection of breast cancer.
Yes, early detection of ovarian, cervical, and breast cancers significantly improves survival rates, as cancers caught in their early stages are more treatable and have a much higher chance of successful treatment compared to when diagnosed at later stages; this is why regular screening for these cancers is strongly recommended.

..Read more

Dr Nandita

Dr Nandita Palshetkar  |59 Answers  |Ask -

Gynaecologist, IVF expert - Answered on Feb 12, 2025

Asked by Anonymous - Feb 04, 2025Hindi
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Ramalingam

Ramalingam Kalirajan  |7948 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Feb 12, 2025

Asked by Anonymous - Feb 12, 2025Hindi
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I am 44 now. How much SIP should I do every month to have a sum of 3 crore at the age of 60?
Ans: To build a corpus of Rs. 3 crore by age 60, you need a well-structured investment plan. Below is a detailed breakdown to help you achieve your goal.

Understanding Your Investment Horizon
You are 44 years old now.
You have 16 years to invest.
A longer investment horizon helps in wealth creation through compounding.
Key Factors That Influence Your Goal
1. Expected Return on Investment
Investing in actively managed mutual funds can help grow wealth over time.
Historical data suggests equity funds deliver 12-15% CAGR over the long term.
Choosing the right funds is important for achieving consistent returns.
2. Monthly SIP Requirement
The amount you need to invest depends on the expected return.
Higher returns require a higher equity allocation in the early years.
Gradually shifting to safer funds helps protect your corpus closer to retirement.
How Much Should You Invest?

To accumulate Rs. 3 crore, your monthly SIP should be:
If returns are around 12% CAGR → Invest Rs. 52,000 per month
If returns are around 14% CAGR → Invest Rs. 42,500 per month

Best Investment Approach for You
1. Choose Actively Managed Mutual Funds
Avoid index funds as they only mirror market returns.
Actively managed funds outperform markets over the long term.
A Certified Financial Planner (CFP) helps in selecting the best-performing funds.
2. Diversification for Stability
Invest across large-cap, flexi-cap, and mid-cap funds.
Large-cap funds provide stability, while mid-cap and flexi-cap funds give growth.
This mix balances risk and returns effectively.
3. Adjust Your SIP Over Time
Start with an amount you are comfortable with.
Increase SIP by 10% every year for better wealth accumulation.
A gradual increase helps fight inflation and boost returns.
Common Mistakes to Avoid
1. Ignoring Fund Performance
Do not invest blindly without checking fund history.
Funds with a proven track record should be preferred.
A CFP can help in selecting funds with consistent returns.
2. Investing in Direct Mutual Funds Without Guidance
Direct funds seem attractive due to lower expense ratios.
However, they lack advisory support from a Certified Financial Planner (CFP).
Regular funds ensure expert monitoring and better long-term returns.
3. Redeeming Investments Too Soon
Stay invested for the full 16-year period.
Early withdrawals disrupt compounding and reduce growth.
Invest only the money you won’t need in the short term.
Tax Considerations for Mutual Funds
Equity mutual funds – LTCG (above Rs. 1.25 lakh) taxed at 12.5%.
Short-term capital gains (STCG) – Taxed at 20%.
Debt mutual funds – Gains taxed as per income tax slab.
Plan redemptions strategically to minimize tax liability.
What to Do as You Approach Retirement?
At age 55, start shifting funds from equity to hybrid and debt funds.
This reduces volatility and protects the accumulated corpus.
Keep some part in equity even after retirement for continued growth.
Final Insights
You need to invest Rs. 30,000 to Rs. 45,000 per month to reach Rs. 3 crore.
Stick to actively managed equity funds with a mix of large-cap, flexi-cap, and mid-cap funds.
Increase SIP annually and stay invested for 16 years.
A Certified Financial Planner (CFP) helps in fund selection and risk management.
By following this plan, you can achieve financial security and a stress-free retirement.

Best Regards,

K. Ramalingam, MBA, CFP
Chief Financial Planner
www.holisticinvestment.in
https://www.youtube.com/@HolisticInvestment

...Read more

Dr Nandita

Dr Nandita Palshetkar  |59 Answers  |Ask -

Gynaecologist, IVF expert - Answered on Feb 12, 2025

Asked by Anonymous - Feb 04, 2025Hindi
Listen
Dr Nandita

Dr Nandita Palshetkar  |59 Answers  |Ask -

Gynaecologist, IVF expert - Answered on Feb 12, 2025

Asked by Anonymous - Feb 04, 2025Hindi
Listen
Health
I am 45 years old with a 12 year old daughter. What are the early signs of gynecological cancers, such as cervical or ovarian cancer, that women may overlook? Can early detection help improve survival rates?
Ans: Early signs of ovarian, cervical and breast cancer
1). OVARIAN CANCER:
Bloating
Abdominal pain cramps and discomfort
Pelvic pain
Change in bowel habits
Increase frequency of urination or dysuria
Fatigue
Irregular bleeding
Weight loss
CERVICAL CANCER:
Abnormal continuos vaginal discharge
vaginal bleeding after sex.
vaginal bleeding after menopause.
vaginal bleeding between periods or periods that are heavier or longer than normal.
vaginal discharge that is watery and has a strong odor or that contains blood.
pelvic pain or pain during sex.
BREAST CANCER
Lump in breast
Lump in axilla
Redness on lump if breast
Abnormal venous dilation on breast
Orange peel appearance of breast skin
Abnormal or bloody discharge of nipples
Pap smears, mammograms and colonoscopies all offer a way to detect cancer early —
The 2 tests used most often (in addition to a complete pelvic exam) to screen for ovarian cancer are transvaginal ultrasound (TVUS) and the CA-125 blood test.
Regular gynecological exams, including Pap smears and HPV tests, are used to help screen for cervical cancer.
Mammograms
Self-breast examination helps in early detection of breast cancer.
Yes, early detection of ovarian, cervical, and breast cancers significantly improves survival rates, as cancers caught in their early stages are more treatable and have a much higher chance of successful treatment compared to when diagnosed at later stages; this is why regular screening for these cancers is strongly recommended.

...Read more

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