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March 11, 2022 adminMenstrual Cycle

Women of any age can experience abnormal bleeding, vaginal bleeding that is heavy, lasts long periods of time, or occurs outside of regular menstrual cycles.

The textbooks define abnormal bleeding as blood loss from the uterus in excess of 80 ml 0r 2.8 ounces. But frankly, does anyone have the where with all to carry out such measurements? Not really. If the uterine bleeding interferes with regular activities and disrupts your routine, or is painful or very heavy, it can be considered as abnormal and warrants a visit to your gynecologist.

Many women also have irregular periods, which come so seldom that they feel like they’re bleeding all the time or come so infrequently that they only bleed once every three to four months. Though from the women’s perspective, fewer periods may be desirable, it needs to be evaluated as this will directly affect chances of conceiving.

Abnormal bleeding or spotting often happens after active sex, between periods, or after menopause.

Abnormal bleeding can make everyday activities such as household working, attending to the duties exercising or socializing stressful and difficult. Some women even have to wear a pad as well as a tampon for protection, carry them always, yet remain under the stressful thought of bleeding all the time.  They have been programmed to ‘bear it’ and so perceive the situation as ‘Heavy periods’ to be put up with.

You don’t have to live with abnormal bleeding because it’s not “normal.” Whether you’re a teen who is just starting to cope with abnormal bleeding or a woman in perimenopause who has been struggling for years, help is available. Let’s discuss the primary causes of abnormal bleeding, some common treatment options, and understand which associated conditions can exist.

What Causes Abnormal Bleeding?

To figure out what’s causing the bleeding, we need to figure out where it’s coming from. Is it coming from your uterus, cervix, or vaginal area? Bleeding that appears to be coming from the vaginal area may instead be coming from the bladder or bowels. The patient’s symptoms are often the indication of trouble, so after physical examination, which will generally include a pelvic exam to check the cervix and vagina as well as all potential sources of bleeding.

Cervicitis, a sexually transmitted illness, is one of the most prevalent causes of bleeding and discharge. The cervix, which is positioned at the lower end of the uterus, becomes inflamed and irritated. Often evaluation of the cervix for cancerous and pre-cancerous lesions is done.

However, abnormal bleeding can be the result of many conditions, mainly of the uterus (or the womb). Let’s identify primary conditions of the uterus that lead to abnormal bleeding:

  • Polyps: growths, or small clumps of cells, that form when cells in the lining of the uterus overgrow
  • Adenomyosis: Adenomyosis is a condition in which the tissue that borders the uterus grows into the uterine wall.
  • Leiomyoma: Fibroids are benign tumours in the uterus termed leiomyoma.
  • Hyperplasia and malignancy: when the uterine lining (endometrium) gets overly thick.
  • Coagulopathy is a condition in which the body’s ability to clot is harmed, generally as a result of low levels or the lack of blood-clotting proteins.
  • Ovulatory dysfunction occurs when ovulation is abnormal, irregular, or absent, and is a common cause of abnormal bleeding.
  • Endometrial: abnormal functioning of endometrial tissue
  • Iatrogenic bleeding: When bleeding is caused by birth control, other hormone medicines, or other pharmaceuticals, it is called iatrogenic bleeding.
  • Not otherwise classified: When doctors are unable to identify a specific cause for bleeding problems, they are labeled as “not otherwise classified.”
  • Following a physical examination, we may use ultrasound, endometrial biopsy, and other tests to assist us to identify the problem, which may include an infection examination. Finally, we go over the various treatment alternatives.
  • Bleeding that interferes with daily routine is not “normal,” and you don’t have to live with it. Whether you’re a teen who is just starting to cope with abnormal bleeding or a woman in perimenopause who has been struggling for years, help is available.

Treating Abnormal Bleeding

Many conditions can be treated with medication. If there is an infection, Simple antibiotics will relieve the problem soon. For many of the uterine sources of bleeding, hormone treatments such as birth control pills, progesterone pills, or intrauterine devices (IUDs) that help regulate and lighten periods, can be prescribed.

Patients may need minimally invasive surgery to remove abnormal tissue if conservative therapy fails or if they have uterine growth diseases like polyps or leiomyoma. The doctor may recommend a hysterectomy to remove the uterus in severe cases, and usually only after women are done with fertility. However, women should never feel pressured into hysterectomy as their only option since many treatment options are available today.

What can happen if Abnormal Bleeding is Left Untreated?

Excessive blood loss causes some women to develop iron-deficiency anaemia. When the blood is low of healthy red blood cells, this occurs. This condition can cause dizziness, fatigue, and shortness of breath, which impacts overall work efficiency.

Untreated abnormal bleeding caused by ovulatory dysfunction, which causes irregular periods in women, can put them at risk for precancerous endometrial disorders including hyperplasia, which occurs when the uterine lining swells and can lead to uterine cancer. Even if you like just three to four periods a year, this is abnormal and should be investigated.

Women who merely have a “lack of energy,” and when we get to talking about her period, we discover she’s had abnormal bleeding her whole life and never realised it was “abnormal.”

With simple evaluation & treatments available, it’s amazing to see women get their life and energy back.

Women should seek treatment for abnormal bleeding in time as her gynaecologist will help to enhance the quality of life and offer her much-needed respite from abnormal bleeding.

We can also secure a healthy future by addressing underlying issues. Make an appointment by calling or filling out our online form.

In addition to working with a doctor, some home remedies and supportive tools can help reduce symptoms and make an abnormal period easier to manage.

Try a heating pad: Heating pads can help reduce common period symptoms, as the warmth of the heating pad can relax the muscles involved.

Wear period panties to bed: Period panties are absorbent underwear that works like a pad to absorb blood.

Sleeping in these panties may be more pleasant than sleeping with a pad, and people may wake up less frequently at night.

Diet, supplements like Vit C, D, iron help in easing the burden of abnormal bleeding.

Nevertheless, it is to be taken under the guidance of a registered medical gynaecologists’ as, just easing the symptoms doesn’t mean the underlying problems are been taken care of.

A good old wise saying is apt for this; a stitch in time saves nine.


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February 23, 2022 adminMenstrual Cycle

Parents play a critical role in managing PCOS in an affected daughter. Chances are they have no idea what to look for and may simply ignore period problems as something that will settle down or ‘bad periods’. The probability that a father will even be consulted is practically zero, in India, except perhaps if he is a doctor and keeps his eyes open.

Even mothers may be slow to react simply because they themselves may have gone through the same difficult time and they were also told to ‘stay at home & bear with it’.

It is now a known fact that mothers and, yes, even fathers, can pass on PCOS to daughters.

As parents, you need to be sensitive to your daughters’ behaviour as much as her physical experience. A healthy lifestyle is something you need to inculcate in them and set an example. This doesn’t mean forbidding certain types of eatables but simply teaching them to maintain a healthy balance.

Observe for mood swings. PCOS is caused by hormonal imbalance and this will impact behaviour strongly. Unusual weight gain, excessive body hair, especially male pattern hair on the face chest, armpits are sure telltale signs. Persistent acne, thinning of scalp hair are also signs to watch for.

Mothers should monitor abnormalities in the monthly cycles and consult a gynecologist early if they find an abnormal pattern.

It’s common to put down your daughters’ mood swings to teenage transition. Keep in mind that if she has PCOS she has the additional burden of hormonal imbalance in addition to the peer pressures she will be experiencing. A supportive family can do wonders and the silver lining is the strong bonds this can create.

As parents, we must address any feelings of shame, guilt, rage, or sadness your daughter may be experiencing as a result of her trauma. While there is definite evidence that it can be passed down the generations, it doesn’t mean that you are responsible for it.

None of us is genetically perfect. In a few cases, this imperfection manifests more visibly. Not only in the form of appearance issues but moodiness, irritability. This being a part & parcel of living with PCOS, should be accepted and professionally addressed.

First of all, do not get into denial mode. That won’t help at all.

Accept that your daughter isn’t the perfect child that you wanted. Far from it. But your response will determine how she weathers the PCOS storms over the years. Channelize your frustration, guilt and anger in figuring out the best way to deal with the different manifestations of the problem. Easier said than done.

