What Does a Penis Pump Do?
When people hear the term” penis pump,” the first thing that frequently comes to mind is penis enlargement.2 And, while it’s true that people will frequently buy the device with the hope of enlarging their penises, it has more practical use in people with ED.
For people with ED, the end isn’t to enlarge the penis — which the device really can not do anyway3 — but to grease an erection when there are problems that impede the inflow of blood into the penis.
While people will frequently buy novelty devices online or in sex shops, there are medically approved vacuum erection bias( VEDs) that have built-in safeguards to help the injury to the penis.4 Some VEDs work with a hand pump, while others are battery-operated with a digital pressure readout to limit the amount of negative pressure a penis is subjected to.
- Do I Have Erectile Dysfunction?
- ED and the Anatomy of the Penis
An erection involves a complex interaction of feelings, jitters, hormones, blood vessels, and smooth muscles that work together to engorge the penis with blood and help the backflow( venous leakage) of blood once it has been achieved.
Within the penis are two tube-like structures, called the corpora cavernosa, that run the length of the organ. During sexual thrill, these sponge-like bodies will relax, allowing blood to flood the tide in and engorge the tissues.
As the penis swells, it presses against a band of fibrous tissues at the base of the penis, called the tunica albuginea, causing it to tighten and preventing blood from escaping.5
In people with ED, there are numerous conditions that can interfere with these processes. numerous are growing- related — which is why 40 of males over 40 and 70 of males over 70 have ED6 — while others are not.
Common causes and risk factors for ED include7
- The cardiovascular complaints, including high blood pressure
- Prostate problems
- Vascular surgery or prostate surgery
- Peyronie’s complaint
- Penile trauma
- Type 2 diabetes
- High cholesterol
- Antidepressants, antihypertensive medicines, and other specifics
- Hypogonadism( low testosterone)
- Multiple sclerosis and other neurological disorders
- Spinal cord injury
- Relationship or emotional problems
- Alcohol abuse
What Causes Erectile Dysfunction?
Treatments for ED
A penis pump is one of several tools your doctor may recommend to help treat ED. It’s frequently used in tandem with ED specifics called phosphodiesterase type 5 impediments( PDE5 impediments).8
PDE5 impediments are a group of medicines generally used in the first-line treatment of ED. They work by dilating the corpora cavernosa and enabling an erection with sexual stimulation. There are five PDE5 impediments approved for use in treating ED9
- Cialis( tadalafil)
- Levitra( vardenafil)
- Staxyn( vardenafil) dissolvable tablets
- Stendra( avanafil)
- Viagra( sildenafil)
There are also specifics like Caverject( alprostadil) that are fitted into the penis to dilate blood vessels within the corpora cavernosa. There’s also a version of the medicine called Muse( alprostadil urogenital) that’s inserted into the urethra. These may be considered if PDE5 inhibitors are ineffective or can not be used.
life changes similar to exercise, weight loss, and quitting cigarettes can greatly improve erections in some people, especially those who are youthful.10 In some cases, comforting and testosterone relief therapy may be advised.
still, a penis pump may be all that’s wanted to achieve an erection, If ED is mild. It’s generally used with an ED ring(” incline ring”) that fits at the base of the penis behind the scrotum. This helps support the tunica albuginea by stemming the backflow of blood.1
When all conservative treatments have failed, surgery may be explored. Options include arterial revascularization to increase blood flood into the penis. Venous surgery to help trap blood during a structure, and an inflatable or solid penile implant that can be inflated or bent into shape on demand.
How Erectile Dysfunction Is Treated
Do Penis Pump in Pakistan Work?
Penis pumps can be extremely effective for numerous people with ED, but they aren’t for everyone. As with all medical treatments, there are benefits and downsides.
The advantages of a penis pump are numerous, including ease of use and the fairly quick speed at which an erection can be achieved. Studies have shown that indeed individualities with whim-whams damage following prostate disposal surgery are suitable to attain a construction with a pump, generally within two to three twinkles.
Penis pumps are also applicable and cost-effective. They’re a great option for people who can not use PDE5 impediments, similar to those with a history of stroke or heart attack or who are on nitrates or nitroglycerine.
also, they can be incorporated into foreplay and are more” on-demand” than PDE5 inhibitors.4 numerous people with ED may be capable to sustain an erection for 30 twinkles or longer. Those who can not reapply the device to restore an erection.
According to a 2018 review published in the Journal of Urology, six studies involving the use of penis pumps in people with ED reported satisfaction rates of 80 or advanced, while 11 reported rates of 60 or advanced.
