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Una
recurrencia de cáncer ovárico significa que la enfermedad reapareció después de que estuviste en remisión o que se declaró que ya no tenías la enfermedad. Si bien las tasas de supervivencia de personas con cáncer ovárico recurrente actualmente son aproximadamente 3 de cada 10, conocer tus riesgos, defender tus derechos y participar activamente en tu tratamiento y atención puede mejorar los desenlaces clínicos y la prognosis.Hablamos con Blair McNamara, M.D., una oncóloga ginecológica de la facultad de medicina de la Universidad Yale y miembro del consejo de asesoría de la salud de la mujer de HealthyWomen acerca del cáncer ovárico recurrente y sus opciones terapéuticas que cambian continuamente.
Las tasas de recurrencia de cáncer ovárico dependen de la etapa del tumor cuando se haga el diagnóstico, tu edad y factores que indican cuán agresivo es el cáncer, es decir su grado de malignidad o características histológicas. La mayoría de pacientes con cáncer ovárico de alto grado de malignidad recibirán diagnósticos de la enfermedad en la etapa 3 o 4. Más de 7 de cada 10 de estas pacientes experimentarán una recurrencia de la enfermedad en los siguientes cinco años.
El cáncer ovárico recurrente a veces puede tratarse quirúrgicamente si tuviste un período de seis meses o más sin la enfermedad y si no se ha propagado. De otra forma, e incluso después de una cirugía, el cáncer ovárico se trata con quimioterapia.
El cáncer ovárico resistente a derivados de platino significa que el cáncer de una paciente reaparece en los primeros seis meses desde que se realizó una quimioterapia con derivados de platino. Usualmente el derivado es carboplatino, que evita que células cancerosas se reparen o multipliquen.
Sí. En casos de cánceres ováricos resistentes a derivados de platino, usualmente no se consideran opciones quirúrgicas y no se ofrecen tratamientos con carboplatino. Hay muchas otras quimioterapias que pueden usarse para tratar cánceres ováricos resistentes a derivados de platino y muchas de ellas son terapias dirigidas más nuevas. Solíamos decir a las pacientes que la quimioterapia tiene mucho menos posibilidades de funcionar si tienen una enfermedad resistente a derivados de platino. Sin embargo, ya no es así con estas terapias nuevas y el tratamiento depende de la circunstancia específica de la paciente.
Los biomarcadores son químicos medibles en el cuerpo que pueden indicar la presencia o progreso del cáncer ovárico, así como su reacción a tratamientos. Una prueba de sangre para detectar CA-125 se usa frecuentemente para pacientes con cáncer ovárico puesto que puede ser útil para que oncólogos determinen cuál sería tu reacción a quimioterapia y detecta la recurrencia de cánceres ováricos. Los tumores pueden tener biomarcadores diferentes que se identifican después de la cirugía inicial. Estos biomarcadores pueden ejercer influencia en la terapia de cánceres ováricos iniciales y recurrentes.
Se están desarrollando tratamientos nuevos que la Administración federal de medicamentos (FDA, por sus siglas en inglés) está aprobando para cánceres ováricos resistentes a derivados de platino y ciertos biomarcadores de tumores nos dan una indicación de cómo los cánceres de pacientes reaccionarán a quimioterapias dirigidas. Estas terapias dirigidas se están volviendo cada vez más comunes y los oncólogos determinarán qué tratamientos puedes tener en función de las características biológicas del tumor. Por ejemplo, si tumores tienen una deficiencia de recombinación homóloga o DRH, los pacientes podrían cumplir con los requerimientos para ciertas opciones orales de tratamientos de mantenimiento para evitar que el cáncer reaparezca.
Lo primero que analizará tu proveedor médico cuando determine tus opciones terapéuticas es la naturaleza de tu cáncer. Por ejemplo, la etapa, el grado de malignidad, la ubicación y cualquier información disponible de biomarcadores. Cuando decidas qué plan terapéutico implementar, deberías considerar en qué forma toleraste la quimioterapia durante tu tratamiento inicial y deberías conversar acerca de qué cambios se harán a la quimioterapia en función de eso. Asegúrate de considerar cualquier otro problema médico que tengas y qué actividades son más importantes para ti, para que puedas darles prioridad y preguntar a tu oncólogo si los efectos colaterales del tratamiento podrían afectar la forma en que realizas tus actividades favoritas. También es conveniente que consideres participar en un ensayo clínico, el cual podría darte acceso a tratamientos nuevos.
