Pelvic inflammatory disease (PID) refers to the infection that occurs in the female reproductive organs. It happens when sexually transmitted bacteria infect the uterus, ovaries or fallopian tubes on spreading from the vagina. Generally, the cervix plays the role of preventing the bacteria from entering the vagina and infecting the reproductive organs. But when the cervix becomes exposed to an STD, it loses its power to put a stop to the spread of these microorganisms to the reproductive organs.

What causes this condition?
STDs like gonorrhea and chlamydia have been found to be responsible for about 90% of PID cases.

Some of the other causes include
- Abortion
- Childbirth
- Pelvic procedures

The condition is only detected later in life when you face difficulty in getting pregnant or have chronic pelvic pain complaints. If you experience symptoms like vomiting, high fever, pain in the lower abdomen and instances of fainting, you should immediately seek a doctor.

What puts you at risk for PID?
Certain factors may put you at a higher risk for PID and these are:

- Instances of sexually transmitted diseases like Chlamydia (an STD that can occur from anal, oral or vaginal sex) and gonorrhea (a condition that causes discharge from the vagina or urethra) can make you prone to developing PID.

- Douching on a regular basis can increase your risk of PID as it disrupts the equilibrium of good and bad bacteria in your vagina, and may hide the symptoms of the condition as well.

- Even a previous history of PID can increase your chances of having another episode of PID.

- Compared to older women, teenagers who are sexually active are more prone to developing PID.

- Having multiple sexual partners can also put you at a greater risk for PID and STDs.

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Could you be at a risk of pelvic inflammatory disease (PID)?

3 Common skin problems in teenagers

Problems with the skin during the teenage years are very common. Although skin issues can be really stressful, the right skin care treatment can help in controlling the problems you may face during this time. Here are some of the skin issues that you may face at this stage of life and ways to prevent them:

Oily Skin: Oily skin is a very common occurrence during teenage years. To a certain extent, oily skin may be due to genetics but for some, it may be due to hormonal changes that cause excess oil to be produced on the skin surface. In order to not inflame the skin further, individuals with oily skin shouldn't overly scrub their skin as well as not use harsh cleansers to clean the face. More importantly, when you do use a cleanser on your face, you should only do so two times a day. If you go overboard, it would only do more harm than good.

Acne: Whether it is blackheads, whiteheads or spots filled with pus, acne affects about 80% of teenagers at some point in their lives. Teenagers are more prone to this problem because the hormone levels during this time are especially high, resulting in an increase in the magnitude of sebaceous glands and the oil that is produced. When too much oil is produced, this, along with dead skin cells block, the follicles, giving rise to acne. There are certain ways in which you can prevent it from occurring, such as always having a bath after any strenuous activity, not picking or touching the problem areas and washing acne-prone spots only two times a day.

Excessive Sweating: Excessive sweating is another major cause of concern for teenagers. The problem can be due to two different conditions - stress or hyperhidrosis (a condition wherein you sweat excessively on a daily basis). Wearing clothes made from cotton, using antiperspirants as well as avoiding drinks and foods that may cause episodes of excessive sweating are some of the ways in which you can keep the problem in control. 



3 Common Skin Problems in Teenagers

Eczema is a common skin problem that appears as red, raised rashes on the skin, commonly the face, neck, elbows, hands, and feet. Considered as an allergic response, it is often seen in people who have a predisposition to other allergies like asthma, hay fever, hives, etc.

The good news is that these have identified patterns, and there are things that can be easily done which can prevent flare-ups.

Reduce soap: Soaps are known to dry the skin up and irritate the skin, so eczema flare-up is common in those who love to lather themselves up. If possible, switch to soap or body wash that contains moisturizer as reduce the bacterial load on the skin. People who live in hot and humid locations, such as Mumbai it is important that they cleanse their face completely, else it can lead eczema eruption. 
Moisturize: Keep a moisturizer handy at all times. Eczema is common when the skin is dry, so keep applying moisturizer at regular intervals and keep eczema at bay. Make it a habit to apply moisturizer soon after the bath. The moist skin soaks it in nicely and provides maximum benefit when applied this way.
Avoid artificial fragrances: While deodorants and skin care creams which contain fragrances smell appealing, they also cause irritation and are harsh on the skin. This exacerbates eczema, and so avoiding these products is advised.
Know your trigger: This could be anything from a dishwasher liquid to a bath soap or a deodorant to some plant in your garden. Over a period of time, you will be able to identify the trigger, and avoid it so that eczema does not flare up. Remember, it is a type of allergy after all.
Detergents for washing clothes: Using milder detergents, especially for undergarments, greatly helps. Also, wash these twice to get rid of all the soap. Avoid fabric softeners as they are fragrant and can cause irritation.
Avoid hot baths: While a hot bath at the end of a long day sounds very relaxing, it also leaves your skin dry. This can worsen the condition of eczema. Add to this the irritation from your bedspread and pillow covers. Unless you have the habit of applying copious amounts of moisturizer before going to sleep.
Cover up your hands and face: When possible, use gloves and a mask especially when washing dishes and using laundry detergents. This way, you can prevent dryness and irritation of the skin on the hands and prevent eczema.
Soak it in the tub: When you stay for about 20 minutes in a tub (no hot water though, but lukewarm), the skin absorbs moisture which prevents it from drying. This greatly helps prevent eczema.
Cut down stress: Like any allergy, eczema acts up when stressed, so manage it. There is no point stressing anyways!

Eczema - How To Prevent Its Flare-ups?

Vaginismus is a condition characterized by significant pain in the vagina generally during sexual intercourse. This pain occurs on penetration due to the contraction of the vaginal muscles.

Causes

The exact cause of Vaginismus is not exactly known to the doctors. But some researchers suggests that the pain might result from severe anxiety or illogical fears before sex.

Vaginismus can be primary or secondary depending on the concerned woman s previous sexual experiences. Vaginismus can be linked to an earlier sexually painful experience, sexual trauma or psychological factors. In some cases, the pain tends to exist without any direct physical cause. The causes of the pain might vary from women to women and might occur in some cases with only one specific partner and not with others.

Sometimes the pain might stem from underlying infections or any other underlying complications.

The symptoms of Vaginismus are as follows:

Severe pain during intercourse.

Severe pain during insertion of tampons or during any medical check-ups.

The following treatments can be useful to treat Vaginismus:

If the pain arises due to anxiety or fear, counselling sessions can help you to a remedy.

If the pain arises whenever something penetrates the vaginal walls, progressive desensitization can be useful to treat the pain. The process aims to loosen the vaginal muscles so that you don t experience any pain during sexual intercourse.

Kegel exercises (at least 20 of them) can help in the initial stage to relax the vaginal muscles. After you exercise for a few days, you should try inserting one finger inside your vagina while doing the exercises. Try doing it gently and if it still hurts, try doing it with a lubricating jelly. This continuous procedure will help in the contraction of the vaginal muscles which eventually relax.

Vaginismus - Things You Should Be Aware of 

Female condoms are generally pouches made of latex and polyurethane, which are used by women during sex in order to prevent pregnancy and thereby reduce the chances of infection by sexually transmitted diseases. Each end of these pouches are made of rings that are flexible. They should be inserted deep inside the vagina before sex is initiated and held in the position by utilizing the rings available at the closed end while the rings which are at the open end remain outside the vagina during sex.

Even though it can be safely used by most people, some women would find female condoms to be an inappropriate form of contraception and would not feel comfortable with their genital areas being touched. Thus, it is very important that the appropriate form of contraception be considered for you and your partner. Condoms should be used correctly. In case of need for extra protection, other options of contraception should be considered.

Pros of female condoms
1. Since the exchange of bodily fluids, such as semen and vaginal fluid is prevented, female condoms aid in offering protection against many sexually transmitted diseases such as HIV.

2. Condoms can prove to be reliable pregnancy averting methods if they are properly and consistently used.

3. Female condoms are only needed during the time of sex. Any form of advance preparation is not required, hence making them suitable for unplanned sex.

4. Prescriptions are not needed

5. The condoms are usually small in size, disposable as well as easy to carry

6. Usually, using condoms does not show any medical side effects.

7. Insertion of female condoms can be done up to a duration of eight hours before sex. The responsibility for utilizing condoms properly should be shared by the woman as well as the partner.

Cons of female condoms
1. Even though condoms are generally very strong, they are prone to splitting or tearing in case of improper use.

2. Availability of female condoms pales in comparison to the male counterparts and they are usually more expensive.

3. The outer ring might produce a cumbersome feeling.

Pros and Cons of Female Condoms

While children can light up your life with joy and laughter, sometimes they can appear to be monsters with their temper tantrums and their stubbornness. Stubborn or obstinate children can be very difficult to deal with and could end up disrupting your life as well. However, there are a few techniques that mental health professionals have suggested that can help you deal with your stubborn and obstinate child. These are mentioned here briefly  

Hear Them Out: It s often the case that children tend to be stubborn or obstinate and start screaming when they think they weren t heard. This makes them feel helpless and thus forces them to bottle up and then take out their frustration by either not doing what you are telling them to do or doing exactly the opposite of that. The best treatment in this scenario is to hear them out and patiently try to resolve their problems.

Ensure They Follow Your Example: If one or both of the parents are extremely stubborn, then this would translate into a stubborn kid as well. Doctors have said that obstinacy is often in the genes. Also, environmental influence is a big deal for them as well. Ensure that you are flexible enough with your partner and the child picks up on it.

Teaching Kids About Give And Take: This is a very important lesson in life as it teaches kids to choose priorities. If you teach your kid to always give, then it sends a message that putting themselves second is the best option. However, if he or she is always fighting to take first priority, it may lead to too many conflicts later. Thus it is best to teach them that it is okay to fight for what is yours but also let others have their way sometimes. This attitude will help them develop a balanced attitude and lessen their obstinacy.

Give Them The Illusion Of Choice: Children are very malleable when it comes to their minds and you can use this trick to do certain things that make them appear they have some control when they actually may not. For example, if they are unwilling to go to sleep, you can say that you cannot make them sleep, but they have to stay in bed. Your child would then automatically fall asleep after some time due to boredom which would end up serving your purpose.

Use Scolding Or The Parent Card As A Last Resort: If any of the techniques mentioned don t work, then you can scold or warn your kid with consequences which may result in capitulation. For example, if you child is not willing to come back and study, then try and stop them from whatever they were doing and make them sit with their books. This lets them know that certain areas you will absolutely not compromise on and they will understand the limits better.

How To Deal With Stubborn Or Obstinate Children?

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