There are many contraindications to penis pumps other than having bleeding diseases like hemophilia or blood-clotting affections like sickle cell ill. People with ischemic priapism, a periodic form of priapism in which an erection is abnormally dragged, may also be advised to avoid the device.
People on blood thinners like warfarin and anti-platelet medicines like Plavix( clopidogrel) should speak with their doctors before using a penis pump as the suctioning may breed bruising and bleeding.
truly those without these issues may encounter problems. One of the more common is petechiae, a type of red skin spot caused by the rupture of capillaries. This is frequently due to over-pumping the device or leaving it on for too long. Others complain of pain or having a cold or bluish penis.
Promescent spray is a brand of lidocaine-based, ejaculation delaying spray. Delay sprays are desensitizing products that help treat premature ejaculation. They work by desensitizing the penis in order to prolong sexual activity.
According to older research trusted Sources, premature ejaculation (PE) is potentially the most common sexual problem in males, affecting approximately 30% of individuals worldwide.
Ejaculating shortly after sexual activity begins, and emotional or relationship distress are the main characteristics of trusted Source PE.
In this article, we discuss the use of Promescent spray, and other delay sprays, for premature ejaculation.
Promescent spray is an over-the-counter (OTC) desensitizing spray that may treat PE. It reduces the sensitivity of the penis to slow the onset of ejaculation temporarily.
Males use Promescent spray to prolong sexual intercourse or other types of sexual activity.
Each spray of Promescent contains approximately 10 milligrams (mg) of lidocaine, a topical anesthetic that has a numbing effect. Other delay sprays may contain different types of topical anesthetics in varying quantities.
Promescent and other delay sprays offer an alternative trusted Source for those individuals who have not had success or have had adverse reactions to other PE treatments.
Promescent works by absorbing into the skin of the penis to reach the nerves that trigger ejaculation. By numbing these nerves, the spray can delay ejaculation.
Individuals should apply the spray to the penis at least 10 minutes before beginning intercourse. This timing allows the product to absorb into the penis fully and take effect. It also ensures that the spray does not transfer to the person’s partner and reduces their sensitivity.
Individuals can adjust the dosage of Promescent to their individual preferences and sensitivity levels. The effects of the spray can last up to 60 minutes, depending on the dosage.
According to anecdotal reports and a limited number of studies, Promescent appears to delay ejaculation effectively for some people.
A 2016 study trusted Source consisting of 91 men indicates that Promescent increased the ejaculation latency time or the time from stimulation to ejaculation, plus the quality of sexual experience, and perception of partner experience.
The study participants self-reported their experiences after 14 days of product use.
The average ejaculatory latency time increased from 6.81 minutes without Promescent spray, to 11.16 minutes following product use.
Both partners achieved orgasm approximately 65% of the time when using Promescent, compared with 44% when not using it.
The quality of sexual experience also improved significantly with the spray and continued to improve with each use.
Participants reported that the product was easy to apply.
A 2020 study trusted Source investigated the effectiveness and tolerability of a 5% lidocaine spray in 150 people with lifelong PE. It reports that the spray significantly improved PE over a placebo.
The participants used either the spray or a placebo for 8 weeks. They applied it 10–20 minutes before intercourse.
An older study by trusted Source, published in 2003, reports similar findings for a topical spray, combining 7.5 mg lidocaine and 2.5 mg prilocaine, another type of local anesthetic.
Eleven males with PE completed the study. They applied the spray for 10–15 minutes before intercourse. On average, they reported that the spray increased ejaculation latency time from 1 minute and 24 seconds to 11 minutes and 21 seconds.
Participants also reported improved sexual satisfaction for both partners.
Promescent spray is a local treatment that a person applies only to the penis. Hence, it may carry fewer risks and cause fewer adverse reactions than systemic therapies for PE, such as medications.
However, there are some risks with its use, including rash, irritation, or itching in the person using it or their partner. If these symptoms occur, people should discontinue use and contact a doctor if they persist.
A person must not use Promescent spray on broken, irritated, or sensitive skin.
One study indicates that Promescent has a toxic effect on sperm, causing a reduction in sperm motility, forward progression, and viability. This effect could have implications for those trying to conceive.
Individuals must only use Promescent, and other delay sprays externally. They must not use them if they or their partner are allergic to lidocaine or topical anesthetics, or if the partner is pregnant.
Those with liver problems should consult their doctor before using delay sprays.
