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The Birthplace Blog

Filtering by Category: Gynecology

Menopause: Pausing Periods, Not Life!

The Birthplace


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‘That time of the month’ is often the phase characterised by mood swings, cramps, pain and discomfort. Women share a love-hate relationship with their periods. Often times, the onset of periods brings about tremendous changes in a woman’s life - right from altering her physical appearance, to changing her routine completely. This is the time when women are worried about staining their clothes and plan important events in a way that they don’t clash with their periods. One thing that crosses many young girls’ minds when they first have their periods is - when will this thing end?

The answer to this question is simple - periods end when menopause happens.

Understanding Menopause

Medically defined as the full-stop to a woman’s fertility, menopause marks the end of menstruation in a woman’s life. While it might seem like a really good deal that life has to hand over to you (imagine, you don’t need a period tracker, you don’t have to worry getting your periods when you are on a vacation and all that), what menopause actually introduces is a different ball game altogether.

 Menopause happens when a woman hasn’t had her periods for 12 consecutive months. Typically, the average age for menopause is 51 years, but many women experience an early onset, too. When the ovaries produce less reproductive hormones and there is a considerable decline in estrogen (needed to regulate your periods) and progesterone (needed for pregnancy), that’s when the symptoms of menopause begin to appear. It also often triggers the rise of another hormone called follicular stimulating hormone or FSH.

When Will You Have Menopause And How Long Will It Last?

There are a lot of factors that determine when you will hit this phase. Even though the average age, like mentioned above, is 45-55 years, yet, your genetic make-up, your body type and health will play a role. The symptoms of menopause, which we will describe in the paragraphs to come, start anywhere between 2-4 years before you have your last period, and might go on till around 5 years after that.

What Does Menopause Do To Your Body?

Just like the beginning of puberty brings about evident physical and psychological changes, the onset of menopause also has the same impacts. While the absence of periods might seems like a great relief, yet, the symptoms of this phase can impact you more than you can think.

  • Period Problems: One of the most common impacts that the onset of menopause, or what is typically known as perimenopause, is problems in your menstruation. This can range from irregular periods, or changes in your flow - while sometimes you’d experience a very light period, on other occasions, you might experience heavy bleeding. During this phase, it’s important that you be mentally prepared as your periods can arrive without much warning, or be absent for long.

  • Lack of Sleep or Insomnia: Menopause is characterised by hot flashes, when your upper body feels warm, and night sweats, when you break into a sweat while you are sleeping. It’s obvious therefore that these lead to disturbed sleep cycles, often times causing insomnia.

  •  Vaginal Dryness: Decline in the production of estrogen can lead to genital tract atrophy, which is known to cause problems in the vulva and vaginal region, because of which you might experience swelling of the genital region, vaginal dryness and consequently, painful sexual intercourse.

  •  Urinary Issues: Such issues become very common with advancing age, yet, the impact that menopause has on the urinary system is quite high. If you are going through menopause, you are more susceptible to urinary tract infections or UTIs and you would also have an urge to visit the washroom often, which in medical terms will be explained to you as urinary incontinence. 

  •  Mood Swings and Cognitive difficulties: Just like your premenstrual symptoms or PMS as it’s popularly known as, mood swings will become a part of your routine when you hit menopause. Because your body is going through several hormonal changes, it is likely to impact your mood, as well as your cognitive abilities like remembering things.

  •  Physical Changes: While puberty results in a growth spurt, both in terms of your breasts and bodily hair, menopause does the exact opposite. If you find that you need to switch to a smaller bra size, then don’t be worried - it’s probably one of the effects of menopause. It might also lead to hair fall and thinning of hair.

Apart from these, palpitations, regular headaches, muscle and bone pain, stiff joints and weight gain can be clear signals that you are going through menopause.

Dr. Pratibha Narayan is a Senior Obstetrician and Gynecologist at the Birthplace. In addition to her passion for obstetrics and preventive women's health, she an expert with many years of experience in VBAC. She excels and specializes in managing and treating routine and high-risk pregnancies, and recurrent pregnancy losses. She is also an expert in Cosmetic and aesthetic gynaecology.  To know more or to meet Dr. Pratibha, please call 040-30911234. You can also write to her at  contactus@thebirthplace.com  or visit www.thebirthplace.com

Dr. Pratibha Narayan is a Senior Obstetrician and Gynecologist at the Birthplace. In addition to her passion for obstetrics and preventive women's health, she an expert with many years of experience in VBAC. She excels and specializes in managing and treating routine and high-risk pregnancies, and recurrent pregnancy losses. She is also an expert in Cosmetic and aesthetic gynaecology.

