Когда лучше делать узи молочных: Когда делать УЗИ молочных желез и на какой день цикла лучше?

на какой день цикла делать? Что показывает маммография, видео

Добиться максимально эффективного лечения любых патологических изменений больше шансов на начальной стадии. Поэтому каждая женщина не должна забывать о периодическом посещении врачей и проходить профилактические обследования, такие как УЗИ молочной железы. Среди патологий данного женского органа многие могут не проявлять никаких характерных симптоматик. Выявить любые заболевания можно с помощью безопасного и информативного метода УЗИ. Данное обследование может проводиться не только по причине необходимости в диагностике патологии, но и в качестве профилактических мер.

Чтобы УЗИ молочных желёз дало точный и достоверный результат, исследование этим методом необходимо проводить правильно. В чем суть процедуры и требуется ли предварительная подготовка?

В каких случаях необходимо делать УЗИ молочных желез?

Среди основных показаний к прохождению данного исследования можно выделить:

• Появление уплотнений, выявить которые удалось на приеме у врача;
• Болезненные симптомы в области груди;
• Проведение диагностического обследования, вызванного установкой протезов и вкладышей;
• Достижение 30-летнего возраста и выше;
• Если в прошлом были проблемы со здоровьем в данной области.

Если у пациента резко изменились форма или размеры молочной железы, появились огрубения, снизилась подвижность кожи, произошли изменения в форме сосков или имеют место выделения, то врач должен направить в медицинский центр для проведения полного обследования данного органа.

Ультразвуковое исследование могут проходить как женщины, так и мужчины с детьми. У данной категории населения также есть риск возникновения опухоли. С гинекомастией могут столкнуться и молодые, и пожилые мужчины, однако у последних риск заболевания выше. Болезнь проявляется в виде увеличения ткани в области груди. По этой причине мужчинам нужно сходить на прием к врачу и сделать УЗИ.

Результаты после ультразвукового обследования груди

Во время проведения процедуры УЗИ в медицинском центре специалист может полностью осмотреть область груди, выявив наличие или отсутствие каких-либо патологий, типа диффузных изменений, доброкачественных или злокачественных опухолей. При помощи данного метода исследования женщины могут своевременно узнать о различных заболеваниях молочных желез и предотвратить развитие мастита, абсцесса, кист или рака.

Мужчинам обследование в области груди позволит выявить гинекомастию, которая может быть диффузной или узловой. Первый вид заболевания характеризуется увеличенным размером желез. Вероятность развития рака в данном случае минимальная. При втором виде заболевания на участке груди появляются уплотнения, который могут сигнализировать о развитии рака.

Подготовка перед началом проведения ультразвукового обследования

Прежде чем делать УЗИ молочных желёз по направлению врача, следует отменить прием любых гормонов, которые в ближайшее время были назначены. Также процедура требует предварительного проведения гигиенических процедур.

Кормящие младенцев женщины должны прекратить процедуры, связанные со сцеживанием или иным надавливанием в болезненной области груди.

Иные требования по подготовке к диагностике молочных желёз посредством УЗИ отсутствуют.

На какой день менструального цикла рекомендуется делать УЗИ молочных желёз?

У каждой женщины, получившей направление на прохождение обследования, должен возникнуть вопрос, когда делать УЗИ молочных желез. В связи с тем, что у женской груди велика степень чувствительности к гормонам, диагностика должна проходить в определенный период. На выбор даты для обследования в первую очень влияет день менструального цикла. Состояние женской груди меняется в соответствии с временными промежутками менструального цикла. Период от 7 до 14 дня называется фолликулярной фазой, которой характерно расширение потоков и уплотнение ткани. В период от 16 до 20 дня происходит расширение желез, что провоцирует отёк альвеол.

По мнению специалистов медицинских центров, вторая фаза цикла является не самым лучшим временем, чтобы делать УЗИ желез. Более точных результатов можно добиться, если проходить диагностику на 4-8 день менструального цикла.

Как проводится ультразвуковое обследование желез?

В момент проведения диагностики отсутствуют какие-либо болезненные симптомы. Пациенту необходимо раздеться до пояса и принять лежачее положение. Далее область груди смазывается специальным гелем для обеспечения качественного контакта между датчиком и органом.

Если есть показания, то параллельно с УЗИ пациент может проходить допплерографию. Посредством данного исследования врач изучает характер кровотока.

Продолжительность процедуры составляет от 15 до 20 минут. После окончания обследования возможна выдача результатов на руки или их передача участковому врачу.

При необходимости врач может назначить ультразвуковую эластографию. Цель данного обследования заключается в анализе клеточно-тканной структуры, благодаря чему возможно определение природы образовавшейся патологии.

Как расшифровать результаты?

В зависимости от плотности тканей, гормональных особенностей и возраста обследуемого человека, результаты будут расшифровываться по-разному.

Нормативным значением станет 2-милимитровая толщина эхогенной равномерной кожной зоны. Увеличение должно наблюдаться лишь в зоне ареол. Внешний вид жировых долек представлен многогранной, эллипсоидной низкоэхогенной структурой. Маммарная зона характеризуется наличием соединительной ткани и паренхиматозных структур.

Диффузная мастопатия проявляется на УЗИ в виде небольших уплотнений, равномерно занимающих область всей железы. При узловой мастопатии наблюдается наличие уплотнений в определенном участке.

Под кистой понимается обнаруженное при диагностике круглое образование, наполненной жидкостью. При наличии кисты лучше в самое ближайшее время обратиться в медицинский центр для последующего проведения биопсии.

Развитие рака проявляется на УЗИ в виде деформации молочной железы и наличия уплотнений. Увидеть визуально онкологическое заболевание желез можно не всегда. На это влияет стадия рака и характер протекания заболевания.

Как часто рекомендуется делать УЗИ желез?

Ввиду безопасности данного метода исследования молочных желёз ограничений по частоте его проведения нет. На данный фактор влияет состояние здоровья обследуемого. В качестве профилактики 30-летним и старше женщинам рекомендуется проходить данную процедуру не чаще 1 раза в 2 года. Что касается подростков, то обследование необходимо лишь единожды в тот период, когда формируются железы.

