During the natural course of events, a woman's body starts its reproductive phase with menarche and at about 50 years of age, attains menopause. This is when the reproductive function ceases and the ovaries stop producing the hormone estrogen and progesterone. This is medically termed early or premature menopause. 

Menopause that occurs before 40 years of age is termed as Premature Menopause; it is due to primary ovarian insufficiency and occurs in 1% of the women.  If it occurs between 45 to 50 years, it is termed as early menopause.

Causes of premature menopause
Normal ageing, family history, genetic disorders, autoimmune disorders, toxins, and surgery are some reasons that could lead to premature menopause.

Effects:
Estrogen and progesterone have a lot of beneficial effects on a woman's body. Reduction in their levels leads to some of the below changes:

-    Emotional changes like mood swings, irritability, and in some cases depression, especially in       premature menopause.
-   Irregular cycles before complete cessation of the menstrual cycles.
-   General mucosal dryness leading to vaginal dryness, dry skin, dry eyes.
-   There also would be urinary incontinence and reduced sex drive due to reduced hormone levels.
-   For women who still would want to have children, infertility would be a big cause for concern. This could lead to other emotional issues, worsening the depression.
-   Bones lose their density and get weak and are more prone to fracture. This leads to Osteoporosis.
-   Postmenopause, women are more prone to heart attacks and stroke, leading to cardiovascular health issues. Though not fully proven, this is believed to be true as the good role that estrogen plays on blood vessels is negated with menopause.
-   Menopause leads to accelerated damage of genetic structures, thereby leading to faster ageing. This also leaves a feeling in the women of being less attractive and less desirable.

There is also a good news, that after menopause women are at lesser risk of cancer especially, breast and ovarian. 
However, it is not easy for women to handle premature menopause. The body undergoes some changes much earlier than expected, and it requires a lot of support and caring and comforting to come to terms with it especially, if associated with infertility or chemotherapy for cancer. Emotional issues of not being able to have children and feeling less attractive require frank talks to boost the person's confidence and increase self-worthiness.

It is easier said than done, but one of the key ways to handle premature menopause is an open discussion.

Premature Menopause - How Your Body Is Affected?

With any fertility treatment, a failure is possible due to several reasons. Most couples are having a problem while conceiving a baby and seek various fertility treatments with hope. When things happen otherwise, and the treatment fails, they miserably suffer.

What is IVF?

IVF or In Vitro Fertilization is a fertility treatment where eggs are removed from the woman s ovary and fertilized with retrieved sperms in a laboratory dish. The embryo is then transferred to the woman s uterus. The treatment is said to have a success rate of 40 percent; which means that it can fail in 60 percent cases.

So, why does the treatment fail?

Can it possibly fail ? 

Though the success of IVF depends on certain predominant factors like age and overall health, there are two common reasons behind a failure of IVF, and they are:

An abnormal embryo- The most prevalent reason for a failed IVF is an abnormal or incompetent embryo. In most cases, this is due to an irregular number of chromosomes (aneuploidy) in the embryo. This might be because of an abnormal egg or abnormal sperm or when both gametes are abnormal. 

Implantation failure- An underlying implantation dysfunction may prevent the embryo from attaching to the lining of the uterus. When the thickness of the endometrium is thin (less than 9 mm) at the time of progesterone administration, the implantation may fail. Implantation may fail due to surface lesions in the uterine cavity (due to scarring, polyps, or uterine fibroids) as well.

Other reasons are poor ovarian response and pre-treatment stress.

Make IVF a success with Ayurveda

Ayurveda, the ancient system of healing, appropriately prepares you well-ahead of an IVF treatment. The three key aspects of this treatment are   Detoxification, Nourishment, and Lifestyle changes.

Detoxification

The success of IVF is largely dependent on healthy eggs and sperms and a proper implantation of the embryo. Thus, as the first step, Ayurveda suggests that the couple are to be cleansed with Pancha Karma treatment before conception. Known as Beejshuddhi and Sthanshuddhi, the detoxification procedure purifies ovum, sperms, and uterus.

Along with these, other Pancha Karma procedures like Basti, Uttarbasti, Yoniprakshalana, Vamana, and Virechana are performed to improve the health of reproductive organs. Shirodhara helps in reducing the stress levels of the couple.

Nourishment

Diet is an inherent component of Ayurveda treatment. Hence, a diet that increases fertility is advised to the couple. The couple is advised to stay away from certain foods as well.

The fertility diet includes fresh and organic fruits and vegetables, whole grains, dairy proteins, Moong dal, soaked almonds and walnuts, dried fruits like figs, dates, and raisins, ajwain seeds, cumin seeds, and turmeric.

