Women's Health Archives

What is Uterine Cancer?

Posted on July 12, 2023 by Jacob Lobosco

Uterine cancer occurs in the uterus, the part of a woman’s reproductive system where a fetus develops during pregnancy. Approximately 3% of all people assigned female at birth are diagnosed with uterine cancer at some point during their lives.

There are two types of uterine cancer. The most common form is endometrial cancer, which develops in the inner lining of the uterus (the endometrium). Uterine sarcoma, which develops in the muscle wall of the uterus (the myometrium) occurs much more rarely.

Endometrial cancer and uterine sarcoma share some symptoms. These include:

Vaginal bleeding between periods or after menopause
Lower abdominal or pelvic pain
Thin white or clear vaginal discharge after menopause
Heavy or prolonged vaginal bleeding after the age of 40

People with uterine sarcoma may also experience a feeling of fullness in the abdomen, frequent urination, and constipation.

While there’s no clear cause for either form of uterine cancer, certain factors can increase your risk, such as:

Age
Genetics
Diabetes
Obesity
Ovarian diseases that raise estrogen levels and lower progesterone levels
Long lifetime menstruation period, beginning before the age of 12 and/or ending after the age of 50
Not getting pregnant
Medical treatments that cause radiation exposure to the pelvic region or increase estrogen levels

Treatment for uterine cancer typically involves surgery combined with additional treatments such as chemotherapy, radiation therapy, hormone therapy, immunotherapy, and medication that targets specific cancer cells.

The surgery most commonly performed to treat uterine cancer is a hysterectomy, which involves the removal of the uterus and cervix. You may also require a bilateral salpingo-oophorectomy, which involves the removal of your ovaries and fallopian tubes to prevent the further spread of the cancer, as well as lymph node dissection, which involves the removal of lymph nodes to determine if the cancer has spread.

If you are experiencing symptoms of uterine cancer and require a diagnosis or treatment, you can schedule an appointment at Jamaica Hospital Medical Center’s Women’s Health Center by calling (718) 291-3276.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

What is Eclampsia?

Posted on June 28, 2023 by Jacob Lobosco

Eclampsia is a condition that causes seizures during pregnancy. It is a rare complication in people with preeclampsia, which causes high blood pressure and protein in urine during pregnancy. Eclampsia generally occurs after the 20^th week of pregnancy and requires emergency medical care.

Aside from seizures, people with eclampsia may also experience severe distress, confusion, or loss of consciousness. Before the onset of these symptoms, certain warning signs may occur, such as:

Severe headaches
Nausea and vomiting
Distorted vision or loss of vision
Swelling of the hands, face, or ankles
Difficulty breathing or urinating
Abdominal pain, particularly on the upper right side of the abdomen

A few factors may increase a person’s risk of developing eclampsia. These include:

A family or personal history of preeclampsia or eclampsia (though most people with preeclampsia do not develop this condition)
Being pregnant for the first time
Twins or triplets
Autoimmune conditions
Obesity
Diabetes
Kidney disease
Pregnancy at an age younger than 17 or older than 35

While certain factors that increase your risk of eclampsia may be beyond your control, there are steps you can take to manage many of them. You should attend all of your pre-natal medical appointments and get prompt care from your doctor as needed, particularly if you experience symptoms of preeclampsia. Additionally, maintaining a healthy weight through a balanced, moderate diet and regular exercise can help to control your blood pressure.

If you have been diagnosed with eclampsia, your doctor may suggest inducing labor if the fetus is at 37 weeks gestation or more, as this is the most effective means of treating the condition and protecting the health of yourself and your baby. During pregnancy, you may also be prescribed medication to prevent seizures, lower blood pressure, and strengthen the fetus’ lungs.

You can receive treatment for eclampsia at Jamaica Hospital Medical Center’s Women’s Health Center. To schedule an appointment, please call (718) 291-3276. If you are experiencing a medical emergency, please dial 911 immediately.

What is Female Pattern Baldness?

Posted on March 29, 2023 by Jacob Lobosco

Approximately one in three women will experience hair loss at some point within their lifetime, with about 55% losing some amount of hair by the age of 70.

The most common cause of hair loss in women is female pattern baldness. There’s no specific known cause for female pattern baldness, but several factors have been identified that may be linked to it. These include aging, changes in androgen levels, a family history of male or female pattern baldness, significant blood loss during menstrual periods, and certain medications, such as birth control pills.

In most cases, female pattern baldness begins in the crown of the scalp and the top of the head, becoming thinner in these areas over time. While the hairline does not recede beyond average levels, the center part of the hair that runs across the top of the head may become wider. Unlike male pattern baldness, however, female pattern baldness does not typically result in an eventual total loss of hair.