Также специалисты настойчиво рекомендуют делать УЗИ желез женщинам, планирующим беременность. При высоком риске заболевания наблюдение посредством УЗИ лучше участить до 1 раза в полгода-год.

Какой метод обследования желез выбрать: маммография или УЗИ?

Посредством маммографии врач может выявить наличие мутагенных процессов в клетках. Являясь рентгеновским излучением, такой метод исследования рекомендован лишь при наличии соответствующих показаний и возраста выше 40.

УЗИ характеризуется безопасностью, однако из-за возможного слияния опухоли и окружающих тканей обнаружение рака груди становится проблематичным.

Пациенткам с высокой долей риска заболевания молочных желёз специалисты, как правило, назначают оба вида обследования, чередуя маммографию с УЗИ.

Ультразвуковое обследование с ЦДК

Ультразвуковую диагностику с ЦДК необходимо делать с целью проведения оценки того, в каком состоянии сосуды и сосудистые образования. Как правило, использование цветного допплеровского картирования является дополнительной диагностической мерой. Результат процедуры представляет собой значение скорости кровяного движения.

На стадии проведения процедуры средние и крупные сосуды имеют окрас. При добавлении энергетического допплера возможно увидеть капилляры. Посредством такой диагностики реально своевременно обнаружить признаки образований на ранней стадии развития.

Беременным и кормящим женщинам необходимо проходить диагностику желез при лактостазе, с целью выявления его характера и возможного развития мастопатии.

В случае наличия узлов и иных образований в период до беременности женщине следует проходить дополнительные обследования.

В период, когда женщина вынашивает и кормит младенца, в структуре груди происходят изменения. В связи с этим нормативные показатели при проведении диагностики будут отличаться от значений, полученных после обследования женщин другой категории.