Este recurso educativo se preparó con el apoyo de Daiichi Sankyo.
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An ovarian cancer recurrence means the disease has returned after you’ve gone into remission or been declared disease-free. While survival rates for people with recurrent ovarian cancer are currently around 3 in 10, knowing your risks, advocating for yourself, and actively participating in your treatment and care can improve your outcome and your outlook.
We spoke with Blair McNamara, M.D., a gynecologic oncologist at Yale University School of Medicine and a member of HealthyWomen’s Women’s Health Advisory Council about recurrent ovarian cancer and its evolving treatment options.
Recurrence rates of ovarian cancer depend on the stage of the tumor at diagnosis, your age and factors that tell us how aggressive the cancer is — the grade or histology. Most patients with high- grade ovarian cancer will get diagnosed with stage 3 or stage 4 disease. More than 7 out of 10 of these patients will experience a recurrence of their disease within the first five years.
Recurrent ovarian cancer can sometimes be treated surgically if you’ve had a six-month or longer disease-free period, and if the disease is not widespread. Otherwise, and even after surgery, recurrent ovarian cancer is treated with chemotherapy.
Platinum-resistant ovarian cancer means a patient’s cancer has come back within six months of completing chemotherapy that included a platinum agent. Usually the agent is carboplatin, which works by preventing cancer cells from repairing or copying themselves.
Yes. In platinum-resistant ovarian cancer, surgery is usually not considered and treatment with carboplatin is not offered. There are many other chemotherapies that can be used to treat platinum-resistant ovarian cancer, and many of them are newer, targeted therapies. We used to tell patients that chemotherapy is much less likely to work once they have platinum-resistant disease. However, that is no longer the case with these newer therapies, and treatment depends on a patient’s specific circumstance.
Biomarkers are measurable chemicals in the body that can indicate the presence or progression of ovarian cancer, as well as its response to treatment. A blood test for CA-125 is often used in patients with ovarian cancer, as it can help oncologists determine what your response will be to chemotherapy and detect recurrence of ovarian cancer. Tumors themselves can have different biomarkers that are identified after initial surgery. These biomarkers can influence therapy for both initial and recurrent ovarian cancer.
With new treatments for platinum-resistant ovarian cancer in development and approved by the Federal Drug Administration (FDA), certain tumor biomarkers suggest a patient’s cancer will respond to a targeted chemotherapy. These targeted therapies are becoming more common, and oncologists will determine what treatments you can have based on your tumor’s biology. For example, if tumors have homologous recombination deficiency, or HRD, patients may be eligible for certain oral maintenance treatment options to prevent the cancer from coming back.
The first thing your provider will look at when determining your treatment options is the nature of your cancer. For example, the stage, grade, location and any biomarker information available to you. When making decisions about what treatment plan to proceed with, you should consider how well you tolerated chemotherapy during your initial treatment and discuss changes to your chemotherapy based on how well you tolerated the initial treatment. Be sure to think about any other health issues you have and what activities are most important to you, so you can prioritize them and discuss with your oncologist whether treatment side effects might get in the way of doing the things you love. You may also want to consider joining a clinical trial, which could make new treatments available to you.
This educational resource was created with support from Daiichi Sankyo.
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As told to Jacquelyne Froeber
In 1994, I was in the emergency room when the healthcare provider told me pancreatic cancer was only diagnosed in 65-year-old Black men.
But there I was — a 44-year-old white woman with a mass on my pancreas.
The whole scene felt like a bad dream. Just an hour earlier I was having fun at a party. Then the next thing I knew I was in the ER with severe back pain. I thought it was gallstones — I’d heard that gallstones were very painful.
I’d never heard of pancreatic cancer before.
But I also hadn’t felt like myself for some time. About six months before the ER visit, I went to my healthcare provider for some tests. I was having high chest pains (probably stress), digestive problems (probably my diet), weight loss (but the diet was working!) and I was tired all the time. I was so drained I barely had the energy to play tennis — the sport I loved. But no one called me about my test results and I figured no news was good news.