Hair loss may also be an indicator of other, potentially more serious conditions. Alternative causes such as alopecia areata, which causes your immune system to attack your hair follicles, are not particularly dangerous to your health. However, causes of hair loss such as thyroid disease or anemia are potentially life-threatening illnesses if they are not adequately managed.

If you begin to experience symptoms of female pattern baldness, you should speak with a dermatologist for an accurate diagnosis. Certain signs, such as new hair growth on your face or in other abnormal parts of your body, may indicate heightened levels of androgen and support female pattern baldness as the most likely cause of your hair loss. A dermatologist can also perform a skin biopsy or blood test to diagnose you.

To schedule an appointment with a dermatologist at Jamaica Hospital Medical Center, please call our Ambulatory Care Center at (718) 206-7001.

Ovarian Cysts

Posted on November 15, 2022 by Xavia Malcolm

The U.S. Department of Health and Human Services’ Office Of Women’s Health defines ovarian cysts as fluid-filled sacs in the ovary. Ovarian cysts are common and usually form during ovulation. Most women will develop cysts at least once in their lifetime.

The two most common types of ovarian cysts are follicle and corpus luteum cysts. Other cysts that are less common include endometriomas, dermoids, and cystadenomas.

Anyone born female is at risk for developing ovarian cysts; however, the risk factor is higher with

Previous ovarian cysts
Hormonal problems
Pregnancy
Severe pelvic infections
Endometriosis

In most cases, ovarian cysts are symptomless and do not lead to further complications. They typically disappear within a few months without treatment. However, if cysts continue to grow and become enlarged, twisted, or ruptured, symptoms such as pelvic pain, bloating, painful intercourse, and pain in the lower back or thighs can occur. Cysts can also lead to complications such as infertility.

If you are experiencing symptoms, speak with your doctor. If cysts are discovered after a thorough examination and testing, your doctor will determine the course of treatment based on the type of cyst and severity. Medication or surgery may be recommended.

Spina Bifida Awareness Month

Posted on October 13, 2022 by Jacob Lobosco

Approximately 1,400 babies are born with spina bifida in the United States each year. It can affect every child differently, but typically comes in three main forms: spina bifida occulta, meningocele, and myelomeningocele.

Spina bifida occulta, or “hidden” spina bifida, is the most common form of the condition, affecting up to 15% of the general population. It’s also the mildest form of spina bifida; a gap forms in the spine, but no opening or growth develops in a baby’s back and the spinal cord and nerves are left relatively unaffected.

Another form of spina bifida, meningocele, causes a sac of fluid to develop in a baby’s back, but does not contain any part of the spinal cord and causes little to no nerve damage, leading to only minor disabilities.

The most serious form of this condition, myelomeningocele, typically involves a sac of fluid forming within a gap in a baby’s back which may contain part of the spinal cord and nerves, potentially leading to severe disabilities in a person’s lower body.

Spina bifida is usually diagnosed within the first 28 days of pregnancy through an alpha-fetoprotein test, an ultrasound, or an amniocentesis test, though in certain cases, it may be diagnosed after birth.

Several comorbidities are associated with spina bifida. Approximately 68% of children diagnosed with the condition develop a latex allergy. Additionally, it increases a child’s risk of experiencing mental health issues such as anxiety or depression. Eighty percent of children with spina bifida also develop hydrocephalus, a condition which causes an abnormal buildup of fluid in the ventricles of the brain.

Due to the symptoms of spina bifida and the various conditions that may accompany it, people with this condition undergo an average of at least eight surgeries by 18 years of age. Many babies will require spinal surgery to prevent further injury and infection, and babies who also develop hydrocephalus will require a ventricular shunt, which may need to be replaced once they reach two years of age as well as several years later.

While there is no cure for spina bifida, surgery can prevent the condition from worsening. Additionally, pre-natal care can help prevent spina bifida from developing. Four hundred micrograms of folic acid are recommended for new mothers every day before and during early pregnancy. Controlling fevers, body heat, and chronic conditions such as diabetes or obesity can also help.

A doctor can help you identify potential risks and create a treatment plan to prevent spina bifida and other congenital conditions at Jamaica Hospital Medical Center’s Women’s Health Center. To schedule an appointment or receive more information, please call (718) 291-3276.

Jamaica Hospital Welcomes Dr. Ugochi Akoma

Posted on June 25, 2021 by Michael Hinck

Jamaica Hospital Medical Center would like to introduce our community to Dr. Ugochi Akoma, our new Obstetric Gynecologist, specializing in Maternal Fetal Medicine.