90000 Ultrasound scans: How do they work? 90001 90002 An ultrasound scan uses high-frequency sound waves to create images of the inside of the body. It is suitable for use during pregnancy. 90003 90002 Ultrasound scans, or sonography, are safe because they use sound waves or echoes to make an image, instead of radiation. 90003 90002 Ultrasound scans are used to evaluate fetal development, and they can detect problems in the liver, heart, kidney, or abdomen. They may also assist in performing certain types of biopsy.90003 90002 The image produced is called a sonogram. 90003 90010 Fast facts on ultrasound scans 90011 90012 90013 Ultrasound scans are safe and widely used. 90014 90013 They are often used to check the progress of a pregnancy. 90014 90013 They are used for diagnosis or treatment. 90014 90013 No special preparation is normally necessary before an ultrasound scan. 90014 90021 90002 The person who performs an ultrasound scan is called a sonographer, but the images are interpreted by radiologists, cardiologists, or other specialists.90003 90002 The sonographer usually holds a transducer, a hand-held device, like a wand, which is placed on the patient’s skin. 90003 90002 Ultrasound is sound that travels through soft tissue and fluids, but it bounces back, or echoes, off denser surfaces. This is how it creates an image. 90003 90002 The term «ultrasound» refers to sound with a frequency that humans can not hear. 90003 90002 For diagnostic uses, the ultrasound is usually between 2 and 18 megahertz (MHz). 90003 90002 Higher frequencies provide better quality images but are more readily absorbed by the skin and other tissue, so they can not penetrate as deeply as lower frequencies.90003 90002 Lower frequencies penetrate deeper, but the image quality is inferior. 90003 90010 How does it capture an image? 90011 90002 Ultrasound will travel through blood in the heart chamber, for example, but if it hits a heart valve, it will echo, or bounce back. 90003 90002 It will travel straight through the gallbladder if there are no gallstones, but if there are stones, it will bounce back from them. 90003 90002 The denser the object the ultrasound hits, the more of the ultrasound bounces back.90003 90002 This bouncing back, or echo, gives the ultrasound image its features. Varying shades of gray reflect different densities. 90003 90010 Ultrasound transducers 90011 90002 The transducer, or wand, is normally placed on the surface of the patient’s body, but some kinds are placed internally. 90003 90002 These can provide clearer, more informative images. 90003 90002 Examples are: 90003 90012 90013 an endovaginal transducer, for use in the vagina 90014 90013 an endorectal transducer, for use in the rectum 90014 90013 a transesophageal transducer, passed down the patient’s throat for use in the esophagus 90014 90021 90002 Some very small transducers can be placed onto the end of a catheter and inserted into blood vessels to examine the walls of blood vessels.90003 Share on PinterestUltrasound images are made from reflected sound, and a diagnosis can then be made. 90002 Ultrasound is commonly used for diagnosis, for treatment, and for guidance during procedures such as biopsies. 90003 90002 It can be used to examine internal organs such as the liver and kidneys, the pancreas, the thyroid gland, the testes and the ovaries, and others. 90003 90002 An ultrasound scan can reveal whether a lump is a tumor. This could be cancerous, or a fluid-filled cyst.90003 90002 It can help diagnose problems with soft tissues, muscles, blood vessels, tendons, and joints. It is used to investigate a frozen shoulder, tennis elbow, carpal tunnel syndrome, and others. 90003 90010 Circulatory problems 90011 90002 Doppler ultrasound can assess the flow of blood in a vessel or blood pressure. It can determine the speed of the blood flow and any obstructions. 90003 90002 90077 An echocardiogram (ECG) 90078 is an example of Doppler ultrasound. It can be used to create images of the cardiovascular system and to measure blood flow and cardiac tissue movement at specific points.90003 90002 A Doppler ultrasound can assess the function and state of cardiac valve areas, any abnormalities in the heart, valvular regurgitation, or blood leaking from valves, and it can show how well the heart pumps out blood. 90003 90002 It can also be used to: 90003 90012 90013 examine the walls of blood vessels 90014 90013 check for DVT or an aneurysm 90014 90013 check fetal heart and heartbeat 90014 90013 evaluate for plaque buildup and clots 90014 90013 assess for blockages or narrowing of arteries 90014 90021 90002 A carotid duplex is a form of carotid ultrasonography that may include a Doppler ultrasound.This would reveal how blood cells move through the carotid arteries. 90003 90010 Ultrasound in anesthesiology 90011 90002 Ultrasound is often used by anesthetists to guide a needle with anesthetic solutions near nerves. 90003 90002 An ultrasound can be done at a doctor’s office, at an outpatient clinic, or in the hospital. 90003 90002 Most scans take between 20 and 60 minutes. It is not normally painful, and there is no noise. 90003 90002 In most cases, no special preparation is needed, but patients may wish to wear loose-fitting and comfortable clothing.90003 90002 If the liver or gallbladder is affected, the patient may have to fast, or eat nothing, for several hours before the procedure. 90003 90002 For a scan during pregnancy, and especially early pregnancy, the patient should drink plenty of water and try to avoid urinating for some time before the test. 90003 90002 When the bladder is full, the scan produces a better image of the uterus. 90003 90002 The scan usually takes place in the radiology department of a hospital. A doctor or a specially-trained sonographer will carry out the test.90003 90010 External ultrasound 90011 90002 The sonographer puts a lubricating gel onto the patient’s skin and places a transducer over the lubricated skin. 90003 90002 The transducer is moved over the part of the body that needs to be examined. Examples include ultrasound examinations of a patient’s heart or a fetus in the uterus. 90003 90002 The patient should not feel discomfort or pain. They will just feel the transducer over the skin. 90003 90002 During pregnancy, there may be slight discomfort because of the full bladder.90003 90010 Internal ultrasound 90011 90002 If the internal reproductive organs or urinary system need to be evaluated, the transducer may be placed in the rectum for a man or in the vagina for a woman. 90003 90002 To evaluate some part of the digestive system, for example, the esophagus, the chest lymph nodes, or the stomach, an endoscope may be used. 90003 90002 A light and an ultrasound device are attached to the end of the endoscope, which inserted into the patient’s body, usually through the mouth.90003 90002 Before the procedure, patients are given medications to reduce any pain. 90003 90002 Internal ultrasound scans are less comfortable than external ones, and there is a slight risk of internal bleeding. 90003 90002 Most types of ultrasound are noninvasive, and they involve no ionizing radiation exposure. The procedure is believed to be very safe. 90003 90002 However, since the long-term risks are not established, unnecessary «keepsake» scans during pregnancy are not encouraged. Ultrasound during pregnancy is recommended only when medically needed.90003 90002 Anyone who is allergic to latex should inform their doctor so that they will not use a latex-covered probe. 90003.90000 Causes, Treatment, Symptoms & More 90001 90002 Erectile dysfunction (ED) is the inability to get or keep an erection firm enough to have sexual intercourse. It’s sometimes referred to as impotence, although this term is now used less often. 