In an incredibly fast paced and unhealthy lifestyle of the modern world, irregular menses aren t exactly an unusual situation. The length of a monthly cycle may either last longer than usual or end earlier than usual, only to begin in a short while again, accompanied by greater abdominal pain and blood loss. Irregular cycles may vary from 8 to 21 days or more. The variation of 21 days or more is considered highly irregular and abnormal. A woman may face some menstrual irregularities at both ends of menstrual life, (onset- menarche and end of cycle- menopause) which is normal and in most of the cases, it is self-establishing. 

Causes of Irregular Menstrual Cycle: 

The cause of irregularities in menstrual cycle is basically hormone imbalance. The altered levels in the body lead to irregular cycles. There are many factors in routine life which affect hormonal balance. Some of them are: 

Poor diet or wrong dietary habits 
Stress and anxiety, thoughts and emotions
Lifestyle: Lack of physical activity and exercise, too much physical exertion, stress and strain during menses. 
Illness: Long-term illness like fever, tuberculosis, thyroid problem etc. 
Medication: Certain medicine if taken for a long time, like oral contraceptive pills, hormonal therapy etc., alters hormonal balance. 
Imbalance of Tridosha (vatta, pitta and kapha) in body, leads to irregularities of reproductive system. 
As per Ayurveda, Vatta is the main culprit in menstrual irregularities. 

How To Deal With Menstrual Irregularities:

With the sudden acceptance of eastern concepts of yoga and organic and indigenous medicines around the world, Ayurveda has gained importance in treating irregular menses, gynecological and obstetric problems. 

Lifestyle and Food- There is no alternative for lifestyle and food habits correction. Eating healthy and nutritious food, regular exercise, yoga, physical activity, outdoor games lead to good physical health. 
Meditation and Breathing: Exercise is good for taming hormones. It keeps a person physical and mentally healthy. 
Avoid heavy physical work during menses. 
A good oil massage over body keeps Vatta in balance (one of the important tridoshas of body: vatta, pitta and kapha). 
Ayurveda has proven to be much helpful in regulating the menstrual cycles. According to certain studies, Ayurveda came in rather handy while tackling PCOS, a disease distressing 1 in 3 women today. It is certain that Ayurveda medicines work better in certain scenarios and definitely have fewer risks in comparison to allopathic medicines and surgeries. Over a period of time, they have proven much more beneficial in overcoming the irregular menses and the irritation along with the accompanying pain and PMS symptoms. Ayurvedic medicines use herbs and roots and almost everything found in nature to discover a rather organic cure for diseases. Certain plants like Shatavari are used to reduce the much spoken about mood swings or PMS symptoms during periods which can only worsen in case of an irregularity. The bark of the Ashoka tree has proven to be quite helpful in relieving menstrual pain and excessive bleeding. Other plants and their parts like the Lodhra, Guggul, Guduchi and Amlaki, Jatamansi etc. are useful in regulating periods and reducing the stress and irritation accompanied by it. 

Panchkarma- Basti therapy (Enema- administration of medicines through rectal route). In this treatment, decoction of different herbs and medicated oils are used for giving enema. Basti has proven its efficacy since centuries, for treating Vatta. A course of 5, 8, 15, 30 or 60 basti, as per person s requirement can be given for menstrual problems. Irregular periods, although are faced by a large chunk of women, pose different symptoms for different people and hence individualized treatment is advised.

Irregular Periods - Ayurvedic Home Remedies to Treat It

In most diseases, early detection of the disease is the key to control the symptoms, cure, reduce progression and improve prognosis. This holds true for sexually transmitted diseases too. As soon as there is a mild degree of suspicious of having contracted a sexually transmitted disease, it is advisable to go for a test. Most of the STDs can develop into serious complications over a period of time, ranging from infertility to even death.

Complications: Why early diagnosis is important: When left undiagnosed and untreated, most STDs progress to cause severe damage from sterility to cancer to even death. Listed below are some complications associated with each of the common STDs.

