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    A Simple Guide to Women's Health
    A Simple Guide to Women's Health
    A Simple Guide to Women's Health
    Ebook155 pages1 hour

    A Simple Guide to Women's Health

    By Kenneth Kee

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    About this ebook

    A female from birth is different from a male because of the different sex hormones.

    A girl usually matures physically and mentally faster than a boy

    At the age of puberty (11years for girls) the girl is usually taller than her male counterpart.

    She will have her menarche (the beginning of her menses).

    Emotionally and physically she will be more mature than her male counterpart.

    However she will have problems with her menses (the monthly flow of blood which results from the shedding of the lining of the womb every month) such as irregular flow of blood, excessive shedding of blood and pain before, during and after the menstruation.

    At the same time the breast tissues start to form. She can become very conscious of this formation and feels tingling sensation on contact with her clothes. She may have to wear a bra.

    Emotions may be heightened and she may feel very sensitive to minor irritants and have mood swings.

    Thus is due to the sexual hormones being produced in her.

    However with counseling from her mother and friends she will quickly adapted herself to the new way of life.

    Unlike a boy the girl will have to go through this phase to become a woman.

    Soon she will become a woman confident and capable of taking care of a family.

    She will give birth to children and become a mother just like the women in the family before her.

    As time passes she will slowly grow older and at the age of forty five years onwards, her menses will stop and she will enter the stage of menopause when the female hormones began to drop.

    As she aged she will have to look after her health particularly her bones health and her body in general and take good care of herself because this is the time when chronic diseases like hypertension, diabetes and high cholesterol strikes.

    She will need to live a healthy lifestyle with adequate nutrition, a balanced diet and sufficient mental and physical exercise

    TABLE OF CONTENT

    Chapter 1 Women’s Health

    Menses:
    Chapter 2 Amenorrhea
    Chapter 3 Dysmenorrhea
    Chapter 4 Menorrhagia
    Chapter 5 Premenstrual Tension
    Chapter 6 Menopause
    Chapter 7 Postmenopausal Bleeding

    Pregnancy:
    Chapter 8 Birth Control
    Chapter 10 Pregnancy
    Chapter 11 Miscarriage

    Women's Infections:
    Chapter 12 Vulvitis
    Chapter 13 Salpingitis
    Chapter 14 Cervicitis
    Chapter 15 Mastitis
    Chapter 16 Bartholin Cyst

    Other Diseases
    Chapter 17 Endometriosis
    Chapter 18 Polycystic Ovarian Syndrome
    Chapter 19 Fibroid
    Chapter 20.Uterine Prolapse
    Chapter 21 Vaginal fistula

    Women's Cancers:
    Chapter 22 Cancer of Breast
    Chapter 23 Cancer of the Uterus
    Chapter 24 Cancer of the Ovary
    Chapter 25 Cancer of the Cervix

    Sexual Health
    Chapter 26 Sexual Health

    LanguageEnglish
    PublisherKenneth Kee
    Release dateNov 18, 2012
    ISBN9781301656165
    A Simple Guide to Women's Health
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      A Simple Guide to Women's Health - Kenneth Kee

      A

      Simple

      Guide

      to

      Women’s

      Health

      by

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2012 Smashwords Edition

      Published By Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      to my wife Dorothy

      and my children

      Carolyn, Grace

      and Kelvin

      This book contains the cases involving Women’s Health conditions as seen in many of my patients in my Family Clinic.

      This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      TABLE OF CONTENT

      Chapter 1 Women’s Health

      Menses:

      Chapter 2 Amenorrhea

      Chapter 3 Dysmenorrhea

      Chapter 4 Menorrhagia

      Chapter 5 Premenstrual Tension

      Chapter 6 Menopause

      Chapter 7 Postmenopausal Bleeding

      Pregnancy:

      Chapter 8 Birth Control

      Chapter 9 Pregnancy

      Chapter 10 Miscarriage

      Women's Infections:

      Chapter 11 Vulvitis

      Chapter 12 Salpingitis

      Chapter 13 Cervicitis

      Chapter 14 Mastitis

      Chapter 15 Bartholin Cyst

      Other Diseases

      Chapter 16 Endometriosis

      Chapter 17 Polycystic Ovarian Syndrome

      Chapter 18 Fibroid

      Chapter 19.Uterine Prolapse

      Chapter 20 Vaginal fistula

      Women's Cancers:

      Chapter 21 Cancer of Breast

      Chapter 22 Cancer of the Uterus

      Chapter 23 Cancer of the Cervix

      Chapter 24 Cancer of the Ovary

      Chapter 25 Cancer of the Vulva

      Sexual Health

      Chapter 26 Sexual Health

      Epilogue

      Chapter 1

      Women’s Health?

