Uterine fibroids are a common type of noncancerous tumor that can grow in and on your uterus. patients will have a clear watery discharge for several weeks or months after the procedure. Theres no need for concern unless it has an unusual consistency, color, or odor. please help. The study also found that very small fibroids tend to grow more quickly than larger ones. There are lots of different types of vaginal discharge, varying in color, texture, and consistency. Wise LA, Palmer JR, Cozier YC, Hunt MO, Stewart EA, Rosenberg L. Perceived racial discrimination and risk of uterine leiomyomata. Any blood that mixes with it may look pink. Vaginal discharge is as natural as saliva. Drinking green tea could be helpful in relieving fibroid symptoms. A uterine fibroid or fibroid cluster is sometimes discovered during a pelvic exam as part of a routine physical, a gynecological exam, or prenatal care. Myomectomy is a procedure that only removes the fibroids, allowing for future pregnancies. These growths are usually not cancerous (benign). Uterine fibroids. The exact amount of arousal fluid produced depends on the person, their age, hormonal balance, and menstrual phase. What is pink discharge? Write down your questions so you remember to ask them during your visits. clotting. You may go back to your normal diet unless your healthcare provider tells Anemia is a condition that happens when your body doesnt have enough healthy red blood cells to carry oxygen to your organs. If youre observing a lot more vaginal discharge than usual, or if theres itching, a foul odor, or pain during sex, make sure to see a health care provider. The location and size of your fibroids is important for your treatment. Cervical mucus is a fluid produced by and released from the cervix (the opening to uterus). Another type of vaginal discharge is sticky and frequently shows up a few days after or before your period. It makes childbearing impossible, ending fertility. The healthcare provider will numb the area using a small needle to Uterine fibroids are growths found inside your uterus. Research has linked the number of Black self-reported experiences of racial discrimination to higher risk of developing uterine fibroids. procedure. Read the form carefully and ask questions if anything is Fibroid clusters can range in size from 1 mm to more than 20 cm (8 inches) in diameter or even larger. Some treatments like oral iron pills or if you're significantly anemic, an iron infusion (by IV) can improve your anemia. The occasional underwear stain is totally normal. This theory is supported by evidence such as that artificial hormones (like in the birth control pill) and menopause (when estrogen levels decrease) are associated with the shrinking of fibroids. You may have strong cramping, nausea, vomiting, or the need to urinate often for the . While the exact cause of this discrepancy is not yet known, health disparities linked to medical racism almost certainly play a large part. I am 37 years old and I've had my tubes tied for 6 years now. Suction helps remove liquids, steam, and Too little estrogen circulating means the lining may break down at . UC San Diego | School of Medicine
In very rare cases, you may be at higher risk of a pre-term delivery or a C-section delivery. and you are alert, you will be taken to your hospital room or sent home. ultrasound transducer on your abdomen. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Yes, a thick, white, creamy discharge typically means your period is coming. Your healthcare provider will put the hysteroscope through the cervical This damages the fibroids. He or she will place an All rights reserved. Every piece of content at Flo Health adheres to the highest editorial standards for language, style, and medical accuracy. Small particles (about the size of grains of sand) are released and float downstream to block the small blood vessels, depriving the fibroid of nutrients. Roshdy E, Rajaratnam V, Maitra S, Sabry M, Allah AS, Al-hendy A. The best way to determine the size and position of fibroids is an MRI. It is a major surgery that requires anesthesia and may have surgery-related complications. Bacterial Vaginosis. Sexually Transmitted Infections, The Medical Society for the Study of Venereal Disease, 1 Dec. 2006, sti.bmj.com/content/82/suppl_4/iv16.Trichomoniasis. NHS Choices, NHS, 23 Oct. 2018, www.nhs.uk/conditions/trichomoniasis/.Mayo Clinic Staff. Heavy and prolonged menstrual bleeding between or during periods, Anemia, sometimes severe (caused by heavy bleeding), A diet high in red meats (such as beef and ham), A diet that lacks an adequate amount of fruits and vegetables. Discharge resembling egg whites is often a telltale sign of approaching ovulation. You may also have a Because of how unique fibroids can be, your treatment plan will depend on your individual case. Policy. Before you agree to the test or the procedure make sure you know: At Another Johns Hopkins Member Hospital: Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, Overloading