Sex, which gives pleasure to most, can be painful for some. Many women, mostly in their menopausal or post-menopausal phase find intercourse and penetration extremely painful. Menopause results in hormonal imbalance, with a significant drop in the estrogen level. The reduced estrogen level results in Vulvovaginal Atrophy (dryness of the vagina and thinning and weakening of the vaginal tissues). In such cases, women experience irritation, Vaginismus (vaginal tightness) and soreness after sex.
 
One can also experience a burning sensation during urination. There may be inflammation of the vaginal tissues. If untreated, the inflammation can cause infection and other complications. "Dyspareunia" or pain during intercourse is very common in postmenopausal women. The pain experienced during sex can be due to "Vulvodynia" as well. Vulvodynia is a condition whereby a women experiences chronic pain in the external genitals or vulva. A number of other factors can also contribute to the pain during sex. A thorough and detailed investigation is thus very important.
 
Treatment
Many women find it extremely embarrassing to discuss menopausal problems with their partners and doctors. The key to effective treatment lies in timely diagnosis and medication. There is nothing to be embarrassed about. The postmenopausal changes can vary from person to person. Thus it is very important to discuss every minute detail with your physician.

Many options are available to make intercourse a less painful experience:

Keep dryness at bay: In most cases, painful intercourse results from dryness of the vagina. Use of a lubricant can ease the pain to a great extend. A water-based lubricant is highly recommendable. Regular use of vaginal moisturizers is also effective to deal with vaginal dryness.

Vaginal care and hygiene: It is very important to keep the vagina clean. Avoid using soaps, bath oils and shower gels. They do more harm than good to the vagina. It is advisable to wash the vagina with warm to lukewarm water. Undergarments should be changed twice daily.

More is good: Having sex at regular intervals is a healthy practice. It not only enhances and improves the blood flow, but also helps to overcome vaginal dryness.

The Pelvic Floor Therapy: It is immensely beneficial. In this therapy, a gentle pressure is exerted in the pelvic region to relax the stiffened and tightened muscles. One can also massage the area to relax the muscles.

Squat: It is a very effective exercise to strengthen the buttocks and hip muscles. Exercises to strengthen the pelvic floor muscles are also very helpful.
Other therapies: One can also opt for Local Estrogen therapy and Systematic Estrogen Therapy.

Menopause should not affect your conjugal and sexual life. Visit here to know more and forget painful intercourse forever.

Pain With Intercourse In The Postmenopausal Woman

Pregnancy brings with it a set of challenges, and for a diabetic woman, these only increase further. Earlier, the risks of dealing with pregnancy and diabetes as a combination were too high. However, over the last few decades, things have changed. The age at which women are choosing to have a baby has gone up. On the other hand, the age of onset of diabetes has come down drastically.
These days, there are many diabetic women who go through pregnancy smoothly without major complications. Of course, there is extra care and precaution required, but it is not something that cannot be planned and managed well between the doctor and the mother-to-be.

The following are some rough guidelines for a pregnant diabetic woman.
Potential complications

It increases the risk of polycystic ovaries, thereby making it difficult to conceive.
Fluctuating sugar levels can be a reason for not being able to conceive, as the body does not see itself as healthy.
It increased the chances of miscarriage.
There are higher chances of birth defects in the developing baby due to very high sugar levels in the first trimester.
Preparation
If you are planning for a pregnancy, meet with your doctor to review your sugar levels. Chalk out a plan with your doctor, taking into account your diet and nutrition, exercise, lifestyle, and medications.

Diet: Ensure you cautiously decide what and how to eat ahead of your pregnancy. Moving away from refined carbohydrates and processed foods towards wholesome food items like whole grains, fresh fruits and vegetables will make a difference.
Exercise: Build an exercise routine to suit your body and keep yourself active. It is very important to stay active so that diabetes is under control.
Lifestyle: Quit smoking and reduce alcohol use. This helps in managing stress also, which can help keep diabetes under check.
Medications: Check with your doctor on the medicines you are taking and if dose adjustments are required to get sugar levels under control, plan them out.
During pregnancy, constant monitoring and vigilance is required to ensure diabetes is under control.

Let your gynecologist know about your condition (stable/fluctuating), and if you are doubtful about them being able to handle your condition, do not hesitate to change.
Many consider switching to oral medications as the risk of transmission to the baby is less and the control over sugar levels is better.
Constant monitoring for daily blood sugars is essential.
A regular, healthy lifestyle in terms of eating and sleeping should help keep the sugars under check.
Constant monitoring of the baby is essential to ensure its normal growth with no developmental defects.
Read up and train yourself on how to deal with low or high sugar levels. Happy sugary pregnancy!

Diabetes During Pregnancy - Know The Best Ways To Control It!

Menopause automatically brings about a dip in testosterone and estrogen levels in a woman s body. It leads to certain changes in the body and also reduces libido. A drop in libido means that sexual arousal becomes a cause of concern. This can bring in certain problems in your sexual/conjugal life. Lower estrogen levels reduce supply of blood to the vagina, thus resulting in lubrication problems. A dry vagina during sexual intercourse can lead you to experience pain during sex.

There are some other factors that can affect a woman s libido after menopause:
1. Problems in sleep
2. Anxiety and depression
3. Problems of the bladder
4. Certain medications
5. High stress levels

To remedy lubrication problems, use water soluble lubricants to lubricate your vagina. Avoid using non-water soluble products such as petroleum jelly as it can weaken the latex. Non water soluble lubricants are also known to aggravate bacterial vaginosis. You may also use vaginal moisturizers to address the issue. There are oral medications that are available, which cause the tissues of the vagina to thicken, thus causing less pain during sex.

Improving your libido
You can opt for estrogen therapy to reduce pain during sex as this therapy helps in vaginal lubrication. The main objective of estrogen therapy (Hormone Replacement Therapy) is to ease the discomforts associated with a deficiency of estrogen secretion in the body. You should consult a professional who will be able to guide and counsel you.

Certain other measures to rev up your libido have been listed below:

    Indulge in foreplay: Try and include activities such as oral sex and erotic massages in your agenda. Experimentation with foreplay can help spice things up between you and your partner.
    Try out new things: Change your sex poses, read erotic books or watch erotic videos as these may help in boosting your libido.

Bear in mind that menopause does not prevent STDs; you still need to take proper precautions before engaging in sexual intercourse. 

How to Improve Your Libido Post Menopause 

The birth of your child is surely one of the most important and biggest days of your life. Most pregnant women want to avoid drugs and any kind of medical intervention during childbirth. Natural childbirth is a method of labor without the use of any kind of medical intervention. The birth process is purely natural.
The best way for carrying out a natural childbirth is by choosing child care hospitals. No medicines or drugs are involved, and you would have a natural birth of your baby.

What facilities are to be expected?
At the best child care hospitals, there are a lot of facilities provided during natural childbirth. These facilities are not available if the birth takes at any other location such as at home.

Here is what you should expect:

1. You can have childbirth without the use of any drugs or medicines, due to modern technology.

2. The presence of a midwife, obstetrician or gynaecologist who is there to deal with the pregnant patients, makes the process much easier and efficient.

3. Alternative medication free strategies can be carried out. These are: hydrotherapy, hypnosis, massage, relaxation techniques, meditation, breathing exercises, and pressure point massages. This kind of assistance is only available at the best child care hospitals.

4. The doctors keep away from the techniques such as routine iv, work incitement, episiotomy, ceaseless fetal observing, extraction of vacuum or cesarean segment, unless they are required at any stage.
What are the benefits of natural childbirth from child care hospitals?

Having a natural childbirth from the best childcare hospitals has got certain advantages and benefits, which are not available elsewhere.

They are:

1. Support of staff and doctors
You will get the steady support of doctors, groups, family individuals, or dear companions, who may give you support during delivery.

2. Pushing is effective
Epidurals offer satisfactory pain relief by and large as they increase the labor period in case of first time mothers and 16 minutes among mothers who have given birth previously. As you won't get a pain-relief drug, you won't lose any sensation.

