Menopause is a condition that marks the end of the menstrual cycle. It is a normal phenomenon that women experience with age. Menopause affects the bone health adversely. Bone health is directly tied to oestrogen, the hormone responsible for reproductive cycles, pain sensitivity. As a woman moves out of her fertile years there is an internal change in the reproductive system and the consequences can be seen and felt all over the body, including the bones.

The years just preceding menopause, with their hormonal fluctuations can set the stage for later health issues like bone weakening. As the oestrogen level drops, the bone density starts to decline which continues for a long period of time. The bone loss can become significant during perimenopause (the decades making up to menopause) and will speed up in the first few years of menopause.

The oestrogen level directly affects the process known as bone remodelling; the constant breakdown and the remodelling of the bone in the skeleton. With less oestrogen in the body cells called osteoclasts are able to absorb bone at a faster rate than osteoblasts (bone-building cells) are able to regenerate new bone. Thus the bone remodelling equation is no longer equal and the bone density continues to decline.

The osteoporosis risk after menopause is a serious one, yet so many women refuse to pay it much attention. Perhaps it s because the bone damage isn t visible, or that bone loss continues so gradually for so many years. While the bone loss cannot be completely halted, there is plenty that can be done to slow it down. Here are some ways to take care of your bone health before or after menopause.

Stay active: Adopting an active lifestyle after menopause helps in protecting the bones. It's recommended that adults between 19 to 64 years of age should do moderate to intense activity. This could include activities such as cycling or brisk walking. Sitting for long hours should be avoided. Weight-bearing exercises and resistance exercises are particularly important for improving bone strength and helping to prevent osteoporosis.
A balanced healthy diet: A healthy, balanced diet that includes calcium and vitamin D will help maintain healthy bones after the menopause. Good sources of calcium include green, leafy vegetables (but not spinach), nuts, seeds, dried fruit, tinned fish with the bones in, and dairy products like milk, yoghurt and cheese. Good food sources of vitamin D include oily fish, eggs, and fat spreads or breakfast cereals
Hormone replacement therapy: HRT can be an effective treatment for common menopausal symptoms like night sweats, sleep disturbance and achy joints. It works by replacing oestrogen, which naturally begins to lower post menopause. HRT can also help to maintain bone density and reduce the risk of osteoporosis.

Bone Health - Know How It Is Affected Post Menopause!

Diabetes is something which has become so common over the past few decades and this is said to be a cause of worry as most people don't understand how to prevent and manage it. This has led to some myths, gaining more than their fair share of popularity. So, wouldn t it be a good idea to get to know a little more so as to separate the myths from the facts?

Weight & watch: One of the most common myths when it comes to diabetes is the belief that a person is going to have his or her life adversely affected if he or she is overweight. While it is true that being overweight happens to be one of the risk factors related to diabetes, it is important to keep in mind the fact that there are other risk factors which are responsible, as well. Some of these factors are age and family history, as well as the ethnicity of the person. Taking this into account, it should not come as too much of a surprise to know that there are quite a few people who are not overweight, but are still fighting diabetes.
Packaged tricks: Considering the rise in the number of people who are suffering from diabetes, this has led to food being marketed specifically for their consumption. However, in reality, whatever represents a healthy diet is sufficient for a person who is diabetic. So a diet which does not have a high amount of saturated fats and trans fats and does not go overboard with starch and sugar, but features a fair amount of lean protein works well too. All the fancy diabetic food, which a person buys, is only likely to drive a great hole in the wallet and not have any additional health benefits. Therefore, the extra spending is nowhere close to being worthwhile and should be avoided.
Fruits punch: Many people are of the opinion that it is the processed and sugary food items, which cause diabetes and this is true to a significant extent. However, some people are of the view that since fruit is natural, diabetics can eat as much of it as they like. This is where the thinking gets dangerous. Some fruits are rich in carbohydrates and so it should be consumed in a reasonable quantity, as part of the daily meal plan. After all, too much of any good thing is bad!

Diabetes - 3 Myths Decoded!

When it comes to giving birth, vaginal delivery is considered to be the most natural process. However, several women nowadays opt for C-section or Cesarean section to avoid the labour pain that accompanies natural birth.If you are pregnant and weighing the pros and cons of natural and C-section delivery, here are a few things to consider.

Vaginal Delivery
The Pros of this method of delivery are as follows:

1. From the psychological perspective, women who undertake a vaginal delivery have a positive birth giving experience. Women undergoing this method think they should be present in the process. 
2. The recovery time for women opting for vaginal delivery is shorter. The mother and the baby can make skin contact right after the delivery, which enhances the bonding process.
3. Babies who are born through vaginal delivery develop much fewer medical complications. There are fewer respiratory problems, allergies and the baby can start breastfeeding soon.

The Cons of vaginal delivery are as follows:
1. Vaginal delivery is a stressful process for the women undergoing it and the time required cannot be predicted. Some deliveries take less time, while others may take hours.
2. Usually, there are no cons for the babies who are born via vaginal delivery. In very rare cases, brain injury can be experienced.