90003 90002 Occasional ED is not uncommon. Many men experience it during times of stress. Frequent ED, however, can be a sign of health problems that need treatment. It can also be a sign of emotional or relationship difficulties that may need to be addressed by a professional.90003 90006 What causes an erection? 90007 90002 ED can occur because of problems at any stage of the erection process. An erection is the result of increased blood flow into your penis. Blood flow is usually stimulated by either sexual thoughts or direct contact with your penis. 90003 90002 When a man is sexually excited, muscles in the penis relax. This allows for increased blood flow through the penile arteries, filling two chambers inside the penis. As the chambers fill with blood, the penis grows rigid.90003 90002 An erection ends when the muscles contract and the accumulated blood can flow out through the penile veins. 90003 90002 There are many possible causes of ED, and they can include both emotional and physical conditions. Common causes include: 90003 90002 ED can be caused by only one of these factors or by several of them. That’s why it’s important to work with your doctor so that they can rule out or treat any underlying medical conditions. Learn more about the causes of ED. 90003 90002 Treatment for ED will depend on the underlying cause.You may need to use a combination of treatments, including medication or talk therapy. 90003 90006 Medications 90007 90002 Your doctor may prescribe medication to help you manage the symptoms of ED. You may need to try several medications before you find one that works. The following oral medications stimulate blood flow to your penis to help treat ED: 90003 90002 Alprostadil (Caverject, Edex, MUSE) is another medication that can be used to treat ED. It can be administered in two ways: as a penile suppository or as a self-injection at the base or side of the penis.90003 90002 Testosterone therapy (TRT) may also be recommended if you have low levels of testosterone. 90003 90002 Medications used for other conditions may cause ED. Talk to your doctor about your medications and whether they could be causing your symptoms. There may be others that you can take instead. Never stop taking medications without first talking to your doctor. 90003 90002 Medications for ED can cause side effects. If you’re experiencing unpleasant side effects, talk to your doctor.They may be able to recommend a different medication. Get more information on the medications used to treat ED. 90003 90006 Talk therapy 90007 90002 A number of psychological factors can cause ED, including: 90003 90002 If you’re experiencing psychological ED, you may benefit from talk therapy. Over several sessions, you and your therapist will discuss: 90003 90038 90039 major stress or anxiety factors 90040 90039 your feelings around sex 90040 90039 subconscious conflicts that could be affecting your sexual well-being 90040 90045 90002 If ED is affecting your relationship, consider speaking with a relationship counselor as well.Relationship counseling can help you and you partner reconnect emotionally, which may also help your ED. Explore the effects of stress and anxiety on ED. 90003 90006 Vacuum pumps 90007 90002 This treatment uses the creation of a vacuum to stimulate an erection. Blood is drawn into the penis as the device is used, leading to an erection. 90003 90002 A vacuum pump device consists of a few different components: 90003 90038 90039 a plastic tube, which you place over your penis 90040 90039 a pump, which works to create the vacuum by drawing air out of the plastic tube 90040 90039 an elastic ring , which you’ll move to the base of your penis as you remove the plastic tube 90040 90045 90002 The elastic ring functions to maintain the erection, holding the blood in the penis and preventing it from returning to circulation.It can be left in place for 30 minutes. Read more about vacuum pumps and how to use them. 90003 90002 You may have ED if you regularly have: 90003 90002 Other sexual disorders related to ED include: 90003 90002 Speak with your doctor if you have any of these symptoms, especially if they’ve lasted for 3 or more months. They can help determine whether your symptoms are caused by an underlying condition that requires treatment. 90003 90002 Testing for ED can involve a variety of steps, including a physical examination and taking your health and sexual history.Additional tests may be performed to determine if your symptoms are caused by an underlying condition. 90003 90006 Physical exam 90007 90002 You should expect a physical exam where your doctor will listen to your heart and lungs, check your blood pressure, and examine your testicles and penis. They may also recommend a rectal exam to check your prostate. 90003 90006 Psychosocial history 90007 90002 Your doctor will ask you questions or request that you fill out a questionnaire about your symptoms, health history, and sexual history.The responses can help them evaluate the severity of your ED. 90003 90002 Some questions that you may be asked include: 90003 90038 90039 How long have you been experiencing ED? Did it come on suddenly or gradually? 90040 90039 Are you having any problems with feeling sexual desire, ejaculating, or reaching orgasm? 90040 90039 How often do you have sex? Has this frequency changed recently? 90040 90039 How firm are your erections? Is this affected by particular situations or types of stimulation? 90040 90039 Do you wake up in the morning or in the middle of the night with erections? 90040 90039 How’s your current relationship? What expectations do you and your partner have for each other? Have there been any changes? 90040 90039 Have you recently been experiencing a lot of stress? 90040 90039 What medications are you currently taking? Do you use tobacco, alcohol, or nonprescription drugs? 90040 90039 Do you have any underlying conditions or have you had any surgery on or injury to your pelvic area? 90040 90045 90006 Additional tests 90007 90002 Your doctor may perform additional testing to help diagnose your ED.Tests can include: 90003 90038 90039 90108 Ultrasound. 90109 An ultrasound can be used to examine the blood vessels of the penis to determine if there’s a problem with penile blood flow. 90040 90039 90108 Nocturnal penile tumescence (NPT) test. 90109 A portable, battery-powered device, worn on the thigh, is used to evaluate the quality of your nocturnal erections. Data is stored in the device, which your doctor can access later. 90040 90039 90108 Injection test. 90109 During this test, a medication is injected into your penis to stimulate an erection.This allows your doctor to evaluate the firmness of the erection and how long it lasts. 90040 90039 90108 Urine tests. 90109 Urine tests can be used to check for diabetes or other underlying health conditions. 90040 90039 90108 Blood tests. 90109 Blood tests can be used to check for conditions such as diabetes, heart disease, thyroid issues, and low levels of testosterone. 90040 90045 90002 These tests can help your doctor guide your treatment as well as determine if an underlying condition may be causing your ED.Find out more about how blood tests can be used to diagnose ED. 90003 90002 Certain exercises can also help with ED. 90003 90006 Kegel exercises 90007 90002 Kegel exercises are simple movements you can do to strengthen your pelvic floor muscles. Here’s how: 90003 90136 90039 Identify your pelvic floor muscles. To do this, stop peeing midstream. The muscles you use to do this are your pelvic floor muscles. 