      A female from birth is different from a male because of the different sex hormones.

      A girl usually matures physically and mentally faster than a boy

      At the age of puberty (11years for girls) the girl is usually taller than her male counterpart.

      She will have her menarche (the beginning of her menses).

      Emotionally and physically she will be more mature than her male counterpart.

      However she will have problems with her menses (the monthly flow of blood which results from the shedding of the lining of the womb every month) such as irregular flow of blood, excessive shedding of blood and pain before, during and after the menstruation.

      At the same time the breast tissues start to form. She can become very conscious of this formation and feels tingling sensation on contact with her clothes. She may have to wear a bra.

      Emotions may be heightened and she may feel very sensitive to minor irritants and have mood swings.

      Thus is due to the sexual hormones being produced in her.

      However with counseling from her mother and friends she will quickly adapted herself to the new way of life.

      Unlike a boy the girl will have to go through this phase to become a woman.

      Soon she will become a woman confident and capable of taking care of a family.

      She will give birth to children and become a mother just like the women in the family before her.

      As time passes she will slowly grow older and at the age of forty five years onwards, her menses will stop and she will enter the stage of menopause when the female hormones began to drop.

      As she aged she will have to look after her health particularly her bones health and her body in general and take good care of herself because this is the time when chronic diseases like hypertension, diabetes and high cholesterol strikes.

      She will need to live a healthy lifestyle with adequate nutrition, a balanced diet and sufficient mental and physical exercise

      Chapter 2

      Amenorrhea

      The first test in a teenager or young women with amenorrhea is to do a pregnancy test to

      check whether they are pregnant (the most common cause of amenorrhea).

      However I have a patient who did not have menses immediately after her O Level exams

      (a major examination for graduating from secondary school) which was a very stressful time

      for her.

      Her mother brought her to see me after her menses did not come for 12 months.

      I have to put her on a monthly course of female hormones before her menses returned.

      That took almost 6 months before her menses returned monthly.

      She is now a mother of 2 children.

      What is Amenorrhea?

      Amenorrhea is a symptom defined as absence of menstruation.

      What are the types of Amenorrhea?

      1. Primary Amenorrhea

      Is defined as the absence of onset of menstruation (menarche) in a girl who has reached

      the age of 18 years.

      2. Secondary Amenorrhea

      is defined as the absence of menstruation for a period of at least 6 months in a girl who

      has previously experienced normal menstruation and is not pregnant.

      What are the causes of Amenorrhea?

      1. Physiological (hormonal):

      a. pregnancy hormones - pregnancy is the still the most common cause of secondary

      amenorrhea.

      b. Growth hormone deficiency

      c. Abnormal production of testosterone

      2. Genetic Causes:

      a. abnormal formation of genital tract causing cryptomenorrhea -obstruction to the flow of

      menstrual blood such as imperforate hymen

      b. Chromosomal abnormalities:

      c. Turner syndrome

      d. Ovarian agenesis

      3. Uterine Pathology:

      a. adhesions from previous operation

      b. endometriosis

      c. tuberculosis infection

      d. radiation

      4. Ovarian:

      a. Agenesis (no ovaries)

      b. Abnormal ovaries (again congenital)

      c. Polycystic Ovaries

      d. Granulosathea tumors of ovaries

      e. radiation of ovaries

      5. Pituitary:

      a. Pituitary tumors

      b. Hypopituitarism

      c. Hypothalamic abnormalities

      6. Psychological:

      a. Depression

      b .Anorexia nervosa,

      c. starvation

      7. Systemic Diseases:

      a. Hypothyroidism

      b. Cushing syndrome

      8. Medical causes:

      a. Chemotherapy

      b. oral contraceptive

      c. corticosteroids

      d. hypertensive drugs

      9. Menopause

      How to establish a diagnosis of Amenorrhea

      History:

      1. Primary Amenorrhea

      Genetic disorders:

      a. failure to develop female sex characteristics

      b. anatomic abnormalities due to chromosomal defects such as Turner

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