Metrorrhagia is a medical condition in which uterine bleeding occurs regularly or irregularly outside the normal menstrual cycle. Generally Metrorrhagia occurs due to hormone disorders or any other such irregularities. It could also be an indicator of some serious health issues such as endometriosis, cancer of reproductive organs or uterine fibroids. Read on more to find all about them.

Causes
Metrorrhagia can occur due to a number of reproductive disorders as well as certain diseases. Syphilis, infection, malignancy, pregnancy and many more are listed as the reasons behind Metrorrhagia. Metrorrhagia can be a serious issue as it can be painful, irritating and a major inconvenience.

Risk factors
Metrorrhagia is a medical condition which might be due to certain disorders or medical conditions the patient might be suffering from. They are mentioned as follows:

    Hormone related: Irregular uterine bleeding can occur due to hypothyroidism, adrenal deficiency and low progesterone. Metrorrhagia in such situations can be resolved if suitable treatment is administered in the right time and for that, correct diagnosis is absolutely important.
    Reproductive related: Endometrial hyperplasia and endometriosis and such other reproductive disorders or diseases could be a cause for Metrorrhagia. In such cases, early diagnosis is absolutely recommended for a speedy and complete recovery.
    Benign Tumors: Certain benign tumors like ovarian cysts and fibroids can also cause irregular uterine bleeding. Though benign, a physician should be consulted immediately for a speedy recovery as Metrorrhagia in itself can prove to be critical.
    Malignant Tumors: Ovarian cancer and endometrial cancer can also be a reason for the cause of Metrorrhagia. In such a condition early diagnosis and treatment is highly essential for a full recovery.

Treatment
If the patient is suffering from Metrorrhagia, then they are advised to consult a physician as Metrorrhagia could be a sign of something more serious. Depending on the diagnosis the doctor can prescribe medications or if necessary, certain surgical procedures. Some of the medications and surgeries which can be prescribed by your physician include oral contraceptive pills, progesterone pills or injections, endometrial ablation and hysterectomy among others.

All about Metrorrhagia

Everyone wants to have a bright and radiating skin. But blemishes and skin abnormalities are common and can occur due to lifestyle, diet or hormonal imbalances. Moles and warts are typical skin issues. But how do you tell them apart?

Moles   What are they?

Hardly ever causing pain, they appear in many different colours and can be bumpy or flat. Most often of red, brown or black colour, they occur as a result of skin pigmentation called melanocytes. They can be caused due to direct exposure to sunlight or due to genetic factors as well. They can appear in any part of the body and form slowly, taking a long time to grow.

Warts   What are they?

Small bumps or rough growth on the skin that appear in hands, legs, fingers, soles of the feet, face or in the genital area manifest as warts. They are white or pale. They occur as a result of harmful virus infection of Human Papilloma Virus (HPV) and hence, can be contagious. As opposed to moles, warts need to be removed quickly since a virus causes them.

How do you differentiate a mole from a wart?
Below are some common characteristics of each that can help you identify the skin problem:

Moles

Either flat or elevated from the skin, they are commonly referred to as beauty marks or birth marks.
At times, they have hair growing from them.
Usually, they have one colour   mostly on the darker side.
It cannot be transmitted between people.
They are generated by a collection of pigment cells in the body and darken during hormonal changes.
They tend to become cancerous and lead to melanoma.
Warts

They are harmless, yet contagious.
They have small black or dark dots in the centre that are tiny blood vessels, which provide them with nutrients.
They grow outwards on the skin with a scaly or bumpy deposit.
They can grow anywhere on the body, but are commonly found in feet, hands or fingers.
How to treat warts and moles?

The good news is that both warts and moles do not pose a grave risk to your health, but they are annoying and can turn dangerous in the long run. Especially with warts, you can give it to someone or acquire from someone, since it is a type of virus infection. So, seek medical assistance if you want them to be removed from your skin.

Be aware of the difference between warts and moles to know what you are dealing with. Consult a dermatologist to decide the right steps to remove it or not.

Warts vs. Moles - All You Need To Know!

8 Steps to a Happier Sex Life - Sex is probably the most important part of a relationship along with compatibility, trust and comfort. To make your relationship stronger and deeper, happiness in sex life is crucial. It must be the part of your life that you always look forward to and that brings the two of you together irrespective of the way your days go.

Follow these simple protocol to make for a happy sex life and therefore a happy life.

1) Believe you are sexy - Stop undermining yourself. You are sexy, accept it. And believe that your partner gets turned on by you. When you believe that your partner finds you sexy, you will be more interested in sex and so will your partner be.

2) Believe in the little gestures - Sex is not always awesome while you are in the act. The build up through the day can be made with the simplest of actions. A meaningful touch on the breakfast table, a mid-day text saying you miss him and an intimate evening message, or simply holding hands while shopping for grocery, all add up to build the connection between both of you.