Do’s and Don’ts for Parents:

  1. Accept that PCOS isn’t going to go away
  2. Connect with a doctor who has had experience in dealing with such cases. More importantly, one who is qualified to do so? Do not put your trust blindly in the family doctor, who may simply tell you what you wish to hear.
  3. Even a good doctor alone will not be enough. Ideally enroll in a clinic that has an all under one roof facility for dealing with PCOS including a nutritionist, Physiotherapist, lifestyle counselor and stress therapist. If they work in a coordinated manner as a team, this will really go a long way in helping your daughter to keep PCOS on a tight leash. Remember, the medicine will work only as long as the other facets of PCOS management are also being expertly managed, namely – nutrition, weight control, management of emotional issues.
  4. Keep in mind that PCOS patients can get Diabetes, are at a much higher risk of heart disease & endometrial cancers. They may have to combat infertility. More the reason you need to get professional help at the earliest and keep on monitoring lifelong.
  5. Keep in mind that she may not be the only one in the family with a major health problem. Her sisters may not be showing symptoms of PCOS, but maybe at a higher risk. Even the men in the family run a higher risk of getting ailments like diabetes, thyroid disorders.
  6. Address the issues openly and supportively. Anger, frustration, and depression will not help. You, as a parent, need to appear in control. You need to give your daughter the confidence that she is not alone in this fight to counter her risks and build a lifestyle that is healthy. Even if it means changing your eating habits, taking time out of a busy schedule to go on walks or bike rides with your daughter. If you can’t do it, find someone who can and remain as involved as you can.
  7. Teach her to cook healthy, even if you yourself have to unlearn what your mother has passed on! Take classes to learn how to cook simple, healthy yet delicious, wholesome meals.
  8. Introduce her to Yoga, Pranayam and meditation. There are many meaningful courses in India that teach Life & Stress management in a way that is acceptable to youngsters. Attend these together.
  9. Visit the clinic with her. Be prepared with your specific questions for the entire team – the doctor, nutritionist, Physio, lifestyle and stress counsellor. Encourage her to become a part of a group on social media, that deals with PCOS and whose members share their successes and failures openly.

Don’t:

  1. Try to sweep away the fact of PCOS under the carpet
  2. Make her feel like a burden or someone to be ashamed of
  3. Let your emotions go out of control in front of her

Each of us is dealt a different set of cards by life. PCOS isn’t worse than a lot of problems that people have to deal with. Stay together as a family, support each other and life can be normal again.


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February 23, 2022 adminMenstrual Cycle

Are you bothered about the school-going daughters getting menstruations? It’s a whole new experience for every episode of periods. Parents tend to be extra cautious about the movement, pain, dresses they wear, and many questions as a family we, need to address.

Let’s touch upon this one by one:

Is Menstrual Blood the same as Normal Blood?

Menstrual blood is made up of blood and a membrane from the uterus. If we don’t get pregnant during our cycle, the membrane that was created to support the possibly fertilized egg slowly departs our body. Sometimes blood can appear clotted or brown, but that is all normal.

While period blood is made up of normal blood, it is not the same as the blood we get when we get a cut, thus there is no reason to be afraid of menstrual blood.

Does Menstrual Blood Smell Bad?

Sometimes there can be a bad smell due to bacteria that grow in underpants’ moist, warm environment. Changing the pad regularly (once every 3-5 hours, or whenever the pad is full) will help keep bad smells away and reduce the risk of infection.

Are Cramps Normal?

Yes. We may get abdominal cramping and a heavy feeling. Cramps occur when our uterus contracts to get rid of menstrual blood. Our breasts can also feel heavy and tender. Light exercise, hot water bottles, and warm baths can all help to reduce the effects of cramps. If the pain gets worse please visit a nearby health specialist.

What is Vaginal Discharge?

It is normal for us to have discharge during our menstrual cycle. Discharge can be clear or yellowish. Discharge is protective because it can stop bacterial from entering our vagina.  discharge changes to a strange color, or becomes smelly, that can mean that we have an infection and need to go have a check-up at a health facility.

Let’s Find Out the Best Ways to Manage the Periods:

Be prepared; keep disposable or reusable pads handy to absorb blood. Disposable pads are available in a variety of types, including those with wings, thin pads, and thick pads. There are also material pads that you can wash and reuse. It’s important to use the one that seems the most comfortable to you.