90040 90039 Now that you know where these muscles are, contract them for 3 seconds. Then release them.90040 90039 Repeat this exercise 10 to 20 times in a row, three times a day. 90040 90143 90002 A small 2005 study compared two groups of men with ED. The first group of men performed regular pelvic floor muscle exercises with a physiotherapist. They also received biofeedback and advice on lifestyle changes. The second group only received advice on lifestyle changes. 90003 90002 Men in the first group saw their penile function improve significantly after 3 months of regular pelvic floor muscles exercises.Men in the second group saw little improvement after 3 months. 90003 90002 For the next 3 months, all participants were given at-home exercises to perform. After 6 months in total had elapsed, 40 percent of all participants (including some men who had belonged to the second group) had regained normal erectile function. 90003 90002 A 2019 literature review also concluded that pelvic floor exercises were effective at treating both ED and premature ejaculation. However, the ideal exercise plan (in terms of conditions such as frequency and intensity) was not identified.90003 90002 You may find that it’s easier initially to do Kegels while lying down. Eventually, you can start trying them when you’re sitting or standing. 90003 90006 Aerobic exercise 90007 90002 Moderate to vigorous exercise is not only good for your overall health, but also can increase blood flow, possibly helping with ED. Examples include running and swimming. 90003 90002 A review of 10 studies examined the effect of aerobic exercise on ED. From their review, investigators concluded that 160 minutes of weekly exercise for 6 months could lead to a decrease in erectile problems.90003 90002 Another study examined physical fitness and testosterone levels in 87 men with ED. Researchers found that testosterone levels were negatively correlated with levels of body fat and abdominal fat. This suggests that exercise may increase testosterone in addition to reducing body fat. 90003 90002 Before you start a new exercise plan, you should always discuss it with your doctor. This is particularly important for people with heart disease or another underlying condition that could be aggravated by vigorous activity.Learn more about exercise and ED. 90003 90006 Yoga 90007 90002 Yoga can help to relax your mind and body. Since stress or anxiety can cause or contribute to ED, practicing yoga may be an effective way to ease ED symptoms. 90003 90002 In fact, a 2010 study of 65 men between 24 and 60 years old found that sexual function increased significantly after a 12-week program of yoga sessions. Discover five yoga poses that could help with ED. 90003 90002 ED is often related to problems with blood flow.Maintaining your blood vessel health may be beneficial in both preventing and treating ED. This can be achieved through making certain lifestyle choices, such as eating a healthy diet. 90003 90002 Take these simple steps to help reduce your risk of developing ED: 90003 90002 Several specific foods, from cocoa to watermelon, may help with ED. Find out what other foods you may want to add to your grocery cart. 90003 90002 For some men, natural remedies may help treat ED. 90003 90006 Herbs and supplements 90007 90002 Certain herbs and supplements have been shown to treat ED, with varying degrees of success, including: 90003 90002 Horny goat weed and zinc may help as well.90003 90002 Speak with your doctor before buying herbs and supplements, and proceed with caution. Many are not regulated, which means they might contain additional ingredients not listed on their labels. 90003 90002 Additionally, some supplements, such as yohimbe, are associated with potentially dangerous side effects. 90003 90002 Your doctor may be able to recommend reputable brands as well. Avoid purchasing products online, unless your doctor confirms that they’re safe. Get more expert advice on herbs for ED.90003 90006 Acupuncture 90007 90002 Acupuncture is a type of traditional Chinese medicine in which needles are inserted into the skin at specific locations, or acupoints. Acupuncture is believed to work through nerve stimulation, which then has an effect on the release of neurotransmitters. 90003 90002 It’s unclear how acupuncture works to treat ED. Studies on its efficacy are limited, and the ones that do exist are often inconclusive. Some evidence from a 2019 review indicates that acupuncture may help to treat psychological ED.90003 90002 When choosing an acupuncturist, look for a certified practitioner who uses disposable needles and follows Food and Drug Administration (FDA) guidelines for needle disposal and sterilization. Learn more about the use of acupuncture in treating ED. 90003 90006 Massage 90007 90002 Prostatic massage, a form of massage therapy, may be used for ED. Prostatic massage is often used in combination with other treatments. 90003 90002 During prostatic massage, a practitioner will massage the tissues in and around the groin to promote blood flow to your penis.You may need to undergo a massage several times a week. The length of massage treatment depends on your symptoms. 90003 90002 So far, there have only been limited studies on prostatic massage and its effectiveness. Get tips on finding a practitioner, and more, with the help of this short guide. 90003 90006 The bottom line 90007 90002 Multiple options exist for people looking for natural ways to treat their ED. Try one of the options above or even a combination of them. Remedies like acupuncture and massage can even be paired with Viagra and other traditional medications.Find out more about the effect of lifestyle changes on ED. 90003 90002 In cases where medications are not effective, your doctor may recommend surgical treatment. There are two types of procedures that may be used: implants and vascular surgery. 90003 90002 A penile implant, also referred to as a prosthesis, can be placed in the penis. There are two different types. An inflatable implant allows you to use a pump to make your penis larger, while a malleable implant allows you to adjust the position of your penis manually.90003 90002 Vascular surgery repairs arteries that may be blocked. This can help to restore adequate blood flow to the penis. Younger men are typically better candidates for this type of procedure. 90003 90002 Every surgery has its benefits and drawbacks. Be sure to discuss these with your doctor if you decide to undergo surgery for ED. Check out this guide to penile implants, learn how they’re placed, and discover what recovery is like. 90003 90002 There are many risk factors that may increase your likelihood of developing ED.These risk factors are often related to blood flow and circulation. Other risk factors can include injuries. 90003 90002 One important risk factor for ED is increasing age. As you get older, you may find that it’s more difficult to get or maintain an erection. You may also notice that you may require more direct stimulation to get an erection. 90003 90002 Additional risk factors for ED include: 90003 90002 Around 30 million U.S. men have ED. The prevalence of ED increases with age. It’s estimated that mild or moderate ED affects 10 percent more men each decade of life (60 percent of men in their sixties, for example).However, ED can also occur among younger men. 90003 90002 One study found that 1 in 4 men seeking their first treatment for ED were under 40 years old. A stronger correlation between smoking, drug use, and ED was observed in these men when compared with older men. This suggests that lifestyle choices are an important factor for ED in younger men. 90003 90002 Although the risk of ED increases with age, ED is not inevitable. In general, the healthier you are, the better your sexual function. Learn more about aging and ED.90003 90002 In many cases, you can improve your ED symptoms. Many medications and treatments are available. Certain devices, such as vacuum pumps, can also help you temporarily manage your symptoms so that you can continue to engage in sexual intercourse. 