3) Focus on the positive - Tell your partner what he does that you like. The kiss on the nape or how their breathe on your skin makes your senses tingle ? tell that. When your partner knows what you like, your bedroom experiments can take interesting turns. Always help your partner focus gently to what gives you pleasure.

4) Make time for sex - When new in a relationship, couples tend to have more sex and the frequency diminishes once they are comfortable in the situation. Avoid this; sex should be in your priority list at all times. Sex indeed should be a natural event. However, our lifestyles don't permit it. Also, there are too many distractions. If you need to schedule sex, it's okay. The idea is to indulge in it. You both have your needs and they should be fulfilled, right?

5) Fantasize - One great way to keep the passion alive is to share your fantasies. Doesn't matter how dirty it is, don't worry about what your partner will think. Far from judging, you yourself might realize something new about your partner. Chances are, that you might love the fantasies you both talk about.

6) Take it easy -  In real life, it is okay to not be perfect, to stop to catch breath and be real. To be happy with your sex life doesn't mean having spectacular sex every time. More than how you perform, it is how the experience was for both of you. Enjoy the process, it is for real.

7) Be responsive - Respond, even if you are not in the mood. Don't shun your partner because you are not in the mood. But if one of you wants to have sex, pushing them away is not a good idea. And if you still don't want to go ahead, explain that it's not them, but the time and plan to connect some time in near future.

8) Be willing to have sex - If you would rather watch tv all day rather than have sex and then do it nevertheless just because your partner initiated it, they would know. Never make your partner feel that you are having sex out of obligation. This is a mood killer and a guarantee for low satisfaction derived. Make sex an enjoyable affair, think what all you like and show them to your partner. 

If you have any further questions on sexual health, ask me by clicking on 'Consult'.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.

Having Better Sex - 8 Steps to a Happier Sex Life

The vagina is a muscular, tubular structure of the female genital tract extending from the vulva to the cervix (the opening of the urethra). Sexual activity affects vaginal health in a number of different ways during intercourse and in the long term. A few of the varying effects and the factors responsible for these effects are listed below:

1.  Changing size of the vagina

The vagina is designed to be elastic and adjustable. So, no permanent change in size is possible but it does undergo temporary changes in sizes as effects of sex. The inner walls of the vagina enlarge during sexual intercourse and during childbirth. Tissues in the clitoris puff out and harden, this also causes an expansion in size. It takes a while to get back to its normal size.

2.  Vaginal secretion

When you are aroused during sex, the blood vessels supplying the vagina expand immediately. The blood flow increases to lubricate the vaginal walls (rugae). The rugae unfold and the space increases. These secretions are important because, women who are sexually inactive for a long time at a stretch, experience dryness that leads to urinating difficulties and rashes.

3.  Unusual discharge

Apart from natural lubricants, vagina secretes some fluids, the process being termed as 'female ejaculation'. A tiny amount of white fluid made of prostate plasma cells, is produced just before you climax and discharged with some quantity of urine. Sometimes, prostatic specific antigen (PSA) and prostatic acid phosphatase (usually found in semen) are also found in the secretion.

4.  Infections in the urinary tract

The friction caused by sexual intercourse may cause small cuts which enable bacteria to pass from the vagina to the urinary bladder through the urethra. This causes infection in the bladder, the urinary tract and the vagina. These can be avoided by using a condom or by urinating before and after having sex.

5.  Vaginal pain

A lot of women report the experience of pain and discomfort inside or around the vagina during and immediately after sex. The pain can result from repeated sex within a short period of time or reduced secretion of natural lubricants. If the pain is too severe, you should see a doctor because yeast infections or chronic vulvodynia can also be responsible for the pain sensation.

Effects Of Frequent Sex On Vagina 

Emergency is helpful in preventing pregnancies post unprotected sexual activity. It can be used in case of contraceptive failure, in case of sexual assault, incorrect use of contraceptives and unprotected sex.

Emergency contraception can be done by three methods. These are emergency contraceptive pills, combined oral contraceptive pills and copper intrauterine devices.



The copper IUD is considered to be one of the most effective forms of emergency contraception, when it is inserted within 5 days of unprotected sexual activity.

However, the emergency contraceptive pill regimen as per WHO is:

1 dose of levonorgestrel 1.5 mg, or 1 dose of ulipristal 30 mg, taken within 5 days (120 hours) of unprotected intercourse

The Yuzpe regimen which consists of 2 doses of combined oral contraceptive pills

What is Emergency Contraception?

Emergency contraception is usually referred to as the contraception which is used to prevent a pregnancy within the first 5 days after an unprotected sexual activity. It is used post failures of contraception, coerced unprotected sex, rape or misuse of contraception.

Emergency contraception is only effective in the first few days after an intercourse and before the egg has released from the ovary, and before there is fertilization between the egg and the sperm. The emergency contraception can do no harm to an interrupted pregnancy and a developing embryo.

Who needs emergency contraception?

Any girl or woman who is at her reproductive age might need an emergency contraception in case of an unprotected sexual intercourse.

Uses
1 Breakage , slippage or displacement of barrier methods 
2. Three or more missed OCPills for more than 12 hours 
3. Missed Mini pill for more than 3 hours 
4. Missed Desoestrel pills for more than 12 hours 
5. DMPA injections taken more than 2 weeks late 
6. Miscalculated dates of last period and present ovulation side effects 
These are meant only for emergency contraception and NOT AS A REGULAR CONTRACEPTIVE. It involves pumping of a hormone inside your body at levels which are 5 times higher than normal. hence excessive and unnecessary use may cause irregularity in the period cycles and an adverse effect on the menstrual health over a period of time. Ideally it should be taken under guided medical supervision.


In what situations should emergency contraception be used?

Emergency contraception can be used after a sexual intercourse. These include:

In case of no use of contraceptives

If it is a case of rape or coerced sex, where the woman was not protected

When there is a contraceptive failure, like

breakage

incorrect use or slippage

OCPILLS,

mini pills

DMPA

3 or more missed combined oral contraceptives, progestogen-only pill (minipill) taken more than 3 hours late, desogestrel-containing pill 12 hours or more, norethisterone enanthate (NET-EN) progestogen-only injection taken more than 2 weeks late

Delay in placing or dislodgement or early removal of the skin patch or the hormonal ring

Breaking, dislodgement, tearing or early removal of cervical cap or diaphragm

Failure of withdrawal that is ejaculation the external genitalia or vagina

The spermicide tablet failure

Miscalculating the periods, failure from using a barrier on the fertile days

Expulsion of an intrauterine contraceptive device (IUD)

Methods of Emergency Contraception:

There are three emergency contraception methods:

Copper-bearing intrauterine devices (IUDs)

Emergency contraception pills (ECPs)

Combined oral contraceptive pills or the Yuzpe method



Safety of Emergency Contraception

It is important that you understand and fulfil the needs of your partner and address issues that concern you both. Sexual intercourse for humans is not only a reproductive act, but is also considered to be an emotional and pleasurable act. However, statistics report that almost 30% of the women experience pain during intercourse. This not only hampers the pleasure, but is also an unhealthy sign since it is indicative of a problem.

Painful intercourse could be a regular occurrence, or a sporadic one. There could be numerous reasons that cause the discomfort and pain. Though it might be an early manifestation of grave diseases such as endometriosis or fibroids, but more often, it is triggered due to conditions such as vaginal dryness, yeast infection, bacterial vaginiosis, which can be easily treated. It is pertinent to understand that it is not the physical infirmity of the entire female anatomy that causes such pain/ discomfort, but the existence of certain conditions that can be treated by a medical practitioner. 

Certain such causal factors associated with painful intercourse and the efficient ways to deal with them are discussed below:

 Vaginal dryness: vaginal dryness is one of the most commonly cited causes for painful intercourse. There are various causal factors of vaginal dryness. These include, but are not limited to, consumption of certain drugs, bathing with hot water, health conditions or even lack of foreplay. Vaginal dryness due to the aforementioned causes is a short-lived condition that can be treated well with the help of a medical practitioner. Usage of lubricants that is suitable for you, as advised by a medical practitioner, could go a long way in aiding the ease of sexual intercourse. The lubricants act as an effective substitute, if the body is unable to naturally secrete vaginal fluids to ease intercourse, thereby greatly reducing the pain that is experienced.
 Improper vaginal expansion: the female anatomy is designed in such a way that it expands normally during intercourse. Proper foreplay enables the woman to get excited, which results in the release of vaginal fluids that aids in sexual intercourse. However, in the event that the female is not excited enough prior to the act, sexual intercourse can become a painful act, since the vagina is unable to expand in the absence of vaginal fluids. In such cases, take things slow and give your body time to comfortably go with the flow.
 Vaginal itching caused by infection: vaginal infections can be caused by antibiotics, prior sexual activity that has resulted in contraction of sexually transmitted diseases etc. This results in an itching or burning sensation while having sex. It is essential to rest your body instead of forcing things and to consult your doctor as soon as possible. The doctor can correctly diagnose the causal factors behind the infection, and prescribe the necessary medicines for it.

However, if your symptoms vary from the common ones mentioned above, or in case you have a different query, it is always advisable to consult the doctor.

How to Make Sex Less Painful for a Woman

Don't wait any longer, manage your Sexologist online with a Lybrate doctor today

Consult for Sexologist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES