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Mother Lost to Ovarian Cancer: Reducing Risk as a Woman with Family History

Dr Nandita

Dr Nandita Palshetkar  | Answer  |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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My mother passed away last year due to ovarian cancer. It was undetected until she reached the last stage and my mother never informed us. She was only 54. I don't want to go through something like that. Are there lifestyle changes or preventive measures women can take to reduce the risk of gynecological cancers, especially if there’s a family history like mine?

Ans: About 5% to 10% of breast cancers and 10% to 15% of ovarian cancers are hereditary.
Women with a mother or sister diagnosed with ovarian cancer have around 3 times the risk of ovarian cancer.
If your mother has a history of ovarian cancer, the most effective preventive measure for your daughter is to consult a genetic counselor and consider genetic testing to determine if she carries BRCA mutations, which significantly increase the risk of ovarian cancer; if positive, she may choose to undergo a preventive surgery called a risk-reducing salpingo-oophorectomy (removal of the ovaries and fallopian tubes), and could also benefit from regular monitoring and discussing other preventive options like long-term oral contraceptive use with advise of your doctor.
To rule out other gynae cancers
1) routine gynae examination
2) routine blood test
3) Ultrasound of pelvis to detect any uterine or ovarian pathology
4) PAP WITH HPV DNA TEST to rule out cervical cancers
5) tumor markers like ca125 to rule out ovarian cancers
6) mammography to rule out breast lumps
And self-breast examination.
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  | Answer  |Ask -

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.

..Read more

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

Latest Questions
Ramalingam

Ramalingam Kalirajan  |10872 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Dec 06, 2025

Asked by Anonymous - Dec 06, 2025Hindi
Money
Dear Sir/Ma'am, I need some guidance and advice for continuing my mutual fund investments. I am a 36 year old male, married, no kids yet and no debts/liabilities as such. I have couple of savings in PPF, NPS, Emergency funds and long term investing in direct stocks. I recently started below mentioned SIPs for long term to grow wealth. Request you to review the same and let me know if I should continue with the SIPs or need to rationalize. Kindly also advice on how to invest a lumpsum amount of around 6lacs. invesco small cap 2000 motilal oswal midcap 2700 parag parikh flexicap 3000 HDFC flexicap 3100 ICICI prudential largecap 3100 HDFC large and midcap 3100 HDFC gold etf FOF 2000 ICICI Pru equity and debt fund 3000 HDFC balanced advantage fund 3000 nippon india silver etf FOF 2000
Ans: You already built a solid foundation. Many investors delay planning. But you started early at 36. That gives you a strong advantage. You have no liabilities. You have long term thinking. You also have diversified savings like PPF, NPS, Emergency funds and direct stocks. That shows clarity and discipline. This approach builds wealth with less stress over time.

You also started systematic investments in equity funds. That is a positive step. Your selection covers multiple categories like large cap, mid cap, small cap, flexi cap, hybrid and precious metals. So the intent is right. You are trying to create a broad portfolio. That gives balance.

» Your Portfolio Composition Understanding
Your current SIP list includes:

Small cap

Mid cap

Flexi cap

Large cap

Large and mid cap

Hybrid category

Gold and Silver FoF

Equity and Debt allocation fund

Dynamic hybrid fund

This shows you are trying to cover many segments. But too many categories can create overlap. When there is overlap, you get confusion during review. It also makes portfolio discipline difficult. You may think you are diversified. But the holdings inside may repeat. That reduces efficiency.

Your portfolio now looks like:

Equity dominant

Hybrid for stability

Metals for hedge

So the broad direction is fine. But simplifying helps in long-term habit building.

» Fund Category Duplication
You hold:

Two flexi cap funds

One large and mid cap fund

One pure large cap fund

One mid cap fund

One small cap fund

Flexi cap funds already invest across large, mid, small. Then large and mid also overlaps. So the large cap exposure gets repeated. That may not add extra benefit. But it increases monitoring complexity.

So I suggest rationalising. Keep one fund per category in core. Keep satellite space for only high conviction.

» Core and Satellite Strategy
A structured portfolio follows core and satellite method.

Core portfolio should be:

Simple

Long term

Stable

Satellite portfolio can be:

High growth

Concentrated

Based on your thinking level, you can structure like this:

Core funds:

One large cap

One flexi cap

One hybrid equity and debt fund

One balanced advantage type fund

Satellite funds:

One mid cap

One small cap

One metal allocation if needed

This division gives clarity. You can continue SIPs with review every year. No need to stop and restart often. That reduces behavioural mistakes.

» Your Current SIP List Review with Suggested Streamlining

You can consider continuing:

One flexi cap

One large cap

One mid cap

One small cap

One balanced advantage

One equity and debt hybrid

You may reconsider keeping both flexi caps and both gold silver funds. One of each category is enough. Because too many funds do not increase returns. It complicates tracking.

Precious metal funds should not be more than 5 to 7 percent in your portfolio. This is because metals are hedge assets. They do not create compounding like equity. They act as protection during cycles. So keep them small.