90003 90002 Your treatment plan will depend on a variety of factors, including the severity of your ED and whether it’s caused by a specific health condition. Your doctor will work closely with you to explain the benefits and risks associated with each type of treatment.90003 90002 It’s important to remember that ED is a common condition. If you’re experiencing symptoms of ED, you should discuss them with your doctor as soon as possible. That way, they can rule out underlying causes and begin a treatment plan. 90003 90002 There are several steps you can take to help prevent ED. Many of these steps involve making healthy lifestyle changes. Therefore, they’re not only good for preventing ED, but also for improving your overall health. 90003 90002 Follow the advice below to help prevent ED: 90003 90002 You should also be sure to keep up with your regular checkups.Your doctor will monitor important clinical measurements, such as your blood pressure and cholesterol levels. This can help with early identification and treatment of conditions that can potentially lead to ED. Find out more ways to prevent ED. 90003.90000 When Is the Best Time to Announce Pregnancy? 90001 90002 It might make sense to announce your pregnancy to different groups at different times. You may want to first tell a few close family members and then some friends before you announce it publicly on social media or tell your co-workers. 90003 90004 Family 90005 90002 Consider telling only your family to start. Your pregnancy will be major news for your parents, especially if this is their first grandchild. You might want to think of a creative way to tell your mother, father, and siblings so you can be there to witness their reaction firsthand.90003 90002 If you choose to announce to just your family early on in your pregnancy, you’ll have plenty of people to celebrate with, but you will not have to explain things over and over again if something does go wrong. 90003 90004 Friends 90005 90002 You’ll most likely want to tell your closest friends first. Then, whenever you feel more comfortable, you can broaden the group, or make an official announcement on social media. But be aware that the news might slip out of even the most well-meaning friend or relative.90003 90002 Social networking is probably the easiest way to get the news out to friends and family who live far away. Posting a picture online of your ultrasound can get the news out in an instant. 90003 90004 Employer 90005 90002 You will have to tell your employer sooner or later, especially if you’re going to be taking parental leave or time off work. As mentioned above, it’s a good idea to tell your workplace right away if your job involves physical labor that might be dangerous. 90003 90002 Once your employer knows of your pregnancy, you’re protected against discrimination under the Pregnancy Discrimination Act of тисячі дев’ятсот сімдесят вісім.Your employer is required to provide you with reasonable accommodation if you’re unable to perform your work activities safely while pregnant. 90003 90002 If your job does not involve physical labor, you can wait until you’re comfortable letting them know. Just make sure you give your employer a reasonable amount of time to prepare for your time away. 90003 90002 You will most likely want to tell your direct manager first so you two can plan together how to tell others you work with. It’s completely fine to ask your manager to keep this information confidential until you’re ready to tell others.90003 90002 If you do not want to inform your immediate superior right away, feel free to meet with your company’s human resources department to discuss your options. Be prepared to discuss their concerns about how your pregnancy will affect your job. 90003 90002 Being professional and prepared will help reassure your workplace of your commitment to making this a smooth transition. 90003.90000 17 Foods to Avoid If You Have Kidney Disease 90001 90002 Your kidneys are bean-shaped organs that perform many important functions. 90003 90002 They’re in charge of filtering blood, removing waste through urine, producing hormones, balancing minerals, and maintaining fluid balance. 90003 90002 There are many risk factors for kidney disease. The most common are uncontrolled diabetes and high blood pressure. 90003 90002 Alcoholism, heart disease, hepatitis C virus, and HIV infection are also causes (1).90003 90002 When the kidneys become damaged and are unable to function properly, fluid can build up in the body and waste can accumulate in the blood. 90003 90002 However, avoiding or limiting certain foods in your diet may help decrease the accumulation of waste products in the blood, improve kidney function, and prevent further damage (2). 90003 90002 Dietary restrictions vary depending on the stage of kidney disease. 90003 90002 For instance, people who are in the early stages of chronic kidney disease will have different dietary restrictions than those with end-stage renal disease, or kidney failure.90003 90002 Those with end-stage renal disease who require dialysis will also have varying dietary restrictions. Dialysis is a type of treatment that removes extra water and filters waste. 90003 90002 The majority of those with late- or end-stage kidney disease will need to follow a kidney-friendly diet to avoid the buildup of certain chemicals or nutrients in the blood. 90003 90002 In those with chronic kidney disease, the kidneys can not adequately remove excess sodium, potassium, or phosphorus.As a result, they’re at higher risk of elevated blood levels of these minerals. 90003 90002 A kidney-friendly diet, or renal diet, usually involves limiting sodium and potassium to 2,000 mg per day and limiting phosphorus to 800-1,000 mg per day. 90003 90002 Damaged kidneys may also have trouble filtering the waste products of protein metabolism. Therefore, individuals with chronic kidney disease in stages 1-4 may need to limit the amount of protein in their diets (3). 90003 90002 However, those with end-stage renal disease undergoing dialysis have an increased protein requirement (4).90003 90002 Here are 17 foods that you should likely avoid on a renal diet. 90003 90002 In addition to the calories and sugar that sodas provide, they harbor additives that contain phosphorus, especially dark-colored sodas. 90003 90002 Many food and beverage manufacturers add phosphorus during processing to enhance flavor, prolong shelf life, and prevent discoloration. 90003 90002 Your body absorbs this added phosphorus to a greater extent than natural, animal-, or plant-based phosphorus (5).90003 90002 Unlike natural phosphorus, phosphorus in the form of additives is not bound to protein. Rather, it’s found in the form of salt and highly absorbable by the intestinal tract (6). 90003 90002 Additive phosphorus can typically be found in a product’s ingredient list. However, food manufacturers are not required to list the exact amount 90041 of additive phosphorus on the food label. 90003 90002 While additive phosphorus content varies depending on the type of soda, most dark-colored sodas are believed to contain 50-100 mg in a 200-mL serving (7).90003 90002 As a result, sodas, especially those that are dark, should be avoided on a renal diet. 90003 90047 90048 SUMMARY 90049 90002 Dark-colored sodas should be avoided on a renal diet, as they contain phosphorus in its additive form, which is highly absorbable by the human body. 90003 90052 90002 Avocados are often touted for their many nutritious qualities, including their heart-healthy fats, fiber, and antioxidants. 