Dr Akoma, who grew up in the South Bronx, earned her Bachelor and Doctor of Medicine degrees at Brown University. She returned to her Bronx roots to complete her residency at the Montefiore, Albert Einstein College of Medicine. After completing her residency training, Dr. Akoma demonstrated her commitment to her caring for her community by dedicating five years of clinical service to treat thousands of underserved pregnant women in the Bronx.

During that time, Dr. Akoma encountered many high-risk patients facing challenges such as diabetes, high blood pressure, and infections in pregnancy. These experiences further inspired her goal to complete a fellowship in Maternal Fetal Medicine at Wake Forest University School of Medicine. There she acquired the necessary tools to provide her patients with an expertise in diagnosing and managing high risk pregnancy conditions.

Dr. Akoma joined Jamaica Hospital earlier this year and her current title is Director of Perinatal Diagnostic Centers- Obstetric Ultrasound, and Director of Quality Improvement in the Department of Obstetrics and Gynecology. In addition to her training in the medical and surgical management of high-risk pregnancies, Dr. Akoma also specializes in the management of a broad range of high-risk complex medical conditions such as diabetes, hypertension, preeclampsia, multifetal pregnancy, cervical insufficiency, preterm birth, and placental previa.

Dr Akoma is a first generation American who understands the health disparities many women in our community face due to reduced access to safe housing, healthy foods, education, and quality health care. Dr. Akoma recounts, “After attending the best Ivy League undergraduate and medical schools, and residency programs, and having been a witness to seeing the vast health inequities in my community, I made a personal commitment to come back home and work towards the goal of reducing maternal morbidity and mortality and adverse outcomes.”

To make an appointment with Dr. Akoma, please call Jamaica Hospital’s Women’s Health Center at 718-291-3276.

Birth Defects

Posted on March 3, 2021 by Jamaica Hospital Medical Center

Birth defects are defined as conditions that are present when a baby is born and can affect nearly every part of the body. Conditions such as cleft lip can be easily diagnosed. Other conditions such as deafness or heart defects may only be discovered after diagnostic testing.

The largest number of birth defects occurs during the first three months of gestation. In the U.S. approximately 120,000 babies are born with birth defects each year.

The 10 most common birth defects in the US, according to the Centers for Disease Control and Prevention (CDC) are:

Down syndrome
Cleft lip (with or without cleft palate)
Atrioventricular septal defect (hole in the heart)
Absence or malformation of the rectum and/or large intestine
Gastroschisis (hole in the abdominal wall)
Tetralogy of Fallot (a combination of heart defects)
Spina bifida without anencephaly
Reduction deformity, upper limbs
Reversal of the heart’s two main arteries

Although birth defects can’t always be prevented, there are plenty of steps pregnant women can take to help reduce the risk.

The womenshealth.gov website offers these suggestions:

Make regular visits to your doctor throughout pregnancy
Get 400mcg of folic acid each day through diet or supplements
Don’t smoke, use illegal drugs or drink alcohol while you are pregnant
Always check with your doctor before taking any medication
Get all vaccinations recommended by your doctor
If you have diabetes, keep it under control
Stick to a healthy weight

You may also request a pre-pregnancy or early pregnancy screening test in order to spot potential or real birth defects. The types of tests include a carrier test to see if you or your partner carries potentially harmful genes, as well as screening and diagnostic tests that can determine risks for and detect genetic disorders.

If you are pregnant, or planning to be, and want to discuss your options with one of our doctors, the Women’s Health Center at Jamaica Hospital Medical Center is centrally located and has convenient hours; to make an appointment call 718-291-3276.

Jamaica Hospital Offers A Virtual Prenatal Experience For Women

Posted on January 26, 2021 by Xavia Malcolm

Being pregnant can be very challenging, and even more so during the COVID-19 pandemic. One of the issues that a growing number of pregnant women are encountering at this time is loneliness.

Studies show that over 50% of expecting mothers admit to feeling extremely lonely and isolated because they are spending more time at home, and away from others. These factors are believed to be contributors to a rise in prenatal depression.

Jamaica Hospital Medical Center hopes to provide a solution to this problem by offering pregnant women a safe place where they feel supported. By moving its CenteringPregnancy program to a virtual space, patients of the hospital can receive prenatal care and actively engage with a community of healthcare providers and fellow moms on Zoom.