To know more or to meet Dr. Pratibha, please call 040-30911234. You can also write to her at contactus@thebirthplace.com or visit www.thebirthplace.com

Early Menopause: The Causes And Impacts?

Menopause is a natural process, so please don’t consider it as a disease or disorder. As the body ages, its ability to produce certain hormones also decreases. Like mentioned before, when the levels of estrogen and progesterone come down, your body prepares itself for a goodbye to periods. However, apart from natural causes, there are a few other reasons why you might have an early menopause.

  • Hysterectomy: This is the procedure of removing your uterus, ovaries or both. If only your uterus is removed, you will not have menopause immediately, and the transition will be gradual. However, if your uterus and both your ovaries are removed, you will stop producing estrogen and progesterone, will cause immediate menopause.

  • Cancer Treatments: Chemotherapy and radiation, as you understand, have several radical impacts on your body, one of them being menopause. Sometimes, however, many women observe the return of their periods after a prolonged absence.

  • Ovarian Issues: Lifestyle and other health issues could cause your ovaries to have issues. Such problems might impact that the production of certain hormones, which in turn trigger the onset of menopause.

Early menopause is often associated with higher risks of cardiovascular diseases, anxiety and depression and psychosexual disorders.

Diagnosis of Menopause

Menopause is clinically confirmed if you are 45 or above and you haven’t had your periods in 12 straight months. Even though this is one way of diagnosing menopause, yet, your gynaecologist is likely to carry out some tests to rule out anything else. During this consultation, your doctor will check for:

  1. Your last period, the kind of flow you experienced and whether it was regular or late.

  2. Medications you are using, if any.

  3. Your symptoms and how long you have been having them for.

 Once that is done, your gynecologist might also ask for the following tests:

  1. Vaginal pH levels (women in the reproductive age have a level of 4.5, while a level of 6 could indicate menopause)

  2. A Thyroid Test

  3. Lipid Profile

  4. Liver Function Test

  5. Kidney Function Test

 Even though there are some kits available to check for yourself, yet, it’s always best to consult a reputed gynaecologist for a proper diagnosis.

Will Menopause Impact Your Sex Life?

Menopause causes several of your hormones to be in a state of imbalance. Because your production of estrogen and testosterone (yes, women also have it) has decreased, it might contribute to a lower sex drive. Apart from that, other symptoms such as mood swings and muscular pain might also prevent you from enjoying sex. 

Lower production of estrogen could also limit blood supply to your vagina, resulting in swelling and dryness. This could impact sex as well, making it slightly more uncomfortable and painful than usual.

However, you needn’t lose hope! Some studies have suggested that many women report having an increased sexual appetite because of the lower chances of pregnancy. While most women hit menopause after their children-related responsibilities are taken care of, the chances of having more relaxed sex also increases!

Managing Menopause: The Guidelines

The phase of menopause can be quite a challenging one, especially because some of the symptoms will leave your drained and in pain. The first step is to be calm and gather more information about it, so that you can manage the symptoms well. There are some things that you can do to help yourself.

  • Eat right: Include plenty of calcium and Vitamin D in your diet

  • Avoid drinking and smoking

  • Massage your breasts with herbal oils

  • Use lubricants to have better sex

  • Do not stop using birth control measures till your doctor asks you to

  • Keep yourself engaged in activities to help your mood swings

  • Exercise well to manage your weight gain

  • Kegel exercises can help with your sex life as well as urinary incontinence

 Why Do You Need To Visit A Gynecologist?

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You are capable of managing many of the symptoms, but the absence of periods might not necessarily mean menopause. So, it’s essential to confirm the cause and only a gynaecologist can help with that. Apart from that, if your symptoms are severe, your doctor will be able to suggest several treatment options including hormone replacement therapy or HRT to help you.

Please understand that you are not alone in this journey. At the Birthplace, we intend to help you sail through the phase of menopause with maximum comfort and information. Our doctors listen to your concerns and recommend treatments and therapies based on your needs. So, don’t do this alone. Let us join forces with you to help you live your life on your own terms!


When Menstruation can truly feel like a curse!

