Ladies, it is important that we must take good care of our body, but most of all we must pay specific attention to the health of our vagina. The vagina is a tube-like muscular structure of the female genital tract that extends from the cervix to the vulva. It is a delicate organ which is prone to injuries and infections. Complications related to urination, menstruation and sexual intercourse, all affect the vaginal health. Here are five questions associated with vaginalproblems that are commonly experienced, but rarely discussed:

1. Why does it feel itchy before menstruation?
The hormonal cycle reduces the amount of estrogen secreted right before the period starts. This reduces the moisture content of the inner membranes of the vagina; the skin becomes thinner and slightly dry, which can cause itching. However, if the itching and burning sensation is too severe, it could be an infection and should be checked out.

2. What is the white discharge?
The greasy white discharge is due to the ovulation cycle. It usually occurs once a month because the amount of secretion increases right before ovulation. Some women may experience this discharge more frequently, but it is nothing to worry about unless there is an unpleasant odor. Odorous discharge could be a sign of bacterial infection.

3. How often should you have a vaginal examination?
You should get a vaginal examination at least once a year. This is important for a general health assessment and the prevention of sexually transmitted diseases. If you are using birth control medication, there might be irregularity in the hormonal cycles and this can lead to a number of conditions, another reason to get an annual vaginalexamination.

4. Does it smell differently at different times?
It usually smells differently for every woman and even that unique smell changes with the cycles of ovulation and menstruation due to changes in the pH level of the vagina. The normal vaginal pH value is between 3.8 and 4.6. Before menstruation, it may smell acidic followed by a bitter smell for a few days after menstruation. It may also smell differently after a workout (due to sweat) or after sex (due to lubrication). However, a foul smell accompanied by discharge, might be a cause for concern.

5. Why does it feel dry sometimes?
Vaginal dryness is normally experienced by women after the age of 45 or after pregnancy. However, dryness is also common just before menstruation. It also happens in women who use anti-allergy medications or birth control pills because they cause dryness in all the mucous membranes of the body.

5 Unconventional Questions About Vaginal Health

Pelvic Inflammatory Disease, also known as PID, is characterized by an infection that occurs in a lady's reproductive organs. Usually this occurs as a result of a complications arising from a STD. The disease causes severe damage to the ovaries, fallopian tubes and the uterus. It is one of the bigger causes of infertility in women. 

Causes-

The cervix which is the entry to the uterus has the function of stopping bacteria that are present in the vagina from spreading to the other organs. Once infected by a STD, the cervix can no longer perform its function of preventing the bacteria from spreading to other organs. PID develops when the infection spreads from the cervix to the upper areas of the genital tract. 

There are certain factors which increase the chances of being affected by PID: 

Being sexually active 
Already affected by STDs such as gonorrhea 
Past history of PID 
Having multiple sexual partners 
Symptoms-

Women may experience pain while urinating and engaging in sexual intercourse, coupled with sore feeling in the stomach along with nausea. Abnormal vaginal discharge and a rise in body temperature are common symptoms as well. 

Treatment-
Once the disease has been diagnosed by a doctor, a treatment plan is devised. The treatment options that you can avail of are: 

Medications: If the symptoms are mild, then the doctor will prescribe antibiotic medications. Usually the antibiotics are administered by mouth unless the symptoms are severe, when the drugs are administered intravenously. Your partner would also require medications if you happen to be diagnosed with PID, so that he/she does not catch it. 
Surgery: Surgery is recommended by the doctor in case of tissue inflammation and the presence of pus (abscess). The aim of surgery is to get rid of the abscess to prevent any further infection. 
In addition to the treatment methods, there are certain precautionary measures that you can adopt to be safe: 

Have protected sex.
Try and stick to one sexual partner.
Visit your gynecologist for regular checkups.

Pelvic Inflammatory Disease - Can STDs be the Reason Behind it?

What is Endometrium?

The uterus is where the fetus grows and develops. It has three linings- the outermost lining, the middle layer and the innermost lining. The innermost layer is called Endometrium. The endometrium is made of mucosal tissues.

How the endometrium changes and what is its function?

Before ovulation, when an egg is released, the functional layer of the endometrium undergoes a change. Vascularization takes place i.e. a buildup of blood vessels and tissues that thickens the endometrium in anticipation of implantation of a fertilized egg. If conception does not take place, the tissues and cells are shed from the endometrium lining. This is when a woman gets her period.

When conception does take place, the fertilized egg attaches itself to the endometrium. The endometrium also supports the placenta, which provides the fetus with oxygen and nutrition.

What is the ideal thickness of the endometrium?

In pre-menopausal women, the thickness of the endometrium should be-

  Between 2-4 millimetres during menstruation,
  5-7 millimetres at the onset of the early proliferative phase
  Around 11 millimetres during the late proliferative phase
  16 millimetres during the secretory phase



What is a poor/thin endometrium?

If the endometrium lining does not meet standard thickness and is not conducive to implantation, it is called a poor endometrium.

Causes behind thin endometrium

There could be many reasons that can lead to a poor endometrial layer-

  Inadequate secretion of estrogen
  Insufficient blood flow
  Prolonged use of birth control pills
  Substandard quality of endometrial tissues
  Presence of fibroids (small uterine tumours)
  Amenorrhea (unnatural periods/ excess bleeding or too little bleeding)
  Intrauterine adhesions (scar tissues form between the layers of the uterus and glue them together)
  Pelvic inflammatory disease
  Use of clomiphene

What are the symptoms of poor endometrium?

  Infertility (inability to conceive)
  miscarriage
  Irregular menstruation
  Painful periods
  Inadequate bleeding during menstruation

Treatment for poor endometrium

  Since the most common cause of poor endometrium is insufficient estrogen, doctors prescribe estrogen pills that can raise estrogen levels.
  If poor endometrium is the result of poor blood flow, an Ultrasonography Test will reveal that. Then doctors prescribe Vitamin E pills and L-arginine amino acid pills to thicken the endometrium layer.
  Regular exercising increases blood flow to the uterus
  Acupuncture is a very effective stress buster. Chronic stress could lead to a shrunk uterine wall. Acupuncture can allay the stress and promote the health of the uterus.
  Intrauterine adhesions can be extracted through surgery.
  Natural remedy (through natural therapy) includes asparagus, royal jelly, cover and they help in thickening the endometrium layer.
  Granulocyte Colony Stimulating Factor if injected into the body raises endometrial thickness and combats infertility.

Only an endometrium of normal thickness can support a pregnancy. If the lining is not thick enough medical intervention may be necessary.

Poor Endometrium - Can It Be Treated?

Our digestive system is made up of a complex set up of organs, enzymes, secretions and much more. In order to ensure that they all function in tandem with each other so that our digestion works properly, we need to take many measures. Solid food and liquids both go hand in hand when it comes to digesting your food properly. Water is one of the main elements that one must ingest regularly during the day so that the body remains hydrated and the stool also softens. It is also a digestive aid. Yet, there are two varied schools of thought when it comes to drinking water during one s meals. While some people say that it is good, there are others who say that it should not be practiced. So let us find out whether having water during your meals is a good thing or not.

Stomach Acids: If we are to look at water during a meal from the perspective of our stomach acids, then most doctors will tell you that there is no problem in having water with your food. The main doubt here is whether or not the acidic fluid flowing through our stomach may become too diluted with the consumption of water. However, this does not happen. Various medical studies conducted by reliable hospitals and sources under a controlled environment have shown that the stomach s oH balance is not affected by the consumption of water during a meal.
Digestive Process: While the stomach acids may not suffer due to consumption of water during a meal, there are other schools of thought where people refrain from drinking water with food so that better digestion may be achieved. But this is also not entirely true. Digestion is well-known for being a complicated process where many elements need to work together for its proper functioning. This function includes a comfortable and healthy body and state of mind after one has a meal. Therefore, it is more important to have the right kind of food at the right time in a proper environment instead of rushing through one s meals and eating junk all the time.
Constipation and Overeating: Drinking water during the meal can help in curbing constipation as it helps in softening the stool. It also helps in clearing the food from the digestive track in a better and timely manner so that the toxins and stool do not remain there. This is due to the fact that drinking water during meals keeps the digestive track well-lubricated. Also, when you drink water with your meals, you tend to avoid overeating as water fills up substantial portion your stomach. Further, water has important nutrients that can suffice for your nutritional requirements along with food.

Drinking Water During Meals: Good or Bad?

It is very common for women to experience vaginal problems due to the menstrual cycle, birth control methods, sex or aging. Vaginal odor may change according to your sexual health. Sometimes, it is wrongly interpreted as infection or any other problem but it is a naturally existing odor which can also be caused by normal sweating. Nevertheless, an unpleasant vaginal odor can also be indicative of infection, irritation or an overgrowth of vaginal bacteria. Four common reasons of vaginal odor are:

1. Bacterial vaginosis
Bacterial vaginosis (BV) is an overgrowth of naturally existing bacteria in the vagina which can occur due to unprotected sex, douching or low production of lactobacilli bacteria. This can cause irritation, itching and makes women more vulnerable to sexually transmitted infection and other complications like preterm birth. Bacterial vaginosis is a very common occurrence for women in their reproductive years and is the primary reason for the vaginal odor in most cases.

2. Poor hygiene
Poor hygiene can be one of the major causes of vaginal odor. In terms of hygiene two common reasons which can cause unpleasant odor are the lack of proper washing and not wearing clean undergarments. Due to the presence of sweat around the genitalia and poor maintenance of hygiene, women often experience bad odor.

3. Forgotten tampon
A forgotten tampon can cause bacterial infection and lead to vaginal odor. The growth of bacteria along with menstrual blood can cause itching and lead to unpleasant smelling vaginal discharge. Sometimes, the infection can spread and cause serious problems like pain in the lower abdomen.

4. Trichomoniasis
Trichomoniasis is a sexually transmitted disease which is caused by a protozoan parasite. It can cause a foul smelling odor, soreness, pain while urination and intercourse and also vaginal itching. Pregnant women suffering from this disease are more at risk to deliver premature babies. It can be treated with antibiotics and can be prevented with proper use of condoms.


4 Reasons for Vaginal Odor

Leucorrhoea or vaginitis is a problem that many women face. When there is a discharge from the female genitals which has a foul smell and dirty white or greenish pallor, this condition is called leucorrhoea. The other symptoms of this condition include inflammation and irritation in the area. While this condition may last many weeks and even months, in some cases, it can also start affecting the reproductive organs of the female patient. This problem mostly crops up during puberty and can lead to long term damage if it does not get timely and proper treatment. One of the best ways of dealing with this condition is with the help of ayurveda, which is an ancient science that combines herbs, lifestyle tweaks, yoga and massages for treatment of various kinds of ailments. Let us find out more about the ayurvedic treatment available for leucorrhoea.

Lifestyle and hygiene: poor hygiene and bad eating habits remain some of the most common causes of leucorrhoea, as per medical science. Accordingly, ayurveda purports a number of lifestyle changes that include a proper balanced diet where fried, fatty and other junk food will be eliminated. Also, routinely cleaning your private parts and creating better living conditions in terms of hygiene will help in treating this ailment.
Lady's finger or okra: this healthy green vegetable has many minerals that can help in treating this condition. One must boil a few pieces for at least twenty minutes before straining, sweetening and drinking it as a tonic.&nbsp;
Mango seeds: one can dry these mango seeds and grind them to make a powder. This powder can be added to water to make a fine paste for application in the vaginal tract.
Amaranth root: the antibacterial properties of this herb make it ideal for flushing out the toxins that cause leucorrhoea as well as other bacterial infections and conditions. The compounds in this element also help in treating a number of vaginal disorders. You can grind the root and add this powder to water before having it. The leaves and branches can also be added to boiling water before being strained so that one can have it as a tonic at least twice a day.
Walnut leaves: walnut leaves are said to have astringent properties that can heal infections. One can infuse boiling water with these leaves for twenty minutes or so. Strain and let it cool before using it on the vaginal areas. One can do this at least three to four times a day for rapid relief.
There are many other elements as per ayurveda which can be used for treating this issue including betel leaves, guava leaves, cranberry juice and sandalwood oil.

Ayurvedic Treatment for Leucorrhoea

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