Most women attain menopause between the ages of late 40s and early 60s, the average age being about 51. This is an important milestone in a women's gynecological history. One major change is altered female hormone levels, and this leads to a lot of physiological changes. From hot flashes to mood swings, there is also increased predisposition to osteoporosis and uterine cancer.

If you have not had your menstrual cycles for close to 12 months, chances are you are into menopause. So, that means absolutely no vaginal bleeding anymore whatsoever. However, if you experience bleeding, even spotting, be on the alert. It is not normal and needs to be examined, and if required, diagnosed and treated.

Postmenopausal bleeding or PMB, as it is popularly called, can be due to a variety of reasons. While it could be something as trivial as inflammation of the uterine or vaginal lining, it could also be an indication of more severe issues like cancer.

Atrophic vaginitis: Decreasing hormonal levels lead to increased dryness and therefore inflammation of the vaginal and uterine tissue. This is one of the common causes of bleeding after menopause.

Endometrial atrophy: Also caused by lower hormone levels, the lining of the body of the uterus gradually thins down and can get inflamed.
Polyps: Noncancerous growths in the uterus, cervix, vulva, or vagina can also lead to bleeding.

Infections: General infection of any area along the uterine tract could lead to occasional bleeding.

Cancers: Though only 1 in 10 PMB cases turn out to be cancers, the prognosis improves with early diagnosis and intervention.

Diagnosis: As repeated above, reach out to your doctor if you notice postmenopausal bleeding.  

Diagnostic methods could include the following:
1. Physical exam
2. Transvaginal ultrasound
3. Endometrial biopsy
4. Hysteroscopy
5. Dilatation and Curettage

Treatment: Needless to say, this would depend on the diagnosis. For very minor cases with diagnosis like altered hormone levels, no treatment may be required other than modification of the hormone replacement therapy. For endometrial atrophy and atrophic vaginitis, use of estrogen creams and pessaries would be sufficient. Polyps would require removal followed by cauterization (application of slight heat) to stop the bleeding.

Cancer: This would depend on the type and location and require a combination of chemotherapy and surgery.  Removal of the uterus also may be required in some cases. So, if you have had bleeding of any sort after a year of menopause, do not ignore it. 


Is Postmenopausal Bleeding Normal?

4 Types of irregular periods and their causes

Menstruation is a cyclical process when at a certain time of the month, the lining of the uterus is shed and vaginal bleeding occurs. Sometimes there can be abnormalities in this cycle. Irregular periods in women are abnormal variations in the length, volume, duration and quality of menstrual cycle. Irregular periods aren't uncommon among menstruating women.

Abnormalities in periods can be of the following nature:

- Varying time between successive periods
- Loss of more or less blood than usual
- Varying length of your periods

Based on these categorizations, the different types of periods are:

1. Irregular menstrual bleeding - Irregular menstrual bleeding is characterized by bleeding that takes place for more than 20 days in a solitary cycle, which can lengthen over a period of a year.

2. Absent menstrual bleeding - In this type of menstrual bleeding, a woman does not get her period at all within a span of 90 days.

3. Heavy menstrual bleeding - This involves excessive blood loss that may intervene with a woman's physical, psychological and social quality of life.

4. Heavy and prolonged menstrual bleeding - This is less common than heavy menstrual bleeding and is different from in terms of duration. A different type of therapy is required to treat the condition as it is more severe in nature.

5. Light menstrual bleeding - Light menstrual bleeding is characterized by less blood loss than usual.

Irregular periods can be caused due to several reasons. Some of them are:

- Switching from one birth control pill to another or taking certain medication
- Excessive exercising
- Breastfeeding or pregnancy
- Stress
- Hyperthyroidism
- Polycystic ovary disease (PCOS)
- Uterine fibroids
- Getting an IUD (intrauterine device)
- Gradual thickening of uterine lining or the development of polyps on the uterine lining
- Scarring of the lining of the uterus can also be a possible cause

Changes in the body's level of hormones can also disrupt a woman's periods. Estrogen and progesterone are the chief hormones that play a crucial part in the menstrual cycle and influence the flow as well, thereby giving rise to abnormalities if their balance is disturbed.

When it comes to treating irregular periods, modifying your lifestyle, treating the underlying issue behind an irregular cycle, changing your birth control pills (if that is the cause), opting for hormone therapy or even surgery are viable treatment options.



All about Irregular Periods : Their Types and Causes

Menstruation is a healthy experience of a woman s life, and it must come habitually every 28 days, for a period of 3-4 days without coagulating, and the blood loss should correspond to about a quarter of a cup. For a woman, menstrual cycle is a virtuous indicator of her overall wellbeing. Some women get irregular periods that appear at longer intervals, an unpredictable discrepancy in the duration of the cycle and the normal twenty-eight day cycle is missing. Some women have very insignificant problems with menstrual cycles, while others experience a monthly torture.

Irregular menses is typical in early puberty and not generally perturbing. Women should be alarmed when periods are spaced out for more than two months, as this may suggest hormonal imbalance and ovulation problems. A woman s customary hormonal cycle is contingent upon a subtle equilibrium between different hormones. Several potential triggers can stimulate hormonal imbalance leading to irregular menses. If a woman fails to ovulate, her ovaries will not receive a signal to produce a hormone called progesterone. Progesterone is essential in regulating the Uterine lining called endometrium, which is discarded during menstruation. Without progesterone, the endometrium persistently grows until it starts to break down and is disposed off as a very heavy uterine bleeding. The endometrium may also shed partially and intermittently, and bleeding becomes irregular or prolonged.

Causes of Irregular Menses:

Puberty.

Birth control pills.

Stress.

Poor diet due to anorexia, bulimia can influence your hormones.

Excessive weight loss or gain.

Intense exercise.

Breast-feeding.

Anxiety regarding pregnancy.

Anemia.

Menopause.

Excessive production of Androgen (a steroid hormone such as testosterone that controls the development and maintenance of masculine characteristics).

Uterine fibroids, cysts, polyps.

Polycystic Ovarian Syndrome (in this condition the ovary does not make all the hormones needed for any egg to mature fully, due to which some follicles remain as cysts, ovulation does not occur and the hormone progesterone is not made. Without progesterone a woman s menstrual cycle is irregular or absent).

Endometriosis (this is a condition where cells similar to those found inside the uterus grow and are attached outside the uterus forming implants. This can lead to infertility and irregular menses).

Pelvic infection.

Ovarian cancer.

Inflammatory Bowel disease.

Thyroid disease.

Heart disease.

Symptoms of Irregular Menses:

Inconsistency in the length of menstrual cycle.

Acne.

Bloating.

Low energy levels.

Sore breasts.

Fever.

Chills.

Changes in sexual desire.

Infertility.

Depression.

Osteoporosis.

Uterine cancer.

Endometrial Hyperplasia (excessive cell growth in the inner lining of the uterus due to excessive estrogen production as a result of delayed ovulation).

Homeopathic Approach to Irregular Menses:

Homeopathy offers an extensive range of options than conventional medicine. Homeopathic treatment for Irregular Menstruation is very competent, non-invasive, safe and inexpensive. Homeopathy treats the patient as a whole and looks deeper into the problem, promotes the immune function and maintains uterine health by eliminating the causative factor. Homeopathic Constitutional treatment based on the holistic approach stimulates the natural hormonal balance without administering any harmful hormone preparations. The goal of this Homeopathic approach is to enliven the body's natural healing and self-repair ability to treat the underlying condition, to prevent it and to create the highest state of health and well-being.

Constitutional Homeopathic treatment with the management of an experienced and professional Homeopath is an excellent choice for Irregular Menstruation. Some Homeopathic remedies that are commonly used to treat Menstrual Irregularities are given below. These are just a few of the commonly used Homeopathic remedies and are mentioned only to create awareness about the effectiveness of Homeopathic medicines in Menstrual Irregularity. It is not advisable to resort to self-medication for any disease.

Homeopathic remedies for Irregular Menses:

Pulsatilla: Pulsatilla is one of the first remedies thought of, in affection, peculiar to women. It's essentially feminine disposition of gentleness timidity, mildness, docility    excellent thing in woman    is most characteristic of the drug; even tearfulness, another feminine attribute, strongly points to Pulsatilla. Then, we have fickleness, indecision and changeableness, which are certainly characteristic of Pulsatilla and of some women. Dark menses which are delayed and accompanied with this severe menstrual colic and the characteristic temperament will be the indications. The menses of Pulsatilla, besides being scanty, are quite apt to appear too late. 
Caulophyllum: This is a valuable remedy in treating irregular periods, difficulty becoming pregnant or slow childbirth due to weak muscle tone of the uterus. The patient feels menstrual discomfort with heavy bleeding and drawing pains in the pelvic region, thighs, and legs. These patients complain of habitual abortion due to uterine debility.
Cimicifuga Racemosa: This remedy is intended for irregular and painful menses, with shooting pains that go down the hips and thighs, or cramps similar to labor-pains that are felt in the pelvic area. Women become restless, fearful, and depressed before a menstrual period. These women are strong, talkative, depressed, they try to injure themselves, and have dreams of impending evil, with fear of riding in a closed carriage.
Lachesis: This remedy is suggested to women who are passionate, with a tremendous need for an outlet, both physically and mentally. The menstrual flow is irregular, heavy and brings relief of tension. These patients are very outspoken with strong feelings of suspicion or jealousy. They have an intolerance of restrictive clothing around the waist or neck.
Lycopodium: This is an outstanding remedy for delayed menses that follows a heavy flow lasting more days. These patients have a ravenous appetite with a strong craving for sweets. They complain of abdominal bloating and flatulence, and always have a worried look with lack of confidence, though they may be bossy with their family.
Murex Purpurea: This remedy works amazingly in Irregular Menstruation with large clots and feeling of protrusion. These patients feel very weak, are very conscious of a womb, and feel as if something is pressing on a sore spot in the pelvis. This sore feeling is worse on sitting, hence the patient always sits with legs tightly crossed. Least contact of parts causes violent sexual excitement in these women.
Secale Cornutum: This is a useful remedy for Irregular menses in thin, shriveled skinned women. Their whole body is pervaded by a sense of great heat and they have burning pains in the uterus. Menses is irregular, dark and at times, there is continous oozing of watery blood until the next period. Their pregnancy concludes in a threatened abortion in the third month
Sepia: This remedy is best suited to women who feel weary and dragged-out, and are indifferent to their own family members. She feels taken for granted and overworked, becomes irritable and sarcastic if demands are made. Menses is delayed with a feeling that the pelvic floor is weak, or as if the uterus is sagging.
Self-care measures for Irregular Menses:

Relax and ease stress.

Avoid exhausting physical exercise.

Eliminate any eating disorders.

Eat a balanced diet with lots of fresh fruits and vegetables.

Reduce your intake of salt and caffeine.

Hence, appreciate a natural way to a healthy uterus, convalesce healthy living and curtail the changes that happen during your menstrual years.

How To Effectively Treat Irregular Periods With Homeopathy?

Painful menstruation or menstrual cramp is termed as Dysmenorrhoea and refers to the discomfort or pain associated with menstruation. In 80% cases, cramps are an integral part of the preliminary dysmenorrhoea syndrome. Though this symptom is not deemed as a very serious clinical problem, the pain and its associated symptoms are acute enough to keep an affected woman from normal functioning for the first one or two days. These symptoms may take over one or two days prior to menses, reach their pinnacle on the first day and subside slowly with the passage of time. The pain can be typically depicted as being ached, cramping of the stomach and often reaching to the lower back portion.

There is probably no woman across the world, who has not undergone the painful menstrual cramps. But don't fret! Homeopathy treatment has a range of remedies to relieve you off this unease.

1. Cimicifuga: Normally menstruation cramps indicate a pain that flows across the pelvic region from one side to the other. This remedy will particularly be helpful in neuralgic and rheumatic cases as well as congestive cases where it works effectively with Veratrum Viride and Belladonna. It is also very efficient in combating headaches preceding menses, acute pains across abdomen, labor like pains and scanty flow.

2. Caulophyllum: This remedy is great for treating spasms and pain that flow downwards. The spasmodic periodic pains that need to be treated with Caulophyllum are mostly concentrated around the groin and radiate to other surrounding parts. Gelsemium can also be taken for treating neuralgic as well as congestive dysmenorrhoea when the pain bears down. The pains are often labor-like and spasmodic with flow of pale urine. In order to get faster relief, it can be taken along with hot bag press.

3. Belladonna: If you are afflicted with the congestive forms of menstrual cramps, then you may take Belladonna. In most cases, a pain and discomfort is felt prior to the flow and a feeling of something heavy around the vulva can be relieved if you sit up straight. This pain occurs and subsides all of a sudden making the flow clotted and restricted. This kind of dysmenorrhoea is extremely painful and makes the genital dry. In case the pain gets severe and cuts through the pelvis, then Veratrum viride can also be administered.

4. Zanthoxylum: This remedy is very effective in fighting dysmenorrhoea and uterine spasms. It is very effective when the pain is burning, agonising and extending down through the thighs making the limbs paralysed and numb. You can take this measure when the pain is affecting your ovaries as this medicine works closely for neuralgic form of menstrual cramps. Women with delicate nervous temperament can also take this remedy as it relieves from headache and eye pain caused from 
Menstruation.

Homeopathy has a huge range of medicines and it becomes difficult for a commoner to select an ideal one. Therefore, when you are deeply affected with menstrual cramps, you can always consult an expert before administering any medicine.

Pain During Menstruation

The Movie 'PadMan' is making waves much across India and is now attracting the attention of the international media as well, to a problem most women and girls have been facing in India. The movie is inspired by the life of Arunachalam Muruganatham, the inventor of a low-cost sanitary pad the manufacturing machine. He fought social stigma and faced social ostracization for trying to understand the fears and discomfort of women. He worked hard to come up with a low-cost sanitary pad that could be afforded by the poor women all across India.

Taboo:

The taboos, misgivings, and fears surrounding the menstruating women are not new, it is deeply rooted in our culture and its teachings. Such reservations exist in all the cultures whether it is Islam, Hinduism, Judaism, Christianity or Buddhism. There are several kinds of rules imposed on women like the prohibition of visiting a temple, physical intimacy, cooking and many more.

Present Condition:

India is a land of contrasts and while there are working women who do not think twice about pulling an 'all-nighter' at work, you also have women who have probably never stepped into a well-constructed or a clean bathroom in all their lives. What any woman of this generation would consider basic menstrual hygiene is probably grossly missing in the latter s case.

Apart from having minimum water to clean themselves, they use sanitary cloths (really old and discarded cloth) which are washed and reused for every period. They have very less water to wash these sanitary cloths and they are forced to dry them out in a dark and dingy corner of their house lest anyone sees it. In fact, there are several reports of women in rural India using straw, ashes, and sand instead of sanitary pads.

Complications:

Majority of such women in the rural areas report reproductive tract infections.

Lack of awareness amongst men about menstruation makes them ill-informed. As a result, they follow the mindless rituals and beliefs which make the problem much larger than it already is.

Lack of awareness about menstrual hygiene management has resulted in several young girls picking up infections thanks to the usage of hay, straw, and sand as a replacement for sanitary pads.

But, Bollywood's latest blockbuster 'PadMan' has broken the silence and stigma by starting out the conversation openly about sanitary pads. Having said that, below given are some of the basic hygiene tips that should be encouraged in every single woman.

Some Basic Hygiene tips

There are several small things women can do to prevent issues and problems. This can be done by following some simple changes in your routine:

Make sure you change pads frequently to avoid infections.

Soaps and Vaginal washes should be avoided as these can wash the  good bacteria  away.

Avoid wearing jeans and tight-fitting clothes as this can cause excessive sweating.

Make sure you dispose of the used pads correctly and wash your hands with warm water and soap to prevent bacterial infections.

While such awareness about menstrual hygiene is in its nascent stages, there is hope and that is thanks to men like Arunachalam Muruganantham. So, take a step forward and play your part in spreading awareness about menstrual hygiene and its effect on a female s overall health.

The PadMan Effect - Why Menstrual Hygiene is Such a Big Deal In India!

10 natural remedies to cure irregular periods

One common problem amongst a lot for women is irregular periods. While normally women have eleven to thirteen periods in a year, those suffering from irregular periods might have lesser than even six or seven. While this can be due to various problems, there exist some foods which can help cure this problem

1) ginger - often used to relieve menstrual pain, ginger is also used to correct irregular periods. You can include powdered ginger in your food or drink ginger tea.

2) cinnamon - one superfood which has a lot of health benefits is cinnamon. One can have cinnamon powder with tea or lemon juice to cure irregular periods.

3) aloe vera - it is responsible for regulating hormones in our bodies. Drinking aloe vera juice not only helps reduce weight but also regulates the periods.

4) turmeric - it is known to balance the hormones and stimulate flow of blood in the uterus. Drinking it with milk helps relieve spasm and regulate irregular periods.

5) papaya - raw papaya aids in increasing the flow of blood in the uterus and in uterine contractions, thus helping cure irregular periods.

6) sesame seeds - these help in producing and balancing hormones. Eating them also helps in regulating irregular pain.

7) jaggery - it is rich in minerals and iron, hence help cure irregular periods which can arise due to anemia.

8) grapes - grapes too contain iron and help curing irregular periods caused due to anaemia.

9) buttermilk - with calcium, potassium, proteins and vitamin b complex, buttermilk aids hormone secretion, thus helping cure irregular periods.

10) coriander - its juice is another food that helps cure irregular periods.


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10 Natural Remedies To Cure Irregular Periods

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