3. Proper breastfeeding
You will have the capacity to breastfeed your newborn baby effectively without any inconvenience. The quick skin-to-skin contact enhances the early mother-baby bond. This will make breastfeeding less troublesome and also enhance your youngster's sleep, weight gain and mental health

4. Ability to move
Most mothers find it hard to move about during labor for coping with the pain. With the assistance available at the best child care hospitals, movement becomes possible.

These are solid reasons why you should choose the best childcare hospitals for natural childbirth.

Natural Childbirth: What to Expect From Best Child Care Hospitals?

Planning your pregnancy means thinking about what it means to have a baby and making decisions with your partner about the future of your family. Are you ready to be parents now? Or do you want to wait a while?
Certain tips you must follow before you try to get pregnant:

Schedule a preconception visit: You don't have to have a doctor or midwife lined up to deliver your baby yet, but call your gynaecologist, midwife or family doctor now for a preconception checkup.Your practitioner will likely discuss diet, weight, exercise and any unhealthy habits you may have (such as smoking, drinking, and taking drugs); recommend a multivitamin; make sure you're up to date on your immunizations.
Take folic acid (and watch out for vitamin A): You can buy folic acid supplements at the drugstore, or you can take a prenatal or regular multivitamin. Check the label on multivitamins to make sure they contain the 400 mcg of folic acid you need.
Give up binge drinking, smoking, and drugs and get help if you need it: If you smoke or take drugs, now's the time to stop. Many studies have shown that smoking or taking drugs can lead to miscarriage, premature birth and low-birth-weight babies.
Stock your fridge with healthy foods: You're not eating for two yet, but you should start making nutritious food choices now so your body will be stocked up with the nutrients you need for a healthy pregnancy.
Check your caffeine intake: While there's no consensus on exactly how much caffeine is safe during pregnancy, experts agree that pregnant women and those trying to conceive should avoid consuming large amounts.
Aim for a healthy weight: You may have an easier time conceiving if you're at a healthy weight. Having a low or high body mass index (BMI) makes it harder for some women to become pregnant.
Create and follow an exercise program: Start and stick to a fitness plan now, and you'll be rewarded with a healthy body that's fit for pregnancy.

Planning Your Pregnancy - Why Is It Important?

Why is breastfeeding so good for your baby and you

Breast milk is the best for babies and the benefits of breastfeeding are one too many. Breast milk not only supplies your baby with its requirement of vitamins and nutrients, but also gets the substances which fight diseases, making your baby healthy and strong. 
Benefits of breastfeeding are:

1. Protects Your Body - Breastfeeding induces some changes in your body which you might not be very delighted to accept, but are for the sake of your baby. Did you know, these very changes benefit you as well. Studies have proved that women who breastfeed are protected against breast and ovarian cancer. The longer you feed, the more protected you are.
2. Reduces Stress - Adding to the benefits of breastfeeding you can derive, is the fact that it helps you reduce stress. It also lessens your risk of postpartum depression. Breastfeeding has been found to be relaxing since it releases the hormone called oxytocin. This release also helps the uterus contract.
3. Averts Risk For Baby - A breastfed baby has lower risk of sudden infant death syndrome.
4. Reduces Obesity Risk In Baby - Breastfed babies have lower chances of obesity. They are good at judging when their tummies are full and therefore stop drinking on time. This leads to healthy growth pattern. Compared to babies who are fed on formula, breastfed babies gain weight at slower speed, hence reducing chances of obesity later in life.
5. Increases Cognitive Skills - Multiple researches have shown that there is a direct relationship between cognitive development and breastfeeding.
6. Enhances Baby’s Immunity - Breastfeed babies are also said to be better protected from developing allergies as immune factors like secretory igA is present only in breast milk. It creates a protective layer on the babys intestinal tract. Babies who aren't breastfeed are known to fall sick pretty frequently as formula diet doesn't build their immunity as mother's milk does.

If you would like to consult with me privately, please click on 'Consult'.
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Why Is Breastfeeding Is A Saviour For Your Baby & You | World Breastfeeding Week

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