#taking birth control during perimenopause

[momcave]

Perimenopause Panic: Ultimate Guide | Dr. Kelly Culwell | MomCave LIVE

Hold on to your hot flashes, folks! We’ve got the amazing Dr. Kelly Culwell in the MomCave, where the coffee is strong, and sanity is on a coffee break. Dr. Kelly, not just your typical doctor—she’s the OBGYN rockstar with a prescription for laughter and a cure for the chaos that is perimenopause. Buckle up for a rollercoaster of hormones, hilarious anecdotes, and maybe a few tips on how to…

[meditating-dog-lover]

Health update

I am feeling fine. I did experience some skin inflammation which I am now convinced it is hormonal. I think it is caused by increased progesterone levels associated with the luteal phase.

I really think it's due to estrogen and progesterone activity, which starts during puberty and continues to cycle throughout a woman's reproductive years. This explains why I got my first flare during puberty when I was 12 (it was minor and I remember it being on my right pointer and ring fingers only. It lasted for a few months in 2008 and then disappeared, but I remembered I used to rub my fingers on the carpet a lot to relieve the itchiness). My skin inflammation is genetic and I'm 29 so not yet menopausal. But my mom said her eczema disappeared when she reached perimenopause. I've also noticed my skin inflammation gets worse during my luteal phase, with no changes to my diet, supplements, environment, weather, lifestyle, and skin care. I got bad rashes on my face and neck and ears (mostly on the left side) and my left hand broke out in oozy and inflamed skin (I could not close my hand in a fist as a result).

Below is a graph of how hormones change within the menstrual cycle. I experienced itchiness last Tuesday (Aug 20, which would have been day 17 for me). I experienced some itchiness during week 2, so from days 9 until 11).

Source: PALM Health St. Louis

In July I got a steroid shot on day 12 of my cycle, took steroid pills for 5 days after (so until day 17). The inflammation was gone at the time, but came back aggressively a few days later (day 20). It's hard to assess cycling inflammation when I take steroids because it suppresses it.

Below is a graph of how estrogen and progesterone levels cycle throughout a woman's life. As I said, my flares began at puberty (12 years old), stopped for the rest of my teens, and came back when I was 20 and is still ongoing. My mom stopped getting flares at perimenopause, when estrogen and progesterone levels decline. I'm convinced the cycling and general activity of estrogen/progesterone are playing a role here.

Source: Jennis

Both hormones start cycling a bit during puberty, and begin to cycle in a stable manner during the fertile years (even though the graph lines are straight, both hormones do cycle during that timeframe due to the menstrual cycle). However, I'm not quite sure what happens exactly between puberty and fertile years based on this graph. I have not gotten any flares as a baby/young child (birth-11), and none between the ages of 13-19.

Here's another similar graph, but it shows progesterone levels specifically:

Source: Hall and Klein, 2017

Below is a graph how steroidal hormones are made from cholesterol:

My skin inflammation got much worse with intermittent fasting. Some studies show that fasting in women decrease estrogen and progesterone levels.

So this is all a lot of information, but I do believe hormones are responsible for my skin inflammation. In what way? I don't know. Whenever I experience peaks in hormone levels, mainly progesterone, I experience inflammation. I'm not quite sure if peaking estrogen levels during ovulation are contributing in this case.

I'm going to ask my doctor about all this. I hope I can find a solution that isn't birth control. But I know I'll figure this out.

I'm so happy I'm healing this year!!

[diginerve]

What is Abnormal Uterine Bleeding Disorder? Causes & Its Treatment

Abnormal uterine bleeding disorder is a condition where a woman experiences heavy or unusual bleeding from the uterus. The event can take place at any time during the month. 

The following are a few scenarios where bleeding is considered abnormal:

When menstruation lasts more than 35 days or less than 21 days (normal menstruation lasts five to seven days and occurs every 21 to 35 days)

Bleeding lasts more than 7 days

No period for 3 to 6 months

Bleeding after menopause

It is one of the most common gynecologic problems among women. However, it is important to remember not everyone who experiences abnormal uterine bleeding reports their symptoms. 

Now after gaining the basic understanding of the issue, it is also crucial to understand the causes behind the vaginal bleeding or spotting.

So, let’s start with the causes.

What Causes Abnormal Uterine Bleeding?

 Hormonal imbalance is often the cause of abnormal uterine bleeding. In addition to this reason, there are several other reasons for the problem, which are as follows:

Fibroids or polyps (Lumps in the lining of the uterus)

Polycystic ovary syndrome ( A condition when cysts grow on the ovaries)

Miscarriage

Ovulatory dysfunction

Ectopic pregnancy

Blood clotting disorders

Use of contraceptives 

Remember, this list is not exhaustive. The specific cause of AUB can vary depending on individual factors. This is why the importance of a gynecologist cannot be overstated. They can perform a comprehensive examination, analyze patients' medical history, and potentially recommend tests to pinpoint the exact cause of AUB.

Treatment of Abnormal Uterine Bleeding 

Medication

The treatment of abnormal uterine bleeding depends on the cause and the patient's situation. However, drugs are usually the first thing your doctor will try.

For instance, if the cause behind the bleeding is hormonal imbalance, a gynecologist may suggest taking birth control pills.  It is a common option for those not trying to conceive or in perimenopause.

But for women trying to conceive or avoid hormone side effects, the following medications are used instead of hormones:

Nonsteroidal anti-inflammatory drugs (NSAIDs)

Tranexamic acid

Procedure

Intrauterine device (IUD): This is a common practice where a device is inserted inside the woman's uterus to prevent pregnancy. And there is one such type of it that releases hormones and is used to treat abnormal uterine bleeding.

Remember: Sometimes, IUDs can be the cause of abnormal bleeding. So, consult with your gynecologist if you experience something like this.

Dilation and curettage (D&C): This procedure involves stretching the cervix to allow the surgeon to place a surgical instrument inside the uterus and scrape away the lining. Its best part is that it stops heavy bleeding and helps identify and treat the bleeding's cause.

Endometrial ablation:  If bleeding continues after a D and C, this procedure that destroys or removes the lining of the uterus through the use of a laser, heat, electricity, microwave energy, or freezing can often help control bleeding. 

Remember: In some women, it causes scarring of the endometrium (Asherman syndrome); scarring can cause menstrual bleeding to stop (amenorrhea) and make biopsy of the endometrium difficult later.

If the problem persists, uterus removal is the next option.

After reading the above information, you might get an idea about the subject's complexity. That is why it is important for students preparing for university examinations to have an in-depth knowledge of each method and the best clinical practices.

However, sometimes, it can be tough for students to access the resources and understand the topics in detail. 

But here’s the solution, enroll in an obgyn md course created by Dr. Aswath Kumar Raghu, the Chief Editor of OBGYN MD. 

About the OBG course Offered by DigiNerve

If you aim to become an MD in obstetrics and gynecology, this course is best for you. During the course, students are encouraged to learn based on concepts and approaches that cater to their individual learning needs.

Over the course, you will access a variety of materials including online video lectures on OBGYN, lecture notes, MCQs for self-assessment, and more.

So, visit DigiNerve now and register for the OBGYN MD course.

[mittalultrasoundaligarh]

When to Visit a Gynecologist like Dr. Archana Singh?

Women's intimate health is a very sensitive and important topic, and regular visits to a gynecologist like Dr. Archana Singh plays a crucial role in maintaining overall well-being. Many women often wonder when is the right time to schedule an appointment with a gynecologist. In this blog, we will explore when a woman can plan to visit the gynecologist. From adolescence to menopause, understanding when to seek professional medical advice from an expert gynecologist like Dr. Archana Singh can contribute to early detection and prevention of potential health issues.

Adolescence and the Onset of Menstruation

As young girls transition into adolescence, the onset of menstruation is a significant event in a girl’s life  that marks the beginning of reproductive health concerns. It is advisable for girls to have their first gynecological visit between the ages of 13 and 15, or when they start menstruating. This initial visit provides an opportunity for the gynecologist to discuss menstrual health, address any concerns, and educate the patient about maintaining proper hygiene.

Birth Control and Family Planning

For women who are sexually active and considering birth control or family planning, consulting a gynecologist like Dr. Archana Singh is essential. Whether it's exploring different contraceptive methods or discussing family planning options, a gynecologist like her can offer personalized guidance based on individual health considerations and lifestyle choices.

Sexually Transmitted Infections (STIs)

If a woman becomes sexually active, it is crucial to schedule regular checkups with an expert gynecologist like Dr. Archana Singh checkups to screen for sexually transmitted infections (STIs). Early detection and treatment of STIs are essential for preventing complications and maintaining reproductive health.

Pregnancy and Prenatal Care

When planning for pregnancy, scheduling a preconception visit to a gynecologist is beneficial. This allows the healthcare provider to assess overall health, discuss lifestyle changes, and provide guidance on optimizing fertility. Once pregnant, regular prenatal visits are vital to monitor the health of both the mother and the developing fetus, ensuring a healthy and successful pregnancy.

Menstrual Irregularities and Pelvic Pain

Menstrual irregularities or persistent pelvic pain should not be ignored. These symptoms could indicate underlying reproductive health issues such as endometriosis, polycystic ovary syndrome (PCOS), or other conditions. Seeking the expertise of a gynecologist like Dr. Archana Singh can help diagnose and address these concerns, promoting early intervention and effective management.

Perimenopause and Menopause

As women approach perimenopause and menopause, hormonal changes can lead to various symptoms such as hot flashes, mood swings, and changes in libido. Gynecological visits during this phase are essential to discuss symptoms, explore hormone replacement therapy options, and address any concerns related to bone health, heart health, and overall well-being.

Postpartum Care

After giving birth, women should schedule postpartum checkups with their gynecologist to address any physical or emotional concerns. Discussions may include family planning for future pregnancies, postpartum depression, and recovery from childbirth.

Gynecological Cancers

Regular gynecological checkups are essential for the early detection of gynecological cancers, such as cervical, ovarian, and uterine cancers. Pap smears, pelvic exams, and other screenings are vital components of preventive care that can help identify abnormalities before they progress.

Understanding when to visit a gynecologist like Dr. Archana Singh is crucial for maintaining optimal reproductive health throughout a woman's life. From adolescence to menopause, regular gynecological check ups empower women to take control of their well-being, address concerns proactively, and prevent potential health issues. By prioritizing reproductive health and seeking professional guidance, women can ensure a healthier and more fulfilling life. Remember, it is always advisable to consult with a healthcare professional for personalized advice based on individual health needs and circumstances.

[toneoparticle13]

What Are The Reasons Behind Late Periods? Discover Here!

What Are The Reasons Behind Late Periods? Discover Here!

Many women believe that a late period means there's a chance of being pregnant. However, this isn't always the case, and it is important to recognise that each woman's body is unique. Various factors, such as hormonal imbalances or menopause, can cause late periods.

It is normal for periods to be delayed by up to 38 days, but they usually last for 28 days. If your period arrives after 38 days, it is considered late. Do you want to know why your period may have been delayed? Then read on to discover the possible reasons!

What Indicates Delayed Periods?

The following factors that indicate late periods are:

1. Being Pregnant  

When you become pregnant, your uterus lining thickens to support the baby, causing periods to stop. However, when you are not pregnant, the lining of the uterus discharges blood, which causes periods.

2. Polycystic Ovary Syndrome (PCOS) 

An ovarian disorder called PCOS prevents the egg from being released during ovulation. Females with this syndrome typically experience irregular, late, and reduced menstrual flow.

PCOS also causes several additional symptoms, including hair loss, pimples and acne, blackening of the neck, facial hair, difficulty losing weight and unusual weight gain, and excessive fat deposition in the abdomen.

3. Extreme Diet And Exercise 

A proverb states that excess of something can have adverse effects. Diet and exercise follow the same rules. It is perfect if you follow the requirements for food and exercise. Extreme nutrition and practice, though, may cause your periods to be late sporadically.

As the saying goes, “Too much of anything can be bad,” this applies to diet and exercise. It is important to adhere to a balanced diet and exercise routine. However, excessive changes to your nutrition and physical activity can lead to irregular menstrual cycles. Anorexia or bulimia, calorie-restrictive diet, rapid weight reduction, intense exercise, and training are additional causes of amenorrhea.

4. Pills For Birth Control                                                      

Birth control tablets can result in withdrawal bleeding, often known as fake periods. Most doctors advise women to take birth control pills for a set length to have regular periods because they include oestrogen and progestin, which prevent pregnancy and thus aid in getting a period.

5. Stress 

Stress can be caused by work, family, workplace environment, and work pressure. It can negatively affect the mind and contribute to health issues. Delayed periods can also be caused by stress.

6. Perimenopause 

Many women can tell they are going through menopause or perimenopause if their periods become late or stop altogether. During this time, periods may also become lighter, heavier, or less frequent, depending on the woman. On average, menopause starts around age 51.

7. Breastfeeding 

It is typical for breastfeeding to provide sufficient nutrition for a baby, but it is common for a mother to have irregular periods and reduced blood flow during this time. It is also possible to become pregnant while breastfeeding, as the nursing phase is not a reliable form of contraception, as shown in a study. It is important to have regular periods while breastfeeding.

What Are The Foods That Can Cause Periods?

Here are some foods that can cause periods:

1. Jaggery 

During winter, jaggery is often consumed due to its heat-generating properties. Additionally, it contains iron which can help increase the body's haemoglobin levels. It should be noted that consuming jaggery may result in induced periods.

2. Ginger 

Ginger can induce periods and promote the menstrual cycle by raising body temperature and improving its regularity.

3. Pineapple 

Pineapple contains bromelain, a substance that can help to soften the uterine lining and stimulate periods. As a result, it is often considered a fruit that can aid in period regulation.

4. Turmeric

Turmeric is often regarded as a traditional food that can potentially induce periods due to its antispasmodic properties. These properties are believed to influence the uterus, encouraging it to shed its lining and initiate menstruation.

5. Papaya  

Raw and ripe papaya are known for their ability to induce periods. It is commonly advised to avoid consuming papaya during pregnancy due to its high estrogen content, which can trigger the onset of menstruation.

When Should I See A Doctor? 

If your periods are late for a long time, it is important to see a doctor. This is especially crucial if you have recently had sex and there is a chance of pregnancy. Visiting a healthcare provider is also necessary if you experience sudden changes in your menstrual cycle, ongoing irregularity, or other symptoms such as severe pain or excessive bleeding.

The Final Say

Delayed periods can potentially cause health issues. It is generally considered normal for a period to be delayed by 1, 2, or 3 days, as well as for periods that are delayed by 28 to 38 days. 

However, if a period is delayed by more than 38 days, it may cause concern. In such cases, visiting the gynaecology department at Bansal Hospital for further evaluation and guidance is recommended.

About Bansal Hospital

Bansal Hospital is a multispeciality hospital and is one of the leading, reputable and reliable healthcare providers trusted by patients and their families across the region. It has all the major departments, including cardiology, neurology, oncology, orthopaedics, gastroenterology, urology, liver transplant, bone marrow transplantation, nephrology, gynaecology and more. The hospital is equipped with state-of-the-art facilities and technology and has a team of highly qualified and experienced doctors and medical staff who provide round-the-clock care to the patient.

Visit Our Website

[divawomenshospital]

Most Common Questions to Ask Your Gynecologist

A different smell down there? Sex during the period? Vaginal itching? Leaky bladder? All of these questions often promote women straight to the gynecologist they are comfortable with. Does this sound awkward? It is completely fine to feel awkward, but remember, speaking up about your doubts is your job. Your doctor’s responsibility is to answer awkward and uncomfortable questions. There are some questions mentioned below that you must ask your gynecologist.

