The tissue that lines the uterus is known as the endometrium. In some cases, it can grow outside the uterus. This is known as endometriosis. Endometriosis usually involves organs in the pelvic cavity such as the ovaries, fallopian tubes, bowel and lining of the pelvic cavity. In rare cases, it may involve the vagina, cervix and bladder as well.

Depending on the location and extent of endometrial tissue, it can be classified into four stages ranging from minimal to severe. Most cases of endometriosis fall into the minimal or mild category which involves mild scarring and superficial tissue implants. Moderate or severe endometriosis can cause cysts and severe scarring. Infertility is also commonly associated with severe endometriosis.

Pain in the pelvic area just before and during menstruation is one of the most characteristic symptoms of this disorder. This is because the overgrown endometrial tissue acts like normal endometrial tissue and is shed during menstruation. The only difference is that since there is no exit for this overgrown tissue, it is trapped in the pelvic cavity. The location of the implantation of endometrial tissue also plays a role in the amount of pain experienced. The deeper the implant, more the pain. Implants near areas with high nerve density are also more likely to be painful than implants in areas with low nerve density.  These implants may also release substances into the blood stream that can cause pain.

Other symptoms associated with this disorder are:
  Painful intercourse
  Painful urination
  Pain during bowel movements
  Infertility

These symptoms especially the pelvic pain can vary from month to month in terms of duration and intensity.

A few simple changes in your diet can help manage the symptoms associated with this disorder and in some cases, prevent it as well. Avoid processed food and foods that are high in sodium content. You should also avoid high-fat dairy and food that is rich in arachidonic acid. Instead, increase your consumption of carbs and green leafy vegetables. You could also add two tablespoons of walnut oil a day to your diet to help combat inflammation and the other effects of arachidonic acid.

Early stages of this disease can be treated with hormone therapy, but if it has progressed to the later stages, surgery may be needed. This surgery is performed laparoscopically and aims at removing all the implanted tissue from outside the uterus. However, in cases where the anatomy of the pelvic organs has been distorted by the implants, a hysterectomy may be required. This option, however, it usually considered only in cases where a woman does not have any plans of conceiving more children. 

Endometriosis - How It Is Affecting Your Life?

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

What is a vaginal rash?
Although vaginal rashes can be identified with non infectious conditions, for example, hypersensitive responses and contact dermatitis, many are because of sexually transmitted diseases. The zone around the vagina might be blushed with sores or blisters or it might hold its typical shading yet have bumps. Different side effects, for example, discharge, burning sensation during urination, pain or tingling, may likewise happen.


Not all sexually transmitted diseases cause vaginal rashes; the ones that most regularly do are syphilis, genital herpes and human papillomavirus (HPV). Genital herpes normally causes groups of excruciating red blisters that might be irritated. Syphilis might be connected with a lone, painless, red sore on the vulva that might be followed by a rash on the hands and feet. Genital warts may develop as an after effect of HPV disease.


What is it caused by?
It can happen as a result of rubbing against the skin, like from uncomfortable underwear or rough sanitary napkins. These are not harmful and non-contagious. Also, these are usually minor and get cured with home remedies. 
Contact Dermatitis: This can be caused when you come in contact with a substance that can cause irritation or an allergy. This is called contact dermatitis. It can be very itchy, but it is not serious very often. 
Pubic lice: These are caused by tiny parasites, such as insects that survive by sucking on blood from humans.
Candidiasis (yeast infections): This can cause rashes in the moist folds of the vaginal skin.
Scabies: It is a skin condition, which can get very itchy and is caused due to little mites digging into your skin.
Psoriasis: These are characterised by little red or wine red coloured bumps with silvery scaly skin on top of that. It is commonly found on the knees, elbow or scalp, but it can occur on any part of the body.


Vaginal Rashes - What Do They Indicate?

Masturbation is considered as a good way of pleasuring oneself and leading to a more qualitative sex life. Masturbation is a sexual activity that is at par with sexual intercourse that will create a basis for an improved sex life. This will ensure that the need for sex is one that is based on respect and love, rather than a mere bodily function. Let us find out how it helps in having a better sex life:

Awareness: masturbating is also a great way to know more about your own sexual preferences and what you like in terms of sexual activities. This awareness helps in better understanding and channelling ones sexual appetite for even better gratification during intercourse.

Staying healthy: masturbating can help in releasing even more dopamine and oxytoxin, both of which have a favourable effect on your brain and mood. These hormones can also help in improving your immune system in the long run.

Knowing your partner: masturbating alone and with your partner can help in knowing your partner and his or her sexual preferences. This can help in pleasuring your partner in a better way which will further fortify the relationship.