Individuals must also seek medical attention if symptoms of PE persist. PE may indicate an underlying condition that requires treatment.
There are several delay sprays on the market, including Promescent. Examples include:
Promescent Delay Spray
According to the manufacturer’s marketing, more than 2,000 healthcare professionals recommend Promescent Delay Spray to their patients to help them last longer during sexual activity.
Each bottle contains 10 mg of lidocaine per spray, and people can apply 3–10 sprays to achieve their desired sensitivity. It acts locally, desensitizing only the penis.
Promescent is available in 10 spray, 20 sprays, 40 spray, and 60 spray bottles.
K-Y Duration Desensitizing Delay Spray for Men
K-Y Duration Spray for Men, which also contains lidocaine, temporarily prolongs the time until ejaculation. The transfer to sexual partners is minimal when a person uses it, according to the manufacturer’s instructions.
Individuals can apply 3–10 sprays before intercourse and wash off the product afterward.
Stud 100 Premature Delay Prolonging Genital 1 Spray
The STUD 100 delay spray first appeared on the market in 1970, giving it a relatively long history.
The spray temporarily reduces sensitivity to prolong the time until ejaculation. Individuals can apply 3–10 sprays approximately 5–15 minutes before intercourse.
Doc Johnson Power Plus Delay Cream for Men
The Doc Johnson delay cream works similarly to delay sprays. Containing 7.5% benzocaine, another local anesthetic, it decreases male sensitivity to delay the onset of orgasm.
The American-made cream is odorless, tasteless, nonsticky, and free from glycerin or sugar.
Exercises and behavioral changes
Sometimes, behavioral techniques can help delay ejaculation. Examples include:
- masturbating 1–2 hours before intercourse
- focusing on other sexual activity aside from intercourse to reduce anxiety
- practicing pelvic floor exercises, known as Kegels
- using the pause-squeeze technique during sexual activity
- wearing condoms, which can decrease penis sensitivity
If stress or anxiety are contributing to PE, or if PE is negatively impacting relationships, then counseling may help. People may attend therapy alone or with a partner.
Several medications can help those with PE, including:
- SSRI antidepressants, such as escitalopram (Lexapro), sertraline (Zoloft), paroxetine (Paxil)
- analgesics, such as Tramadol (Ultram)
- phosphodiesterase-5 inhibitors, such as sildenafil (Viagra, Revatio), tadalafil (Cialis, Adcirca), vardenafil (Levitra, Staxyn)
A doctor may prescribe these medications for on-demand use or daily use. They may also recommend combining them with other treatments, such as behavioral changes.
Premature ejaculation or PE is commonly referred to as a condition that causes men to ejaculate after minimal stimulation, sometimes seconds after intercourse begins. Many men experiencing PE may even expel semen even during foreplay.
Usually, premature ejaculation is the result of various physical and psychological causes. Some of these issues include:
- Thyroid conditions
- Prostate problems
- Anxiety about performing in bed
- A strict upbringing means they have a very different belief about sex
- Having an extra sensitive penis
Are PE Sprays or Delay Sprays Effective?
Yes, they are, but not all of them. Delay sprays are designed to help people with PE mainly delay their ejaculation. The spray works by applying a local anesthetic to the area, aka the penis, which reduces the intensity of sensations felt during foreplay, leading to more intense intercourse.
Various studies had found that applying a delay spray around 5 minutes before sex led participants to have much better control over their ejaculation and improved sexual satisfaction. Tried and tested delay sprays like Viga Delay Spray can also increase ejaculation while improving overall sexual health.
Don’t Fall for Scams.
It is estimated that around 39% of men suffer from premature ejaculation, making it a widespread problem. However, with one out of every three men experiencing this issue, many businesses are out to make a quick buck, as you’d imagine, by promising to address or even cure PE. The fact is only your doctor should be allowed to prescribe a cure after a thorough analysis of what’s causing your issue. A delay spray is by no means a cure; it is meant to help you last longer during intercourse. Once the effect of the spray wears out, you’ll continue to have the problem.
Viga Delay Spray is no different in the sense that it will desensitize the penis, allowing you to last longer in bed. However, the spray has been designed to help men in more ways than one, as we’ll examine throughout this article. What’s more is the fact that Viga Delay Spray is perfectly safe to use compared to the several dozen competing products out there, many of which can be harmful.
Who Should Use Viga Delay Spray?
Any man who is suffering from premature ejaculation can benefit from using Viga Delay Spray. The spray uses a natural formulation designed to be safe for use while extending a man’s time in bed.
Many men may question if they should use a delay spray versus visiting a doctor. While we strongly advise that men seeking a long-term solution to premature ejaculation visit a doctor, the experience is often humiliating. It is not easy for most men to discuss what may be seen as their failed sex life. After a challenging session with an andrologist, most of them will prescribe a cocktail of pharmaceutical drugs, all of which have numerous adverse effects associated with them. The alternative to taking drugs is often surgery, depending on the condition. Surgery is a radical approach to premature ejaculation for most men, especially if the problem can be sorted out temporarily with a delay spray.
Viga Delay Spray is designed to give men more control over how long they last in bed. It helps solve the problem by making the penis less sensitive but without any adverse effects. So, men can use the spray without worrying about any long-term issues that may stem from its use.
Viga Delay Spray can help prolong your time in bed by as much as 6x times, depending on the sensitivity of your penis. Some men are more sensitive than others. Also, men who are probably considering visiting a doctor would want to give VigRX Delay Spray a shot for a few months.
Viga Delay Spray Can Also Delay Climax
Men who suffer from premature ejaculation will climax sooner than they should, which stresses their sex life so much. It is often that their partners aren’t satisfied because while they might just be getting started, a person suffering from premature ejaculation has finished. Delaying an orgasm is near impossible for most men, even the ones that can last in bed. That said, by desensitizing the penis to a certain degree, it is possible for men suffering from PE to delay their orgasm long enough for their partners to be satisfied.
Many men we spoke to who were using Viga Delay Spray said that, if anything, they could last longer than their bed partners, which significantly improved their relationship. Women respect a man who can delay satisfaction, and especially one who can last through their climax.
Just about any man, regardless of who they are, can last longer when they use VigRX Delay Spray. It is one of the quickest and easiest ways for men to keep their partners happy and, consequently, a relationship going.
What Natural Ingredients Are Included?
It is essential to know what’s inside anything you use, mainly if it’s meant to be used on a sensitive area like the penis. VigRX Delay Spray uses an all-natural formulation, but many manufacturers may mention the term “all-natural,” yet it may include ingredients that aren’t necessarily natural. Fortunately, Leading Edge Health does not hide its formulation under the guise of it being a “proprietary formula.”
Below is a brief list of what’s included in VigRX Delay Spray so that you can see for yourself if it’s something that can be trusted.
It is a highly effective topical anesthetic, which does the job of desensitizing the penis or, more like the nerve endings, without long-term adverse effects. Also, once the effects wear out, which can be an hour or so, the penis’ normal or natural sensitivity returns so, there is absolutely nothing to worry about when used correctly.
Turner Spreading (Damiana)
Often used in testosterone boosters, its use here raises testosterone. Since all men could do with a testosterone boost and testosterone is instrumental in overall good male health, its inclusion in the formulation is welcome.
It has been used in traditional Chinese medicine for many centuries. Ginseng has many exciting qualities, but modern medicine identifies it as a potent antioxidant, which helps improve ejaculate and semen quality.
Often used as a libido enhancer, it helps to improve the quantity of ejaculate.
While most people may assume that cinnamon was included for maybe its refreshing smell, it also works wonders for improving blood circulation, which helps significantly with erectile strength over several months.
Wild Yam (dioscorin)
Most people reading this may already know that wild yam is used in traditional medicine to address prostate issues and stimulate them. It has been added to the formulation to help ensure that men also enjoy more vital, more efficient prostate function over time.
It is one of the essential herbs since it fuels the body with everything needed to recover soon and fend off infections.
Peony Lacto-Flowered (Pioniflorin)
It is instrumental in filling the cavernous bodies with blood in the penis, which results in stiffer erections.
A potent aphrodisiac.
VigRX Delay Spray Compared To Other Delay Sprays
As we mentioned earlier, the male premature ejaculation products industry is vast, so it stands to reason that there will be quite a few creams and sprays sold. Unfortunately, it is hard to find the best one since they all claim to be the very best. However, there is a reason why we consider VigRX Delay Spray to be the very best in the industry. To understand this clearly, we need to closely examine how VigRX Delay Spray is different from the competition and how it stands out.
First, we will say that VigRX Delay Spray works and hundreds of users stand by this claim. But the vast majority of delayed sprays don’t work because they cannot desensitize the penis properly or have long-term adverse effects. Also, unlike VigRX Delay Spray, there are no positive effects to using these often-overpriced delay sprays. Some delay sprays are so aggressive that they can end up making it impossible to get an erection.