A Question to Ask About Menstruation

A woman’s period begins between the ages of 8 and 15 and lasts until she reaches menopause.

How heavy or light should my menstrual flow be?

Women are different when it comes to their period cycle, from heaviness to the length and time of their blood flow. A woman’s blood flow range remains from heavy to light, but it varies as per her hormones, diet routine, lifestyle factors, activity level, etc. If you are experiencing heavy flow for more than 15 days, then you must visit the best gynecologist near you ASAP.

How many times do I menstruate?

A woman menstruates once a month regularly until she starts to walk into the menopause phase. Missing periods can be a sign of pregnancy, perimenopause, stress, or different kinds of changes in your daily health and lifestyle. If you experience such symptoms, you must consult the best Gynec around you, Diva is one of the Best Gynecology Hospitals in Ahmedabad with a well-experienced team of doctors.   

Is it a fearful thing to have irregular periods?

Most women face irregularities in their period cycle that are caused by various factors. It also reflects their lifestyle factors and hormonal changes that come with age. It is best to consult with your gynecologist if you are experiencing irregular periods for a long period, as PCOS and PCOD can be the reasons for this problem.

Questions to Ask About Your Regular Check-up?

How can I reduce my risk of breast cancer?

Experts advise that women must know the signs and symptoms of breast cancer. Also, if she notices any changes in her breast, such as pain, redness, nipple discharge, or a mass, she should consult with a gynecologist she is comfortable with.

Test for BRCA Mutations?

A woman has a higher risk of ovarian and breast cancer if she inherits BRCA 1 and BRCA 2 gene mutations. However, it is also essential to note that not every woman with this gene will develop cancer. Hence, having a conversation with your doctor could help you with early detection, which can further help to treat cancer more effectively.

A Question to Ask About Safe Sex

Protection Options

There are various options available for both women and men if they are looking to prevent pregnancy or STIs. The best-known birth control methods are condoms, birth control pills, and many more. Consult your gynecologist about the best and most appropriate option for you based on your health conditions.

Do I need any kind of vaccinations?

Your gynec would suggest you have a vaccination if you are sexually active, just to reduce the risk of infection during intimation.

How to know about STIs?

The most common symptoms of STIs involve genital pain, vaginal discharge, abdominal pain, and painful urination. However, STIs can be asymptomatic, so you must visit your doctor to get the treatments done at the right time.

Questions to Ask Related to Pregnancy

How long will it take to get pregnant?

Discussing getting pregnant with your gynecologist is normal for both you and your husband, and you will learn what to expect before you expect too much. If you live in Ahmedabad or near Ahmedabad, contact Diva Women’s Hospital, the best maternity hospital in Ahmedabad with the best gynecologists. As soon as a couple tries to conceive, this process doesn’t happen right away as it takes time. A woman between the ages of 25 and 30 has a 20% chance of getting pregnant in a month.

How can I increase my fertility?

Knowing your fertility status and tracking this regularly is the best way to enhance the chances of getting pregnant when you try to conceive. Within 28 days of your cycle, ovulation occurs on one day between the 11th and the 21st day of your cycle. The best gynecologist always suggests using a fertility tracker so that you can have an insight into your fertility.

How to get rid of using birth control:

If you are using birth control methods such as; pills, IUDs, patches, or any kind of protection, then you must consult with your doctor about when to stop using them, when trying to conceive. This is the most asked question, and the answer varies from woman to woman based on their body and the birth control methods they are using.

When can I go for fertility treatment?

There are various options available for a woman if she wants to have a baby with the help of technology if she is not able to conceive naturally. Ask your gynecologist about which fertility treatment would be good for you based on your health and wellness.

Questions to Ask During Pregnancy?

What can I do to keep my baby healthy?

The best way to keep your baby healthy is to make sure you are healthy. For this, have a proper meal, have a proper rest, and avoid heavy exercise or any kind of heavy physical activity. Make sure you consult your doctor before taking any kind of supplements or medication, as it can negatively affect your baby’s health.

How to figure out if I am having labor?

The most important question to ask your gynecologist is when you should expect labor pains or symptoms and what they might feel like. Also, your gynec is the best resource to know whether your body is fit for vaginal delivery or not. Feel free to mention different stages of your labor to your gynecologist so that you can make an informed decision on when to go to the hospital.

A woman faces different kinds of problems and experiences throughout her life that require the proper advice of experts who can guide her throughout her journey of being a mother. Have the best child and maternity services at one of the best women’s hospitals in Ahmedabad, Diva Women’s Hospital.

[ultrabodyli]

Hormonal Balancing in Females

Hormones are our body’s chemical messengers. They travel through our bloodstream to various tissues and organs. Hormones affect different bodily processes:

· Growth and development

· Metabolism

· Sexual Health

· Mood

· Reproduction

The Endocrine Glands synthesize hormones. The major endocrine glands are the pineal, thymus, pituitary, thyroid, adrenal, and pancreas. In addition, men produce hormones in their testes, and women have them in their ovaries.

Hormonal Imbalance

Hormonal Imbalance occurs when the endocrine glands produce too much or too few hormones. Hormones are solid chemical messengers, and a slight change in the levels can affect your bodily functions. Imbalances in hormones like insulin, steroids, growth hormones, and adrenaline affects both males and females. Additionally, females may experience imbalances in estrogen and progesterone levels, while males are more likely to experience inequalities in testosterone levels.

Symptoms of Hormonal Imbalance in Females

Some of the significant symptoms in Females are:

· Insomnia

· Mood swings

· constipation or diarrhea

· infertility

· low sexual drive

· irregular menstrual cycle

· Insomnia

· abdominal or back pain during menstruation

· unexplained weight gain or weight loss

· brittle bones

· hirsutism, or excessive hair growth

· rashes on the skin

A significant symptom in females of hormonal Imbalance is Weight Gain. Obesity is the root cause of important health issues like Diabetes, Cardiovascular diseases, Stroke, Depression, Cancer, Respiratory diseases, Cognitive difficulties, Musculoskeletal Disorders, and many more. Shedding your extra pounds in Gym can be strenuous. We at ULTRA BODY take a different approach to your weight loss journey. We plan on naturally balancing your hormones and eliminating bad habits while working with your lifestyle to build a program that works for you. Our Plan is fully customized to meet your weight loss goals while relieving hormonal and adrenal imbalance symptoms.

Causes of Hormonal Imbalance

We all experience natural periods of hormonal Imbalance or fluctuations from time to time. Chronic Hormonal Imbalance occurs when the endocrine glands are not functioning correctly. Several Medical Conditions, Lifestyle Habits, and Environmental Factors can cause hormonal Imbalance.

Hormonal Imbalance is seen in patients with Diabetes, Addison’s disease, Hyperthyroidism, Hypothyroidism, Hyperglycemia, Hypoglycemia, Iodine deficiency, Hereditary pancreatitis, Cushing’s syndrome, solitary thyroid nodules, congenital adrenal hyperplasia, Turner syndrome and many more.

Females naturally experience hormonal Imbalance during Puberty, Menstruation, Pregnancy, Childbirth, Breastfeeding, Perimenopause, Menopause, and Postmenopause. Certain medical conditions in females, like PCOS, hormone replacement or birth control medications, hormonal imbalance treatment, Ovarian cancer, and primary ovarian insufficiency, can cause hormonal Imbalance.

Ways to balance your hormones

· Getting enough sleep

· Avoiding too much light at night

· Managing Stress

· Exercising

· Cutting down on sugary foods

· Eating healthy fats

· Eating lots of fiber

· Eating plenty of fish

· Avoiding overeating

· Drinking green tea

· Quitting smoking

At ULTA BODY, our supplements act as a “vitamin” to support your hormone, thyroid, and adrenal production at levels optimal for YOUR body. Our organic products nourish your adrenals, thyroid, and hormonal system to achieve their optimal performance. Ultra Body’s supplements are designed to realign estrogen, progesterone, and testosterone levels so that you can lose weight, eliminate symptoms and support a healthy stress response.