The Birthplace

12 lakh women will undergo a hysterectomy this year.

Long ago the Menstrual period was routinely referred to as the curse, giving the unique physiological function of a woman’s body an unwanted and negative connotation. We as a community are slowly but surely breaking the taboo around this “bloody” issue in most situations but for those amongst us who suffer from pain during periods, it may still feel like a curse.

Do you suffer from pain during one or more days of your period?

Have you ever made or altered plans because of approaching periods?

Have you ever taken a day off from school or work due to periods?

Have you had anxiety about your upcoming period?

Have you ever taken pain killers for period cramps?

If the answers to any of the above questions is yes, then this might help you. Read on.

I thought period cramps are pretty normal. Doesn’t everyone have them?

Nearly 25 percent of all women and 70-90 percent of adolescent girls suffer from period cramps. Mild to moderate cramps in the lower abdomen lasting for few hours in some and maybe up to 3 days in others which are easily relieved by home remedies or mild pain killers are usually seen in young girls. The pain may begin only after a year of the beginning of menses. This is called Primary dysmenorrhea and is not generally associated with any underlying disease process.

Although this type of painful periods can be quite common, they do cause some distress in young girls. Pain during periods that starts later in life and due to underlying conditions like Adenomyosis, Fibroid uterus or Endometriosis etc is called Secondary Dysmenorrhea. Secondary dysmenorrhea can last even after the period bleeding is over.

Dr. Jyotsna is an MD (Ob Gyn) from one of the top medical institutions in the country (JIPMER). In addition to her passion for obstetrics and preventive women's health, she is also an expert in gynecological endoscopy, with a special interest in the management of uterine fibroids and endometriosis.  To know more or to consult Dr. Jyotsna, please call 040-30911234. You can also write in to her at  contactus@thebirthplace.com  or visit www.thebirthplace.com

Dr. Jyotsna is an MD (Ob Gyn) from one of the top medical institutions in the country (JIPMER). In addition to her passion for obstetrics and preventive women's health, she is also an expert in gynecological endoscopy, with a special interest in the management of uterine fibroids and endometriosis.

To know more or to consult Dr. Jyotsna, please call 040-30911234. You can also write in to her at contactus@thebirthplace.com or visit www.thebirthplace.com

I was told my painful periods will sort themselves out and I don’t need to seek a doctor.

In most cases of primary dysmenorrhea, that’s true. Pain during periods can reduce over a period of time and usually after childbirth. But if pain persists or increases with age it’s a reason to consult a doctor.  In any case, no woman should ever need to suffer through pain for a condition that can be easily helped. Take help when you feel the need for it.

What are the other changes associated with period pain?

Many women experience bloating sensation in the abdomen, constipation before onset of period and sometimes loose stools after the onset. Mood changes, nausea, a lack of appetite, headaches and passing of clots in the menstrual discharge with heavy bleeding are some of the associated symptoms.

What are the simple precautions and remedies that can help in reducing the pain?

Simple remedies like using a hot water bag to the abdomen and back, massaging the lower abdomen gently and rest may give adequate relief. Drinking plenty of water and exercising regularly can reduce the severity of pain in a large number of women. Exercise has the additional benefit of keeping your cycles regular. Reduce the intake of junk food , too much coffee and tea,  excessive salt and processed food in your diet. Avoid alcohol & smoking. Check for any mineral and vitamin deficiencies and correct them.

Why do I need tests if dysmenorrhea is so common? Can’t I just take pain killers?

Primary dysmenorrhea doesn’t really need any tests. Most of the time the decision to investigate a woman with dysmenorrhea is influenced by the pattern of pain and severity of pain. Considering the changes in today’s lifestyle even one day off from work or school may not be welcome. Not everyone can afford to take rest.  Therefore, it becomes important for doctors to try and reduce a woman’s suffering. With that in mind gynaecologists tend to do detailed clinical examination some preliminary tests to rule out any underlying conditions. An ultrasound scan of the pelvis and Vaginal swabs for culture are done initially. If we find something on Ultrasound, further tests like MRI, or diagnostic Laparoscopy may be advised.

Pain that lasts for few hours on the first 3 days and not severe can be treated conservatively. But pain that appears in older women, lasting through the period and sometimes even after it and pain that seems to be increasing in intensity over many months, may be due to some underlying condition like Fibroids, Endometriosis, Infections, Uterine shape abnormalities etc. In some such cases simple painkillers may not be enough.