Chlamydia: If left untreated, can lead to epididymitis and testicles shrinking and infertility in males. This is a condition where there is pus formation in the scrotum. In women, it can lead to pelvic inflammatory disease which is deep-seated and unable to cure completely. This brings with it symptoms ranging from abdominal pain to uterine infections to sterility.
Syphillis: Undiagnosed syphilis can lead to blindness and deafness. It can also be passed onto the newborn and lead to severe disabilities.
Gonorrhea: If diagnosed early, it can be cured completely with antibiotics. However, if left untreated, it can lead to infertility.
HIV/AIDS: Early diagnosis can help in curtailing the disease. If detected late, then the damage is quite extensive and treatment is both expensive and cannot help restore a lot of functions. 
Symptoms of Sexually transmitted diseases: If there is a doubt of having contracted an STD, then it is very important to get tested for the same. Some of the most common symptoms are listed below.

Women: The most common symptoms in women including painful urination, burning sensation, abnormal vaginal discharge (sometimes bleeding), warts, and abdominal pain.
Men: Testicular pain, urethral pain, painful urination, pain and inflammation in the prostate, sores, fever, and abdominal pain.
Prevention: Always practice safe sexual practices. When in doubt, refrain from sex until diagnosis and treatment is complete.

Testing for STDs: Some of the standard tests include:

1. Herpes- HSV I & II - 
2. Testing HIV-- Kits and ELISA available for testing 
3. Blood test for syphilis antibodies 
4. Chlamydia and Gonorrhoea - from urine as well as swabs for culture
It is understandable that getting tested for STDs is an embarrassing situation. However, there are options available where anonymity can be maintained when getting tested for STDs. This is a wise choice to make as the risk is not just for the person affected but for the partner and in some cases even for the fetus. Early testing can help prevent complications like infertility and cancer.

STD Testing - Why You Should Never Delay?

The fallopian tubes are not mere passages for the egg to travel from the ovaries to the uterus. It is here that conception occurs and hence healthy fallopian tubes are essential for the fertilization of an egg. 

Damaged fallopian tubes are the most common cause of infertility. This damage can fall under three categories. 

 Blocked fallopian tubes
 One blocked and one open fallopian tube
 Tubal scarring

The third is usually an effect of pelvic infections or natural healing after a pelvic surgery. Sadly, in most cases, this condition is discovered only after infertility has been diagnosed. Other causes of fallopian tubal scarring include:

 Stds such as chlamydia trachomatis and neisseria gonorrhea
 Adhesions caused by ruptured ovarian cysts
 Appendicitis
 Peritonitis
 A history of ectopic pregnancies

Fallopian tubal scarring has no recognizable symptoms. Chronic pelvic pain is the only known symptom of this damage and that too can be seen only in severe cases of tubal scarring. On diagnosing infertility, your doctor will perform one of these tests to determine the condition of your fallopian tubes.

 Hysterosalpingogram: this is a type of x-ray. Your doctor will open the vagina with a speculum and inject a liquid into the uterus with the help of a catheter. If the liquid does not pass through the fallopian tubes, it is said to be blocked. This however, does not say much about tubal scarring.
 Laparoscopy: a small incision is made below the belly button and a slim, flexible tube with a camera is passed through the incision. This gives your doctor a clear view of the condition of your fallopian tubes. A laparoscopy can also be used to rule out other causes of infertility such as endometriosis or blocked fallopian tubes. 

Treatment for infertility caused by tubal scarring is of two types:

 Surgery: this is suggested in cases where tubal scarring is minimal. Depending on the intensity and placement of scar tissue, your doctor may decide to perform one of many types of surgeries. He may choose to remove the scarred section of the fallopian tube, create a new opening (in case of blockages) or rebuild the damaged edges of the fallopian tubes.
 In vitro fertilization (ivf): women with badly scarred fallopian tubes usually have poor chances of conceiving naturally. Hence, ivf is the preferred treatment route. However, your doctor may still advise you to undergo surgery and remove the damaged tubes prior to ivf to prevent the tubes from filling with fluid.

Tubal Scarring and Infertility

Early childhood is a time when the brain develops rapidly and nutrition is an important part of healthy brain development. It is important for children to eat a variety of foods that can provide them with the proper intake of carbohydrate, protein, good fats, minerals, vitamins and antioxidants. There is a very strong mind-gut connection; therefore focusing on the food you choose to complete the nutritional needs of your child can make a great difference in their brain function.

Certain foods are better for our brains than others, these brain foods may help boost a child's brain growth and even improve the memory and cognitive development.

During infancy, the amino acids and fatty acids in breast milk are ideal for optimal brain development. The brain continues to grow throughout early childhood and children who do no consume a balanced diet are at risk of developing mental retardation and behavioral problem.

10 brain foods to feed the mind and body properly:

1. Whole grains: Brain needs a consistent supply of glucose, thus foods those are high in refined sugars and carbohydrates leads to rapid fluctuation in blood glucose levels and the brain doesn't get the steady fuel supply and energy for proper functioning, therefore to nourish the most active part of body include whole-grain breads, oatmeal, roasted grains in the diet of children for regular release of glucose in body. Oats are also rich in vitamin-B, Vitamin-E, potassium and zinc.

2. Eggs: The protein and nutrients in eggs help kids concentrate because the egg yolks are packed with choline which boosts memory. Eggs are also rich in protein, which provides energy to help the brain stay alert longer.

3. Fish: Fish is a good source of vitamin D and omega-3s, which protect the brain from declining mental skills and memory loss. Salmon, tuna, and sardines are all rich in Omega-3s. The more Omega-3s we can get to the brain, the better it will function and the better kids will be able to focus.

4. Seeds: Packed with protein, essential fatty acids, vitamins and minerals. Seeds may boost mood and keep your nervous system in check. For example sunflower seed butter as they are rich in folate, vitamin E and selenium and are safe for nut-free zones.try to include seeds directly to the meals.

5. Iron is important for brain development: Preschoolers and toddlers typically eat less iron-rich foods than they did in infancy. In addition, the iron that children get is usually non-Heme iron (from plant sources,) which has lower availability than heme iron (from animal source).sources beef, nuts and dark leafy vegetable (spinach) and tofu.

6. Milk and Yoghurt: Milk and yoghurt contains healthy fats and proteins those are important for brain health. The majority of the brain is made up of fat, so it is no wonder healthy fat is important to feed the developing brain. Protein is important as it can help brain cells send and receive information effectively. Yoghurt also contains good bacteria that will help boost your child's immune system as well as aid digestion, children need higher dose of vitamin D, which is present in dairy and its products.

7. Organic Foods and leafy vegetables: These organic foods are free from pesticides and insecticides and preservatives and do not cause neurodevelopment problems in children, which will impair proper brain functioning. Green leafy vegetables are loaded with vitamin A and K; these keep inflammation at bay .e.g. Spinach, kale, lettuce.

8. Walnuts: The high level of antioxidants, vitamin and minerals in walnuts improves the cognitive health of kids and improve their mental alertness also.

9. Colorful veggies: Vegetables with a rich, deep color such as tomatoes, sweet potatoes, pumpkin, carrots, and spinach are the best sources of antioxidants that support brain health and keep brain cells strong. These foods can be given from weaning age.

10. Berries: The color of the food tells the nutritional value of it. All the berries like strawberry, cherries, blueberries and blackberries have intense color are especially rich in vitamin C and high levels of antioxidants. Blueberries have high levels of Gallic acid, which boost memory by preventing degeneration of brain cells.

So, go ahead and try to include different food group to your Child's plate for a better performance.

Must Have Brain Foods for Your Kids!

There are two methods by which abortion can be done:

Medical Abortion - Non-surgical abortion in which medicines are used to induce abortion

Surgical Abortion - Use of transcervical procedures for terminating a pregnancy, including vacuum aspiration, and dilatation and evacuation (D and E).

Surgical or Medical Abortion for Unwanted Pregnancy

If pregnancy is lesser than = 7 weeks; medical method with Mifepristone with Misoprostol is favorable as the success rate is as high as 97%.

If pregnancy is between 7-12 weeks; surgical abortion is the only option.

If pregnancy is beyond 12 weeks - 20 weeks, then the woman needs to be hospitalized and will be given either Mifepristone followed by Misoprostol tablet or only Misoprostol tablets and woman will then abort like a miscarriage in the hospital. If any products are remaining, then it will be evacuated surgically.

Surgical abortion is preferred if patient desires concurrent tubal ligation or IUCD (CuT) insertion.

If a woman fulfills the criteria for selecting either method i.e. before 7 weeks, final choice has to be given to the woman.

Summary of choice between Surgical or Medical abortion in India

lesser than = 7 weeks - Medical method or surgical method

7-12 weeks - Surgical abortion

12 - 20 weeks - Medicines with or without surgical procedure in hospital

Advantages of Medical Abortion

Avoid surgery

Controlled by the woman and may take place at home

No need for admission to the hospital

Usually, well tolerated by women, if properly counselled and motivated

No need to take leave from work, as bleeding can be managed with menstrual pads even while in the office or at work.

Disadvantages of medical abortion

Takes time (hours to days) to complete abortion, and the timing may not be predictable. Women experience bleeding and cramping, and potentially some other side-effects (nausea, vomiting, fever, and shivering). May require more clinic visits than surgical abortion.

Advantages of Surgical Abortion

Quick procedure

Complete abortion easily verified by evaluation of aspirated products of conception

Takes place in a hospital so Sterilization or placement of an intrauterine device (IUD) may be performed at the same time as the procedure. It can be performed under local anaesthesia if woman is properly motivated and counselled

Disadvantages of surgical abortion

Requires instrumentation of the uterus

Small risk of uterine or cervical injury

Timing of abortion controlled by the doctor and hospital

Anaesthesia needs to be administered. Most doctors perform this procedure under short general anaesthesia. A woman needs to be in the hospital for at least 6 hours. Effect of sedation will be there throughout the day.

Methods of Abortion for Unwanted Pregnancy

Parental Depression is an aspect which affects the innocent child, right from the time it is in the mother's womb.

Maternal depression could be due to various reasons ranging from familial disharmony to poor health. Unfortunately, a depressed mother's pessimistic thoughts could pass on to the pure soul inside her. So the effect starts in utero. After birth, she may be careless and negligent towards a child whose most important requirement is love. And children of these mothers become victims of behavioral and cognitive problems and poor school performers. They may also acquire the illness of depression eventually.

A depressed father will display stress and agitation instead of engaging the young minds in interesting learning or other activities.

Hence, before stepping into parenthood, it's important to be mentally fit and not just physically healthy. Exercise and meditation is of great help and of course a happy home environment.

Supporting each other is the key to getting things on track again.

Talk to your spouse: Chat with your spouse, showing affection, doing things with them and encouraging them to get out of the house are important.
Appreciate her but respect your family: Help her see that the family needs her and appreciates that she is expecting. While doing the same ensure that you respect the feelings of your family members.
Opt for specialist care: Offer to see a therapist and encourage her to take medications. Getting the help of an expert helps get guidance to handle difficult situations.
Be emotionally present with her: Go with her to as many antenatal checkups as you can, and make sure you are there for the ultrasound scans. This encourages a woman and gives her the satisfaction that her partner is involved.
Compliment her and pay attention to her: Many women find it difficult to cope with the changes in their body during pregnancy. She may be worried about stretch marks, concerned about weight gain or just be feeling not much like her old self. Make sure to compliment her and let her know how much you love her.
Be a shoulder for her to cry on: Listen to all of her concerns, and offer her the reassurance and support she really needs.
Be there to help: After the birth, your partner will need time to recover. She will be exhausted, sore and hormonal, and will be relying on you for support. Help with the baby, and do as much as you can.

What Is Parental Depression? How to Support Each Other?

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