What is vaginal dryness and how can it affect you?
Vaginal dryness is often a result of menopause and it is capable of affecting women of any age. Although it feels like a minor irritation, it can have a huge impact on a person's sex life. Normally, the vaginal walls are lubricated with a layer of clear fluid. The 'oestrogen' hormone is used to maintain this thin layer of fluid, thus keeping the vaginal lining thick, elastic and healthy. However, menopause brings about a condition known as vaginal atrophy, which is a drop in the levels of oestrogen and this greatly reduces the level of vaginal moisture that is available. Improper lubrication of the vagina can result in painful sex which in turn affects libido, arousal and desire.

Treatment 
The most common treatment for this condition resulting from low levels of oestrogen is Topical oestrogen therapy. In this, hormones which are no longer secreted by the body are replaced by the topical oestrogen. Even though Topical Oestrogen Therapy is helpful in relieving the symptoms of vaginal dryness, the treatment pales in comparison to oral oestrogen hormone therapy (HT).

Usually, women mostly use one of the three types of vaginal oestrogen listed below:
1. Vaginal oestrogen tablet: A tablet is inserted into the vagina using a disposable applicator. The procedure is carried out once daily during the initial two weeks of treatment, after which it can be inserted twice a week.

2. Vaginal oestrogen ring: A soft and flexible ring is inserted inside the vagina, either by the patient or the doctor. Oestrogen, in the form of a steady stream, is then released directly to the vaginal tissues by this ring. Replacement of this ring is done every three months.

3. Vaginal oestrogen cream: An applicator is used to apply cream to the vagina daily. The frequency of application can be reduced as per doctor's advice.

Side effects and aftercare 
Side effects such as breast pain and vaginal bleeding are common when any form of oestrogen product is used. Vaginal moisturisers should be used to keep the vagina lubricated. Use of water-based lubricants during sex can make it more enjoyable. Use of bubble baths, scented soaps, douches and lotions around the sensitive area of the vagina should be avoided as these products can worsen the problem.

Modes of Treatment for a Dry Vagina

When you are pregnant, your body is at a very delicate stage as you are carrying another individual inside you. While you are pregnant, there are many restrictions and regulations you must follow to ensure the birth of a healthy child. Bad habits such as smoking and consuming alcohol are strictly prohibited. It is also advised that you should not be in any kind of stress.

When it comes to travelling, it depends on the stage of your pregnancy. You should consult your doctor before travelling and know well about the restrictions that would be imposed, even if you are allowed to travel. The ideal time for you to travel during pregnancy is after the second trimester, when you will be less fatigued.

Here are some tips you should follow if you choose to travel when you are pregnant.
Travelling by car, train
1. You should always put your seatbelt on while travelling in a car when you are pregnant. Wear both the lap belt and the shoulder belt to keep yourself and your baby inside, safe and static.
2. The airbags should always be turned on for safety purpose.
3. Buses are narrow and should be avoided when you are pregnant. If you are availing a bus, avoid getting up when the bus is moving. In case you have to move, take the support of the railings.
4. When you are travelling by train, always hold on to the railings and seats while moving about in motion.
5. Avoid long hour journeys in cars or trains. The maximum travel duration should be not more than six hours, when you are carrying a child.
6. Make it a point to halt at points to take a walk. This would enhance your blood circulation.

Travelling by air, sea
1. This mode of travel is safer than any other travel modes for pregnant women.
2. Pregnant women can fly until eight months or nine months, after consulting a doctor.
3. Moving about in an airplane, which is flying is a bad idea for pregnant women and should be avoided.
4. Always choose an aisle seat while travelling by air. It will make moving convenient in case you need to visit the restroom.
5. Choose to travel on trustworthy, major airlines with a pressurized cabin and avoid small airplanes or private jets. Do not travel above a height of 7000 ft.
6. Travelling by sea should be strictly avoided as it causes motion sickness and pregnant women might have nausea.

Travel for pregnant women is restricted in many ways, and all the instructions should be followed.

Is It Safe for Me to Travel During Pregnancy?

Vaginal discharge or odor is one of the most common conditions in women, yet the least talked about or taken help for. It is of vital importance that more and more women become aware of the condition and stop neglecting it. It is this neglect towards the condition that leads to some ancillary side effects and the increase in the complexity of the situation. Before things take a turn for the bad, it is imperative that you take help from concerned medical specialists and fight the condition during its initial days itself.

Why consult a specialist?
Treating the condition as soon as you notice it leads you to stem other diseases and infections that may be caused as a side effect. Also, vaginal discharge and foul odor can become not only the cause of discomfort for your day to day life, but also a great hindrance in your private life. Don t let a curable condition hamper your personal life and most importantly your conjugal life. Visiting a doctor will help you get rid of both the excessive discharge and foul order. All you have to do is shred that mental neglect and confining attitude, step out of the home and make way to the doctor s clinic.