In the CenteringPregnancy program at Jamaica Hospital, patients with similar due dates are invited to participate in group sessions facilitated by doctors or midwives. Participants meet every two or four weeks (depending on gestational age) and interact with nutritionists, lactation consultants and other healthcare providers. A variety of topics including mental health, breastfeeding and labor preparation are discussed. Special guest speakers from organizations such as Safe Sleep and Queens Healthy Start are also invited to share information and connect moms to helpful resources.

Before their first group session, patients attend an in-person orientation where they are given a Centering prenatal kit. This consists of a scale, blood pressure monitor, fetal Doppler, books and other materials, all of which are needed to participate in the program. Participants are trained on how to use each item to monitor their baby’s development and record vital health information. Patients report this information to their providers in a private session before the start of every group meeting.

While engagement and group discussions are encouraged among participants, there are 1-on-1, break-away sessions during each meeting. Here, mothers can speak privately with facilitators about any concerns or questions they may have. If a patient’s needs cannot be addressed via Zoom, an appointment will be scheduled to see their doctor at the Women’s Health Center where strict COVID-19 safety protocols are followed.

Jamaica Hospital’s virtual CenteringPregnancy program has been highly successful. The program has earned recognition from leading institutions and is used to demonstrate the benefits of virtual prenatal care to other medical facilities.

“The COVID-19 pandemic has changed the pregnancy experience for a lot of women, and we are constantly thinking of ways to make it as positive as we can,” said Patricia Fox, Certified Midwife. “Our team has established this unique, virtual platform so that we can provide our patients with a healthcare service that is convenient, safe and supportive. We understand how important these things are during these unprecedented times,” shared Thalita Viruet, Practice Manager for the Women’s Health Center.

To learn more about Centering at Jamaica Hospital, please call our Women’s Health Department at 718-291-3276.

How to Prevent Dehydration During the Summer Heat

Posted on June 9, 2020 by Jamaica Hospital Medical Center

With the summer and warmer weather upon us causing more and more people to begin to participate in outdoor activities. Before you begin, make sure you drink plenty of water in order to avoid dehydration. Here are some tips to help you stay hydrated:

The rule that you need to drink eight glasses of water per day is a myth. The Institute of Medicine recommends women should receive 2.2 liters of fluid intake per day and men should get three liters. Keep in mind that fluid intake can come from beverages other than water.
While thirst is your body’s way of preventing dehydration, being thirsty doesn’t mean that you are dehydrated. Thirst is our brain’s way of telling us to drink more to avoid dehydration.
The color of your urine is a good, real-time indicator of dehydration, but the misconception is that urine should be clear. In truth, urine should be a pale-yellow color.
Caffeinated beverages, such as coffee or tea will not dehydrate you if consumed in moderate amounts. Caffeine is considered a mild diuretic, the amount of water in it offsets the amount of fluid it will cause you to lose through increased urination.
Drinking isn’t the only way of increasing your water intake. It is estimated that we get up to 20% of our daily water intake from the foods we eat. Fruits and vegetables contain the most, with cucumbers, celery, and watermelon having the highest concentration of water.

There is also such a thing as drinking too much water and becoming overhydrated. This can be very dangerous and can lead to a condition called hyponatremia. Symptoms include nausea, vomiting, headache, and fatigue. To avoid this problem, do not drink to the point that you are full from water alone.

Oh My Aching Feet!

Posted on March 6, 2019 by Joann Ariola

Corns and calluses are caused by pressure or friction on skin, which leads to the formation of thickened skin on the top or side of a toe. Complications from corns and calluses are rarely serious; however, if you are a diabetic they can lead to more serious issues.

Diabetics often have impaired sensitivity and may not be aware of the friction or presence of a corn or callous. Since they are unaware, the corn or callous can progress into ulcers or secondary infections without the person knowing.

In addition, diabetics don’t, usually, heal as quickly as non-diabetics and their infections can become life-threatening.

Indications that you may have a corn or callous:

Skin is thick and hardened.
Skin may be flaky and dry.
Hardened, thick skin areas are found feet or other areas that may be rubbed or pressed.
The affected areas can be painful and may bleed.

According to the National Institutes of Health, preventing friction by wearing proper fitting shoes and avoiding walking barefoot are often the only preventative measures you can take.

Regular examination of you feet can help you to identify any problems and, if you receive a foot injury, you should seek immediate medical attention.

If you have diabetes and are experiencing corns/calluses that are painful, red, warm, or there is drainage in the area, you should call your healthcare provider immediately to determine the cause.

To make an appointment with a Doctor of Podiatric Medicine at Jamaica Hospital Medical Centers Ambulatory Care Center, please call 718-206-7005 to schedule an appointment.