[mainsfact]

Egg white cervical mucus with brown tinge

When the fertilized egg attaches itself to the uterine lining it can cause a small amount of bleeding, more commonly known as “implantation bleeding”. If you notice a small amount of brown discharge or spotting a couple of days before you are expecting your period it could be a sign that you are pregnant. This spotting can be light red, pink or brown in colour as it often mixes with the clear egg white type cervical fluid present around the time of ovulation. When the egg leaves the follicle during ovulation or as a result of the changing hormone levels it is common for some women to notice some mild spotting. Seeing brown spotting mid-way through your cycle could be a sign that you have just ovulated. If you are noticing prolonged periods of this or are experiencing other side effects such as nausea, weight gain, sore or swollen breasts and mood changes, then it is best to let your doctor know as they will be able to recommend a birth control method that better suits your body. If you have just started using a new hormonal birth control method or forgot to take your birth control pill for a day or two, you may experience brown discharge. The drawback to this hormonal interference is that they can cause some unwanted side effects. Most hormonal birth control methods work by interfering with your bodies natural hormonal cycle to prevent your body from ovulating. However, if this becomes a regular occurrence then it is best to let your doctor know. While it might appear alarming, in most cases it is nothing to worry about. This is just the rest of the endometrial cells being expelled. Over the course of your next cycle, you might notice pink or brown spotting in your underwear or when you wipe. Sometimes, your body isn’t able to completely expel all the endometrial lining immediately leaving a small amount in the uterus. Menstruation occurs when your hormones tell your body that you haven’t gotten pregnant this cycle causing your body to expel the endometrial lining in preparation for your next cycle. It might be caused by something as simple as a delayed period, your hormonal contraceptive or the onset of perimenopause, some other potential reasons include: It is often perfectly natural to notice brown discharge during your cycle. See also: Discharge Before Period: What Does it Mean? However, if you are experiencing other symptoms along with brown discharge or if you are noticing brown discharge mid-cycle then you should talk to a parent or see a doctor as it might the sign of PCOS or an infection. If you have recently started your period, having a small amount of brown discharge is often nothing to be concerned about. The middle of your cycle marks the time around ovulation. The colour of your discharge changes over the course of your menstrual cycle due to fluctuations in your hormones, from red/brown during your period, to thick and white just after your period and clear, like egg white during the middle of your cycle. See also: Yellow Vaginal Discharge: Should you be Worried?Ī common question and cause for concern for many girls experiencing their first or second year of menstruation is that their period blood is not always red. This is because the circumstances and symptoms that accompany brown discharge often shed more light on the cause of the brown discharge than the discharge itself. Whether or not there is a chance that she is pregnant.Whether she using hormonal birth control.When a woman comes to my office and is concerned about brown discharge the first step I take is to get a better understanding of her personal situation, this includes: While it may be a sign of a health problem, in the majority of cases, it's nothing to worry about! Also, experiencing a small amount mid-cycle can be a sign of ovulation or pregnancy (implantation bleeding) - a positive sign if you are trying to conceive. Most of the time, brown discharge is just blood from your last period taking a little longer to be expelled.Īlthough for many, the sight of unexpected discharge in our underwear or when we wipe can be a cause for alarm. In the vast majority of cases having a little bit of older blood in your discharge is perfectly fine and nothing to worry about. Treatment is also available in line with clinical guidelines. Check your vaginal health from home with our at-home Vaginitis Test.

[sane-one]

Periods in your 20's v/s 40's

Most of us may think that isn't it the same bleeding, cramps and PMS. But no, your menstrual cycle changes as you grow and here's how periods can differ in your 20's and 40's.

Periods in your 20's

In your teens, when you just started bleeding, you re still adjusting to the cycle and there's always an unexpected surprise apperance. But as you reach your 20's, your cycle gets more consistent.

The cycle is more or less fixed and is monthly. Not to mention the start of the unpleasant symptoms of breast tenderness, PMS and nasty cramps. Many menstruators around this age start taking hormonal pills due to various reasons. The pill triggers changes to your flow, making it lighter, less pain and PMS or more regularised periods.

In fact, birth control pills prevent ovulation, and without ovulation, there's no uterine lining buildup that has to be shed, this can result in no flow.

Periods in your 40's

It's the beginning of more changes, including perimenopausal hormonal fluctuations, which are precursors to menopause. Your body starts preparing for menopause. These hormone fluctuations cause ovulation to be more irregular, and your estrogen level change means you could start experiencing missed periods, a heavier flow, spotting between periods, and longer stretches of PMS.

During perimenopause your periods can be less predictable and even if ovulation is erratic, you can still get pregnant. A woman isn't in menopause until her periods have ceased for at least a year.

Take care and make sure to note your change in cycle.

~Lokeshwari H Naidu

Team @lemmebegirls

[living-with-pmd]

11 Women With PMDD Share What It's Really Like

Premenstrual dysphoric disorder is the evil cousin of PMS. They share the same types of symptoms—moodiness, increased hunger, cravings, fatigue, cramps, pain, brain fog, and depression, among others—but for PMDD sufferers, those symptoms get so bad they can cripple a woman's ability to lead a normal life.  

While up to 85 percent of women get PMS, according to the US Department of Health, only about 5 percent of women experience PMDD, according to the American Journal of Psychiatry.

We asked women with PMDD what it's really like living with the disorder. Here are their stories:

"I was diagnosed with PMDD last summer. Six months prior to my diagnosis, I started taking a certain birth control and soon every month I was experiencing severe PMS issues. I am a generally happy person, but during those few days I was someone entirely different. I was extremely depressed and anxious, having much more frequent panic attacks, and was super sensitive and lonely. I was even suicidal, which was terrifying. And the worst part was I was convinced that I had always been this miserable, and that I would always be this miserable, and it was never going to change. It felt as if someone had completely burned out the light in me and all happiness and joy and hope was gone. I didn't make the connection that it was related to my period but thankfully a close friend did. I have since switched birth control, which helped a lot, and increased the dosage of my anti-anxiety and anti-depressant meds. Most importantly, I am aware of the way I feel those few days so I know to expect it, and I can logically remind myself that I will stop feeling that way soon. Looking back, I realize that I've probably always had pretty bad PMS or PMDD. The birth control worsened it but it was also causing a lot of issues I wasn't aware of previously as well." —Katherine H., 22, Edmonds, WA

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"PMDD is out of control. I cry really easily for about a week. My biggest issue is that I am convinced that I am failing at everything—being a wife, a mom, work projects, fitness, my whole life! And even though it feels so real I constantly have to question if my feelings are valid or if they are amplified by my cycle. I just set an alert in my phone to remind me to consider my hormones the next time I feel that way." —Krysten B., 32, Toronto, CA

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"A week before my period, I become a complete psycho, completely unlike myself. I'm tearful, want to eat everything that's sweet or salty, have absolutely no tolerance for anything other than perfection, and prefer to be left completely alone. I already take an antidepressant but my PMDD was a complete nightmare so my doctor gave me Prozac to take for just 10 days a month. Basically, I start it when I start to get that irrational feeling and keeping taking it until my period starts. And that's just the emotional stuff. On the physical side, I have debilitating cramps, backaches, and headaches that last for days. Yep. I'm a peach." —Kristen L., 40, Knoxville, TN

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"In the past, PMDD almost made me suicidal and totally broke my spirit. Yes it wasthat bad. Every month. Eventually I got tired of being a 'crazy PMS woman' and decided I needed to fix this. Since I don't like to take pharmaceuticals, I branched out to homeopathic remedies and I discovered St. John's Wort and essential oils, especially clary sage and Doterra Calm-Its. It's a lot better now but I still have my hard days." —Amy S., 43, Zebulon, NC

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"My PMDD got so bad I had to go to a psychiatrist and be put on Prozac along with another antidepressant I was already taking. I was a mess—anxious, crying randomly over the smallest thing, and eating everything in sight. One example is someone made a YouTube mashup of the Age of Ultron trailers with Pinocchio footage and the 'I've got no strings on me' song and that wrecked me for weeks. Every time I thought about scenes from Pinocchio I would start panicking and crying at my work desk. It's been a few years and I'm better now. I'm off birth control and weening myself off the Prozac. I notice a week before my period I will sob during any sad part in a movie or book I'm reading, and a day or two before, I notice I'm more likely to be anxious." —Kate W., 36, Alaska

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"This has impacted my ability to work effectively. My pet peeve is when people say 'it must be close to your time of the month' when they simply don't like what I'm saying. I have run into that problem a lot at previous jobs and it makes it really hard to be taken seriously. It's bullshit because my feelings are valid regardless and also PMDD is not a joke. I am so lucky now to have a male boss who understands but it wasn't always that way. I have also have found a lot of relief with naturopathic and herbal remedies." —Amalia F., 28, Vancouver, Canada

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"My PMS was tolerable until my second child was born and then everything went off the rails. I'd be looking forward to plans with others, happy, and then about 10 to 14 days before my flow would start, my mood would turn on a dime. I'd be horrible—crying, screaming that ~nobody understands~, just so much emotional pain. I'd basically lock myself up in the bedroom for a full day to cry, get angry, and feel sorry for myself. It took three doctors before I finally found one who would listen to me before I was finally diagnosed with PMDD. I took Prozac for three years for it but it made me feel numb, like a zombie and not like myself. So I quit and my family just deals with me now. As I've gotten closer to menopause the PMDD is not as bad, but can be very unpredictable due to hormonal swings from perimenopause. The worst part now is I feel like my friendships have suffered. I always seem to have episodes around major holidays and events and I end up bumming everyone out if I do show up so I end up staying home a lot." —Colleen T., 50, St. Paul, MN

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"I'm overly emotional for the week before my period. Saying that makes it sound like it's not that bad but I get so distraught that my fiance has actually scheduled it in his phone as 'blood sport' to remind himself what's coming. I'm thankful that he's patient because I also feel like everyone hates me that week, too." —Kenlie T., 36, New Orleans, LA

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"All month long I'm fine and feel even and calm and then suddenly, the week before my period, I can't handle even the tiniest little thing. My irritability goes through the roof (which is not great since I have a 5-year-old) and I feel like I have no friends. It really makes me sad." —Jessica S., 28, Broomfield, CO

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"I know my period is coming because all of a sudden all of my joints hurt, especially my knees and ankles. I also get crazy gnarly cramps and once I even had a cyst that ruptured while I was on a date and the guy had to take me to the hospital! It was so embarrassing. Thankfully my husband now is very understanding when this time rolls around each month. The worst part is people who just think I make this stuff up. Some months are better than others and sometimes the pain is completely debilitating! My emotions are also a rollercoaster. Anytime I see something cute or inspiring, I burst into tears." —Ivie C., 21, Rexburg, ID

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"My PMDD manifests in both mental and physical symptoms. From the time I got my period at age 12, I've had extreme cramps and heavy bleeding. I'd leak at school through a super maxi pad every class so I'd tie sweatshirts around my waist and have to scrub my clothes when I got home. It was super humiliating. I'd have to take six to eight ibuprofen at a time to deal with cramps, and if I didn't I'd end up on the floor sweating like I had the flu. Sometimes I'd even throw up. This meant I ended up spending a lot of time sick in bathrooms and knew where every restroom was at all times. Birth control helped manage the PMDD and other issues, but as soon as I was done having kids, I had a hysterectomy. That was the best thing I've ever done." —Mandy P., 39, Mendon, UT

https://www.womenshealthmag.com/health/a19972132/premenstrual-dysphoric-disorder/

[healthfitnessmedicinearticles]

What is Endometriosis?

Endometriosis is a painful condition in which the endometrium (tissue that lines the inside of the uterus) grows outside the uterus. It usually involves ovaries, fallopian tubes, and the tissue lining the pelvis. Endometriosis is a reproductive system disorder that affects mainly the ovaries, uterus, fallopian tubes, and the tissues lining the pelvis. It can also be found on the intestines, urinary bladder, appendix as well as other distal organs like the lungs.

The hormonal changes of the menstrual cycle affect the misplaced endometrial tissue which means the tissue will grow, thicken, and break down. After some time, the tissue that has broken down has nowhere to go and becomes trapped in the pelvis.

Endometriosis is a very common debilitating disease. The exact prevalence is difficult to estimate as many cases go underdiagnosed and it requires invasive testing for diagnosis. About 25 to 50% of women suffering from infertility have endometriosis, and 30 to 50% of women with endometriosis are infertile.

The incidence of endometriosis in coastal Karnataka and Kerala is increasing because of better awareness of endometriosis symptoms in the public, early suspicion of the disease, and better imaging modalities.

Endometriosis affects all age groups, right from puberty to perimenopause, but usually, it is found in the reproductive age group.

What causes endometriosis?

The exact endometriosis causes are not known.

Possible causes could be:

1. Retrograde menstrual flow - some of the tissue shed during the period flows through the Fallopian tube into other areas of the pelvis.

2. Genetic factors - Endometriosis clusters in the families. Multiple genes and environmental factors play a role. Sisters have a 5 percent greater risk of getting the disease.

3. A faulty immune system that fails to destroy the outside growing endometrial tissue.

4. Estrogen hormone appears to promote endometriosis.

Risk factors for developing endometriosis:

1. Never giving birth

2. Starting a period at an early age and going through menopause at an older age.

3. Shorter menstrual cycles (less than 27 days)

4. Heavy menstrual periods that last for more than 7 days.

5. Low BMI

Signs & Symptoms of endometriosis

Painful cramps during menstruation

Pain during intercourse(deep dyspareunia)

Pain with ovulation

Infertility

Chronic pelvic pain

Urinary symptoms, such as frequent urination or blood-stained  urine, especially around the time of menses

Bowel symptoms, such as pain and bleeding  during defecation, constipation, or diarrhea, especially around the time of menses

Lower back pain or leg pain, especially around the time of your periods

The symptoms of endometriosis can impact the patient’s general physical, mental, and social well-being.

How does endometriosis affect fertility?

Endometriosis can affect fertility in several ways. Most obviously, as the disease progresses, the fallopian tubes get distorted and adhere to the ovary and uterus, and the passage of sperm and eggs through the pelvis will be increasingly impaired. You will notice the change in the pelvic environment due to the endometriosis-related inflammation. These inflammatory substances and cells weaken the function of both eggs and sperm (fertilization, embryo development, and implantation). There is also increasing evidence that with endometriosis the quality and quantity of eggs in women is affected.

Endometriosis associated pregnancy complications

Endometriosis always does not regress in pregnancy. Data shows a three-fold increase in the incidence of ectopic or tubal pregnancy and a two-fold increase in miscarriages. It can cause preterm births, placenta previa, small for date babies, postpartum hemorrhage, and ovarian cyst torsion.

Diagnosis of Endometriosis

There is no simple test to diagnose endometriosis. It can be diagnosed only by performing a laparoscopy and a biopsy of the tissue.

There are other tests, which the gynecologist may perform which include ultrasound, MRI scans, and gynecological examinations but none of these can definitively confirm endometriosis.

Treatment of Endometriosis

Endometriosis is a chronic disease characterized by pelvic pain and associated with infertility. The treatment of endometriosis requires a life-long personalized management plan with the aim of maximizing medical treatment and avoiding repeated surgical procedures.

Choosing a treatment comes down to the individual woman’s wishes, depending on her symptoms, her age, and her fertility wishes. She should discuss these with her physician so that they, together, can determine which long-term, holistic, treatment plan is best for her individual needs. For some women, this can be a combination of more than one treatment.