What causes vaginal discharge?
Some of the most common causes of vaginal discharge include-

Yeast Infection: Vaginal yeast infection is by far the most common cause of vaginal discharge. This relatively common condition is caused by fungus. This factor is characterised by itchiness, irritation and swelling.
Urethritis: Another cause influencing excessing vaginal discharge includes Urethritis. This condition is influenced by the inflammation and irritation in the tube carrying urine, also referred to as the urethra.
Gonorrhea: Gonorrhea is an alarming cause of vaginal discharge. This disease is sexually transmitted and affects warm and wet areas of the body.
Other causes of vaginal discharge include pregnancy, anxiety, cervix inflammation, cervical cancer or history of the same.
Causes of vaginal foul odor:
Some of the most common causes of vaginal odor are-

Infection: Fungal infection is a major cause of vaginal odor.
Sweat: Accumulation of sweat in wet and humid areas of the body leads to a certain amount of odor. The same goes for the vagina.
Hormonal change: Change in hormone and discharges also lead to a foul-smelling vagina.
Overused tampon: Using a tampon for a longer period than prescribed can also lead to accumulation of periodical blood and bacteria, leading to foul smell from the vagina.
Treating vaginal discharge and foul odor:
In case that vaginal discharge and a foul odor is becoming a major concern in your life and making things uncomfortable for you, it is the time that you make your way to a medical specialist. Other preventive practices often suggested by doctors include- wearing loose clothes, not wearing a tampon for a long time, losing weight, consulting a doctor before starting a specific treatment or medication, etc.

Vaginal Discharge and Foul Odour - Know the Reason Why?

Reasons for spotting during pregnancy and what you can do about it

Seeing spots of blood during pregnancy is usually a cause for concern. However, it is not uncommon. The light bleeding, which is known as spotting may occur for a number of reasons.

Bleeding during the first trimester

Spotting is most likely to happen during early pregnancy and the reasons could be many, such as:

- implantation bleeding occurs during the first month of pregnancy when the fertilised egg gets attached to the wall of the uterus.

- cervical polyps ( a tumour that form on the surface of the cervix) or yeast infection may also cause episodes of spotting.

- miscarriage may be another possible reason for spotting

- ectopic pregnancy is another cause. It is the condition in which the embryo plants itself in either of the fallopian tubes instead of the uterus.

- molar pregnancy is a rare condition associated with spotting during pregnancy. When this is the case, instead of your baby, an abnormal tissue grows inside the uterus. Sometimes it can be cancerous too.

Bleeding during the second or third trimesters

Spotting may also occur during late pregnancy and the possible reasons are listed below.

- problems related to placenta like placenta previa placental abruption can also result in spotting. These are serious conditions when the placenta either covers the cervix or it gets detached from the uterine wall respectively.

- uterine rupture is the rare and unfortunate event when a scar from a previous surgery (like the removal of fibroid or previous caesarean scar bursts open and the baby slips into the pregnant woman's abdomen.

- premature labour occurs when your body is too eager to deliver the baby, usually one month before the due date of delivery.

- vasa Previa is another rare condition when a baby who is still developing has his blood vessels entangled in the umbilical cord or placenta-crossing the cervix. It is extremely dangerous because the blood vessels may burst open thus causing the baby to bleed and lose oxygen.

Here's what you can do about spotting

It is strongly recommended that you should immediately see your doctor as soon as you detect any spotting during your pregnancy. Only a well-qualified medical expert can suggest the appropriate steps to be taken, depending on your individual reasons and symptoms related to spotting.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 6 Changes You Can Expect During the 2nd Trimester of Pregnancy

Reasons for Spotting During Pregnancy

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

Are you experiencing problems with your periods because of hormonal imbalance? This condition, known as PCOD and PCOS, or polycystic ovary syndrome, may make it difficult for you to get pregnant, and unwanted changes in your appearance are also indicated. In most cases, women with PCOD develop small cysts in their ovaries. These cysts may not be harmful or cancerous, but they cause hormone imbalance in your body.

Causes

The specific causes of PCOD are yet to be determined. In PCOS patients, the ovaries produce excess androgens or male sex hormones, which result in an imbalance in ovulation, acne breakout and development of excess body hair. Your body faces problems using insulin and develops insulin resistance. Genetics are considered to be a key factor that determines a woman s chance of getting PCOD.

Symptoms

The symptoms of PCOD are mild in the beginning. The most common symptoms are as follows:

Weight and difficulty in weight loss.

Acne breakout.

Development of excess hair on the face and body, which is not a feminine feature. Thicker and darker facial hair and unusually excessive hair on the belly, chest and back are also indicated in some women.

Thinning of hair on the scalp.

Irregularity with menstrual periods. Commonly, women with PCOD experience less than 9 periods during a year. Some women may have no periods at all, while others experience heavy, abnormal bleeding.

Fertility problems are likely in women with PCOD.

Depression.

Treatment

The treatment of PCOD aims at relieving the symptoms and preventing long-term health problems associated with the condition. PCOD can be treated and managed by using the following measures:

You should keep fit and undertake regular exercise and work out. Walking is an ideal exercise which you can opt for.

You should eat heart healthy food which includes vegetables, nuts, fruits, whole grains and beans. Avoid foods which contain saturated fats and these include fried food, meat and cheese.

Losing weight is beneficial for your health if you have PCOD. Losing even a small amount of weight will help in balancing your hormones and regulating your menstrual cycle.

Quit smoking as smoking increases the levels of androgen in your body.

Birth control pills are also prescribed for reducing your symptoms, and fertility medicines are prescribed in case of infertility issues because of PCOD.

It is recommended for you to consult a gynaecologist on experiencing any symptom of PCOD. This will enable early diagnosis so that you can start with the treatment measures before the condition worsens.

PCOD - Causes, Symptoms and Treatment

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