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The insider story.
[08-09-1999]

By: Dr. Allan Harrison

This decade has presented women with many challenges, however, the good news is that more women are living longer, the Census Bureau reports that there are 25,000 women currently alive over 100 years of age.

Some of the more serious challenges that remain to be tackled include cancer (cardiovascular and breast), AIDS, sexually transmitted diseases (STD), pregnancy issues and the increase in female cigarette smoking.

Every year more than 12 million cases of sexually transmitted Diseases (STD's) are reported in the United States and the health impact of STDs is particularly severe for women. The infections often cause few or no symptoms and may go untreated. Women, in particular, are at risk because many complications can arise from STDs, including ectopic (tubal) pregnancy, infertility, chronic pelvic pain, and poor pregnancy outcomes.

During the 1990's an estimated 2 million American women will be diagnosed with breast cancer or cervical cancers and half a million will die from these diseases. In addition, AIDS is now the fourth leading cause of death among U.S. women 25 to 44 years of age.

The available treatments are medical(non-surgical), and surgery.

One of the most surprising changes has occurred in smoking habits; it is estimated that at least 22 million women and at least 1.5 million adolescent girls currently smoke cigarettes. Among women, use of tobacco has been shown to increase the risk of cancer, heart and respiratory diseases, and reproductive disorders. More than 140,000 women die each year from smoking-related diseases.

Menstruation, pregnancy, childbirth, contraception, fertility, and menopause present special health care needs for women.

These newer and less invasive therapies utilise laser, radio frequency, microwaves, and ultrasound. The most promising and effective of these at this time is called tuna, or transurethral needle ablation, which utilises radio-frequency to heat and selectively destroy the excess prostatic tissue. This procedure is done on an outpatient basis, using local anaesthetic, and represents a major improvement over the conventional surgical treatments.

In next week's article, written by our Family Physician Panel, we will delve into understanding these Illnesses and how to take charge of your health.

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