Ovarian
Cancer
By
Shahida Nisar
It is
the hormone progestin in oral contraceptive pills that provides
the highest level of
protection against ovarian cancer, according to a new study.
Researchers at the
Duke Comprehensive Cancer Center in Durham, N.C, found that
ovarian cancer risk was cut
by about 50 percent in all women taking contraceptive pills
containing the hormones
estrogen and progestin.
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pills that
had high levels of progestin, the risk was reduced an
additional 50 percent, says Patricia G. Moorman, a Duke
University Medical Center researcher and the co-author
of a study in the Journal of the National Cancer Institute.
"The take- home message from his study is that
oral contraceptives are protective against ovarian cancer
and our finding that the high progestin potency effect
is a scientific (result) that might lead to new protective
drugs against ovarian cancer, says Moorman.
The study is based on a re-examination of the medical
and oral contraceptive histories of more than 3,200
women who took part in a study project conducted from
1980 to 1982. |
The group included 390 women who developed
ovarian cancer and 2,865 who did not. It compared the
ovarian cancer outcome among women who did not take
the pill and women who took different formulations of
the contraceptive pill.
The groups included women who took no pills; those who
took pills high in both estrogen and progestin; women
who took pills high in one or the other of the hormones,
and women who took pills with low levels of both hormones.
Earlier results had proven that pills protect against
ovarian cancer, while the new study shows which of two
hormones in the pills, estrogen and progestin, are most
protective. The study should lead to the investigation
of progestin as a chemopreventative agent for ovarian
cancer. The contraceptive pills used by the women in
the study 20 years ago are not now commonly available.
The birth control pill formulations have changed over
the years as research showed that pills with lower hormone
levels were effective contraceptives. Pills with lower
levels of hormone generally have fewer side effects.
Ovarian cancer is the sixth most common cancer among
women, excluding the skin cancers. It accounts for about
4 percent of all cancers in women, with about 23,400
new cases diagnosed in 2001, according to the American
Cancer Society. About 13,900 American women died of
ovarian cancer in 2001, the society reported. |
Glaucoma
Vision Loss
Getting
regular eye exams is important, especially as one
gets older, to determine
about glaucoma; a disease that damages the optic nerve
and can lead to blindness, yet it has no symptoms
at first. Glaucoma affects about 3 million people
in the United States, and half of them don't know
they have it.
In many
people, glaucoma is caused by increased pressure
within the eye. Open-angle glaucoma is the most
common type of glaucoma, and damage to the eye
develops over time. At first, someone with glaucoma
notices no change in vision, and has no pain
or other symptoms. If untreated, glaucoma will
eventually cause side vision to fade, so that
objects appear as though viewed through a tunnel.
As the disease progresses, sight can fade entirely.
Having increased pressure in the eye doesn't
automatically mean one has glaucoma, however
it does put one at risk for developing glaucoma,.
Each person's eye pressure is different. Normal
pressure ranges from 12 mm Hg to 21 mm Hg, although
that might be high for some people. Only an
eye specialist can make that determination.
Doctor can tell if you have glaucoma by using
several tests. Your eye doctor first tests how
well you can see at different distances and
checks your peripheral vision. He or she then
dilates your pupils to look at the optic nerve
for any signs of damage. The standard test for
eye pressure is called tonometry, which measures
pressure using purple light or a puff of air,
among several methods. People 60 or older and
with family history are at risk of developing
glaucoma.
Glaucoma can be treated. There is no cure for
glaucoma, but the pressure in the eye can be
controlled, helping to prevent further vision
damage. Medication, in the form of an eye drop
or pill, is the most common treatment. Laser
surgery and conventional eye surgery can also
be used to treat glaucoma, to help fluid drain
from the eye. In many cases, even after surgery,
medication to control eye pressure must still
be taken. |
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