Many men will also appreciate that the spray leverages all-natural ingredients, which means that you last longer in bed and improve overall sexual health. Users can also be assured that the natural elements, unlike drugs and synthetics, will not have adverse health effects.
Men who use VigRX Delay Spray can and should expect to see long-term improvement in erection hardness, libido, and the ability to last longer in bed without the spray. Some men report being able to transition from using the spray as frequently as they used to.
Finally, VigRX Delay Spray is straightforward to use. You don’t need to observe any precautions. Using it is pretty clear; all required is to spray on the penis head and then wait 10 minutes until intercourse. Furthermore, if for some reason VigRX Delay Spray does not work for you, it can be returned within 67 days, and Leading Edge Health will return your money.
Do Any Studies Support the Benefits Touted By VigRX Delay Spray?
VigRX Delay Spray leverages Benzocaine as an active ingredient. It is the same ingredient that’s used as a local anesthetic for numbing areas of the body. Since the element is safe to use, Benzocaine-based products can be purchased from a local pharmacy without a prescription. At a high dose, it can cause your penis to go numb and even kill an erection. That’s why it needs to be used at just the correct amount. Also, using more than needed can have numerous short-term adverse effects.
Many delay sprays use high doses of Benzocaine to make up for the lack of other supporting ingredients. However, VigRX Delay Spray uses a shallow amount that minimizes the instances of adverse effects. The addition of ingredients like Ginkgo Biloba, and ginseng, helps make it easier to recover after sex. The use of these additional ingredients has many long-term positive health effects.
Ingredients like turner Spreading and Wild Yam have been shown to have numerous benefits, which is why men who have used VigRX Delay Spray for a long time report not feeling the need to after a while.
Can You Overuse Viga Delay Spray?
We’ve stated this numerous times in this article, but it is worth mentioning again. There are no adverse effects associated with the use of VigRX Delay Spray, but only if you don’t misuse it. We strongly advise that you follow Leading Edge Health’s directions and observe all the safety precautions mentioned in the booklet.
It is essential to keep the delay spray like any other out of the reach of children of all ages. Also, it shouldn’t be taken orally, which means it shouldn’t be sprayed on the penis before oral sex. It should be washed off before oral sex. Since the formulation includes Benzocaine as an active ingredient, find out if you’re not allergic to the component. You should only use it once it is determined that you aren’t allergic to it and check if your partner isn’t allergic.
If there are cuts or wounds on the penis, or the skin is flaking off like during the dry weather, don’t use VigRX Delay Spray. Also, don’t use the delay spray if you have a skin rash or think that the spray may be causing the rash. If you experience irritation, wash your penis right away with soap and water.
We also strongly advise against overusing VigRX Delay Spray since it can lead to extensive numbness. If it goes entirely numb, you will want to wait for a few hours till things return to normal. Also, depending on your tolerance, start with the least amount of VigRX Delay Spray on your penis and adjust the dose accordingly.
If you are one of the many men in the US who have chronic health conditions, make sure to consult with your physician before using the delay spray. VigRX Delay Spray is a cGMP complaint; even then, it is worth observing these and other preventive measures when using the delay spray.
Not All Delay Sprays Are Made Equal
If you assume that VigRX Delay Spray can be purchased from your nearest Walgreens, then that’s not the case. Sure, you can buy many other types from your local store, but as mentioned earlier, they aren’t as good or nearly as good as VigRX Delay Spray. That said, VigRX Delay Spray is in a way a victim of its success, which has meant that the only way to get the real deal, backed by a warranty, is to buy it directly from Leading Edge Health’s official website.
Buying VigRX Delay Spray from anywhere else could mean that you could, unfortunately, end up with a counterfeit product. Some websites may use identical packaging and even pricing, but they aren’t the same thing. Furthermore, Leading Edge Health back its VigRX Delay Spray with a 67-day money-back guarantee, and you as their customer are treated to excellent customer service.
The good news is that if you buy VigRX Delay Spray from the company’s website online, they ship anywhere in the world. However, shipping is free within the US.
The Best Delay Spray Final Word
Premature ejaculation is a real problem faced by an increasing number of frustrated, depressed, and often suicidal men. The fact is that modern science has yet to nail down the exact cause of premature ejaculation. While there are theories as to what causes it, nobody can agree on what can cure it. Sure, male enhancement pills and surgery are some of the other ways to address the issue but are they worth the risk? Only you can answer that for sure. Most men would err on the side of caution and instead opt for a cost-effective and reputed delay spray like VigRX Delay Spray.