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What are some conditions causing period pain that may need treatment other than pain killers?

Adenomyosis: A condition where the inner lining of the uterus grows into the muscle of the uterus. Typically seen in older women after child-bearing years. It causes pain during periods and during sexual intercourse too. This condition reduces after menopause. If the pain is not controlled by painkillers the only possible long term relief is by the removal of the uterus [ a hysterectomy].

Endometriosis: A condition where the cells of the inner lining of uterus are found outside the uterus, typically on the ovaries, fallopian tubes, outer surface of the uterus and intestine. This can occur at any age. It causes thick walled cysts in the ovary and a lot of pain even after the period is over. Various modes of treatment are applied based on the need for child-bearing, severity of symptoms etc. Its a progressively worsening condition hence many women end up with a need for surgery.

Fibroid uterus: A benign condition where small hard lumps of muscle cells form in the wall of the uterus. The increase in size and distortion of the shape of the uterus can cause pain and heavy bleeding during periods. Depending on symptoms and size it is treated with medications or surgery.

Pelvic inflammatory disease: This is a condition where there is infection transmitted from the vagina into the uterus and around it. It causes severe pain, fever and discomfort during urination and passing stool. Although if treated at the right time it can resolve completely, repeated infections can cause chronic long term pain.

Ovarian cysts: Fluid filled sacs occurring in the ovaries are called cysts. They may be simple cysts filled with clear fluid or endometriosis-induced cysts, filled with blood. Typically blood filled cysts cause period pain and may sometimes need extra measures other than plain painkiller medications. Large cysts need surgery.

What are the usual ways to treat period pain?

Primary dysmenorrhoea is mostly relieved by the non-medical home remedies and lifestyle changes detailed earlier. If the pain disturbs the day-to-day activities its not such a bad idea to take mild pain killers like acetaminophen [or paracetamol].

In cases of secondary dysmenorrhoea, the treatment depends on the underlying condition, the need for child-bearing, the response to medical treatment etc. Medications may include pain killers, hormonal tablets or injections, non-hormonal medications that alter periods etc. Surgery is suggested only if the conservative treatments don’t work.

Remember,  there is no need to suffer the pain of menses. Seek help when you need it.

Vaginal Rejuvenation: The Route to Painless Happiness

The Birthplace


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She’s happy with a meal of leftovers from her children’s plate. She’s happy being the trouble-shooter of the family. From being the designated chef to the homework master, women often make their families their world, protecting and nurturing them with all their love and care.

From being a daughter and sister to being a wife and mother, it’s beautiful how you can transition into any role effortlessly. That’s partly because as a woman, selflessness comes to you quite easily and putting others before yourself is just a natural instinct.

It’s no surprise, therefore, that you ignore the ‘small niggles’ your health encounters, often labelling them as nothing serious. Even though this might bring great satisfaction, yet, ladies, you need to understand that it’s only when you are healthy will you be happy in the truest sense of the term.


Genital Wellness: A Topic That Needs Attention

Many women often take their genital well-being very lightly. Even though some attention is being paid to this important aspect with the introduction of creams and other products specifically for female genitalia, yet, most women either feel embarrassed to talk about it, or just brush it under the carpet thinking it’s not necessary at all.

The fact of the matter is problems in the female intimate parts have more repercussions than one in the overall health of a woman and they need to be addressed by booking an appointment with a reputed obstetrician and gynecologist. Before we get into details of what those problems are, it’s important for you to understand everything about the female genitalia.

Structure of The Female Genitalia: What Is Normal And What Is Not

The female genitalia is a rather complex system. There are several parts that together form the external reproductive organs in women and all of these parts are extremely critical in their own ways. Broadly, these parts can be categorised as:

  • The Mons Pubis: This is the soft fleshy part that covers the upper portion of the pubic bone. One of the characteristics of this portion is that upon puberty, one can find hair growth here.

  • Labia Majora: Literally translating to big lips, it refers to the folds that cover some of the internal genital parts.

  • Labia Minora: These are the fleshy parts that lie inside the labia majora and loosely translate to small lips. The texture of this not the usual skin-like appearance of the labia majora - it’s moist because of the presence of blood vessels that give it a pink colour. This part covers the opening of the urethra and the vagina.