You should refrain yourself from spicy and salty foods and that containing artificial sweeteners, high-fat food, caffeine, alcohol, and excessive meat. Apart from the diet, certain Ayurvedic herbs are prescribed that strengthens the reproductive organs and improve immunity.

Lifestyle Changes

Infertility has become one of the lifestyle diseases. Ayurveda insists that healthy lifestyle is essential to conceive a baby. According to your body constitution, an Ayurvedic expert can guide you to make lifestyle modifications with Dinacharya and Rutucharya. Also, you must ensure adequate sleep and practice yoga (Surya Namaskar, Sarvangasana, Dhanurasana, Shalabasana, and Pranayama) regularly.

When IVF treatment is failing frequently, you tend to lose hope. However, with Ayurveda, there is definitely hope for success in conception.

How Ayurveda Can Help In Conceiving When Everything Else May Fail?

Kissing your loved one not only feels great but also is phenomenally great for your overall health and wellbeing. Did you know that deep kissing can boost your immunity, reduce your blood pressure and can help in maintaining your physique? Kissing has some surprising health benefits you would not have known. Read on to find how kissing ensures a healthier lifestyle for you.

1. Burns calories
Kissing is known to increase your metabolism rate up to 2 times more than usual, thus helping you to burn more calories. In fact, studies suggest that kissing your partner for more than 1 minute can help you burn almost 25 calories. 

2. Lowers stress
Kissing can be a great stress buster as it is known to reduce levels of cortisol,  the stress hormone,  in your body. Kissing also helps in boosting your immune system and as a result aids in overcoming post-work exhaustion to a great extent.

3. Ensures more sexual pleasure
Kissing has positive effects on your heart as well as self-esteem, and it is also usually the first step towards sexual intercourse. Kissing also plays a vital role in foreplay, and hence makes sex a more pleasurable and enjoyable experience.

4. Strengthens the bond of love
Research shows that couples who kiss more often and whose kisses last longer may have a better relationship. Kissing helps in increasing the connection between two individuals and ensures the partners of each other s feelings of commitment and compassion, which consequently helps in building a stronger and long lasting bond.
 
5. Makes you happy
Endorphins are known to be the hormones responsible for happiness. Locking lips initiates the release of endorphins, which make you feel happy. Studies suggest that kissing helps to curb depression better than psychologist treatments or anti-depressants.

6. Reduces pain
Engaging in a heated kissing session triggers your body to release adrenaline, which is known to reduce pain. 

7. Gives you healthier teeth
An intense passionate kiss results in more saliva secretion in your mouth. Researchers are of the opinion that this helps in washing away plaque from your teeth, resulting in less cavities, and whiter and healthier teeth.

8. Tightens your facial skin
A kiss requires the use of almost 30 muscles of your face together. This ensures a workout of your facial muscles and keeps them strong for a long time, leaving you both with a younger look and feel.

If you would like to consult with me privately, please click on 'Consult'.

Checkout 8 Surprising Health Benefits of Kissing!

Nutrition for you will never be as important to you as it is during pregnancy, because while eating you have to think not only about you, but also the development of your unborn child. However, merely eating is not enough you have to eat right. Here is your guide of what to eat and what to avoid, during pregnancy, so that your child gets the best nutrition.
Things to eat: 
1. Whole grains- whole grains, which can be found in food items like cereals, whole-wheat breads and pastas, are rich in folic acid, iron and fibers. Make sure you incorporate ample amount of whole grains in your diet to remain healthy during pregnancy.
2. Beans- beans are extremely nutritious for pregnant women, as they contain protein, fiber, iron, folate, zinc and calcium, which are much needed for the development of a healthy baby.
3. Fish- incorporate enough fish in your diet because they contain healthy omega-3 fatty acids. Salmon, for example, is exceptionally good for health since it contains less mercury than other fish.
4. Eggs- eggs are rich in protein, and is also a good source of other nutrients like amino acids, vitamins and minerals, including choline which is crucial for the baby's brain development.
5. Berries- berries contain vitamin c, calcium, folate and fiber, which is important to your diet, besides being a delicious addition to your meal.
6. Low fat yogurt- sweetened yogurt is extremely bad for your health, but a cup of plain, low fat yogurt contains copious amount of calcium and is also a good source of proteins.

Things to avoid: 
1) soft cheese- soft cheese, like feta, blue cheese, brie, etc. Are made of unpasteurized milk, which contain listeria bacteria which might be fatal for you and your child. Hence, they are best to avoid.
2) undercooked or raw food-raw meat may contain toxoplasma and other bacteria. Raw eggs in sauces like mayonnaise, uncooked dough, desserts like tiramisu and salad dressings are also harmful for you. Fish in sushis or self caught fish may also contain harmful bacteria and parasites or chemicals released from nearby factories. Do ensure that your meat and fish are thoroughly cooked while dining out as well.
3) unpasteurized juices- there is always a risk of juices, which are squeezed and unpasteurized, being contaminated with e-coli or salmonella, which can be very harmful for you.
4) pre-dressed poultry- poultry that has been dressed and stuffed at the market often run the risk of being contaminated by the juices of slaughtered poultry, proving to be best breeding grounds for bacteria.
5) unwashed fruits and vegetables- toxoplasma can breed on unwashed raw foods, which also cause harm to your health, mainly in the prenatal period.
6) alcohol, coffee and unpasteurized milk- these beverages have been deemed unsafe for pregnant ladies since they can cause severe health damages.

Nutrition Tips for Pregnant Women

4 Things that Cause Vaginal Dryness

Vaginal dryness is an uncomfortable and painful condition that usually occurs during or after menopause. The estrogen level in your body gets reduced during this time which eventually leads to vaginal dryness. However, there are other factors that can trigger this condition including certain medications and immune disorders. This is a problem that can affect women at any age but it is visible more frequently in older women.

Here are some common factors that may lead to vaginal dryness:

1. Hormonal changes - A decrease in estrogen level that occurs during menopause is one of the most common causes of vaginal dryness. The decrease in estrogen may also occur during perimenopause, during breastfeeding or after childbirth. Radiation and chemotherapy for cancer treatment may also result in a decrease in vaginal lubrication.

2. Irritants - Chemicals present in soaps, dyes, hygiene products and perfumes may cause allergy in some women. Irritants present in underwear or towels and other allergens like objects and lubricants that are placed in the vagina may also cause vaginal dryness.

3. Insufficient arousal - Low libido or other sexual problems may also lead to vaginal dryness. Poor sexual performance and early ejaculation may also contribute to it.

4. Anxiety - Sexual desire can be affected by emotional and psychological factors such as anxiety and stress that may eventually lead to vaginal dryness. High anxiety level in women results in insufficient flow of blood, causing vaginal dryness.

How can vaginal dryness be treated?

Topical estrogen therapy is a common method of treating vaginal dryness caused by low estrogen level. Topical estrogen helps in inserting some hormone that your body is no longer producing. This controls the vaginal symptoms to a certain extent but it does not replace as much estrogen as oral hormone therapy, in your blood stream. Lubricants and moisturizers may also be applied to reduce vaginal dryness and make sex less painful and uncomfortable.

Word of Caution

Please get a PAP Smear done before starting local estrogen and keep a follow up with your doctor.



4 Things that Cause Vaginal Dryness

When tissues that usually grow inside the uterus, start growing outside the organ, it is called endometriosis. Painful periods, pain during sex, pain while urinating or bowel movements, extreme bleeding, fatigue, infertility, diarrhea, bloating and nausea are some of the symptoms of endometriosis.

Treating endometriosis usually depends on the following factors

Age
Severity of symptoms
Severity of the disease
Future plans for children
Depending on these the doctor might opt for any of the following treatments

Medication for Pain: If the symptoms are mild, then the doctor will prescribe some pain killers like Nonsteroidal anti-inflammatory drugs. 
Hormone Therapy: Hormone therapy is effective, but once you stop them, your symptoms may come back. Some of the hormone therapies include: 
Hormonal Contraceptives: Birth control pills, vaginal rings and patches are useful in controlling the hormones that are responsible for tissue build-up outside the uterine cavity. 
Medroxyprogesterone: This drug stops menstruation, which in turn stops the tissue build-up and put an end to all the symptoms. But on the other hand, gaining weight, low bone production and depression are some of the common effects of this drug. 
Gonadotropin-releasing hormone (Gn-RH) antagonists and agonists: Hormones that stimulate ovaries are blocked by these. They bring down oestrogen levels and hence prevent menstruation. 
Danazol: This drug prevents menstruation and symptoms of endometriosis by blocking the hormones that stimulate the ovaries. However, Danazol may not be a favourable option because of its side effects. The drug should be avoided during pregnancy.
Conservative Surgery: If you are trying to get pregnant, but you already suffer from endometriosis, then removing endometriosis surgically is a viable solution. Your uterus and ovaries will be preserved, which might increase your chances of becoming pregnant. Even suffering from severe pain might find relief from conservative surgery. 
Hysterectomy: In extreme cases, the only way to deal with the symptoms is to completely remove the uterus, ovaries and cervix. Since a hysterectomy means you cannot have children, it is kept as the last option for women in their reproductive age.

Management of Endometriosis

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