Despite Viga Delay Spray being for everyone, we wouldn’t recommend anyone under 18 use it, especially those with pre-existing conditions. However, it would be best to get anything you use approved by your doctor first and start with small doses. The safest approach is to start small, even if you’ve used other delay sprays before. VigRX Delay Spray is unlike anything else you might have tried because it works. If you don’t experience the results advertised or signs that your body does not like the product, then discontinue and return it right away to get a refund.
Viga Delay Spray has, over the years, helped hundreds of men suffering from depression caused by their inability to have a normal relationship. If you are one of these people, it would be worth investing in a delay spray that has worked for many other men just like you.
Please understand that any advice or guidelines revealed here are not even remotely a substitute for sound medical advice from a licensed healthcare provider. Make sure to consult with a professional physician before making any purchasing decision if you use medications or have concerns following the review details shared above. Individual results may vary as the statements made regarding these products have not been evaluated by the Food and Drug Administration. The efficacy of these products has not been confirmed by FDA-approved research. These products are not intended to diagnose, treat, cure or prevent any disease.
Doctors in Croatia give details of a pregnant COVID-19 patient’s 22-day-long battle for survival, in a case report being presented at Euroanaesthesia, the annual meeting of the European Society of Anaesthesiology and Intensive Care (ESAIC) in Milan, Italy (4-6 June).
The 31-year-old woman, who had not been vaccinated against COVID, underwent an emergency C-section before being put on ECMO (extracorporeal membrane oxygenation a machine), a “last resort” treatment that replaces the function of the heart and lungs, allowing them to heal.
The woman developed symptoms of COVID-19 on October 16 2021 and tested positive four days later, on October 20. She was admitted to University Hospital Split, Split, Croatia on October 26 with shortness of breath, a cough, and weakness.
The woman, who was 33 weeks pregnant when admitted, did not have any significant underlying medical conditions.
Her symptoms were mild initially but progressed quickly, which caused concern. A few hours after admission, her breathing was worse, despite her being given supplementary oxygen.
An interdisciplinary team, which was led by Ass. Prof. Sanda Stojanovic Stipic and included ICU and maternal-fetal medicine physicians, decided to intubate the woman and perform a C-section.
“The patient’s condition was deteriorating quickly,” says Dr. Filip Peris, of the Department of Anaesthesiology & Intensive Care, University Hospital Split, an anaesthesiologist and one of those on the team caring for the woman.
“We had a short timeframe before baby’s health would do the same, so we put a team together and discussed the best thing for both mother and child, to try to save their both lives.
“Given that the gestational age of the child was quite advanced, and the mother’s health was deteriorating quickly, we decided to do a C-section.
“Pregnancy is a stressful time for the body and delivering the baby would give the mother’s lungs time to heal on their own.”
The baby, a boy weighing 2,380g (5lb 4oz), was healthy and did not require any special medical care.
After the C-section, the woman was transferred to the hospital’s COVID ICU, where she was placed on a ventilator. Despite this, she had a lung function ratio (P/F) ratio of 85. Ratios of below 100 are classed as severe ARDS (acute respiratory distress syndrome, a condition in which the lungs are so badly damaged that the alveoli—air sacs—start to fill with fluid.)
Her lung function ratio further deteriorated to 70 and she was put on ECMO.
“The mother’s condition was life-threatening and mechanical ventilation was not enough to heal her lungs,” says Dr. Peris. “ECMO was her last chance. In our hospital, we use ECMO 3-5 times in a year.
“Her lung function gradually improved and she was weaned off ECMO after nine days. On 17 November, and following a 22-long-day battle for survival, mother and child were discharged home.”
The woman had extensive physiotherapy in hospital and after returning home and has made a full recovery. Her son is also healthy.
Dr. Peris says: “Every step of her battle was closely monitored by our wonderful team of anaesthesiologists and our ICU nurses. Their team effort, led by Ass. Prof. Sanda Stojanovic Stipic, and hard work were crucial in winning this battle.”
The woman’s doctors say that pregnancy should not be regarded as a contraindication for ECMO. They say: “Recent studies show us that survival rates after ECMO use in pregnancy are high, for both mother and child. This could be because pregnant patients are generally young and in good health.”
