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Feb 24

Uterine cancer has to be treated holistically: Dr Rani A Bhat –

Shahid Akhter, editor, ETHealthworld spoke to Dr Rani A Bhat, head & senior consultant, division of gynaecological oncology, HCG, Bengaluru, to know more about the latest advancements in endometrial cancer care and the growing burden of obesity and its impact.

Obesity is exploding all over the world. After USA and China, we are one of the leading countries in obesity including malnutrition, we have seen that there is a high incidence of obesity in India. Obesity is there in childhood and it is seen in adults of reproductive age group. When women are obese, it not only affects their reproductive function like irregular menstrual bleeding, they can also have difficulty to conceive and if not guided properly or advised well, these women are at the risk of developing endometrial cancer as well.

When there is high-level of fat in the body it is converted to hormones which has an effect on the uterus and causes cancer. Once the uterus has cancer, it has to come out so when I see these women, the biggest challenge I face is "will I lose a chance of being a mother because there is only one uterus and what my in-laws and society will think about it."

Gynaeoncology: Latest advancementsReproductive age women with obesity and uterine cancer is not just one modality kind of treatment. There are various things which we have to tackle. One that obesity is the main cause leading to endometrial cancer, second is to treat cancer, and the third is that they are very anxious to become pregnant. So is there any chance that we can fulfil that factor for that lady. When it comes to uterine cancers especially in obese women, it is not only cancer but they also have other medical conditions like high blood pressure or diabetes. With modalities that we have for cancer, we can tell the women whether we have to remove the whole of the uterus including the ovaries or only the uterus and leave behind the ovaries which give her an option later to have surrogacy.

Gynae oncology @ HCGUterine cancer has to be treated holistically. We include a dietician, a physiotherapist and yoga to guide them about their diet and exercise post-surgery. If we do not take this part into consideration and advise women to lose weight after surgery they are at risk of developing recurrence again. We need a reproductive medicine facility also so that we can guide her to that and yes she does have an option to have her pregnancy later.

Original post:
Uterine cancer has to be treated holistically: Dr Rani A Bhat -

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