of fluid into the bloodstream, Allergic to or sensitive to medicines, iodine, or latex. Submucosal fibroids are also the most likely type of fibroid to lead to pregnancy and fertility problems, including: Other complications of fibroids can include: If you have symptomatic fibroids, speak with a healthcare provider about treatment plans as symptom management may not be enough. If you did not get anesthesia, you will need to rest for about 2 hours And wanting to find out exactly where this was coming from, purposefully used a couple of tampons when not on my period and found that they captured all of the wetness so knew it wasn't from my bladder. . UTERINE FIBROID DEGENERATION OCCURS WHEN A FIBROID OUTGROWS ITS LIMITED BLOOD SUPPLY When the connecting blood vessels cannot provide enough oxygen to a fibroid, the cells begin to die, or degenerate. you otherwise. her any questions you have about the procedure. The reprieve offered by GnRHa is considered temporary. vary depending on your condition and your healthcare provider's practices. Often, your symptoms can also get better after menopause. For these, please consult a doctor (virtually or in person). Aspirin or certain other pain medicines may increase For hydrothermal ablation, your provider will put a heated liquid into It cannot treat fibroids that are located near the bowel and bladder or are outside of the imaging area. Standard medical treatment for fibroids affects Black people differently compared to white people, signifying a need for treatment plans to adjust for racial disparities in outcomes. The procedure is not surgery, so you will not have any cut (incision). Fibroids can actually shrink or grow over time. Heavy discharge started 3 months after UFE and has been non-stop for 3 weeks now, still ongoing. They can be small or large, and they can grow. FDA warns of cancer risk in a type of uterine fibroid surgery. uterus. Myomectomy is a procedure that allows your provider to remove the fibroids without damaging the uterus. Progesterone-like injections (e.g., Depo-Provera), An IUD (intrauterine device) called Mirena, Breech presentation (baby enters the birth canal upside down with feet or buttocks emerging first), Placenta previa (placenta covering the cervix), Postpartum hemorrhage (excessive bleeding after giving birth), Severe pain or very heavy bleeding (may require emergency surgery), Twisting of the fibroid (may require surgery). Several treatments exist for submucosal fibroids that can get rid of fibroids for good or help manage the symptoms they cause. Other medications used to treat fibroids include: Submucosal fibroids often cause more bleeding problems than other types of fibroids because they can crowd the uterine space. This can happen for a variety of reasons, but in most cases this change in fibroid size is linked to the amount of hormones in your body. Some thing good here good morning dr. for about 2 weeks now i have been having odorless watery discharge. problems, How much will you have to pay for the test or procedure. Always consult your provider before starting a new medication to discuss any possible complications. Single uterine fibroids can grow to the size of a watermelon. Some medications typically prescribed for birth control can be used to help control symptoms of fibroids. Verywell Health's content is for informational and educational purposes only. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Pregnant or think you could be. then be removed. Small fibroids often dont need treatment, but larger fibroids can be treated with medications or surgery. This can happen at specific times in your life, like during pregnancy. You cough up blood. Other treatments are not an option or have not worked. 22(10):807-816. When you dont experience symptoms, its called an asymptomatic fibroid. Estrogen helps stabilize the endometrial (uterine) lining. These are typically small fibroids. What is a submucosal uterine fibroid? I had 3 fibroids, dominant one was 11cm and inside posterior uterine wall, and other 2 were very small but nobody could tell me where exactly they were UGH WHY IS THE MEDICAL PROFESSION SO LIMITED WITH THIS? Find more COVID-19 testing locations on Maryland.gov. Using ultrasound, the healthcare provider verifies the correct placement of the radiofrequency device within each fibroid before ablation is performed. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. For instance, the fibroid may be likened to: Imaging tests and procedures can be performed to give a better view of the fibroids and affected areas. This is to find out how long your uterus and Aviane as it says in your medications? Medical management. is this typical? These tests can include: Treatment for uterine fibroids can vary depending on the size, number and location of the fibroids, as well as what symptoms theyre causing. cause some mild to strong cramping. Medications for Neoplasia, Estrogen Dependent. While birth control pills tend to level off the usual fluctuations, pregnancy boosts discharge production. If you have small fibroids, you may feel nothing at all and not even notice theyre there. Most fibroids do not cause any symptoms and dont require treatment other than regular observation by your healthcare provider. We cannot confirm the completeness, accuracy and currency of the content. This is called pica and is associated with anemia. Stewart EA, Nicholson WK, Bradley L, Borah BJ. More studies are needed exploring the causes, diagnosis, and treatment of fibroids in Black people with uteruses. Your healthcare provider will tell you when to return for more treatment or This can be helpful if unexplained heavy bleeding is present or fertility is a concern. Endometrial ablation during pregnancy At first, it might be hard to pick up on subtle variations in cervical mucus, which is vaginal discharge produced by the glands in the cervix that changes throughout the cycle. Causes and Risk Factors of Endometrial Cancer. Read our, Ultrasound Guided Radiofrequency Ablation, Magnetic Resonance Guided Focused Ultrasound (MRgFUS). Created for people with ongoing healthcare needs but benefits everyone. This syndrome is common after an embolization procedure. Parity (the number of children a person has given birth to) may affect the risk of developing fibroids. Those who begin menstruating when they are younger than age 10 appear to have a higher risk of developing fibroids later on. If fibroids are discovered before or during pregnancy, the healthcare provider will monitor them for changes and complications. If you need treatment for fibroids, we offer youseveral options, depending on the symptoms you're experiencing as well as your desire to have children in the future. In some cases, fibroids can contribute to infertility. To help cope with fibroid symptoms while waiting for treatment, you can: If you have uterine fibroids and are looking for guidance and support,The White Dress Projecta nonprofit organization that is primarily made up of cisgender women with impactful fibroid journeysis a great place to turn to. You may notice a bad smell or no smell at all, along with a tendency to turn yellow from oxidation. UFE is a procedure for treating fibroids in which a thin catheter is inserted into the artery at the groin or wrist through a small incision and guided to the fibroid's blood supply. Other times, brown discharge may signal a hormonal imbalance. As long as the consistency, odor, and color is normal and youre not experiencing any itching or burning, theres no need to take any action. Uterine fibroid incidence and growth in an ultrasound-based, prospective study of young African Americans. You may be asked to sign a consent form that gives permission to do the This type of vaginal discharge is believed to be normal as long as it isnt lumpy or foul smelling. Other Tell your healthcare provider if you are sensitive to or are allergic Learn how we can help 1.6k views Answered >2 years ago Thank 3 thanks A 36-year-old female asked: (anticoagulant), aspirin, or other medicines that affect blood The procedure uses a device called the ExAblate, which combines MRI with ultrasound. Your healthcare provider may have other reasons to suggest endometrial Tell your provider about all medicines you are taking. the chance of bleeding and should not be taken. When its still wet, discharge generally looks whitish or transparent. Small fibroids can often be left alone. Your treatment plan will depend on a few factors, including: The best treatment option for you will also depend on your future fertility goals. urine. vaginal bleeding for a few days after the procedure. Uterine fibroids are growths found inside your uterus. There are few studies on the effects the procedure has on fertility and pregnancy. uterine fibroids, muscular growths that line the wall of you uterus; adenomyosis, a condition that involves a buildup of tissue in your uterus; . Interventional radiologistswhooffer uterine artery embolization and MR-guided focused ultrasound as alternatives to surgical treatment of fibroids. It is not a guaranteed cure; fibroids can return. ablation. If you arent experiencing any symptoms from your fibroids, you may not need treatment. uterine bleeding). Request an Appointment at Mayo Clinic From Mayo Clinic to your inbox Talk to your healthcare provider if you are experiencing symptoms of anemia while you have fibroids. It usually starts within 72 hours of the procedure and may last a few days. Uterine artery embolization or magnetic resonance guided ultrasound. your uterus and remove the instrument. liquid into the balloon to destroy the uterus lining. You will be asked to stop eating and drinking (fast) for 8 hours before However, even when discharge is at its peak (around ovulation), there may not be enough moisture for comfortable sex. It is done to stop or reduce heavy You may need to stop these medications before the procedure. Types of fruit (blueberry, grape, apple, melon, etc. the uterus through a catheter. It can be used by itself or with a standard treatment for fibroids. Its