90003 90002 While avocados are usually a healthy addition to the diet, individuals with kidney disease may need to avoid them.90003 90002 This is because avocados are a very rich source of potassium. One cup (150 grams) of avocado provides a whopping 727 mg of potassium (8). 90003 90002 That’s double the amount of potassium than a medium banana provides. 90003 90002 Therefore, avocados, including guacamole, should be avoided on a renal diet, especially if you have been told to watch your potassium intake. 90003 90047 90048 SUMMARY 90049 90002 Avocados should be avoided on a renal diet due to their high potassium content.One cup of avocado provides nearly 37% of the 2,000-mg potassium restriction. 90003 90052 90002 Canned foods, such as soups, vegetables, and beans, are often purchased because of their low cost and convenience. 90003 90002 However, most canned foods contain high amounts of sodium, as salt is added as a preservative to increase its shelf life (9). 90003 90002 Due to the amount of sodium found in canned goods, it’s often recommended that people with kidney disease avoid or limit their consumption.90003 90002 Choosing lower sodium varieties or those labeled «no salt added» is typically best. 90003 90002 Additionally, draining and rinsing canned foods, such as canned beans and tuna, can decrease the sodium content by 33-80%, depending on the product (10). 90003 90047 90048 SUMMARy 90049 90002 Canned foods are often high in sodium. Avoiding, limiting, or buying low sodium varieties is likely best to reduce your overall sodium consumption. 90003 90052 90002 Choosing the right bread can be confusing for individuals with kidney disease.90003 90002 Often for healthy individuals, whole wheat bread is usually recommended over refined, white flour bread. 90003 90002 Whole wheat bread may be a more nutritious choice, mostly due to its higher fiber content. However, white bread is usually recommended over whole wheat varieties for individuals with kidney disease. 90003 90002 This is because of its phosphorus and potassium content. The more bran and whole grains in the bread, the higher the phosphorus and potassium contents. 90003 90002 For example, a 1-ounce (30-gram) serving of whole wheat bread contains about 57 mg of phosphorus and 69 mg of potassium.In comparison, white bread contains only 28 mg of both phosphorus and potassium (11, 12). 90003 90002 Note that most bread and bread products, regardless of whether they’re white or whole wheat, also contain relatively high amounts of sodium (13). 90003 90002 It’s best to compare the nutrition labels of various types of bread, choose a lower sodium option, if possible, and monitor your portion sizes. 90003 90047 90048 SUMMARY 90049 90002 White bread is typically recommended over whole wheat bread on a renal diet due to its lower phosphorus and potassium levels.All bread contains sodium, so it’s best to compare food labels and choose a lower sodium variety. 90003 90052 90002 Like whole wheat bread, brown rice is a whole grain that has a higher potassium and phosphorus content than its white rice counterpart. 90003 90002 One cup of cooked brown rice contains 150 mg of phosphorus and 154 mg of potassium, while 1 cup of cooked white rice contains only 69 mg of phosphorus and 54 mg of potassium (14, 15). 90003 90002 You may be able to fit brown rice into a renal diet, but only if the portion is controlled and balanced with other foods to avoid an excessive daily intake of potassium and phosphorus.90003 90002 Bulgur, buckwheat, pearled barley, and couscous are nutritious, lower phosphorus grains that can make a good substitute for brown rice. 90003 90047 90048 SUMMARY 90049 90002 Brown rice has a high content of phosphorus and potassium and will likely need to be portion-controlled or limited on a renal diet. White rice, bulgur, buckwheat, and couscous are all good alternatives. 90003 90052 90002 Bananas are known for their high potassium content. 90003 90002 While they’re naturally low in sodium, 1 medium banana provides 422 mg of potassium (16).90003 90002 It may be difficult to keep your daily potassium intake to 2,000 mg if a banana is a daily staple. 90003 90002 Unfortunately, many other tropical fruits have high potassium contents as well. 90003 90002 However, pineapples contain substantially less potassium than other tropical fruits and can be a more suitable, yet tasty, alternative (17). 90003 90047 90048 SUMMARY 90049 90002 Bananas are a rich source of potassium and may need to be limited on a renal diet. Pineapple is a kidney-friendly fruit, as it contains much less potassium than certain other tropical fruits.90003 90052 90002 Dairy products are rich in various vitamins and nutrients. 90003 90002 They’re also a natural source of phosphorus and potassium and a good source of protein. 90003 90002 For example, 1 cup (240 mL) of whole milk provides 222 mg of phosphorus and 349 mg of potassium (18). 90003 90002 Yet, consuming too much dairy, in conjunction with other phosphorus-rich foods, can be detrimental to bone health in those with kidney disease. 90003 90002 This may sound surprising, as milk and dairy are often recommended for strong bones and muscle health.90003 90002 However, when the kidneys are damaged, too much phosphorus consumption can cause a buildup of phosphorus in the blood, which can pull calcium from your bones. This can make bones thin and weak over time and increase the risk of bone breakage or fracture (19). 90003 90002 Dairy products are also high in protein. One cup (240 mL) of whole milk provides about 8 grams of protein (18). 90003 90002 It may be important to limit dairy intake to avoid the buildup of protein waste in the blood.90003 90002 Dairy alternatives like unenriched rice milk and almond milk are much lower in potassium, phosphorus, and protein than cow’s milk, making them a good substitute for milk while on a renal diet. 90003 90047 90048 SUMMARY 90049 90002 Dairy products contain high amounts of phosphorus, potassium, and protein and should be limited on a renal diet. Despite milk’s high calcium content, its phosphorus content may weaken bones in those with kidney disease. 90003 90052 90002 While oranges and orange juice are arguably most well known for their vitamin C contents, they’re also rich sources of potassium.90003 90002 One large orange (184 grams) provides 333 mg of potassium. Moreover, there are 473 mg of potassium in 1 cup (240 mL) of orange juice (20, 21). 90003 90002 Given their potassium content, oranges and orange juice likely need to be avoided or limited on a renal diet. 90003 90002 Grapes, apples, and cranberries, as well as their respective juices, are all good substitutes for oranges and orange juice, as they have lower potassium contents. 90003 90047 90048 SUMMARY 90049 90002 Oranges and orange juice are high in potassium and should be limited on a renal diet.Try grapes, apples, cranberries, or their juices instead. 90003 90052 90002 Processed meats have long been associated with chronic diseases and are generally considered unhealthy due to their preservative contents (22, 23, 24, 25). 90003 90002 Processed meats are meats that have been salted, dried, cured, or canned. 90003 90002 Some examples include hot dogs, bacon, pepperoni, jerky, and sausage. 90003 90002 Processed meats typically contain large amounts of salt, mostly to improve taste and preserve flavor.90003 90002 Therefore, it may be difficult to keep your daily sodium intake to less than 2,000 mg if processed meats are abundant in your diet. 90003 90002 Additionally, processed meats are high in protein. 90003 90002 If you have been told to monitor your protein intake, it’s important to limit processed meats for this reason as well. 90003 90047 90048 SUMMARY 90049 90002 Processed meats are high in salt and protein and should be consumed in moderation on a renal diet. 90003 90052 90002 Pickles, processed olives, and relish are all examples of cured or pickled foods.90003 90002 Usually, large amounts of salt are added during the curing or pickling process. 