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Dr Karthiyayini

Dr Karthiyayini Mahadevan  | Answer  |Ask -

General Physician - Answered on Mar 01, 2024

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more
Asked by Anonymous - Feb 03, 2024Hindi
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How to test for cervical cancer? What are the warning signs?

Ans: Pap smear is the commonly used screening test
Spotting, foul smelling discharge per vaginas are warning signs
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

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Gynaecologist, IVF expert - Answered on Feb 12, 2025

Asked by Anonymous - Feb 04, 2025Hindi
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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.

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Dr Nandita

Dr Nandita Palshetkar  | Answer  |Ask -

Gynaecologist, IVF expert - Answered on Feb 12, 2025

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.

..Read more

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Tech Careers and Skill Development Expert - Answered on Dec 05, 2025

Career
Dear Sir, I did my BTech from a normal engineering college not very famous. The teaching was not great and hence i did not study well. I tried my best to learn coding including all the technologies like html,css,javascript,react js,dba,php because i wanted to be a web developer But nothing seem to enter my head except html and css. I don't understand a language which has more complexities. Is it because of my lack of experience or not devoting enough time. I am not sure. I did many courses online and tried to do diplomas also abroad which i passed somehow. I recently joined android development course because i like apps but the teaching was so fast that i could not memorize anything. There was no time to even take notes down. During the course i did assignments and understood the code because i have to pass but after the course is over i tend to forget everything. I attempted a lot of interviews. Some of them i even got but could not perform well so they let me go. Now due to the AI booming and job markets in a bad shape i am re-thinking whether to keep studying or whether its just time waste. Since 3 years i am doing labour type of jobs which does not yield anything to me for survival and to pay my expenses. I have the quest to learn everything but as soon as i sit in front of the computer i listen to music or read something else. What should i do to stay more focused? What should i do to make myself believe confident. Is there still scope of IT in todays world? Kindly advise.
Ans: Your story does not show failure.
It shows persistence, effort, and desire to improve.

Most people give up.
You didn’t.
That means you will succeed — but with the right method, not the old one.

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Ravi

Ravi Mittal  |676 Answers  |Ask -

Dating, Relationships Expert - Answered on Dec 04, 2025

Asked by Anonymous - Dec 02, 2025Hindi
Relationship
My married ex still texts me for comfort. Because of him, I am unable to move on. He makes me feel guilty by saying he got married out of family pressure. His dad is a cardiac patient and mom is being treated for cancer. He comforts me by saying he will get separated soon and we will get married because he only loves me. We have been in a relationship for 14 years and despite everything we tried, his parents refused to accept me, so he chose to get married to someone who understands our situation. I don't know when he will separate from his wife. She knows about us too but she comes from a traditional family. She also confirmed there is no physical intimacy between them. I trust him, but is it worth losing my youth for him? Honestly, I am worried and very confused.
Ans: Dear Anonymous,
I understand how difficult it is to let go of a relationship you have built from scratch, but is it really how you want to continue? It really seems to be going nowhere. His parents are already in bad health and he married someone else for their happiness. Does it seem like he will be able to leave her? So many people’s happiness and lives depend on this one decision. I think it’s about time you and your BF have a clear conversation about the same. If he can’t give a proper timeline, please try to understand his situation. But also make sure he understands yours and maybe rethink this equation. It really isn’t healthy. You deserve a love you can have wholly, and not just in pieces, and in the shadows.

Hope this helps

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