Change your pad one every 3 to 5 hours, and more regularly if needed. Always keep spare pads in your school bag, even if it’s not time for your period. It is better to be prepared, especially at school.

After using the toilet or changing pads, wash your hands with soap and water.

Wash the vagina during bathing, while changing pads with water & soap. Use a calendar to mark your menstrual cycle so that you can predict your next menstruation.

To avoid infection, wipe the vaginal area from front to back. Don’t put perfume, cream or other products on the vagina. If you notice a change like discharge a weird colour or funny smell, or the vagina feels itchy or hot, make sure you go for a consultation with the gynaecologist in case you have an infection.

What to do When You Are Scared of Staining?

Most girls experience this at least once in a lifetime. If you have a jacket, you can tie it around your waist to hide the stain. You may twist your skirt over so the stain is on the side if you don’t have a jacket. That way, no one will notice. Then, change your pad quickly so no more blood leaks. To prevent this from happening, it’s important to change pads regularly and always carry spare pads in your bag.

Carry dark coloured large scarfs to wrap around, take the help of peers to help you out in this regard.


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February 22, 2022 adminMenstrual Cycle

The arrival of PCOS in women is signalled by various symptoms, some of which are seen & some are deep-rooted. Every face of PCOD is equally important & interlinked. Every thread interlinks and so is excessive body and facial hair. This is called ‘Hirsutism’.

Hirsutism is indicated by coarse, black hair on the face, chest, abdomen, back, upper arms, and upper legs. Hirsutism is a sign of androgen hormone-related medical problems. Androgen is the primary cause of this.

Polycystic ovary syndrome (PCOS), in which the ovaries produce excessive amounts of androgens, is the most common cause of hirsutism, and may affect up to 10% of women. Hirsutism is a common condition that improves well with medical treatment. Prompt medical attention is important because delaying treatment can have prominent effects, which makes the treatment more difficult and may have long-term health consequences.

Hirsutism is more than hair growth which impacts overall personality.

Normal Hair Growth:

Understanding the process of normal hair growth will us understand hirsutism better. Each strand of hair grows from a follicle beneath the surface of your skin. Hair will continue to develop as long as these follicles are not completely damaged, even if the shaft, or the part of the hair that appears above the skin, is plucked or removed. Except for the soles of your feet and the palms of your hands, hair follicles cover every surface of your body. Of the approximately 50 million hair follicles covering your body, one fifth is located on your scalp. After birth, the number of hair follicles does not increase, but it decreases gradually until around the age of 40.

There are two types of hair in adults: vellus and terminal. Vellus hair is silky, fine, and usually colorless, with a short length. Terminal hair is long, coarse, dark, and sometimes curly. Vellus hair covers the face, chest, and back of most women, giving the appearance of “hairless” skin. Terminal hair covers the face and body in most men. Both men and women have terminal hair on their scalps, pubic areas, and armpits. Both men and women have a mixture of vellus and terminal hair on their lower arms and legs. If you have excessive hair growth mainly on your lower legs and forearms, you don’t have hirsutism and hormonal therapy won’t help.

Effects of Androgens on Hair Growth:

Excessive face and body hair are generally caused by an excess of androgens in the body. Males and women both have androgens, but men have significantly larger amounts of physiologically active androgens. Androgens are predominantly produced by the testes and adrenal glands in men. Androgens are produced by the ovaries and adrenal glands in women. Estrogen reduces the effect of androgens in women to some extent.

Androgens cause oily skin and acne by increasing sebum production. Ovulation and menstruation can be irregular or absent when there are too many androgens in the body. Extremely high androgen levels, such as those found in the presence of a tumor, can result in male-like baldness, a deeper voice, increased muscular mass, clitoris enlargement, and decreased breast size.

Polycystic ovarian syndrome (PCOS) is a chronic hormonal condition that affects 5%–10% of women. PCOS is diagnosed using a combination of clinical, ultrasound, and laboratory features because of its variable nature. PCOS (polycystic ovarian syndrome) is a hormonal imbalance in which the ovaries produce excessive amounts of androgen. It is one of the most common causes of hirsutism. Multiple small follicles develop in the ovaries in women with PCOS, resulting in cysts, hence the term “polycystic.” These small cysts are immature ovarian follicles that haven’t matured enough to ovulate.

Diagnosing the Interlink is as important as the Treatment

You should be as precise as possible when describing your symptoms to your physician. Your medical history and physical examination may point to PCOS. To confirm the diagnosis and exclude certain other associated conditions, your physician may measure your blood hormone levels. If you have irregular menstrual bleeding, your doctor may do an endometrial biopsy to ensure that your uterus is free of precancerous cells.

Early Diagnosis is the Key to Hirsutism

You should be tested for PCOS if you’ve had menstrual irregularities and/or increased hirsutism since puberty.

Hirsutism is a common condition that may usually be successfully managed with medicines. Electrolysis or laser treatment can be used to permanently decrease or remove any remaining unwanted hair after medical treatment. If previous female members of your family have had excessive hair growth, keep an eye out for early indications of hirsutism in yourself and your children, particularly during adolescence.

Hirsutism is frequently a result of PCOS. When hirsutism and PCOS are diagnosed at an early age, they are easier to treat. Hirsutism, acne, irregular or heavy menstrual periods, lack of ovulation, and infertility are all symptoms of PCOS.  Diabetes, uterine cancer, high cholesterol, and heart disease are all related to this condition. Despite the fact that the causes of PCOS remain unclear, progress has been made in both understanding and treating the condition. Your goals and concerns may be addressed in a very short amount of time if you are diagnosed with hirsutism or PCOS, and treatment is generally successful.

Nevertheless, alternative treatments may offer some relief, but evidence-based modern medicine offers deeper views on causes & concerns, addresses the short term and long term impacts of PCOS.

You should get a consultation from a Gynaecologist to address hirsutism in totality and face the world with new vigour and energy.

Beat the Hirsutism with winning stroke of evidence-based medicine and expert recommendations.


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January 12, 2022 adminFertility

Fertility changes with age. In women, this is very conspicuous and the window period of fertility is much smaller than in men. Males & Females attain fertility with the onset of puberty. For girls, fertility begins with the onset of ovulation and menstruation and ceases with the onset of menopause. Women can no longer conceive naturally after menopause, according to common belief.

In today’s scenario, age-related infertility is more common due to various reasons. Many women prefer to concentrate on a career for financial security and wait until their 30s to begin their families. Women take care of themselves better, so are far healthier & more updated about information available.

In general, women’s reproductive potential declines as they age, and fertility usually ends 5 to 10 years before menopause.

SIGNIFICANCE OF OVULATION AND THE MENSTRUAL CYCLE IN FERTILITY

During their reproductive years, women have regular monthly menstrual periods because they ovulate regularly monthly. Eggs mature inside fluid-filled spheres in the ovaries – called “follicles.” When a woman has her period at the beginning of her menstrual cycle, a hormone released in the pituitary gland (located in the brain) promotes a number of follicles on both ovaries to develop faster. The pituitary hormone that stimulates the ovaries is named FSH (FSH). Normally, only one of those follicles will reach maturity and release an egg (ovulate); the remainder gradually will stop growing and degenerate. Pregnancy results if the egg gets fertilized and gets attached to the lining of the uterus. If pregnancy doesn’t occur, the endometrium is shed because conception hasn’t occurred and we say that the cycle has begun again.

In their early teens, girls often have irregular ovulation leading to irregular menstrual cycles, but by age 16 they ought to have established regular ovulation leading to regular periods. From 26 to 35 days, a woman’s periods will be regular until her late 30s or early 40s, when they will get shorter. As time passes, she is going to begin to skip ovulation leading to missed periods.

Ultimately, periods get prolonged or become infrequent until they cease completely. When a lady has not had a menstrual period for 1 full year, she is claimed to be in menopause. Fertility falls as women age due to natural, age-related changes in the ovaries. A woman is born with all of the egg-containing follicles in her ovaries that she will ever have, unlike men, who continue to produce sperm throughout their lives.

At birth, there are about one million follicles. By puberty – about 300,000. Only around 300 of the follicles left at puberty will be ovulated during the reproductive years. The majority of follicles are not used up by ovulation and are eventually lost due to atresia, a degenerative process that happens independently of a woman’s condition, such as pregnancy, normal periods, being on birth control pills, or being treated for infertility. Menopause appears to occur one year earlier in smokers than in non-smokers.

FERTILITY IN THE AGING FEMALE:

In her 20s, a woman’s reproductive years are at their maximum. Fertility gradually declines within the 30s, particularly after age 35. A healthy, fertile 30-year-old woman has a 20% chance of becoming pregnant each month she tries. That means that just 20 out of every 100 fertile 30-year-old women who try to conceive in one cycle will succeed, with the remaining 80 having to try again. By age 40, a woman’s chance is smaller than 5% per cycle, so fewer than 5 out of each 100 women are expected to achieve success monthly.

Women do not remain fertile until menopause. The average age for menopause is 47, but most women cannot have successful pregnancies in their mid-40s. These percentages are true for natural conception also as conception using fertility treatment, including in vitro fertilization (IVF).

Much misleading information is spread through the media, which often misinterprets the age impact and an attempt is made to make patients believe that fertility treatments such as IVF are the easiest way to get pregnant. The natural process of conception, as well as assisted techniques for pregnancy, are greatly affected by age. Great nutritional status, as well as the solid foundation of financial security, does not reverse the biological clock.

The success rate of infertility treatments is affected by a woman’s age. The age-related loss of female fertility happens because both the standard and therefore the number of eggs gradually decline.

FERTILITY IN THE AGING MALE:

Unlike a woman’s first reduction in fertility, a man’s sperm characteristics fall considerably later. Sperm quality deteriorates as men age, although it usually does not become a problem until a guy is in his 60s. Changes in fertility and sexual functioning do occur in men as they get older.

Despite these changes, the ability to father a child even in the 60s and 70s with a younger partner is possible

Men’s testes decrease and get softer as they age, and sperm morphology (shape) and motility (movement) tend to indicate no. There is a slightly higher risk of genetic defects of sperms, happening during DNA fragmentation.

Any illness like diabetes, BP adversely affect their sexual and reproductive function. Not all men, especially those who maintain their health over time, have major changes in reproductive or sexual functioning as they age.

Improved health status does not interfere with the natural age-related decline in fertility. It’s critical to realise that a woman’s fertility decreases as she ages due to the natural decrease in the amount of eggs left in her ovaries as she ages. This decline may happen much before most girls expect.

While addressing infertility age is the main contributing factor. There are other contributing factors like ovulation disorders, hormonal imbalances, tubal defects, varicocele, infection & uterine fibroids to name a few.


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January 7, 2022 adminMenstrual Cycle

For a young lady, it is important to figure out early in her life that her menstrual cycle goes well beyond simply getting her periods every month.

The menstrual cycle in fact involves a complex interaction between the brain, the ovaries, the uterus & the female hormones – progesterone & oestrogen.

Situated at the base of the brain is the pituitary gland, which signals the ovaries to secrete progesterone & oestrogen to prepare the body for a possible pregnancy.

In the event conception fails to occur, the menstrual period cycle commences during which, a combination of blood, mucus, and the cells lining the uterine cavity are eliminated through the vaginal opening. This is the ‘period’, which can last from 2 to 7 days.

Comprehending the menstrual cycle and its stages:

The menstrual cycle begins from the first day of your last period till the  first day of your next cycle. This period varies greatly from person to person and can last from 24 to 38 days on an average.