It turned out my provider had left the practice and never received my test results. There was, in fact, a mass on my pancreas. I had pancreatic cancer.
The diagnosis didn’t feel real. I was relatively young, active and had no family history of cancer. I wanted answers and I wanted to learn everything I could about the disease. But I quickly found out there wasn’t much to learn. I couldn’t find any significant research or education on pancreatic cancer. And zero information about the disease in women.
The worst part was hearing from providers that no one lives with pancreatic cancer. I had to come to terms with the fact that I was going to die.
This was unacceptable to me. I wanted to see my son graduate and get married. I wanted to meet my future grandchildren. I knew I had to do everything I could to live.
My treatment options were limited. Chemotherapy for pancreatic cancer didn’t exist. For me, it was surgery or nothing. I had a Whipple procedure, which removed the tumor in my pancreas and reconstructed my digestive tract. After the surgery, I was diagnosed with mucinous cystadenocarcinoma, a rare, slow-growing cancer. And although we had caught it early, there was a chance it could come back.
I was beyond grateful that the cancer was removed, but no one prepared me for what to expect with a new digestive tract. Certain foods would keep me in the bathroom for hours and some days I couldn’t get out of bed because of the pain and nausea. I felt so alone. There were no dieticians familiar with pancreatic cancer. I didn’t even have an oncologist that specialized in pancreatic cancer. I felt like I was stumbling around in the dark trying to find a light.
The American Cancer Society said that most people don’t live past five years with pancreatic cancer. That fact played on a loop in my head almost every day. I’d wake up in the morning and be thankful to be alive, and then wonder — was today the day? Then, I made it to five years — no evidence of disease. I felt an unfamiliar stirring of hope in my heart. Maybe the small amount of research out there was wrong.
But shortly after the five-year mark, the cancer came back, and it was more aggressive than before. I was devastated.
Again, my only option was surgery, so I had the rest of my pancreas removed along with my spleen and gallbladder. I also had my first CT scan ever after the surgery, and although the technology was impressive, the imaging showed that the cancer had spread to my lymph nodes. I wanted to have another surgery to remove the lymph nodes right away, but my oncologist said they were inoperable.
I spent the next two years talking to different oncologists and finally found one who had been studying pancreatic cancer for years. He helped me start a treatment plan and find a surgeon to remove the lymph nodes.
When I stepped back and looked at all of the time and energy I’d spent on advocating for my health, I realized I needed to do more. Not just for me — but for everyone like me who was desperately searching for information and innovation and hope. I started looking into advocacy training, and I eventually became the first survivor patient research advocate for pancreatic cancer in the U.S.
All of the fundraising, legislative visits and reviewing upcoming pancreatic cancer research and clinical trials helped soften the terrible news that the cancer had come back in 2006. This time it was in my lung.
My healthcare provider wanted to put off any testing because the spot was small, but I insisted on a biopsy. When the results came back, I was right — it was positive for pancreatic cancer. I then had surgery to remove the lower lobe of my lung.
It’s been incredibly tough to go through all these surgeries and still know cancer can show up again any time. But throughout the years I’ve worked with many local, national and international organizations to help advance research and treatment options for pancreatic cancer. I helped the U.S. Department of Defense create the Pancreatic Cancer Research Program — and I still work with them today.
I’m probably most proud to be founder of the first pancreatic cancer support group in Arizona. We started it more than 20 years ago and continue to help people connect with each other and support mental health.
We’ve come a long way in the fight against pancreatic cancer, but there are still many mountains to climb. I think back to my initial diagnosis and being told that pancreatic cancer is a man’s disease. That’s simply not true. Women get pancreatic cancer. And rates are rising for younger people under the age of 50.
If you or someone you know is experiencing symptoms like I did — chest pain, weight loss, changes in your digestive system — talk to your healthcare provider right away. Don’t let anyone tell you that women don’t get pancreatic cancer. I’m living proof that we do.
Have your own Real Women, Real Stories you want to share? Let us know.
Our Real Women, Real Stories are the authentic experiences of real-life women. The views, opinions and experiences shared in these stories are not endorsed by HealthyWomen and do not necessarily reflect the official policy or position of HealthyWomen.