Dr. Peris adds: “The risks and benefits for both the mother and fetus must be weighed against each other. In this situation, the fetus’s advanced gestational age was balanced against the mother’s rapidly deteriorating clinical condition.
“Timing is everything in medicine. The right timing saves lives.”
The woman had not been vaccinated against COVID-19. Dr. Peris says: “Vaccination is tremendously important—it saves lives.
“Studies show there are no safety concerns for babies born to women who were vaccinated against COVID-19 during pregnancy.
“I urge you to have your vaccine as soon as possible.”
Because women’s health issues have been under-researched and underreported, it’s important that we become our own health advocates. Here are five conditions to be on the lookout for.
When it comes to your health, it’s your right to fight for it because you are your biggest advocate. In Shondaland’s Women’s Health series this month, we’re offering insight and advice on how women can take their physical and mental well-being into their own hands so they can lead happy, healthy lives
t’s become a well-known fact that women’s health has been under-researched and underreported. Numerous studies have shown gender bias to be prevalent in health care with respect to both treatment and research in everything from mental health treatments to childbirth to breast cancer. Women’s health has suffered overall. “This is where we, as health-care providers, have failed,” says Francine I. Hippolyte, MD, an attending physician and vice-chair of clinical operations in the department of obstetrics and gynecology at Northwell Health in Manhasset, New York. “Women are often marginalized in the health-care system in general. When it comes to research, they’re not just marginalized but are actually excluded.”
This kind of medical sidelining can make women less than eager to seek medical care when suffering from symptoms that are, on the surface, relatively easy to live with. It’s also why — as daunting and as much work as it can be — it’s in a woman’s best interest to be her own health advocate.
“As women, we’re accustomed to just pull up our pants, deal with our issues, and keep on moving,” says Hippolyte. “By the time a female patient comes to you, very often her health issues have been going on for a while. It takes a lot for a woman to seek medical attention. It’s important for women to have a voice and to be proactive when it comes to their health. Women are central to their family, and oftentimes, it is through a woman’s diagnosis of conditions that other family members know how it impacts them and can seek health care.”
Being your own health advocate doesn’t just mean staying on top of yearly screenings when they’re available — it also means getting seen if you suspect something is off despite passing those tests. In order to do that, however, ensuring your best health means having the knowledge about which health issues are most crucial for women to understand today. Here are five health conditions or issues you should become and stay aware of.
Breast, uterine, cervical, and ovarian cancers
According to Memorial Sloan Kettering hospital in New York, uterine (endometrial) cancer is the most common cancer of the female reproductive system, with just shy of 50,000 Americans diagnosed each year. Ovarian cancer, the second most common type, affects one in 70 American women across their lifetime. Cervical cancer, which most women are screened for yearly with a pap smear, is diagnosed approximately 12,000 times per year. And a glance at the National Breast Cancer Foundation’s website reveals that as many as one in eight women will be diagnosed with breast cancer in their lifetime, which is why women over the age of 40 are strongly advised to schedule yearly mammograms to screen for breast cancer.
Hippolyte says a woman’s risk for breast, uterine, cervical, and ovarian cancers rises along with her age. Yet women in their 40s and 50s — who are often responsible for bringing up their own children and for the care of their aging parents — are often so busy caring for others that they can easily miss some signs or let regular screenings lapse. “It’s important to pay attention to any subtle changes you may feel,” says Hippolyte. “There are limitations to any screening tests. Sometimes a woman says, ‘I don’t feel right; something is different,’ and we must trust she knows her body better than we do, better than science does.” If your breasts feel different, or you experience breast discharge or skin changes, bring it to your doctor’s attention as soon as possible — even if your mammogram checked out. Also, be sure to discuss any menstrual irregularities with your gynecologist, as those can easily be brushed off as perimenopause but can also indicate uterine, cervical, or ovarian cancers.
According to the Mayo Clinic, fibroids (also known as leiomyomas) are very common noncancerous growths of the uterus that can appear during your childbearing years. You can have more than one, and they can vary in size from tiny growths to large masses that cause you to actually gain weight. Fibroids are usually discovered during routine pelvic exams or ultrasounds and can appear without symptoms. But larger fibroids can cause very heavy bleeding that can be painful and disruptive to your daily life, sometimes requiring removal, and depending on their size and location, could impact fertility. Hippolyte says symptoms of and a history of fibroids can also shroud more urgent medical issues. “A patient might come in and say, ‘I’m bleeding more heavily,’ and because of that fibroid history, the doctor may not investigate further and miss pre-cancer or cancer of the uterus,” she says. Be sure to discuss any abnormal bleeding or abdominal discomfort with your doctor.