The length of your cycle also varies with age from menarche (commencement of periods during puberty) to menopause (permanent cessation of periods) which progresses in four main phases:

  • Menstruation: aptly described as the weeping of the uterus – is the shedding of the tissue lining the wall of the uterus, which had thickened in anticipation of the embryo getting embedded into the uterine wall.
  • The Follicular Phase: Commencing from day 1 of your period, it lasts up until ovulation. During this phase, oestrogen levels rise, preparing the ovaries for the release of an egg for possible fertilization.
    The uterine lining begins to build up again in this phase.
  • Ovulation Phase: this is the part of the cycle during which, an egg is released from one of the ovaries. It travels through the fallopian tubes wherein it may get fertilized by a single sperm. Subsequently this fertilized egg implants itself into the lining along the walls of your uterus.
    The approximate life span of this egg is about 24 hours. It dies and is shed along with the uterine lining it is fails to get fertilized by a sperm cell during this window period of 24 hours.
  • The Luteal Phase: the uterine lining has to thicken in order to nurture the fertilized egg if and when it embeds itself into the uterine wall. This building up of the wall thickness is facilitated by the rise in level of progesterone. This phase that occurs between ovulation and the first day of your period is called the luteal phase. If pregnancy does not occur, the progesterone levels drop, causing the uterine lining to break down. It is  shed away, along with other menstrual fluid and mucus and blood.

Why should you track menstrual cycle? How can you track menstrual cycle?

You can note down your period dates some place in a journal or imprint those dates on a schedule to anticipate and be prepared for your next periods. Tracking your cycle has additionally now become a lot more straightforward It can be done by just downloading a relevant application on your cell phone.

How would you work out your period?

A woman’s cycle is an exceptionally private period. Every lady encounters it in an unexpected way, and for that reason it is helpful to investigate it’s computation. To calculate your monthly cycle, you should begin the first day of your period and count up to the last day before your next period starts. Notwithstanding, you ought to be careful that periods might fluctuate.

How do you calculate your menstrual cycle?

The female menstrual cycle is a very personal experience. Each woman experiences it differently. To calculate your menstrual cycle, you should start on the very first day of your period and count up to the very last day before your next period begins. However, you should be mindful that menstrual cycles may vary due to several reasons.

For example, if your period commenced on 1st March and ended on 6th March, you will start calculating your menstrual cycle from 1st March. If your next period arrives on 28th March, your menstrual cycle lasted from 1st March to 28th March, meaning that your menstrual cycle is on an average 28 days long.

It is vital to note, notwithstanding, that pre-period spotting shouldn’t be considered.  Your period starts when you begin bleeding consistently.

Is your menstrual cycle regular ?

If you monitor your menstrual cycle closely, you can quickly recognize irregularities and atypical periods.

While a single missed, delayed or early period should not raise alarm, if your menstrual cycle is consistently irregular, you might want to pay your gynecologist a visit.

There can be several underlying causes that lead to irregular periods. Some of them are:

  • Pregnancy
  • Hormonal imbalances: Several studies have established a link between menstrual irregularities and hormonal disorders such as hyper or hypothyroidism. If your menstrual irregularities are coupled with sudden weight loss or weight gain, hair loss, or an irritable bowel it is best to check with your doctor.
  • Polycystic Ovary Syndrome: The most common symptoms of Polycystic Ovary Syndrome or PCOS are irregular periods. Other symptoms to watch out for are weight gain, excess hair fall, growth of excess facial hair or body hair, etc.
  • Stress and anxiety: are known to interfere with your menstrual cycle – whether that is in the form of menstrual irregularities, delays in periods, or even shorter menstrual cycles. Of these, menstrual irregularities are most common in women facing excess stress.

How can you prevent menstrual irregularities?

There are a few science based strategies that can help in regularizing your monthly cycle, for example yoga. Exercising routinely and eating right help greatly. Should simple self remedies not help, you must consult your gynecologist.

Where can you get help for menstrual irregularities?

Monitoring your menstrual cycle will help you identify the early warning signs. You can then schedule an appointment with your doctor and based on your symptoms your doctor may prescribe lifestyle changes, medication to regularize your cycle, or a combination of both. It is important not to ignore the signs and suffer in silence. Whatever be the underlying cause of irregularity in your menstrual cycle, your gynecologist is qualified to help you find a solution.

Tracking your monthly cycle will assist you with recognizing the early warning signs. You can then schedule a meeting with your doctor and in light of your symptoms your primary care physician might recommend life style changes, drugs to regularize your cycle, or a mix of both. It is important not to disregard the signs and suffer silently. Whatever be the fundamental reason for irregularity in your monthly cycle, your gynecologist is the best person to assess your cycle and diagnose the reasons for the problem.


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