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As the editorial team prepared for our first issue of 2025, one name stood out as our cover star—Mahlagha Jaberi. A global icon known for her elegance, fitness, and authenticity, Mahlaga epitomizes grace and strength. Our conversation with her revealed a woman deeply committed to self-improvement, balance, and sharing her journey with others. From personal goals to overcoming challenges, Mahlaga’s story is an inspiring testament to living with purpose.
When I asked Mahlaga about her milestones for 2025, her response reflected a woman grounded in both passion and determination. “This year, I’m committed to creating a more balanced life,” she shared. “I aim to invest more time in my health and with my family while eagerly embracing creative projects that ignite my passion.” Her words resonated deeply with me—a reminder that balance is not a static state but a dynamic pursuit.
Professionally, Mahlagha is bubbling with new ideas. She spoke about projects that align with her core values. “To stay motivated, I remind myself of my initial purpose and the progress I’ve made. Although challenges arise, being surrounded by supportive and inspiring individuals, as well as celebrating even the smallest victories, fuels my drive to achieve my larger dreams.” Her perspective was a beautiful affirmation of how community and gratitude can propel us forward.
Full Interview is Continued on Next Page
This interview is exclusive and taken by Namita Nayyar President of womenfitness.net and should not be reproduced, copied, or hosted in part or full anywhere without express permission.
All Written Content Copyright © 2025 Women Fitness
Disclaimer
The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
Slide 1
El bueno, el malo y corre al baño: Qué hacer antes y después de tu colonoscopía
La colonoscopía y la recuperación usualmente son fáciles. ¿El día anterior? Prepárate para una noche memorable en el baño.
Slide 2
La semana antes de tu colonoscopía
Recoge tu preparación para la limpieza del colon. La tomarás la noche antes de tu colonoscopía para vaciar el colon completamente.
Las presentaciones de las preparaciones para la limpieza del colon incluyen tabletas, líquidos o polvos. Cada marca funciona de forma diferente, así que lee las instrucciones cuidadosamente.
Slide 3
Cuando salgas, recoge algunos suministros para que el baño esté bien abastecido:
También agrega alimentos suaves o líquidos transparentes en la lista de víveres:
Slide 4
3-5 días antes de tu colonoscopía
Adopta una dieta baja en fibras.
Deja de comer:
Esto es para garantizar que todo tu colon pueda verse durante el procedimiento.
Slide 5
El día anterior
Adopta una dieta de líquidos transparentes:
Evita colorantes rojos, naranjas, azules o púrpuras en los alimentos que puedan parecer sangre en el colon.
Si tienes estreñimiento hoy, avísale a tu doctor para que pueda recetar un laxante.
Slide 6
¡Es el momento de la verdad!
No planifiques nada esta noche y empieza a tomar tus preparaciones para la limpieza del colon varias horas antes de ir a la cama para garantizar que duermas. Vas a tomar mucha agua y pasarás mucho tiempo en el baño. Ten tus suministros listos para tu comodidad, junto con un buen libro o revista.
Slide 7
Consejos de profesionales:
Tu meta: ¡hacerlo bien una sola vez!
Diapositiva 8
El día de la colonoscopía
La parte difícil ya pasó. En el hospital o la clínica te pondrás una bata, te colocarán una IV y tomarás una siesta con anestesia.
La mayoría de personas se sienten bien cuando despiertan, pero algunas tienen gases o distensión abdominal.
Recibirás tus resultados antes de irte.
Slide 9
Asegúrate de que haya alguien que te lleve a casa.
Toma el resto del día con calma mientras te recuperas de la anestesia. Puedes comer nuevamente, sin restricciones. Disfrútalo, pero hazlo lentamente.
Slide 10
¡Felicitaciones por darle prioridad a tu salud! No fue tan malo, ¿verdad?
Si tienes una prueba sin anomalías y pocos factores de riesgo, es posible que no tengas que hacer esto nuevamente por varios años.
Este recurso educativo se preparó con el apoyo de Daiichi Sankyo.
March is National Sleep Awareness Month.
For most of my life, sleep has been simple. As a kid, my dad would read me a bedtime story — usually “The Giving Tree” — and I’d be asleep before the Boy took all the tree’s branches. (That book is deep, BTW.) And I could sleep anywhere. From questionable ottomans in hotels to the middle seat on a turbulent flight — I was the female McDreamy.
It wasn’t until my early 30s that I realized how bad sleepless nights can be. There’s nothing worse than getting into bed, counting sheep (or glorious Russet potatoes), only to spend the next seven hours tossing and turning and staring at the ceiling thinking about everrrrryyyyyyyyythinggggggg under the sun.
About 1 in 4 women and people assigned female at birth (AFAB) experience some symptoms of insomnia such as trouble falling asleep and trouble staying asleep. Beyond the annoyance of it all, insomnia can have serious effects on mental and physical health such as an increased risk of mood disorders and cardiovascular disease — the number one cause of death for women in the U.S.
Women are more likely to have insomnia than men, so it’s no surprise that women are also more likely to take prescription sleeping pills. But new research shows that the nighttime aids may not give you the stellar sleep you think you’re getting.
“Sleeping pills can put you to sleep, but you may not get the quality of sleep that you need because you’re not actually getting healthy, restorative sleep,” said Nicole Sondermann, NBC-HWC, CCSH, RPSGT, clinical sleep health educator and member of HealthyWomen’s Women’s Health Advisory Council (WHAC).
Watch: How to Get a Good Night’s Sleep >>
So, what exactly is restorative sleep? Sondermann said it involves going through all the sleep cycles undisturbed, and waking up with the mental clarity to start your day. Think of it this way: If you wake up feeling rested and ready to shop at Trader Joe’s on a Saturday morning — you probably had restorative sleep.
One reason restorative sleep is so important is that it allows your body and your brain to heal. It also gives your brain time to clear away waste, including toxic proteins that could build up and interrupt the flow of information between neurons. But a new groundbreaking study found prescription sleeping pills may interfere with this “cleaning” process.
In the study, mice were given a common prescription sleeping pill. And while the mice did fall asleep faster than the mice that were given a placebo, researchers found the flow of cerebrospinal fluid, which helps clean the brain during sleep, decreased by about 30%. Sleeping pills can also suppress the production of norepinephrine waves that clear toxins in the brain during non-rapid eye movement (REM) sleep, which is important for learning, memory and cognitive function.
“So, if you’re taking a sleeping pill, you are sedated but you’re not naturally going through the process that your body needs to go through during REM sleep,” Sondermann said. “I like to compare it to a washing machine. You can rinse something out, and all the suds come out and you rinse, rinse, rinse and it comes out clean. Or you can do the quick cycle rinse, but the soap suds are still in there. So it may smell good, it may look OK — but if you run it underwater again and again, more soap suds come out.”
Although the study tested the brains of mice, researchers noted that humans have the same brain circuit, which could mean sleeping pills may be interfering with brain health during sleep for humans too.
Sondermann noted that prescription sleeping pills can be necessary for some people and helpful when prescribed for the right reasons. Still, the best path to restorative sleep is practicing good sleep hygiene.
A helpful sleep routine varies from person to person, but good sleep hygiene can include:
Read: Sleep Hygiene Checklist: Top 8 Healthy Sleep Habits >>
For the 2 a.m. racing thoughts, Sondermann said the boxed breathing technique may help. Here’s how to do it:
“You’re not fixing the problem — but you’re not going to let it control you,” Sondermann said. “The release of CO2 is actually relaxing your body. And on a psychological level, you’re releasing the thing that’s controlling your thoughts.”
Restorative sleep may seem like a pipe dream on sleepless nights, but good sleep hygiene can make a big difference in your health overall.
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If you’ve ever been diagnosed with a health condition, a biomarker is at play, even if you’ve never heard the word. Biomarkers help healthcare providers identify, monitor and determine risk for disease — including heart disease, the leading cause of death for women in the U.S.
Biomarkers also play a big role in the development of medications and treatment options for health conditions such as cancer. Here’s more on the fascinating world of biomarkers, and what you need to know about biomarker testing.
A biomarker is a biological substance or sign that can be measured to evaluate health and disease. Biomarkers can be molecules, proteins, genes and other characteristics found in blood, body fluids or tissue.
One example of a biomarker is blood glucose (sugar). High or fluctuating blood sugar levels is a sign of diabetes. A healthcare provider can use the blood sugar levels to move forward with a diagnosis and the best treatment plan to manage the condition.
Other examples of biomarkers can include:
Biomarkers are important for many reasons. For one, they can help identify underlying conditions and diseases — sometimes before symptoms even start. Biomarkers also help predict how serious a condition might be and the right treatment plan to choose. For example, some biomarkers affect how cancer treatments work. A biomarker test can help guide treatment and personalized medicine tailored to the biomarkers in your body.
Biomarkers play a big role in developing new treatments and medications for health conditions. Researchers can use biomarkers to measure important factors such as safety of the drug, dosage and who is most likely to benefit from the treatment.
Biomarkers belong to different groups based on their purpose. These include:
Biomarker testing is used to measure biomarkers in blood, body fluids or tissue. These tests can include:
The results help healthcare providers identify conditions and may be helpful before, during and after a diagnosis, depending on the condition.
Biomarkers can also help identify health conditions specific to women. For example, certain protein biomarkers can help identify gynecological cancers, endometriosis and polycystic ovary syndrome (PCOS). And biomarkers play a crucial role in the early detection and treatment of breast cancer.
Other biomarkers can include:
One recent meta-analysis found miRNAs biomarkers can identify the exact stage of ovarian cancer — even early stages — which can lead to more personalized treatments and better outcomes.
When it comes to heart disease, biomarkers in your blood may help assess your risk for a major cardiovascular event. One recent study found women with high levels of LDL cholesterol, Lp(a) and C-reactive protein (CRP) were about three times more likely to have a heart attack and almost four times more likely to have a stroke.
Biomarker testing is typically recommended for people at-risk for or diagnosed with health conditions such as cancer. But testing may not be recommended for everyone or covered by insurance. As always, talk to your healthcare provider about biomarker testing and whether it’s an option for you.
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Annebeth Kubbe is a three times Dutch vaulting Champion. She competes for the Netherlands. In 2015 Youth World Championship Ermelo (Squad) Warnix she stood fourth.
In 2017 she moved to Denmark and stayed there until 2021, when she returned to the Netherlands she decided to take a gap year after she passed her school exams. She wanted to focus on qualification for the 2018 FEI Vaulting European Championships for Juniors in Kaposvar Hungary. She bought her own horse, Guinness, and started to look for a place to work and vault. Suddenly, the chance to work and vault at Lasse Kristensen’s place came her way. She has studied at High school in Gorinchem, Netherlands and De HAN University of Applied Sciences located at Nijmegen, Netherlands. One of her hobbies is volunteering. She also a Physiotherapist and Vaulting coach.
Women Fitness President Ms. Namita Nayyar catches up with Annebeth Kubbe an exceptionally talented Dutch Equestrian Vaulting athlete; Three times Dutch Champion here she talks about her fitness routine, diet, and success story.
Where were you born and had your early education? Equestrian vaulting is most often described as gymnastics and dance on horseback. You came in competitive Equestrian vaulting at the age of nine years and participated in the 2015 Youth World Championship Ermelo (Squad) Warnix and stood fourth. This later propelled your career to the height where you have been a leading equestrian vaulting athlete, presently ranked 47th in the world. Tell us more about your professional journey of exceptional hard work, tenacity, and endurance?
I am born in the Netherlands and started my vaulting career in the Netherlands. In 2014 (at age 14) I started my career in the elite sports. I did this with junior team the Netherlands. In 2017 I started my career as an individual vaulter. This year I moved to Denmark to have fully focused on the sports. It was hard to move on my own to another county, but I was determined to get the best out of me as an athlete. In 2021 I decided to move back to Holland. I grow as a person and an athlete. The coach that was coaching me in Denmark, had different ambitious then me, so I decided to find a new coach. In 2022 I ended 5th in the world cup final. In 2022. 2023 and 2024 I became Dutch champion.
Annebeth KUBBE Evermore R (618) Jinte van der Heijden
NED
While performing Equestrian vaulting where choreographing routines is an art form, it’s about finding a balance between showcasing strengths and creating a captivating performance. Elaborate?
I love this question. For me Equestrian vaulting is definitely a combination of art, showcasing and elite sports. Of course you need to be fit and strong to be able to do all the exercises you want. But Its all about making it smooth with your horse, dancing with your horse and balancing each other. The show part is really about telling your story inspiring people and making art.
You stood fourth in 2022 FEI World Cup Finals Leipzig that was held from 6th to 10th April 2022 at Leipzig Germany. How these events in your equestrian vaulting journey act as a catalyst in your metriotic rise as a leading equestrian vaulting athlete?
The world cup final was my first competition with my own horse Evermore R. The connection I have with him is so deep. Because of him and our connection I became a much better athlete.
Full Interview is Continued on Next Page
This interview is exclusive and taken by Namita Nayyar President of womenfitness.net and should not be reproduced, copied, or hosted in part or full anywhere without express permission.
All Written Content Copyright © 2025 Women Fitness
Disclaimer
The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
Herbs such as Artemisia vulgaris and Capsella bursa-pastoris promote menstrual and hormonal health. If your period is heavy enough to require changing more often than every one or two hours, or if you have a period that lasts more than a full week, you may be experiencing menorrhagia or heavy menstrual bleeding. Hormonal imbalance is one of the primary reasons for heavy menstrual bleeding, with Uterine fibroid tumors ranking second. Intrauterine devices used for contraception are also a potential cause of heavy menstrual bleeding or menorrhagia.
Nettle leaf and Hibiscus flower are suggested by some herbalists for managing heavy menstrual bleeding. Calendula officinalis acts as a menstrual cycle regulator and provides a calming effect while Viburnum opulus (Cramp Bark) helps to ease nervous tension and reduce menstrual cramps.
Menstrual chaos is common in menopausal years. Do not despair.
Disclaimer
The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
Slide 1
The Good, the Bad, and the Bathroom Dash: What to Do Before and After Your Colonoscopy
The colonoscopy and the recovery are usually easy. The day before? Get ready for a memorable evening in the bathroom.
Slide 2
The week before your colonoscopy
Pick up your prep. You’ll take it the night before your colonoscopy to empty the colon completely.
Prep comes in tablet, liquid or powder form. Each brand works differently, so read the instructions carefully.
Slide 3
While you’re out, pick up some supplies to stock the bathroom:
Also, put soft foods and clear liquids on the grocery list:
Jell-O
Sports drinks
Broth
Lemon or lime popsicles
Slide 4
3-5 days before your colonoscopy
Switch to a low-fiber diet.
Stop eating:
Raw fruit
Dried fruit
Whole grains
Vegetables
Nuts and seeds
This is to ensure the whole colon is visible during the scan.
Slide 5
The day before
Start a clear liquid diet:
Broth
Coffee or tea with no milk or creamer
Lemon or lime Jell-O and popsicles
Clear soda or sports drinks
Avoid red, orange, blue or purple food dye, which can resemble blood in the colon.
If you’re constipated today, let your doctor know so they can prescribe a laxative.
Slide 6
It’s go time!
Clear your evening calendar and start taking your prep meds several hours before bedtime to ensure you sleep. You’ll be drinking a lot of water and camping in the bathroom. Have your comfort supplies ready, along with a good book or magazine.
Slide 7
Pro Tips:
If you have liquid prep, drink it chilled and through a straw.
After drinking it, suck on a peppermint or lemon slice.
Stay hydrated: Sports drinks or electrolytes can help.
Stay motivated and keep going: if your colon isn’t empty, you may have to do it again.
Your goal: one and done!
Slide 8
Colonoscopy day
The hard part is behind you. At the hospital or clinic, you’ll gown up, get an IV, and take a nap under anesthesia.
Most people feel fine after they wake up, but some experience a little gas or bloating.
You’ll get your results before you leave.
Slide 9
Be sure to arrange for someone to bring you home.
Take it easy for the rest of the day as you recover from the anesthesia. You can eat again, with no restrictions. Enjoy, but start slowly.
Slide 10
Congratulations on prioritizing your health! That wasn’t so bad, was it?
With a clear scan and few risk factors, you may not need to do this again for several years.
This educational resource was created with support from Daiichi Sankyo.