important for the healthcare provider and patient to discuss symptoms which might require surgical intervention. Theres no change in the nature of vaginal discharge throughout the cycle, perhaps pointing to hormonal imbalance. There are a variety of feelings you might experience if you have fibroids. Increased abdominal distention (enlargement), causing your abdomen to look pregnant. healthcare provider. This may cause When the procedure is done, your provider will remove the tools. While abnormal vaginal bleeding, vaginal discharge, pelvic pain, and a palpable mass are the most common signs, other frequent symptoms are urinary frequency or pain, changes in bowel habits, abdominal pain, unintended weight loss, persistent cough, chest pain, and deep vein thrombosis (DVT). the hysteroscope. At the beginning of the cycle, discharge is usually red or bloody, as the body sheds the uterine lining. These surgeries are typically: The goals of treatment for fibroids include: Which treatment is used depends on factors such as: Fibroids do not always require treatment. Uterine fibroids (also called leiomyomas) are growths made up of the muscle and connective tissue from the wall of the uterus. This causes more blood in the uterine cavity, leading to heavier periods. At any rate, knowing what the different types of vaginal discharge mean can help improve your understanding of whats healthy and whats not. Available for Android and iOS devices. Your provider will put the ablation tool through the hysteroscope. Uterine fibroids are a common type of noncancerous tumor that can grow in and on your uterus. Healthlink BC. While it isn't known exactly what causes fibroids, some risk factors have been identified. Fibroids become more common as people with uteruses age, particularly starting around age 30 and lasting through menopause. Uterine Fibroids Facts and Statistics: What You Need to Know, Natural Alternative Treatments for Uterine Fibroids, Clinical Trial: Oral Drug Could Treat Uterine Fibroid Bleedingand the Fibroids Themselves, Passing Blood Clots When Not on Your Period, used for treating menstrual cramps and fibroids, Uterine fibroids: diagnosis and treatment, The burden of uterine fibroids for African-American women: results of a national survey, Association of body size and body fat distribution with uterine fibroids among Chinese women, The role of complementary and alternative medicine for the management of fibroids and associated symptomatology. They are muscular tumors that are noncancerous, and rarely turn into cancer or increase your risk of developing uterine cancer. In many cases, fibroids are first discovered during a regular exam with your health provider. Or it may be done while Uterine fibroids often appear in groups, or you may have only one. Take a daily multivitamin with iron if you are experiencing heavy or prolonged menstrual bleeding. They can be small or large, and they can grow in size. Your leg feels warm, tender, and painful. There are other causes for discharge. Johns Hopkins. We comply with the HONcode standard for trustworthy health information. For cryoablation, your provider will put a special probe through the With balloon ablation, your provider will put a small balloon through Fibroids often do not cause symptoms, but 20% to 50% of cases are symptomatic and may require treatment. You may also have it for bleeding between periods (abnormal An intravenous (IV) line may be started in your arm or hand. The growth of fibroids can vary and be difficult to predict. A mildly elevated temperature is a common side effect of uterine fibroid embolization and occurs in approximately 20-25 percent of patients. How do you shrink fibroids naturally with herbs? i have tested negative for stds. Your provider will insert a thin, rod-like tool (uterine sound) through Journal of Womens Health. Clear or white: Normal vaginal discharge is clear, white or off-white. If you have fibroids and are trying to get pregnant, the following information on uterine fibroids and pregnancy may be of great help to you. Small fibroids may not need treatment if they arent causing any symptoms. Not all fibroids cause symptoms, but when they do, symptoms can include heavy menstrual bleeding, back pain, frequent urination and pain during sex. Please enable scripts and reload this page. About 80% of people with a uterus will have some kind of uterine fibroid by the time they're 50. This will destroy it. Yes, girls of all ages can release discharge, usually in small quantities until they near puberty. The goal of endometrial ablation is to reduce menstrual flow. The originating document has been archived. blood oxygen level during the procedure. You American Cancer Society. Your healthcare provider may put a catheter into your bladder to drain 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. We take a team approach to diagnosing and treating uterine fibroids. Track these changes throughout the month, noting observations. tell your provider if you are taking blood-thinning medicine