If the pain seems to be the main concern we have several options like over-the-counter pain killers NSAIDs, etc, or hormonal tablets which can be beneficial. Even oral contraceptive pills for a continuous duration are considered effective to reduce the pain as well as putting a hold on the progression of the disease. Hormonal Injection, progestogens, and androgens are other alternatives to reduce the symptoms and can be used in severe forms of the disease. As a last resort, there are options to remove the endometriosis implants, ovarian cysts, or the uterus by surgery.

In early-stage disease and young patients, it is always better to opt for laparoscopy and try and correct the anatomy (position) of the pelvic organs to their actual position to prevent and treat infertility. As the chances per cycle are less, it is advised to have other treatment of using medication to produce more eggs. Performing an IUI(Intra Uterine Insemination) is a better option in certain cases to improve the pregnancy rates per cycle. If this doesn’t work, then there are other methods such as in vitro fertilization (IVF) to help improve your chances of having a baby.

Feel free to reach endometriosis treatment specialists and ask any questions you have regarding the treatment methods. consult the best gynecological hospital near you for endometriosis treatment in Bangalore.

Can Endometriosis Be Prevented?

There is no way to prevent endometriosis, one can only lower the chances of getting it.

1. Lower the estrogen levels by taking birth control pills when indicated.

2. Regular exercise

3. A healthy nutritious diet which is rich in essential vitamins, mineral, and phytonutrients. Eat a diet that has more omega 3 fats like fish, walnut and flax and plenty of fruits, vegetables, and whole grains which increases the dietary fiber,

4. Avoid alcohol and cut down on caffeine and aerated drinks and intake of red meat and trans fat foods. Cut down the intake of processed food. Try a gluten-free and a low FODMAP diet.

5. Reduce exposure to polychlorinated biphenyl and dioxin.

Early intervention is the only prevention. Noah built his ark before it could rain.

Social Impact

Women with endometriosis are more likely to report an altered body image, describe reduced desire, arousal and pain. From a woman’s perspective, endometriosis is a disease surrounded by taboos, myths, delayed diagnosis, hit-and-miss treatments, and a lack of awareness, overlaid on a wide variety of symptoms that embody a stubborn, frustrating, and, for many, painfully chronic condition. It affects these women and girls during the prime of their lives. These individuals’ physical, mental, and social well-being is impacted by the disease, potentially affecting their ability to finish an education, maintain a career, with a consequent effect on their relationships, social activities, and in some cases fertility.

Conclusion

Endometriosis is a disease that is rooted in a very real, highly complex hereditary, and truly multi-factorial disease. Women with endometriosis may struggle with the emotional distress brought on by the unrelenting symptoms of pain and infertility and a multidisciplinary approach with psychological support is essential for these women.

[proserpentina]

I had an ultrasound recently to confirm the position of my IUD. I've done this before, actually, because of course, IUD is the best birth control if you can calm your anxiety that it will fail and just believe in the hard to understand mechanism of action. A pill, by contrast, feels so much more effective if only because taking it re-asserts the decision to prevent pregnancy. An IUD is like a bargain you make with your body. I will confuse you, and you will not burden me with another baby. I will disrupt my fertility, and you will operate as if everything is fine.

Watching the tech evaluate my empty uterus felt so strange. I don't recall anything about the previous time I experience this. I can't say why. Maybe because I had other things on my mind. Maybe because it was crowded out by the intensity of change I've experienced. But this time, I felt so aware of the difference between this ultrasound and the dozens I underwent during my two pregnancies. My mother had two ultrasounds for each pregnancy. One to confirm the pregnancy, the other to confirm birth position. Of course, the second ultrasound during her pregnancy with me would prove to be misleading. She was told I was in the correct position - and I probably was - but then I completed a final somersault so that when deliver time came I was breech.

By contrast the magic? The novelty? Of ultrasound wore off when it became the only thing I got to leave the house for. A weekly prodding by an angry male who seemed to be disgusted by the indelicacy of the whole process. Why would he choose a profession that required constant contact with women if he were so clearly repulsed by them? I wondered while he took haphazard measurements that confirmed my and my doctors' continued anxiety about my completely normal and healthy pregnancy.

But this time, being reassured that my uterine lining was healthy and in the correct place (another betrayal I always expect, being the only woman in my maternal lineage to evade endometriosis), that my ovaries were healthy, that my reproductive system was still capable (ostensibly) of sustaining life, I was so aware of the emptiness of my uterus. I was accustomed to the tech turning on the sound to hear the heartbeat of a baby that contained so much hope and so much life. This was a silent place. The contours of my empty uterus were unfamiliar.

During my second pregnancy, a doctor had put her hands on my pregnant belly and told me I had a large, heart shaped uterus with plenty of space for my growing child. I was so offended. What was the moral valence of a large uterus? My body contained a McMansion for fetuses? I was like a marsupial with a pouch that expanded like an accordion file inside of me? I'm sure it was meant to just be reassuring. Your child is growing and your body is adequate. But it bothered me.

Birth control used to be a question of timing to me. A way to decide *when* to have a child. Now it is only a block. I contemplate often just having the whole of my reproductive system removed, like the most aggressive possible rejection of my identity as a mother. Like attempting to discard a pain that exists in my very organs. This feels melodramatic to admit, but I think about it all the time. I want very much for my body to be barren, so that I can reflect physiologically how I feel psychologically. The timing of the effectiveness of my IUD feels like the division of life into seasons. This one will expire, and I will get another, and when it is removed, I will be in perimenopause. I will achieve the transition out of fertility the way I am "supposed" to. This is the IUD of my dashed hopes and the next is of my unfulfilled dreams? That feels overwhelmingly too prosaic for a little metal T.

Does my uterus know how much I hate it? How much I resent its continued residence in my body? Does it wish to betray me by overcoming odds and forcing me into the decision of motherhood again? This time with a different partner? This time with a different hope?

The radiology tech seems convinced something is wrong and I will have to have my IUD replaced. She says it seems like it might be in the wrong place. Oh, I say, attempting to remember my gynecologist's name, contemplating when would be the right time to get it replaced. But then she consults the doctor and they say it's fine. Your little metal T continues to do its incomprehensible job of fooling your body. You can come back in 2027 and have it removed. Ok. I'm ok. It's ok.

[parentsnevertoldus]

Periods & Queeriods 101

The first time I woke up in a pool of my own blood, something changed forever. 

My life, sure, but most importantly my sheets. Blood stains don’t come out, especially when you’re a ten-year-old child who does not know how to do their own laundry (side note: the answer is a cold water rinse and blotting with hydrogen peroxide). But also, you know, puberty was a big change too. 

Menstruation isn’t always pretty--it’s bloody. I’m not going to lead with the whole “this means you’re becoming a woman” bullshit because not all women menstruate and people of any and no gender can and do menstruate. Periods can suck. They can be uncomfortably heavy, irregular, painful, and dysphoric. And while you might see your period as an indicator that you are alive (yay!), you don’t have to be grateful to have a period. In fact, you don’t have to be grateful for any bad and uncomfortable experiences or for your formative trauma. Sometimes things just suck, and that’s okay--you exist not because of these things, but in spite of them. 

So, without further ado:

What is Menstruation?

Menstruation is the periodic discharge of blood and mucosal tissue from the uterus that signals that an egg released from an ovary has not been fertilized. It is an indicator that the person experiencing it has entered puberty, and often occurs alongside other physiological and mental changes. 

The word “menstruation” has the Latin root mens, which means “monthly.” However, while lots of people menstruate regularly once a month, many periods occur irregularly. A period is considered irregular if the first day of your period is longer than 38 days from the first day of your next period, or if the duration between periods varies. Irregular periods can be caused by pregnancy, hormonal birth control, breastfeeding, perimenopause, polycystic ovary syndrome, thyroid conditions, uterine fibroids, endometriosis, extreme weight changes, eating disorders, excessive exercise, stress, certain medications, certain cancers, and other hormonal problems. Certain hormones, like those in hormonal birth control, can cease menstruation entirely! This is fine, because menstruation is not medically necessary. 

The Menstrual Cycle

I know, I’m throwing a lot of vocabulary at y’all (check the bottom of this article for a cohesive list of definitions included here). While menstruation is the actual physical shedding of uterine lining, a menstrual cycle is the period of time it takes for eggs within the ovaries to mature. The same hormones that cause egg maturation during the follicular phase thicken the lining of the uterus during what’s called the ovulatory phase, so that if the egg becomes fertilized by a sperm cell, it has someplace to land and grow. The uterine lining that is created is made of nutrient-rich tissues and blood. Cervical fluid during this time is white or yellow, with a creamy and tacky consistency. 

During the ovulatory phase, hormones cause the release of a mature egg from the ovaries. Most people don’t feel when they ovulate, but sometimes it causes bloating, spotting, or pain in the lower belly on one side. During this time, a person is their most fertile with cervical fluid that is stretchy and slippery with an egg-white consistency. After the ovulatory phase comes the luteal phase, during which estrogen, progesterone, and testosterone rise to their highest levels and then drop, causing PMS (premenstrual syndrome) and the beginning of the menstrual phase. During this phase, cervical fluid is thick, white, and dry. 

After the luteal phase comes the menstrual phase. If the egg is not fertilized and pregnancy does not happen, the lining of the uterus is broken down and shed through the vaginal opening (a period!) The hormones that cause this bloody exodus also have receptors in your gut which is why many people get period poops--your whole lower abdominal area is receiving signals to squeeze. If pregnancy does occur, menstruation pauses until you are no longer pregnant. 

For a more in-depth look at the phases of the menstrual cycle, click here. 

PMS

PMS stands for premenstrual syndrome, the emotional and physical symptoms that people feel right before and during their periods as a result of hormonal changes. Some people get PMS every time they get their period, others experience it sometimes or not at all. Symptoms include:

Food cravings

Increased appetite

Tender, swollen, or sore chest

Bloating

Headaches

Weight gain

Dizziness

Muscle/joint pain

Fatigue

Skin breakouts

Nausea

Belly cramps

Depression

Anxiety

Mood swings

Irritability

Trouble concentrating

Insomnia

Changes in sexual desires

A more severe version of PMS (but wait, there’s more!) is PMDD--premenstrual dysphoric disorder which causes intense physical and mental health symptoms during the two weeks leading up to your period and goes away at the beginning of menstruation. The symptoms of PMDD are similar to PMS but more intense (think “panic attacks”) and can be overwhelming. But you don’t have to face it alone! If you have these symptoms, get in touch with a medical professional maybe in conjunction with therapy. 

Menstruation vs Periods

Even people who don’t have vaginas, uteruses, or ovaries can have periods. If you have been on a  hormone replacement therapy (HRT) regimen that includes estrogen for a few months, you likely will experience monthly symptoms like chest tenderness, bloating, mood swings, cramping, nausea, and period sh*ts--periods without the blood, eggs, or tissue. 

Who menstruates?

Anyone with a uterus, ovaries, and fallopian tubes can menstruate. Sometimes people take puberty blockers before they reach puberty which can prevent periods and other gendered body changes. Those who already have periods can use birth control methods like the implant or a hormonal IUD that may lighten or stop their periods altogether. Taking testosterone can make your period go away--injections do this faster than topical creams-- although it will come back if you stop your regimen. 

Menstruation stops when menopause starts, around age 45 for folx with uteruses who are not on HRT regimens.

Article Glossary

Menstruation/menstrual phase - the actual physical shedding of uterine lining when an egg has not been fertilized

Menstrual cycle - the period of time it takes for eggs within the ovaries to mature

Follicular phase - the period during which an egg matures in the ovaries

Ovulatory phase - the phase during which the uterine lining builds and an egg is released through the fallopian tube into the uterus 

Luteal phase - the part of  the menstrual cycle from the ovulatory phase to the first day of menstruation during which the uterus prepares for a fertilized egg to implant or an unfertilized egg to pass through

Other resources

https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/menstrual-cycle

https://www.plannedparenthood.org/learn/health-and-wellness/menstruation/what-premenstrual-dysphoric-disorder-pmdd

https://www.bedsider.org/

[toneoparticle13]

What Are The Reasons Behind Late Periods? Discover Here!

Many women believe that a late period means there's a chance of being pregnant. However, this isn't always the case, and it is important to recognise that each woman's body is unique. Various factors, such as hormonal imbalances or menopause, can cause late periods.

It is normal for periods to be delayed by up to 38 days, but they usually last for 28 days. If your period arrives after 38 days, it is considered late. Do you want to know why your period may have been delayed? Then read on to discover the possible reasons!

What Indicates Delayed Periods?

The following factors that indicate late periods are:

1. Being Pregnant  

When you become pregnant, your uterus lining thickens to support the baby, causing periods to stop. However, when you are not pregnant, the lining of the uterus discharges blood, which causes periods.

2. Polycystic Ovary Syndrome (PCOS) 

An ovarian disorder called PCOS prevents the egg from being released during ovulation. Females with this syndrome typically experience irregular, late, and reduced menstrual flow.

PCOS also causes several additional symptoms, including hair loss, pimples and acne, blackening of the neck, facial hair, difficulty losing weight and unusual weight gain, and excessive fat deposition in the abdomen.

3. Extreme Diet And Exercise 

A proverb states that excess of something can have adverse effects. Diet and exercise follow the same rules. It is perfect if you follow the requirements for food and exercise. Extreme nutrition and practice, though, may cause your periods to be late sporadically.

As the saying goes, “Too much of anything can be bad,” this applies to diet and exercise. It is important to adhere to a balanced diet and exercise routine. However, excessive changes to your nutrition and physical activity can lead to irregular menstrual cycles. Anorexia or bulimia, calorie-restrictive diet, rapid weight reduction, intense exercise, and training are additional causes of amenorrhea.

4. Pills For Birth Control                                                      

Birth control tablets can result in withdrawal bleeding, often known as fake periods. Most doctors advise women to take birth control pills for a set length to have regular periods because they include oestrogen and progestin, which prevent pregnancy and thus aid in getting a period.

5. Stress 

Stress can be caused by work, family, workplace environment, and work pressure. It can negatively affect the mind and contribute to health issues. Delayed periods can also be caused by stress.

6. Perimenopause 

Many women can tell they are going through menopause or perimenopause if their periods become late or stop altogether. During this time, periods may also become lighter, heavier, or less frequent, depending on the woman. On average, menopause starts around age 51.

7. Breastfeeding 

It is typical for breastfeeding to provide sufficient nutrition for a baby, but it is common for a mother to have irregular periods and reduced blood flow during this time. It is also possible to become pregnant while breastfeeding, as the nursing phase is not a reliable form of contraception, as shown in a study. It is important to have regular periods while breastfeeding.

What Are The Foods That Can Cause Periods?

Here are some foods that can cause periods:

1. Jaggery 

During winter, jaggery is often consumed due to its heat-generating properties. Additionally, it contains iron which can help increase the body's haemoglobin levels. It should be noted that consuming jaggery may result in induced periods.

2. Ginger 

Ginger can induce periods and promote the menstrual cycle by raising body temperature and improving its regularity.

3. Pineapple 

Pineapple contains bromelain, a substance that can help to soften the uterine lining and stimulate periods. As a result, it is often considered a fruit that can aid in period regulation.

4. Turmeric

Turmeric is often regarded as a traditional food that can potentially induce periods due to its antispasmodic properties. These properties are believed to influence the uterus, encouraging it to shed its lining and initiate menstruation.

5. Papaya  

Raw and ripe papaya are known for their ability to induce periods. It is commonly advised to avoid consuming papaya during pregnancy due to its high estrogen content, which can trigger the onset of menstruation.

When Should I See A Doctor? 

If your periods are late for a long time, it is important to see a doctor. This is especially crucial if you have recently had sex and there is a chance of pregnancy. Visiting a healthcare provider is also necessary if you experience sudden changes in your menstrual cycle, ongoing irregularity, or other symptoms such as severe pain or excessive bleeding.

The Final Say

Delayed periods can potentially cause health issues. It is generally considered normal for a period to be delayed by 1, 2, or 3 days, as well as for periods that are delayed by 28 to 38 days. 

However, if a period is delayed by more than 38 days, it may cause concern. In such cases, visiting the gynaecology department at Bansal Hospital for further evaluation and guidance is recommended.

About Bansal Hospital

Bansal Hospital is a multispeciality hospital and is one of the leading, reputable and reliable healthcare providers trusted by patients and their families across the region. It has all the major departments, including cardiology, neurology, oncology, orthopaedics, gastroenterology, urology, liver transplant, bone marrow transplantation, nephrology, gynaecology and more. The hospital is equipped with state-of-the-art facilities and technology and has a team of highly qualified and experienced doctors and medical staff who provide round-the-clock care to the patient.

Visit Our Website

[alfelixtravirginproducts]

https://alfeli.com/blogs/over-coming-acne-in-adulthood/frustrating-adult-acne

Why do I have acne as an adult?

Growing up, I started experiencing acne, pimples, spots and blemishes as I got into my teenage years. Naturally this bothered me a lot, I recall an occasion that occurred with my mum and big cousin. After watching me fuss over my breakouts in front of a mirror for hours, my mum and older cousin talked to me about acne & skin blemishes and how they are a natural phenomenon for every growing child, they said acne never lasted into adulthood. They assured me of a clear acne free face by the time I turned 30…. I held onto this with everything I had, because I really hated the pink zits that occupied my face.

But as I got older, I found myself still laden with the same skin issues I always had. And despite the face creams, acne cleansers and acne spot and blemish treatments, nothing stemmed the daily appearance of new acne. Naturally, i was troubled, and self-conscious... after all my mother assured me i wouldn't have acne issues as an adult.

More than just aesthetics

Various studies show that acne can have severe effects on people’s quality of life. Comparing it to the damage caused by serious skin conditions like psoriasis, studies also show that severe acne issues, and the self-consciousness / low self-esteem it brings, is not just a teenage issue. According to the journal of American academy of dermatology, acne affects as many as 54% of adult women and 40% of men over 25 years of age.

Reason for adult acne

Dermatologists call this “adult-onset acne.” It is most common among women going through menopause. Women tend to get adult acne more often than men do. Adult acne is likely due to one or more of the following reasons.

Diet: Diets with high oil levels and dairy play a major part in contributing to clogged pores and subsequently breakouts. There are various "acne inducing foods", but these are individual specific. Paying close attention to your skin and body, taking notes, testing, and learning different diets that work for your skin and overall health is the key to a glowing healthy skin. What reflects on the outside of our skin stem’s mainly from what is happening on the inside of the body. The overall outlook of the skin is a reflection of the internal state and well-being of the body.

Stress: Researchers have found a relationship between stress and acne flare-ups. In response to stress, our bodies produce more androgens (a type of hormone). These hormones stimulate the oil glands and hair follicles in the skin, which can lead to acne. This explains why acne can be an ongoing problem when we find ourselves under constant stress.

Family history: Does a close blood relative, such as a parent, brother, or sister have acne? Findings from research studies suggest that some people may have a genetic predisposition for acne. People who have this predisposition, will be more likely to get adult acne.

Hair and skin care products: If you have adult acne, you should read the labels on your skin care and hair care products. Make sure that you see one of the following terms on every container:

Non-comedogenic

Non-acnegenic

Oil-free

Will not clog pores

Fluctuating hormone levels: An imbalance can lead to breakouts. Women often experience fluctuating hormones:

Around their periods

During pregnancy, perimenopause, and menopause

After discontinuing (or starting) birth control pills

Collagen Production: Collagen refers to a family of proteins that are the primary structural component of connective tissues, such as skin and cartilage, according to Yale University.

Type 1 collagen makes up 90% of collagen in the body, which is found in the skin, tendons, internal organs, and organic parts of the bone.

The body naturally makes its own collagen by breaking down dietary protein into amino acids. The body’s ability to produce collagen naturally decreases as we age, also excess sun exposure, smoking, poor diet can inhibit collagen production.

Eating a balanced diet of protein rich foods (chicken, beef, eggs, dairy, legumes, nuts, and whole grains) have the added benefit of providing antioxidants which protect the body from oxidative stress that can degrade collagen production.

Adult acne treatments/remedies

Diet Change:

About a year ago, I joined my son in eating yogurt on a daily basis, even though my research told me yogurt did not directly cause acne , and it wasn’t that time of the month for me either,  I found myself breaking out in the worst way. I had huge and very painful acne on my face, even after applying various topical acne treatments, the inflammations only worsened.

After a confusing and extremely frustrating few weeks of acne attack on my face, I decided to change my diet. I stopped eating yogurt and limited my dairy intake altogether. Within a week of doing this, my skin improved. I went ahead to cut down on my intake of greasy food, I started paying very close attention to the food I ate and how it affected my skin directly or indirectly (I took notes). I ended up compiling a food list, which I called ‘’my acne free diet’’ this worked magic for me, I could hardly believe the drastic change that occurred on my skin over a period of two weeks. I still get little acne every now and again during my monthly menstrual cycle, but my skin has improved considerable since I stuck to my “acne free diet”. After all, there is a saying that goes “you are what you eat”, the same ideology can be applied to the skin, “your skin is what you feed it”.

Topical treatment:

Wear Sunscreen daily

Use only non-comedogenic face oils and moisturizers. Purchase face oils here

Apply acne treatment products that contain salicylic acid daily (only apply pea-size amount of acne products)

Exfoliate your skin at least once a month to slough off dead skin cell and unclog pores. Purchase exfoliating scrubs here

Wash face morning and night before bedtime.

The skin is our body’s largest organ, it acts as a protective barrier between the outside and the inside of our body. What reflects on the surface of the skin is largely because of what is happening within the inside of our body.

If you are frustrated, or maybe somewhat embarrassed about acne that still appears on your face as an adult, I recommend you consider changing your diet, to help control and ultimately get rid of adult acne.

Since I came to understand the direct effect my diet had on my skin, I have been able to control the occurrence of acne breakouts on my face. I am definitely more confident and happier about my appearance. The best thing I did for myself was to take a close look at my diet, take out any food that caused a buildup of grease under my skin thereby clogging my pores. I made my skin the sole priority and so should you! Like I mentioned earlier “Your skin is what you feed it”.

[arsenicandfinelace]

Hmm, what’s the odds of Arya getting pregnant during perimenopause because she stopped drinking moon tea a bit too soon?🤔

Are we talking about canon in general or specifically in the Uncleverse?

Canon in general? Hella odds. She’s half-Tully and he’s a Baratheon, which means they are a power couple of fecundity (book!canon especially - Arya’s themes include tons of symbols of natural female fertility, such as water and acorns, while bulls and stags are symbols of male fertility). 

I could definitely see Arya getting lax because she believes the change is coming on her, and then when her periods stop coming she’s like, “Ah, so I’ve hit menopause at last,” and the maester has to break it to her that no, it’s the other thing. 

(I don’t think she’d mind much. Neither would Gendry!)

Now, as for the Uncleverse, I mentioned in Uncle that Lyanna was a difficult birth (this is a bit of an understatement; it was not pretty). After that, I think Gendry and Arya would be more vigilant about birth control because they don’t want to risk losing her. 

Then again, being more careful may be enough. I can’t stress enough how fertile they are. More than one of their children was conceived when Arya was regularly and correctly taking moon tea. The seed is just that strong.

(And no, I would never kill Arya in childbirth. But I might threaten to because I am a horrible, horrible person.)