» How to Use the Rs 6 Lakh Lump Sum
You asked about lump sum investing. This is important. Lump sum should not go fully into equity at one time. Markets move in cycles. So use a staggered method. You can invest the lump sum through STP (Systematic Transfer Plan). You can keep the amount in a liquid fund and set STP toward your chosen growth funds over 6 to 12 months.

This reduces timing risk. It also creates discipline. So your Rs 6 lakh can be deployed gradually. You may use 50% towards core equity funds and 30% toward satellite growth category. The remaining 20% can go into hybrid category. This gives balance and comfort.

» Regular Funds Over Direct Funds
One important point many investors miss. Direct funds look cheaper. But they demand deep knowledge, discipline, and behaviour control. Most investors lose more through emotional selling and wrong timing than they save on expense ratio.

With regular funds through a Mutual Fund Distributor with Certified Financial Planner qualification, you get guidance, structure and correction. The advisory discipline protects you during market extremes. That is more valuable than a small saving in expense ratio.

A personalised planner also tracks portfolio drift, rebalancing need and category shifts. So regular fund investing gives long-term benefit and behaviour coaching.

» Actively Managed Funds over Index or ETF
Some investors choose index funds or ETF thinking they are simple and cheap. But they ignore drawbacks.

Index funds or ETF will not avoid weak companies in the index. They will invest whether the company grows or struggles. There is no fund manager decision making. So when markets are at peak, index funds continue aggressive exposure. In downturns also they fall fully. There is no cushion.

Actively managed funds work with research teams. They can avoid bad sectors. They can shift allocation based on market and economy. Over long term, this gives better alpha and stability. So continuing with actively managed funds creates better wealth compounding.

» SIP Continuation Strategy
Once the rationalisation is done, continue SIPs every month without interruption. Pause and restart behaviour damages compounding power. SIP works best when you go through all market cycles. You benefit more during corrections because cost averaging works.

So continue SIP amount. You can also review SIP increase every year based on income. Increasing SIP by 10 to 15 percent every year helps you reach large corpus faster.

» Asset Allocation Based Approach
One key point in wealth creation is having the right asset mix. Equity gives growth. Hybrid gives balance. Metals give hedge. Debt gives safety. Your asset allocation should stay aligned to your risk profile and time horizon.

Since you are young and have long term horizon, higher equity allocation is fine. But as time moves, rebalancing is important. Rebalancing protects gains and restores allocation.

So review your asset allocation every year or during major life events like child birth, home buying or retirement planning.

» Behaviour Management
Many portfolios fail not due to bad funds. They fail due to bad decisions. Selling during correction. Stopping SIP when market falls. Chasing past return performance. These mistakes reduce wealth.

Your discipline so far is good. Continue to stay patient during volatility. Equity rewards patience and time.

» Financial Goals Clarity
Since you have no children now, you can decide your long-term goals. Typical goals may include:

Retirement

Future child education

Dream lifestyle purchase

Health care reserves

When goals are clear, investment purpose becomes stronger. So you can map each fund category to goal horizon. Short-term goals should not use equity. Long-term goals should use equity with hybrid support.

» Role of Review and Monitoring
Review once in a year is enough. Frequent review can create anxiety. Annual review helps check:

Fund performance

Expense drift

Category relevance

Allocation balance

Then adjust only if needed. This progress helps you stay confident and aligned.

» Taxation Awareness
Equity mutual funds taxation rules are:

Short term (below one year holding) taxable at 20 percent

Long term (above one year holding) gains above Rs 1.25 lakh taxable at 12.5 percent

Debt mutual funds are taxed as per your income slab.

So always hold equity funds for long term. That reduces tax impact and gives better growth.

» SIP Increase Plan
You can create a simple plan to increase SIP over time. For example:

Increase SIP at every salary increment

Increase SIP during bonus time

Use rewards or extra income for investing

This habit accelerates wealth. So by the time you reach 45 to 50 years, your investments could reach a strong level.

» Insurance and Protection
Before investing large, ensure you have term insurance and health insurance. If not already done, it is important. Insurance protects wealth. Without insurance, even a small medical event can impact investment plan. So review this part also. Since you are married, cover both.

» Wealth Behaviour Mindset
You are already disciplined. Just keep these simple principles:

Invest without stopping

Review once a year

Avoid funds overlap

Follow asset allocation

Avoid reacting to media noise

This helps you reach long term milestones.

» Finally
You are on the right track. Only fine tuning and simplification is needed. Your discipline is visible. Your portfolio will grow well with structure, patience and periodic review. Use the Rs 6 lakh with STP approach. And continue SIP with rationalised categories.

With time and consistency, wealth creation becomes effortless and peaceful. You just need to stay committed and avoid overthinking during market movements.

Best Regards,
K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

https://www.youtube.com/@HolisticInvestment

...Read more

Dr Dipankar

Dr Dipankar Dutta  |1837 Answers  |Ask -

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.

...Read more

DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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