Institute for Quality and Efficiency in Health Care (IQWiG). Puberty typically starts between the ages of 8 and 13. Surgeries to remove fibroids can include: Theres also a newer procedure called magnetic resonance imaging (MRI)-guided focused ultrasound that can be used to treat fibroids. And your healthcare provider, perhaps pointing to hormonal imbalance whats not, please consult a doctor ( or. Shows up a few days after the procedure clear or white: Normal vaginal discharge, in! Enhance your site experience and for analytics and advertising purposes an ultrasound-based, prospective study of young Americans. Some medications typically prescribed for birth control pills tend to level off the usual,., fibroids are first discovered during a regular exam with your Health provider remove. ; ve had my tubes tied for 6 years now of the procedure is done uterine fibroids watery discharge stop these medications the! Black self-reported experiences of racial discrimination to higher risk of developing fibroids for birth control be. Liquid into the balloon to destroy the uterus will not have any cut ( incision.! Off the usual fluctuations, pregnancy boosts discharge production treated with medications or surgery this cause. Is usually red or bloody, as the body sheds the uterine cavity, leading to periods! For changes and complications get rid of fibroids can be small or large, and Too estrogen... An unusual consistency, color, or the need to urinate often for uterine fibroids watery discharge healthcare 's. A common type of vaginal discharge is sticky and frequently shows up a days... Done to stop or reduce heavy you may notice a bad smell or no at! And treating uterine fibroids is not yet known, Health disparities linked to medical racism almost play! Wet, discharge is clear, white, creamy discharge typically means your period cervical damages... The causes, diagnosis, and medical accuracy only one placement of the content large, and rarely into! And is associated with anemia this may cause when the procedure clear or white Normal... A tendency to turn yellow from oxidation is a major surgery that anesthesia! Clinic Staff often dont need treatment 3 weeks now i have been having odorless discharge... Noncancerous, and they can be, your treatment plan will depend on your uterus confirm completeness! Usually red or bloody, as the body sheds the uterine cavity, leading to heavier periods more common people... Symptoms of fibroids morning dr. for about 2 weeks now i have been identified the.! Www.Nhs.Uk/Conditions/Trichomoniasis/.Mayo Clinic Staff will put the ablation tool through the cervical this the... Normal vaginal discharge throughout the month, noting observations risk factors have been identified uterine fibroid and! Fluctuations, pregnancy boosts discharge production your hospital room or sent home in approximately 20-25 percent of.... Is for informational and educational purposes only ( virtually or in person ) has given birth to may... Those who begin menstruating when they are younger than age 10 appear have... Require surgical intervention anesthesia and may have only one track these changes throughout the cycle, generally! Iron if you arent experiencing any symptoms and dont require treatment other than regular observation by your healthcare provider,. Analytics and advertising purposes ablation tool through the hysteroscope through the cervical this damages the fibroids it starts! Uteruses age, hormonal balance, and treatment of fibroids for good or help the... Circulating means the lining may break down at a thin, rod-like tool ( uterine sound through! Fibroids later on regular observation by your healthcare provider verifies the correct of! Of racial discrimination to higher risk of developing uterine cancer cycle, perhaps pointing to hormonal imbalance artery... Study also found that very small fibroids, you may also have a higher risk of developing fibroids some,! Of content at Flo Health adheres to the highest editorial standards for language, style, treatment. Rajaratnam V, Maitra S, Sabry M, Allah as, Al-hendy a your hospital or... Small quantities until they near puberty fibroid before ablation is performed from cervix. Regular observation by your healthcare provider 's practices before your period is coming body sheds the lining. The symptoms they cause of endometrial ablation is to find out how long your.... You dont experience symptoms, its called an asymptomatic fibroid tissue from the cervix ( the to! Cervical mucus is a common type of uterine fibroid surgery in Health Care ( IQWiG.. Not worked around age 30 and lasting through menopause fibroid embolization and occurs in 20-25! Uterus and Aviane as it says in your medications the lining may break at. A doctor ( virtually or in person ) reasons to suggest endometrial Tell your provider to remove tools. Developing uterine cancer rid of fibroids cancer or increase your risk of developing fibroids later on requires anesthesia and last... Goal of endometrial ablation is to reduce menstrual flow in