  • Introitus: This is the opening to the vagina and it is where the penis enters during intercourse. This is also the part through which menstrual bleeding and the final stages of childbirth happen.

  • Clitoris: This sensitive part is located between the labia minora at their upper end. Its most important function is during intercourse.

  • Vagina: Then of course, there’s vagina where the sperm gets deposited to kick-start reproduction.

Dr. Pratibha Narayan is a Senior Obstetrician and Gynecologist at the Birthplace. In addition to her passion for obstetrics and preventive women's health, she an expert with many years of experience in VBAC. She excels and specializes in managing and treating routine and high-risk pregnancies, and recurrent pregnancy losses. She is also an expert in Cosmetic and aesthetic gynaecology.  To know more or to meet Dr. Pratibha, please call 040-30911234. You can also write to her at  contactus@thebirthplace.com  or visit www.thebirthplace.com

Dr. Pratibha Narayan is a Senior Obstetrician and Gynecologist at the Birthplace. In addition to her passion for obstetrics and preventive women's health, she an expert with many years of experience in VBAC. She excels and specializes in managing and treating routine and high-risk pregnancies, and recurrent pregnancy losses. She is also an expert in Cosmetic and aesthetic gynaecology.

To know more or to meet Dr. Pratibha, please call 040-30911234. You can also write to her at contactus@thebirthplace.com or visit www.thebirthplace.com

Even though every woman has her own unique body type and the shapes and sizes of genitalia might differ, yet, there are a few things that are not normal. It’s important to understand these problems so that the doctor can take corrective measures without wasting too much time. 

While bulging of the labia minora during arousal is normal, yet, if you find that the inner or outer lips are enlarged most of the times, it might be indicative of a problem. Apart from posing health threats, such bulging could also prevent you from opting for certain types of clothing and might dampen your confidence.

Any itching or redness should be addressed immediately. It could be hiding an infection that could impact your routine life. Also talk to your doctor if you are suffering from smelly or discoloured discharge. Urinary incontinence could be another problem as well. If the appearance of your genital parts bother you (like looseness), your doctor will be the best person to suggest treatments to you.

Problems in Female Genitalia

Being an extremely complex yet sensitive region, any problem in the female genitalia should not be ignored. There are appearance related issues that crop up after a certain age, but they are not limited to that. Problems in the region could include:

  1. Loose muscles, causing problems in appearance

  2. Infections

  3. Loss of elasticity in vaginal muscles due to sex, childbirth or age

  4. Urinary Incontinence

  5. Vaginal Dryness

  6. Vaginismus

Even though these are just a few problems that we have outlined, there are several other issues, like we had mentioned above, that have burning, pain while urinating and excessive vaginal discharge as symptoms. Whatever the case might be, since the genitalia plays a critical role in your sexual and overall well-being, any aberration must be immediately reported to your doctor.

How Do These Problems Impact Your Life?

Imagine being inside an important meeting, delivering the presentation you have been meticulously working upon. Just when you are about to present the game-changer, your bladder alerts you. You had just gone to the washroom right before the meeting, but you still have the urge to relieve yourself immediately. It’s most probably caused by urinary incontinence. Now imagine you sneeze and you feel a trickle. That’s stress incontinence. It’s not a very pleasant situation, obviously.

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Problems in your genital area could have a direct impact on your sexual well-being as well. That can have ripple effects on your relationships and overall mental health as well. Apart from these important points, the appearance of the genital area has a lot to do with the levels of confidence many women have.

It therefore becomes critical to identify these issues with the help of a reputed doctor and get them treated as soon as possible, so that you are spared from having long-term impacts.

So, What Are Your Options: Surgical Help?

With plastic and cosmetic surgery seeing a demand unlike anytime in history, for many women, a surgical reconstruction looks like the only option. However, not many of you opt for it because of various reasons.

  • In a country like India, many women find it embarrassing and difficult to talk about issues down there.

  • Surgical options are expensive

  • They are also perceived to be very painful.

  • The downtime involved is quite high, keeping you off your hectic routine for far too long.

Non-Surgical Vaginal Rejuvenation: The Significance

With healthcare progressing leaps and bounds, painless and non-surgical interventions are taking on almost every aspect of medicine. From minimally-invasive surgeries to incision less and scarless procedures, healthcare now provides ‘tear-less’ solutions to several health conditions. That’s where cosmetic and aesthetic gynaecology comes into the picture.

With several non-surgical methods to help women achieve healthy genitalia without the need for surgical procedures, cosmetic and aesthetic gynaecology is the next big thing for women. Let’s understand how non-surgical procedures can help you.

  • Vaginal Laxity: When the vaginal muscles lose their tightness, they could bring along several problems for women associated with body image and sex life. The causes of vaginal laxity are often attributed to age, hormones and most of the times, childbirth. With the use of lasers and RF (Radio Frequency), doctors are now able to tighten the vaginal canal, as both these procedures uses heat to promote collagen production.

  • Labia Majora Looseness: With age, the labia majora could lose its volume, thereby affecting appearance and the confidence levels of the woman. Rejuvenation and contouring of labia majora is now possible with the use of dermal fillers that give it the volume it needs. In this case too, laser and RF can be used if the doctor feels it will be effective.

  • Urinary Incontinence: Believe it or not, now your embarrassingly high number of loo visits can be cut short using cosmetic and aesthetic gynaecology. Specific treatments are administered to fix stress and urinary incontinence. 

  • Scar Correction: If you have had a surgical procedure down there, it could leave behind scars that might affect you psychologically. With the use of non-surgical treatments, your doctor can now correct stretch marks, cesarean scars and episiotomy scars.

  • Vaginal Dryness: With what is now popularly known as the ‘O’ shot or a shorter version of orgasm shot, women can now experience easy arousal and bid goodbye caused due to vaginal dryness. PRP or platelet rich plasma is drawn from your own blood and injected just above the clitoris. This helps reduce pain during sex and promotes more natural lubrication.

  • Others: Right from taking care of your mons pubis, to fixing wrinkles in your intimate area, non-surgical aesthetic and cosmetic gynaecology procedures can help get rid of vaginismus and even help you bleach the sensitive area down there. They also take care of recurrent vaginal infections, especially after normal deliveries and during the perimenopausal period.

Looking for one-on-one counselling?

Choose The Right Doctor

Cosmetic and aesthetic gynaecology is a relatively new field and not many have ventured into it. Even though it looks like a great option, you should always be careful as to who you get it done from. If these procedures are performed by capable doctors, you will not experience any pain, but there are chances of mild discomfort. In that case, please notify your doctor so that appropriate medical action can be taken. You might experience mild vaginal discharge too, which your doctor will tell you about. However, any excessive discharge must be brought to the doctor’s notice immediately.

At Hyderabad, The Birthplace is the pioneer in this field. With reputed doctors and state-of-the-art equipment to assist the experienced hands, if you are thinking of getting vaginal rejuvenation done, please do visit us and we’ll be happy to help!


Menstrual Health Management

The Birthplace

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No pickles, healthy diet, dark clothes are few of the many rituals which we follow religiously during menstruations. It may start with leaving you in a little bad mood, but soon after your periods, you ought to have a gentle upliftment of mood, full of life, good hair and skin day, making you feel very attractive.  

Imagine, taking care externally, without even having the slightest clue that menstruation, though a self-cleaning system, may need some extra pinch of love and care and thereby missing out on our cleanliness checklist by an inch and infecting ourselves!

Menstruating? Embrace the womanhood. Period.

Here are some tips to help you have a happy menstruation this month.

  • Wash yourself

Bathe yourself at least once a day. Make sure you wash your vagina or wipe it off after urination to avoid the excess blood which clings to the outer of the vagina. This also helps in minimising foul odor. Wash appropriately your genitals by going right; from the vagina to anus to stay away from any terrible transmission of microorganisms. It is advised to wash your clothes or bed-sheets with a disinfectant liquid.

  • Avoid using vagina hygiene products

The vagina is a self-cleaning biome which hates external interference and shows its irritation in form of discomfort or infections. Therefore, never use any external agent to clean the inside of the vagina. However, make sure you clean the vulva with mild soap and warm water to avoid vaginal or urinary tract infections.

  • This might sound against the regime but stick to one method of sanitation

The ways of menstrual sanitation have evolved from clothes to sanitary napkins and now menstrual cups, tampons have found their ways to the menstrual essentials of women. With various methods available, frequent switching of brands and methods are becoming commonplace. However, it is advised to stick to a particular brand or method to understand if it suits you well. Frequent shifts of brands or methods can lead to a bad-tempered vagina and cause discomfort including rashes.

Some women tend to use a combination of sanitation during heavy flows such as two sanitary napkins or one tampon and one sanitary napkin. Though this is a smart technique against heavy flows, yet it can be a source of infections. This is because women might find napkins/tampons not completely used up and delay the process of discarding the pads at regular intervals.

  • Beware of a pad rash

Try to stay dry during heavy flows by changing your pads frequently. Keep changing your pad as necessary or after every 6 hours. In case, you get rashes, visit your doctor for medication.

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  • Discard the sanitary napkin properly

This is one of the most important steps towards ensuring a community health. Used sanitary items are a source of infection and can cause health problems if they spread. It is advisable to wrap them properly before discarding to quarantine the bacteria. Ensure you wash your hands properly after discarding it. 

  • Wear different underwear for periods

It is recommended to keep different sets of panties for periods as they might be infected. In case of stains, use lemon or bleaching powder to remove them. Make sure you wear well-fitting cotton panties to let your vagina breathe.

  • Be prepared with essentials before your periods

The average menstrual cycle is of 28 days. So, while you’re on the go, carry an extra sanitary napkin or preferred type of sanitation and wrap them properly to avoid contamination along with some tissues. And yes! Stay hydrated.  

Having irregular periods or trouble with your menses? Reach out to our Expert Gynecologists today!

 

Don't Let Periods Stop Your Life

The Birthplace

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Karuna is a 31year old with no children and has never been pregnant though mothering is definitely on her life’s “to-do” list.  She has heavy period bleeding for over a year and has been through tests and hormonal medication with no major relief. She feels it’s debilitating, humiliating, painful and uncontrollable – and it could all quite possibly end in removal of her uterus – and with it, her hopes of ever having her own children.

She is one amongst every 3 women worldwide who suffer from abnormal, heavy menstrual bleeding (HMB) at some point in their lives.

Dr. Girija Lakshmi is an Obstetrician & Gynecologist with a focus on Fertility & Preconception.  She has also trained in hysteroscopy and laparoscopy. She  has helped hundreds of women successfully manage symptoms of poly-cystic ovary syndrome, uterine fibroids  and even menopause related issues through medical and surgical interventions.  To know more or to consult Dr. Girija, please call 040-30911234. You can also write to her at  contactus@thebirthplace.com  or visit www.thebirthplace.com

Dr. Girija Lakshmi is an Obstetrician & Gynecologist with a focus on Fertility & Preconception.  She has also trained in hysteroscopy and laparoscopy. She  has helped hundreds of women successfully manage symptoms of poly-cystic ovary syndrome, uterine fibroids  and even menopause related issues through medical and surgical interventions.

To know more or to consult Dr. Girija, please call 040-30911234. You can also write to her at contactus@thebirthplace.com or visit www.thebirthplace.com

A normal period comes every 21 to 35 days and lasts for 3 to 7 days. The following signs can show that the periods are heavy- A need to change the sanitary towel frequently, large blood clots with pain, bleed that happens through to the clothes, normal activities such as going out or working are affected, the woman feeling excessively tired, depressed or becoming anaemic as a result of it.

There are many causes for prolonged bleeding – from something as simple as stress to serious conditions such as cancer. The hormones estrogen and progesterone control the uterus lining (endometrium) which is shed during a period. A hormonal imbalance causes it to build up so, when it is eventually shed, bleeding is heavier. Thyroid hormonal imbalance and pregnancy complications such as a miscarriage and ectopic pregnancy may also cause heavy bleeding. 

In young girls, or in women approaching menopause, irregular periods are not unusual due to improper ovulation and changes in hormone levels. For others, HMB can be a result of polycystic ovary syndrome (PCOS), infections, endometriosis, adenomyosis, fibroids and polyps. However, the most common cause is Dysfunctional Uterine Bleeding (DUB) witnessed by women in midlife where a hormone imbalance leads to HMB. It is often impossible to predict how long this imbalance may last for. It could vary between few months to few years.

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Diagnosis and Treatment : 

Detailed history regarding possibility of bleeding disorders or cancers in the family, simple blood tests, ultrasonography and biopsy may be needed to arrive at a diagnosis.

Uterus removal is not needed in majority of women and they can be treated with hormonal pills or with a hormone containing intrauterine device (Mirena). For some women, a day-care procedure called endometrial ablation destroys the lining of the uterus using electric current or heated fluid to reduce or stop menstrual flow.