Osteoporosis occurs when your bone tissue doesn’t regenerate fast enough, thus causing bones to become so brittle and weak, that they can break under the stress of something as small as a cough. Osteoporosis commonly occurs in the hip, wrist, or spine, according to the Mayo Clinic. Hippolyte says risk factors for osteoporosis are age, race, body mass index, family history, and smoking. The problem is, it’s a silent condition. “The No. 1 symptom of osteoporosis is no symptom. Zero,” she says, adding that it can easily sneak up on women with chronic conditions requiring steroid use or medications that increase their risk of osteoporosis. “Unfortunately, what often happens is a woman has a fracture, and in hindsight, her doctor realizes her risk of fracture was increased because she has osteoporosis. Prevention is very important.” Osteoporosis has a precondition called osteopenia, for which there are oftentimes no symptoms outside of localized bone pain and weakness in the area of a broken bone. However, a bone-density test, which women should get starting at age 65, can determine signs of loss of bone density, which can be counteracted by surveillance and preventative measures like exercise, Hippolyte says.
Hippolyte says heart disease is a strong example of how, historically, the medical establishment has overlooked women. And it’s not just older women: Approximately one in 16 women over the age of 20 (6.2 percent) has coronary heart disease, the most common type of heart disease, which affects Black and white women almost equally. Though it’s the leading cause of death for women in the United States — killing approximately one in every five women — medical research and training have largely ignored the fact that women present very differently than men while having a heart attack. “Heart disease can impact a woman just as much as a man, but symptoms and how it’s recognized are a lot different, therefore putting a woman in danger of her condition going unnoticed,” explains Hippolyte. “We mostly look at data from male patients and studies done on men, from presenting symptoms to medications that could be used. But a woman’s heart attack is not that crushing chest sternal pain that we see in the movies. It’s definitely a lot different. Nausea and upset stomach might be the indication and are oftentimes overlooked.” Heart disease can be insidious because many women don’t have symptoms. Others feel dull or heavy chest pain (also known as angina); pain in the neck, jaw, and throat, and/or pain in the upper abdomen or back; fatigue, nausea, or vomiting.
Your primary-care physician preliminarily screens for basic heart-disease indicators at your yearly well visit by taking your blood pressure, discussing your diet, monitoring your weight, and ordering blood tests to check your cholesterol and glucose levels. Hippolyte says when you’re evaluated for heart disease, your doctor or cardiologist should also consider your obstetrical history. “You might have a woman who gave birth 20 or 30 years ago and perhaps had preeclampsia, or a growth-restricted baby or an elevation in blood pressure that everybody said was nothing. These risk factors alone contribute to an increased link with cardiovascular disease later in life. A woman who didn’t really seem to have high blood pressure or smoke might suddenly be at risk for congestive heart failure. You have to really know a woman’s personal medical history and see how it could impact her health many decades later,” says Hippolyte. Among other factors that can contribute to heart disease risk are diabetes, alcohol use, a lack of exercise, an unhealthy diet, and obesity.
Complications in pregnancy
Prenatal care is extremely important for your health and your baby’s health. In 2020, the average U.S. maternal mortality rate was 23.8 deaths per 100,000 live births compared with a rate of 20.1 in 2019. Horrific but true: The maternal mortality rate for non-Hispanic Black women was 55.3 deaths per 100,000 live births — 2.9 times the rate for non-Hispanic white women, according to the CDC. These are the highest maternal mortality rates of any high-resource country.
When you’re pregnant, your body goes through so many changes, that it can be hard to tell which discomforts are normal and which are signs of something serious. According to the CDC, approximately 50,000 or more American women will experience severe maternal morbidity (SMM), or pregnancy conditions that can adversely affect a woman’s health or even life. Though it’s difficult in a mere paragraph to provide a full guide to which complications warrant exploration, Hippolyte says the following signs and symptoms warrant an immediate call to your doctor:
- A headache that will not go away with acetaminophen, the main ingredient found in Tylenol
- Visual changes at rest (e.g., floaters, or bright spots in your field of vision)
- Vaginal bleeding in any trimester
- Epigastric (or gastrointestinal) pain not relieved with antacid
- Right upper abdominal pain at rest
- Decreased or absent fetal movement in the mid-second trimester and later
In the meantime, be sure to keep up with your prenatal visits, testing, and screenings to carefully monitor your pregnancy throughout.