Excessive masturbation is strongly recommended as it has its long-term side-effects:

1. The use of sex toys and other accessories can further your satisfaction level. For instance, realistic vaginas can prove to be pretty handy in maximizing your sexual potency. Other credible sex toys are also available which are as helpful. Another effective technique of masturbating better is via porn or r-rated movies. By simultaneously watching movies while masturbating, your imagination gets fueled up with all kinds of sexual fantasies, providing you with more immediate satisfaction than usual.

2. A change in position is also pretty effective in heightening your senses and providing a better feel whilst masturbating. Keeping your hand still and only moving your body is such a way. While doing this, you can masturbate while kneeling or standing or sitting or even swapping hands. The more the variety, the better. Moreover, interchanging positions in between has also been proved to be very effective.

Masturbation: For A Better Sex Life

8 Foods To Never Eat Before Bedtime
    
Hunger before bedtime is common esp. when you are used to staying up late. The craving to eat something before going to bed makes a person consume anything that is available. Bedtime hunger is not wrong, but there certainly are foods that shouldn't be consumed before going to sleep as they can create health issues. 

Avoid these 8 foods before going to bed.

1. Dairy fat - Having calorie rich cheese or butter for dinner or even before bedtime ensures that your digestive system is going to have a hard time at the night, thus disrupting your sleep.
2. Caffeine - Caffeine from the coffee doesn't let you sleep. It is used to kick our sleepiness so it should never be consumed before bedtime.
3. Spiced/Oily foods- Spices cause flatulence and oils lead to indigestion, ensuring incomplete and disturbed sleep.
4. Red meat - Dinner should always be the lightest meal of the day. If you make your digestive system work heavily overnight, it’s difficult for you to get sound sleep! Red meat being a very heavy, must be avoided to ensure a good night’s sleep.
5. Beans- Beans before bed simply fastens the process of flatulence! Avoid it to have a trouble free night.
6. Sugars- Sugars give you instant energy. That’s exactly what you don’t need before a good night’s sleep so avoid it before bedtime.
7. Aerated drinks- These drinks have acidic content with a lot of sugar and caffeine. Drinking them can destroy you sleep for the whole night so keeping it for the day is wiser!
8. Alcohol- Alcohol makes you drowsy and in a way bogs you down. But that’s really not the kind of sleep you’d like to have. Avoid alcohol to invite the perfect sleep!

If you would like to consult with me privately, please click 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.

8 Foods To Never Eat Before Bedtime

When endometrial tissue that usually grows inside the uterus, starts growing outside uterus, it is called Endometriosis. Pain during or before periods, pain during intercourse, pain while urinating or bowel movements, heavy bleeding, infertility are some of the symptoms of endometriosis.

Treatment of endometriosis usually depends on the following factors:

Age of female
Severity of symptoms
Duration of the symptoms
Future plans for children/ fertility
Associated pathologies
Accordingly the doctor might choose any of the treatment options like:

Medication for Pain: If the symptoms are mild, then the doctor will prescribe some pain  relieving medications like Nonsteroidal anti-inflammatory drugs (e.g. Diclofenac) or anti-spasmodics(e.g.drotaverine)
Hormone Therapy: Hormone therapy is effective, but once you stop them, your symptoms may recur. Some of the hormone therapies include: 
Hormonal Contraceptive pills: Useful in controlling the hormones that are responsible for endometrial tissue growing outside the uterine cavity.
Medroxyprogesterone: This helps to counter effect estrogen hormone which is responsible for endometrial tissue growth.
Gonadotropin-releasing hormone (GnRH) agonists: Gonadotropin hormones that stimulate ovaries are blocked by these. They bring down oestrogen levels and hence symptoms. It can cause absence of menstruation in some females which is reversible.
Danazol: It is synthetic androgen, suppresses growth of endometrial tissue temporarily.  However, Danazol may not be a favourable option because of its side effects. Females should avoid pregnancy while on this drug.
Dienogest: This newer progesterone molecule, which does not have major side effects and is apporved for use in endometriosis.
Other medications like selective progesterone receptor modulators, immunomodulators, anti angiogenic factors are being evaluated.
Conservative surgery: If you are trying to conceive, then surgical excision or ablation of endometrial tissue is one treatment option.Suboptimal surgery with conservation of maximum ovarian tissue is considered suitable in such cases.
Hysterectomy: In severe endometriosis cases where female has completed her family, hysterectomy is offered wherein the uterus, cervix & if required ovaries can be removed.

Endometriosis - Ways To Manage It Well!

Don't wait any longer, manage your Gynae Problems Treatment online with a Lybrate doctor today

Consult for Gynae Problems Treatment - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES