What is vaginal dryness and how can it affect you?
Vaginal dryness is often a result of menopause and it is capable of affecting women of any age. Although it feels like a minor irritation, it can have a huge impact on a person's sex life. Normally, the vaginal walls are lubricated with a layer of clear fluid. The 'oestrogen' hormone is used to maintain this thin layer of fluid, thus keeping the vaginal lining thick, elastic and healthy. However, menopause brings about a condition known as vaginal atrophy, which is a drop in the levels of oestrogen and this greatly reduces the level of vaginal moisture that is available. Improper lubrication of the vagina can result in painful sex which in turn affects libido, arousal and desire.

Treatment 
The most common treatment for this condition resulting from low levels of oestrogen is Topical oestrogen therapy. In this, hormones which are no longer secreted by the body are replaced by the topical oestrogen. Even though Topical Oestrogen Therapy is helpful in relieving the symptoms of vaginal dryness, the treatment pales in comparison to oral oestrogen hormone therapy (HT).

Usually, women mostly use one of the three types of vaginal oestrogen listed below:
1. Vaginal oestrogen tablet: A tablet is inserted into the vagina using a disposable applicator. The procedure is carried out once daily during the initial two weeks of treatment, after which it can be inserted twice a week.

2. Vaginal oestrogen ring: A soft and flexible ring is inserted inside the vagina, either by the patient or the doctor. Oestrogen, in the form of a steady stream, is then released directly to the vaginal tissues by this ring. Replacement of this ring is done every three months.

3. Vaginal oestrogen cream: An applicator is used to apply cream to the vagina daily. The frequency of application can be reduced as per doctor's advice.

Side effects and aftercare 
Side effects such as breast pain and vaginal bleeding are common when any form of oestrogen product is used. Vaginal moisturisers should be used to keep the vagina lubricated. Use of water-based lubricants during sex can make it more enjoyable. Use of bubble baths, scented soaps, douches and lotions around the sensitive area of the vagina should be avoided as these products can worsen the problem.

Modes of Treatment for a Dry Vagina

7 Signs of Reproductive Disorders in Women

A woman's reproductive health is affected by several factors. It plays a very important role in maintaining your overall physiological health. Anomalies in the reproductive system can lead to irregularities in the menstrual cycle and cause severe complications when you try to conceive a child.

There are many signs and symptoms of reproductive disorders in women. It differs from case to case, depending on the exact nature of the disorder and the medical status of the patient. If you are experiencing any of these symptoms, consult a healthcare specialist right away. Some such signs are as follows:

- Persistent and unusual pain in the pelvic and abdominal region that lasts for more than six months
- Vaginal bleeding or spotting in between periods
- Periods occurring in unusual or irregular time intervals
- Excessively painful cramping during periods that is not alleviated by the intake of painkillers
- Presence of blood in urine
- Sudden fluctuations in body weight and changes in general physical appearance
- Irregularities in sleeping habits and patterns

In most cases, reproductive disorders in women are caused by fluctuations in hormone levels which can be triggered by various factors. Mental dysfunction and emotional stress can also manifest themselves as disorders of the female reproductive system. Treatment of the disorder and alleviation of symptoms is done by conducting a thorough medical analysis of the signs by a specialist and providing a diagnosis accordingly.



7 Signs of Reproductive Disorders in Women

Once you have got the happy news of a little one coming soon in your life, you should start taking some special care so that you can enjoy the journey of pregnancy and get a healthy baby.
 These are some pointers you have to follow during pregnancy:
Maintain good hygiene during pregnancy.Take bath regularly. Warm shower or sponge bath is considered better than tub bath.
Brush your teeth regularly and have a regular dental check up. Caries tooth can be extracted after 12 weeks of pregnancy.
Avoid wearing tight clothes and shoes with high heels. Wear loose and light clothes.
Take lots of fluid, fresh fruits & vegetables.
Take a diet which is light, nutritious, easily digestible & rich in protein, less fat, minerals and vitamins.
Stop smoking and drinking alcohol. It can cause miscarriage, defect in the development and growth of the baby.
Avoid jerky travelling, especially in 1st 12 wks and last 6wks of pregnancy. Prolonged sitting in a car or plane should be avoided. Air travel is not advisable to women who have high blood pressure, less hemoglobin (anemia) and low lying placenta.
Avoid taking any unprescribed drugs, exposure to X-Ray & chemicals especially in the 1st 12 weeks of pregnancy.
Take adequate rest in the lateral position and relax 1-2 hrs in the afternoon & 8 hrs at night.
Start taking folic acid at least 3 months before planning pregnancy & continue it till the 1st 12 weeks of pregnancy.
Start taking iron & calcium after 12 wks of pregnancy and continue it throughout pregnancy and 6 months post delivery.
Exercise regularly during pregnancy. Walking is the best exercise, but long periods of walking should be avoided. Also avoid heavy weight lifting and prolonged standing. Diving, water sking, gymnastic, netball, hockey, horse riding, cycling, rock-climbing, & scuba diving exercises should be avoided during pregnancy.
If you have any of these symptoms - vaginal bleeding, persistent abdominal pain, persistent vomiting, watery discharge from vagina, less or no fetal movement, severe headache, swelling on hands, face & feet, fever, dizziness, blurring of vision, double vision, spots before eyes, painful urination and diarrhea, immediately consult your gynecologist.

Do's and Don'ts in Pregnancy

Benefits of breastfeeding 

Breast milk contains the right balance of nutrients for your baby. Breast milk is easier to digest than is commercial formula.
The antibodies in breast milk boost your baby's immune system. Breastfed babies get fewer colds and sinus and ear infections. They also have less diarrhea and constipation and a decreased chance of having allergies.
Helps to increase the bonding with your baby
Helps to reduce the risk of breast cancer in the mother
No frantic runs to the store. No bottle cleanup. Many moms just roll over (especially if their baby is in a co-sleeper) and nurse in a sleepy state. Breast milk is instantly available and delivered warm.
If you mostly breastfeed, you save money on formula
Breast-feeding might even help you lose weight after the baby is born.
Its tough in the begining
Consider a breastfeeding class while you're pregnant. Getting baby to latch on may not feel natural. Ask for help in the hospital. Those first days, you might feel what experts call extreme tenderness -- and what we call pain. But once your baby is properly latched, discomfort should diminish during each nursing session and go away completely with time. Don't ignore shooting pain; a knot in the breast accompanied by soreness and redness could be a plugged milk duct, which can lead to mastitis, a nasty infection that requires antibiotics.

Start by getting comfortable. Support yourself with pillows if needed. Then cradle your baby close to your breast rather than learning forward to bring your breast to your baby. Support the baby's head with one hand and support your breast with the other hand. Tickle your baby's lower lip with your nipple to encourage your baby's mouth to open wide. Look and listen for a rhythmic sucking and swallowing pattern.

If you need to remove the baby from your breast, first release the suction by inserting your finger into the corner of your baby's mouth. If your baby consistently nurses on only one breast at a feeding during the first few weeks, pump the other breast to relieve pressure and protect your milk supply.

You're the food supply, so mother yourself

The nutrient needs of a woman are at an alltime high during breastfeeding. Keep taking prenatal vitamins, get ample calcium. By weight, 88% of breast milk is water. Breast milk volume increases from as little as 50 ml on the first day, to as much as 750 ml a day, when breastfeeding is well established. So, the most critical nutrient needed for the production of ample breastmilk to meet a suckling baby s demand, is water. Aim to drink at least 1.5- 2 litres/day.

You'll also need to learn to relax, however you can -- stress might affect letdown (the start of your milk flow). Take a warm shower, sink into a chair, and remember to breathe as you help your squirmy baby latch on. 

Select wholesome food such as wholegrains, fruit, vegetables, low fat dairy products, lean meat, fish, poultry, eggs, beans, nuts and seeds to maximise the overall nutrient quality of your diet.If you need medication (for anything from a cold to a chronic condition), check with your doctor. Most meds -- but not all -- are fine in breast milk. 

Breastfeeding - Why Is It Advocated & Tips For Moms

The post-partum period is the first few (usually six) weeks after delivering the baby. Sex might be the last thing you think of during this time. Sexual desires might decrease due to the following:

Healing from the incision (in case of a vaginal delivery)
Cesarean birth healing (abdominal incisions)
Fatigue caused by the whole birthing process and pregnancy
Stress caused by the newly born baby (especially more so in case of triplets or twins)
Shifts in the hormonal levels
Breastfeeding related breast sores
Emotional difficulties such as parenting anxiety, relationship problems with the baby s father
Postpartum blues
After the incision (if any) has fully healed along with the delicate vaginal tissues, it is generally safer to have intercourse. It might take a few weeks for the healing process to fully complete. The doctor will be able to give a more personal advice on when it is ok to start having sex again. Usually in case of a normal delivery, the waiting period is 6 weeks. The emotional readiness and physical comfort is extremely important as well. In a lot of cases it might take up to a year for normal sex life of the couple to resume again.

Also, there is a common misconception amongst many couples that during the postpartum period, having a baby again isn t possible. Condoms should be used if you aren t abstaining from sex in the postpartum period. This helps in avoiding an unplanned pregnancy and the complications that can arise from two successive deliveries.

The body goes through a lot of changes after giving birth. Low libido affects the sex drive. The body needs time to recuperate and might not be ready for sex immediately after giving birth as it switches itself to give care for the new born. A break is often necessary as the body and mind heal.

Vaginal dryness in the postpartum weeks is also very common. Lube and lots of it can help. The vagina, in the initial weeks, stretches out quite a bit. It slowly starts returning to its original contracted state as the muscles become tight again.

It s also important to remember that you can be intimate with your partner after you give birth to a baby, without having sex. Body contact and cuddles are ways of expressing your affection towards your partner. Love doesn t need to be dependent on sex!

How to Manage Sex After Pregnancy?

Most people will give you a blatant No. And they are quite right to do so. But if you have been a habitual offender who can't unwind without their drink, pregnancy is going to be a big problem. So does the rule stand in all cases? What if you drank when you didn't know you were pregnant yet? What if you had a light drink here and there, will it literally spell disaster? Let's find out.

Contradictory advice everywhere: Most doctors will advice you to stay away completely from alcohol as soon as that first positive emerges in your test. Others may give you a little leeway and let you have an occasional drink. There are friends who'll confess to have cheated during their pregnancy and snuck in a beer or two and say that their kids turned out just fine. There are other friends will scorn on you for even thinking such a thing. Same goes for your relatives. Like all things in pregnancy, random advice will just not work.

How much can you drink? Let's assume that you are confident nothing will happen and want to be adventurous and give it a cautious try. Danish researchers have some good news for you. Some studies have shown that low to moderate consumption of alcohol does not harm the baby. In fact, in 2012, Danish researchers released a highly publicized study that found no major problems in children below 5 years whose mothers had consumed 1- 8 alcoholic drinks a week during pregnancy.

Unfortunately, not all research is made equal. With pregnancy, each mother, each child and progression of each pregnancy is different. It really has to be on a case by case basis and nothing can be taken on face value. Most people will still advise you to completely go off alcohol as there is 'no safe' amount during pregnancy. Some women have a larger quantity of the enzyme that breaks down alcohol. If a woman with lower levels of this enzyme drinks alcohol, it is more likely to harm her unborn child as the alcohol will remain in her bloodstream longer.

How alcohol can affect your child?

A number of disorders that can affect your child when in the womb and even after because of alcohol consumption. These disorders are collectively called 'Fetal Alcohol Spectrum Disorder'. It is characterized by increased risk in miscarriage and stillbirth. It can also result in the baby having low birth weight and increase problems with learning, speech, attention span, language and hyperactivity. Alcohol consumption may also affect girl child and a baby boy differently. While both may turn out to have aggressive and delinquent behaviour, girls are more likely to develop mental health problems too.

If you are unable to give up on alcohol, you need to immediately get professional help to overcome your addiction. Also note that the term 'non-alcoholic' beverage is misleading as they can contain trace amounts of it. Consult a doctor today on which drinks are safe for you.

Alcohol in Pregnancy: Is it Safe?

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