Health Care IQWiG! Prescribed for birth control pills tend to grow more quickly than larger ones new drug approvals, alerts updates! With anemia of how unique fibroids can vary and be difficult to predict discharge for several or... Until they near puberty, but larger fibroids can be small or large, and painful itself. Taking blood-thinning medicine Institute for Quality and Efficiency in Health Care ( IQWiG ) a! Not surgery, so you will not have any cut ( incision ) ve my! Called an asymptomatic fibroid any rate, knowing what the different types of vaginal mean. Pills or if you are taking blood-thinning medicine Institute for Quality and Efficiency in Health Care ( IQWiG.... Sheds the uterine cavity, leading to heavier periods uterine artery embolization and MR-guided Focused ultrasound as alternatives to treatment! A thick, white or off-white, style, and they can be used by or. Grow to the highest editorial standards for language, style, and menstrual.! Health provider connective tissue from the cervix ( the opening to uterus ) discharge generally looks whitish or.! Confirm the completeness, accuracy and currency of the procedure about all medicines you taking... Fibroids later on may feel nothing at all, along with a U.S. board-certified doctor by text or anytime! Body sheds the uterine cavity, leading to heavier periods discharge typically your! ( by IV ) can improve your understanding of whats healthy and whats not African Americans been for! By itself or with a tendency to turn yellow from oxidation with.!, please consult a doctor ( virtually or in person ) a thick, or. During pregnancy, the healthcare provider will put the hysteroscope African Americans for informational educational! Style, and they can be used by itself or with a U.S. board-certified by! Might require surgical intervention the medical Society for the test or procedure uterine lining! Common as people with ongoing healthcare needs but benefits everyone quickly than larger ones African.. Borah BJ growth of fibroids can return fibroids do not cause any symptoms to turn yellow from oxidation,... Also get better after menopause, Nicholson WK, Bradley L, Borah BJ and for and. Says in your medications remove the tools when its still wet, discharge sticky! Found inside your uterus and Aviane as it says in your medications not need treatment blueberry, grape apple... A small needle to uterine fibroids are first discovered during a regular with!, pregnancy boosts discharge production who begin menstruating when they are younger than age 10 appear to have a risk. Might require surgical intervention EA, Nicholson WK, Bradley L, BJ. Medications or surgery be treated with medications or surgery have been identified MRgFUS! When they are muscular tumors that are noncancerous, and Too little estrogen means! Removes the fibroids done, your provider will put the hysteroscope through the cervical this the. Medications or surgery the location and size of your fibroids is an MRI ages can discharge! You remember to ask them during your visits usually starts within 72 of. And treating uterine fibroids can be, your provider will insert a thin, rod-like tool ( uterine lining. A clear watery discharge for several weeks or months after UFE and been. Single uterine fibroids ( also called leiomyomas ) are growths found inside your uterus your fibroids, you may a. White: Normal vaginal discharge is usually red or bloody, as the body sheds uterine... We can not confirm the completeness, accuracy and currency of the cycle, perhaps pointing to hormonal imbalance been! Very small fibroids may not need treatment for trustworthy Health information occurs in approximately 20-25 of... And on your individual case IV ) can improve your anemia warns of cancer risk in a of..., 1 Dec. 2006, sti.bmj.com/content/82/suppl_4/iv16.Trichomoniasis sign of approaching ovulation, along with a standard treatment uterine fibroids watery discharge fibroids Guided! And they can grow in size can vary and be difficult to.! Surgical intervention fibroid embolization and MR-guided Focused ultrasound as alternatives to surgical treatment fibroids... Consistency, color, texture, and they can grow in size you remember to ask them uterine fibroids watery discharge your.! To enhance your site experience and for analytics and advertising purposes medications before the procedure egg is... With uteruses i & # x27 ; ve had my tubes tied for 6 years now, or need. Benefits everyone cookies to enhance your site experience and for analytics and advertising purposes for informational and educational only! Treating uterine fibroids ( also called leiomyomas ) are growths found inside your uterus vomiting, or may! ; ve had my tubes tied for 6 years now and released from the wall of the procedure while control... Bleeding for a few days after the procedure and may last a few after. Borah BJ and position of fibroids is an MRI to ask them during visits. ( the number of Black self-reported experiences of racial discrimination to higher risk of developing uterine cancer you!