90003 90002 For example, one pickle spear can contain more than 300 mg of sodium. Likewise, there are 244 mg of sodium in 2 tablespoons of sweet pickle relish (26, 27). 90003 90002 Processed olives also tend to be salty, as they’re cured and fermented to taste less bitter. Five green pickled olives provide about 195 mg of sodium, which is a significant portion of the daily amount in only a small serving (28).90003 90002 Many grocery stores stock reduced sodium varieties of pickles, olives, and relish, which contain less sodium than the traditional varieties. 90003 90002 However, even reduced sodium options can still be high in sodium, so you will still want to watch your portions. 90003 90047 90048 SUMMARY 90049 90002 Pickles, processed olives, and relish are high in sodium and should be limited on a renal diet. 90003 90052 90002 Apricots are rich in vitamin C, vitamin A, and fiber. 90003 90002 They’re also high in potassium.One cup of fresh apricots provides 427 mg of potassium (29). 90003 90002 Furthermore, the potassium content is even more concentrated in dried apricots. 90003 90002 One cup of dried apricots provides over 1,500 mg of potassium (30). 90003 90002 This means that just 1 cup of dried apricots provides 75% of the 2,000-mg low potassium restriction. 90003 90002 It’s best to avoid apricots, and most importantly dried apricots, on a renal diet. 90003 90047 90048 SUMMARY 90049 90002 Apricots are a high potassium food that should be avoided on a renal diet.They offer over 400 mg per 1 cup raw and over 1,500 mg per 1 cup dried. 90003 90052 90002 Potatoes and sweet potatoes are potassium-rich vegetables. 90003 90002 Just one medium-sized baked potato (156 g) contains 610 mg of potassium, whereas one average-sized baked sweet potato (114 g) contains 541 mg of potassium (31, 32). 90003 90002 Fortunately, some high potassium foods, including potatoes and sweet potatoes, can be soaked or leached to reduce their potassium contents. 90003 90002 Cutting potatoes into small, thin pieces and boiling them for at least 10 minutes can reduce the potassium content by about 50% (33).90003 90002 Potatoes that are soaked in water for at least 4 hours before cooking are proven to have an even lower potassium content than those not soaked before cooking (34). 90003 90002 This method is known as «potassium leaching,» or the «double cook method.» 90003 90002 Although double cooking potatoes lowers the potassium content, it’s important to remember that their potassium content is not eliminated by this method. 90003 90002 Considerable amounts of potassium can still be present in double-cooked potatoes, so it’s best to practice portion control to keep potassium levels in check.90003 90047 90048 SUMMARY 90049 90002 Potatoes and sweet potatoes are high potassium vegetables. Boiling or double cooking potatoes can decrease potassium by about 50%. 90003 90052 90002 Tomatoes are another high potassium fruit that may not fit the guidelines of a renal diet. 90003 90002 They can be served raw or stewed and are often used to make sauces. 90003 90002 Just 1 cup of tomato sauce can contain upwards of 900 mg of potassium (35). 90003 90002 Unfortunately, for those on a renal diet, tomatoes are commonly used in many dishes.90003 90002 Choosing an alternative with lower potassium content depends largely on taste preference. However, swapping tomato sauce for a roasted red pepper sauce can be equally delicious and provide less potassium per serving. 90003 90047 90048 SUMMARY 90049 90002 Tomatoes are another high potassium fruit that should likely be limited on a renal diet. 90003 90052 90002 Processed foods can be a major component of sodium in the diet. 90003 90002 Among these foods, packaged, instant, and premade meals are usually the most heavily processed and thus contain the most sodium.90003 90002 Examples include frozen pizza, microwaveable meals, and instant noodles. 90003 90002 Keeping sodium intake to 2,000 mg per day may be difficult if you’re eating highly processed foods regularly. 90003 90002 Heavily processed foods not only contain a large amount of sodium but also commonly lack nutrients (36). 90003 90047 90048 SUMMARY 90049 90002 Packaged, instant, and premade meals are highly processed items that can contain very large amounts of sodium and lack nutrients. It’s best to limit these foods on a renal diet.90003 90052 90002 Swiss chard, spinach, and beet greens are leafy green vegetables that contain high amounts of various nutrients and minerals, including potassium. 90003 90002 When served raw, the amount of potassium varies between 140-290 mg per cup (37, 38, 39). 90003 90002 While leafy vegetables shrink to a smaller serving size when cooked, the potassium content remains the same. 90003 90002 For example, one-half cup of raw spinach will shrink to about 1 tablespoon when cooked. Thus, eating one-half cup of cooked spinach will contain a much higher amount of potassium than one-half cup of raw spinach.90003 90002 Raw Swiss chard, spinach, and beet greens are preferable to cooked greens to avoid too much potassium. 90003 90002 However, moderate your intake of these foods, as they’re also high in oxalates which, for sensitive individuals, increases the risk of kidney stones. Kidney stones may further damage renal tissue and decrease kidney function. 90003 90047 90048 SUMMARY 90049 90002 Leafy green vegetables like Swiss chard, spinach, and beet greens are full of potassium, especially when served cooked.Although their serving sizes become smaller when cooked, their potassium contents remain the same. 90003 90052 90002 Dates, raisins, and prunes are common dried fruits. 90003 90002 When fruits are dried, all of their nutrients are concentrated, including potassium. 90003 90002 For example, 1 cup of prunes provides 1,274 mg of potassium, which is nearly 5 times the amount of potassium found in 1 cup of its raw counterpart, plums (40, 41). 90003 90002 Moreover, just 4 dates provide 668 mg of potassium (42).90003 90002 Given the high amount of potassium in these common dried fruits, it’s best to go without them while on a renal diet to ensure your potassium levels remain favorable. 90003 90047 90048 SUMMARY 90049 90002 Nutrients are concentrated when fruits are dried. Therefore, the potassium content of dried fruit, including dates, prunes, and raisins, is extremely high and should be avoided on a renal diet. 90003 90052 90002 Ready-to-eat snack foods like pretzels, chips, and crackers tend to be lacking in nutrients and relatively high in salt.90003 90002 Also, it’s easy to eat more than the recommended portion size of these foods, often leading to even greater salt intake than intended. 90003 90002 What’s more, if chips are made from potatoes, they’ll contain a significant amount of potassium as well. 90003 90047 90048 SUMMARY 90049 90002 Pretzels, chips, and crackers are easily consumed in large portions and tend to contain high amounts of salt. Additionally, chips made from potatoes provide a considerable amount of potassium. 90003 90052 90002 If you have kidney disease, reducing your potassium, phosphorus, and sodium intake can be an important aspect of managing the disease.90003 90002 The high sodium, high potassium, and high phosphorus foods listed above are likely best limited or avoided. 90003 90002 Dietary restrictions and nutrient intake recommendations will vary based on the severity of your kidney damage. 90003 90002 Following a renal diet can seem daunting and a bit restrictive at times. However, working with your healthcare provider and a renal dietitian can help you design a renal diet specific to your individual needs. 90003.