Heavy menstrual bleeding, technically called menorrhagia, is one of the most common types of abnormal bleeding from the uterus. Menstrual bleeding is said to be heavy if there is so much blood that a tampon or pad remains soaked for several hours. 

Here are all the possible causes of heavy menstrual bleeding:
1. Hormonal imbalance
Estrogen and progesterone levels are the primary control mechanism for periods. If the ovaries have a problem in functioning, hormonal imbalances may occur. Heavy menstrual bleeding is most common in females who are at the start of menopause. Puberty menorrhagia can occur in adolescents who are experiencing their first menstrual period. 
2. Fibroids
Fibroids most commonly occur around the age when women can get pregnant. Uterine fibroids are non-cancerous growth on the uterus.
3. Ectopic pregnancy
An ectopic pregnancy is when a fertilized egg stays in the fallopian tube, but does not reach the uterus.
4. Blood thinners
These are medicines, which are usually anticoagulant or antiplatelet drugs.
5. Problems with iud
A non-hormonal intrauterine device is a t-shaped device used for birth control which is inserted into the uterus.
6. Adenomyosis
This is a condition in which the muscular wall of the uterus also gets the lining of the uterus intermingled with it. However, this condition is rare and only happens in middle aged women with several children.
7. Pid
Pid stands for pelvic inflammatory disease and refers to any infection within the organs of the reproductive system.
8. Cancer
Uterine, ovarian and cervical cancer are just some of the cancers, which may cause heavy menstrual bleeding.
9. Other diseases
Liver, kidney and thyroid diseases are all included.

Possible Causes of Heavy Menstrual Bleeding

Health benefits: Red Chilli vs Green Chilli

Chilies have always been known as ingredients that add spice to indian food. Without chilies, any indian food cuisine is incomplete. Both have distinct tastes and also have different health benefits. Here's a comparison between the two:

Red Chilli: Red chilies are dried and then used in food a preparation. It is spicier or hotter than green chilies.

1. Source of iron absorption - Red chilies contain a good proportion of iron which is very good for blood health. They also have a lot of vitamin c that helps the body in absorbing iron
2. Burns calories - They produce heat in the body that directly burns down calories, just like heat generated due to exercise
3. Relieves from congestion - In india red chilies are provided to a person for consumption when he is suffering from cold. It relieves congestion and helps is better respiration
4. Reduces blockage in arteries - They are very powerful antioxidants that clear any blockages in the arteries or blood vessels.

Green Chilli: Green chilies are more subtle in taste and are used as fresh spices in various food preparations.

1. Manages blood sugar levels - Green chilies tackle high blood sugar levels and control it if consumed regularly
2. Promotes digestion - Owing to the various fibers found in them, they help in better digestion
3. Good for skin - Green chilies being rich in vitamin e is a very good spice for a clean and healthy skin
4. Very good for heart - Due to a considerable proportion of beta-carotene in green chilies the cardiovascular systems stays strong and the heart too stays healthy
Both chilies have great benefits and consuming both in permitted quantities is only good for health.

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Red Chili Vs Green Chili : What's Hot?

Delivering a baby is a painful, but also a pleasurable moment for the mother. But if the delivery is done through a C-section surgery or what is more commonly termed as Caesarean delivery, the pain is not felt during the actual delivery since the woman in under anaesthesia. However, the real challenge is to recover from the operation. The first week is particularly critical. Here are some things you can do to manage it with less discomfort:

The first few hours, naturally, you will be under close observation till you fully regain conscience if it was a general anaesthesia. If only the lower portion was numbed for the surgery, then also the feelings in the legs etc. will return within a few hours.
You will start breastfeeding the baby; wear comfortable clothes so that you can feed the baby without any discomfort. If this is the first experience, learn things that you need to know through books or from friends and relatives who would have had a C-section earlier.
You may feel more comfortable in a recliner than a flat bed. Most hospitals should be able to provide you one.
You might be better off with a heater pad of your own, since your back may be aching considerably and bringing down the pain is essential.
Wearing a binder around your tummy is another suggestion given by many women who have had a C-section delivery; besides helping with easing the pain, it also prevents the tummy from bulging, which you would want to avoid.
Follow the obstetrician s advice on having a shower and also on resuming some of your physical activities without hurting the stitches or the sutures.
By Day 3, you should be able to resume eating your normal diet; in many cases, it could be earlier than that.
Do take care to avoid lifting anything heavy. The heaviest object you can lift is your baby. Make your husband or any other person to help you through this period to avoid any complications later.
How about medicines? If you are already on any kind of medication and if you had stopped any of them due to the surgical procedure, check with the doctor and resume taking the medicines.
Keep a close watch on the food you eat, particularly since you will also be nursing your baby. Don t hesitate to consult the doctor on things you may be fond of, but have to avoid in order to protect the kid from being affected in any way.
Pregnancy and delivery are some of the happiest moments in any mother s life; so remain cheerful throughout and enjoy the moments. If the delivery has been done through C-section, some of these extra precautions are to be observed to make it easy for yourself to recover fast.

C-Section - Tips to Help You Recover From It

Exercise after pregnancy can make a woman feel at her best. It can help her to lose extra pounds specifically when it is combined with reduced intake of calories. It will also boost her level of energy and relieve stress along with strengthening and toning abdominal muscles. Exercising regularly will also set a positive example for your baby so that he or she can imbibe the same and include it in their regime from an early childhood.
Workout and Breast-feeding: are they related?
Exercise is not deemed to have any negative effects on either breast milk composition or volume. It also doesn t affect the growth and development of a nursing baby. Though some researchers report that high-intensity weight loss training may cause accumulation of lactic acid in the breast milk causing a sour taste, but such instances are very rare and don t happen with regular free hand to moderate exercise.
If you are willing to indulge in vigorous exercise during the first few months of feeding your baby, you can feed him or her before exercising or pumping the milk before workout and feed it afterwards. Alternatively, you can take a shower after the workout and express a few drops of milk before feeding your baby.
When is the right time to start a workout?
If you had experienced an uncomplicated normal delivery, it is particularly safe to start exercising after a few days of giving birth or as soon as your body feels ready. If you had a complicated birth, or a C-section or an extensive vaginal repair, you should seek advice from a gynaecologist about the ideal time to start a workout program.
Activities that you may start with-
For the majority of healthy women, the Department of Health and Human Services suggests at least 150 minutes of moderate exercises or aerobic activity spanning through a week. You may start with a simple and low impact exercise such as a plain walk. You can even look for a post-partum workout class at a local fitness club, gym or community centre. Then you can proceed towards starting pelvic tilt and kegel exercises.
When you are nursing a newborn, getting enough time for routine exercises can be very challenging. Hormonal imbalance would bring about mood swings and some days you may feel too tired for a full-time work workout. out. However, you must never give up; speak with a health care specialist and seek the support of your partner and friends to stay motivated right through.


When Can You Resume Exercising Post-Delivery?

Recurrent pregnancy losses happen to a very small fraction of the population. Only 1% of couples are affected by it. Nevertheless, it is a very difficult and serious process to deal with due to the sensitivity of the issue. A woman is said to have recurrent pregnancy losses if she has lost 3 or more of her pregnancies. Although the exact reason for recurrent pregnancy losses are not known, there are several suggested reasons.

Reasons why it may happen 

Anomalies in the uterine lining such as polyps (abnormal tissue growth, usually in the cervix), or fibroid tumors can result in miscarriages if left untreated.
Hormonal factors such as thyroid malfunctions or pituitary problems can cause an imbalance in the luteinizing hormone (a hormone which triggers ovulation) resulting in miscarriage.
Age is also an issue one must keep in mind while addressing pregnancy losses. Women over the age of 35 are more likely to experience recurrent pregnancy losses. As women get closer to menopause, their bodies produce reduced levels of hormones and eggs which cater to a pregnancy. Therefore, due to the reduced levels of hormones, an older woman is susceptible to losing a baby as they have elevated levels of hormones and therefore are more fertile.
Lifestyle factors also have been linked to recurrent pregnancy losses. Constant exposure to toxic chemicals can result in pregnancy problems. Along with that, constant drug use, smoking and excessive consumption of alcohol are some of the lifestyle choices that can cause recurrent pregnancy losses.
Infections such as syphilis, malaria, measles, herpes simplex etc. can cause recurrent pregnancy symptoms if left untreated as they can obstruct and complicate the growth of the baby, resulting in premature development or pregnancy loss.
Management of Pregnancy Loss

Polyps and fibroid tumors are complicated disorders which should be given immediate medical attention. Although surgical methods are available, the best way to treat polyps and fibroid tumors is through the intake of progestin hormone pills which shrink the size of the polyps/cysts.
Eating a healthy diet to ensure the prevention of diabetes is highly recommended. Fruits, leafy green vegetables and whole grain cereals are a prerequisite for the complete growth of the baby as well as arming the body with the necessary strength it needs for pregnancy transitions as well as a stronger immune system.
A regular workout routine is also advised for pregnant women as it ensures a healthier and stronger immune system.
Although recurrent pregnancy loss is very emotionally debilitating for a woman and her partner, there are several means and measures to overcome this tragedy. One should not be disheartened by such an occurrence and get the required help needed.


Recurrent Pregnancy Loss - Possible Reasons Behind It!

When endometrial tissue that usually grows inside the uterus, starts growing outside uterus, it is called Endometriosis. Pain during or before periods, pain during intercourse, pain while urinating or bowel movements, heavy bleeding, infertility are some of the symptoms of endometriosis.

Treatment of endometriosis usually depends on the following factors:

Age of female
Severity of symptoms
Duration of the symptoms
Future plans for children/ fertility
Associated pathologies
Accordingly the doctor might choose any of the treatment options like:

Medication for Pain: If the symptoms are mild, then the doctor will prescribe some pain  relieving medications like Nonsteroidal anti-inflammatory drugs (e.g. Diclofenac) or anti-spasmodics(e.g.drotaverine)
Hormone Therapy: Hormone therapy is effective, but once you stop them, your symptoms may recur. Some of the hormone therapies include: 
Hormonal Contraceptive pills: Useful in controlling the hormones that are responsible for endometrial tissue growing outside the uterine cavity.
Medroxyprogesterone: This helps to counter effect estrogen hormone which is responsible for endometrial tissue growth.
Gonadotropin-releasing hormone (GnRH) agonists: Gonadotropin hormones that stimulate ovaries are blocked by these. They bring down oestrogen levels and hence symptoms. It can cause absence of menstruation in some females which is reversible.
Danazol: It is synthetic androgen, suppresses growth of endometrial tissue temporarily.  However, Danazol may not be a favourable option because of its side effects. Females should avoid pregnancy while on this drug.
Dienogest: This newer progesterone molecule, which does not have major side effects and is apporved for use in endometriosis.
Other medications like selective progesterone receptor modulators, immunomodulators, anti angiogenic factors are being evaluated.
Conservative surgery: If you are trying to conceive, then surgical excision or ablation of endometrial tissue is one treatment option.Suboptimal surgery with conservation of maximum ovarian tissue is considered suitable in such cases.
Hysterectomy: In severe endometriosis cases where female has completed her family, hysterectomy is offered wherein the uterus, cervix & if required ovaries can be removed.

Endometriosis - Ways To Manage It Well!

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