If uterus removal (Hysterectomy) is warranted, laparoscopic surgery is possible that facilitates quick recovery.

Helping yourself :

Having heavy periods can lead to low iron levels. Taking iron supplements and eating iron rich foods such as green leafy vegetables, meat, dry fruits like raisins, dates, apricots would replace the lost iron.

Exercise may be the last thing on your mind during periods but drinking plenty of water and regular exercise like walking or Yoga can reduce the pain and ward off depression. It’s always advisable to keep sanitary towels on you and use hot water bottle to help relieve abdominal pain and cramps. 

You should not put up with the bleeding affecting your quality of life as many simple treatment options can help.

Do You Really Need A Hysterectomy?

The Birthplace

12 lakh women will undergo a hysterectomy this year.

12 lakh women will undergo a hysterectomy this year.

Dr. Jyotsna is an MD (Ob Gyn) from one of the top medical institutions in the country (JIPMER). In addition to her passion for obstetrics and preventive women's health, she is also an expert in gynecological endoscopy, with a special interest in the management of uterine fibroids and endometriosis.  To know more or to consult Dr. Jyotsna, please call 040-30911234. You can also write in to her at  contactus@thebirthplace.com  or visit www.thebirthplace.com

Dr. Jyotsna is an MD (Ob Gyn) from one of the top medical institutions in the country (JIPMER). In addition to her passion for obstetrics and preventive women's health, she is also an expert in gynecological endoscopy, with a special interest in the management of uterine fibroids and endometriosis.

To know more or to consult Dr. Jyotsna, please call 040-30911234. You can also write in to her at contactus@thebirthplace.com or visit www.thebirthplace.com

What is a Hysterectomy?

A hysterectomy is a surgical procedure to remove the womb (uterus). It the most common surgical procedure performed on women after cesarean section. Various studies show that on an average 7-8 % of women undergo hysterectomy every year in India.

Hysterectomies are carried out to treat conditions that affect the female reproductive system, including:

  • heavy periods (menorrhagia)

  • non-cancerous tumours (fibroids)

  • long-term pelvic pain due to endometriosis

  • ovarian cancer, uterine cancer, cervical cancer or cancer of the fallopian tubes

A hysterectomy is a major operation with a long recovery time and is only considered after alternative, less invasive, treatments have been tried.

Let us first look at what alternatives you may have before you take this decision!

Many women don’t know there are alternatives or less-invasive options, like laparoscopic surgery. For women aged 35 to 54, the most common reasons for a hysterectomy are fibroids, endometriosis, and abnormal bleeding; after age 55, the most frequent reasons are uterine prolapse or cancer. However, there are new treatments for fibroids and bleeding that can help women avoid a hysterectomy.

Even the largest fibroids can be removed surgically (Myomectomy); others methods that have been tried are Hi-frequency focused ultrasound waves and cutting off their blood supply with tiny plugs in blood vessels (uterine artery embolization). Abnormal bleeding can be halted by various means of destroying the uterine lining. Prolapse can usually be corrected surgically without removing the uterus.

Myomectomy means the surgical removal of just the fibroid, with reconstruction and repair of the uterus. It is usually offered for women who are young and those who wish to conserve their uterus for fertility or until menopause.

While bothersome symptoms such as very heavy bleeding or pain often respond to medications or other non-surgical treatment, sometimes the symptoms do not get better. For some women, when other minimally invasive surgical techniques may have failed, hysterectomy may be appropriate.

There are times when hysterectomy may be unavoidable; some women who have endured years of pain and bleeding do choose hysterectomy.

If there is no option other than going in for a hysterectomy, are there different ways of doing it?

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There are various ways to remove the uterus - Abdominal, Vaginal and Laparoscopic.

Out of all these, vaginal hysterectomy is the most comfortable for the woman and has least complications when performed by a well-trained gynecologist.

Laparoscopic surgery has made it possible for reducing the hospital stay and also providing more comfort with less pain. Abdominal surgery is opted for in some patients where the other methods are not feasible and in cases of cancer usually. It is a safe procedure but the woman has more pain and longer recovery time.

Currently, laparoscopic hysterectomy has gained popularity due to its relatively pain-free recovery and shorter hospital stay, and since it does not cause scars on the abdomen like an abdominal surgery. Hysterectomy is a major surgery. Do not opt for it unless a qualified gynecologist has evaluated you and recommended it.