Cesarean Section
The pros of this type of delivery method are as follows:
1. Many women choose Caesarean sections to avoid long labor hours. Planned C-section surgeries enable the mother to plan the birth. Better control is acquired over the delivery, which can be predicted properly.
2. In case your baby is large, or if you are carrying twins, C-section is the best delivery option. 
3. If the mother has diseases such as HIV or the mother's blood has a high viral load, C-section surgeries should be opted as the risk of the infection being passed on to the baby is decreased.

The cons of Cesarean section surgery are as follows:
1. C-section is a major surgery and a long time is required for recovery. There may be risks of infection, but they can be prevented by caring for the surgical wound properly. C-section delays the breastfeeding process and the mother cannot have immediate contact with her baby, which can affect the bonding.

2. Some babies, delivered through C-section may have respiratory problems. C-sections may also cause complications, such as problems with anaesthesia.

While both processes have their pros and cons, it is best to discuss with your doctor to understand which process will suit you more. Depending on your pregnancy and whether there are any complications involved, your doctor will suggest the best way possible.

Vaginal Birth Vs C-section - Pros and Cons

For some women, having their own children is not as easy as it seems. Suffering from more than two or more miscarriages is known as recurrent miscarriage. This experience affects every aspect of a woman s life from her mental and emotional health to her physical health and social well-being. 

It is important for a woman undergoing this experience to keep in mind that she can still give birth to a healthy baby even after recurrent miscarriages.

Look after your health: Miscarriages are not very uncommon and in many instances are a result of the woman s body not being able to take the strain if a growing fetus. Hence, pay attention to your health to prepare your body for future pregnancies. Avoid smoking, alcohol, caffeine and exposure to toxins that can cause fertility problems. Eat healthy food and start taking a multivitamin with folic acid on a daily basis. Exercise regularly, but avoid strenuous activities that involve heavy lifting or dangerous contact sports. Yoga is great for pregnant women or women planning a family as it tones your body keeps your stress levels low.
Talk to people: A miscarriage can affect your emotional health and self-image, but you must remember that you are in a way responsible for the miscarriage. Talk to other women who have had a similar experience and share your feelings with them. Men and women cope with a miscarriage in different ways and hence work on communicating your feelings with your partner. Do not suppress your feelings, but acknowledge them and work through them. You may also find it beneficial to talk to a counsellor or get involved with a support group.
Give yourself a break: It s ok to not attend your friend s baby shower when you ve recently suffered a miscarriage. Instead of surrounding yourself with your friend s babies and children, take a break and pay attention to yourself. Develop a hobby or find something to keep yourself busy. Take a holiday with your partner and find ways to reconnect with them. Find your own way of acknowledging the pregnancy. This could be in the form of writing about it, naming the baby or planting a tree in memory of the baby.
Get proactive: Don t sink into despair because of your miscarriages. Educate yourself about the various reasons you may have miscarried the baby by reading books or talking to medical professionals. This can help prevent future miscarriages.

Recurrent Miscarriage - How to Deal With It?

Contraceptive methods of birth control are usually quite successful. By these methods, you can enjoy your life without the worry of pregnancy. Modern technology has led to the formulation of avid techniques of contraception; some are temporary and the others permanent. However, no matter how well these methods work, almost all of them have got a variety of side effects on your body and health.

Here is a list of different modes of contraception and the side effects they may cause:

 Hormonal implants
This long term method of birth control is an effective one. The side effects are:
- a surgery is required where rods are inserted under your skin. This might be risky surgery
- if you want to remove it, again another surgery has to be carried out
- an infection may develop in the area where the thin rods are inserted

Intra uterine device
A device is fitted into the uterus, which does not cause pregnancy. An effective method with the following side effects:
- there is a risk of the device falling off
- this causes puncture in the uterus
- the device made of copper may lead to menstrual cramps and spotting

Depo provera hormonal injection
This mode of contraception involves taking an injection, which restricts pregnancy for a period of three months. The side effects are:
- gaining of extra weight, fatigue
- decrease of bone density
- menstrual bleeding along with spotting takes place

Birth control pills
Birth control pills are one of the most common and most effective ways of birth control or contraception. However, several side effects may be observed.
- causes nausea, headaches and also blood clots in rare cases
- in case you use other prescribed medicines along with birth control pills, severe damage may be inflicted

Vaginal ring
This mode of contraception is very effective. It also helps in making menstrual periods of women much lighter and in continuity. The side effects are:
- may cause nausea and headache
- there is a vast increase in appetite
- there is a risk of blood clot formation.

Diaphragm
A very successful mode of contraception where a diaphragm is inserted and fitted into the vagina. The negatives of this mode are:
- it may get out of place during sex and is likely to cause damage
- the process can be a mess
- causes urinary infections

All modes of contraception irrespective of their effectiveness have got some side effects on your health. Hence, you must choose them wisely.

Comparison of Side Effects of Different Contraceptive Methods

While the decision to breastfeed or not to is a personal one, however, it is known to have a number of benefits for both the baby and the mother. Ideally, a newborn baby should be fed only mother s milk for the first six months of his or her life. This not only provides a nutritious diet for the infant, but it can also protect the baby from a number of diseases that could affect them now and in the years to come. 

Here are a few reasons a mother should breastfeed her baby

Well balanced nutrition: Mother s milk is better than any form of infant formula. This is because it contains the perfect mix of vitamins, proteins and fats essential for your baby s growth. Also, these nutrients are made available to the baby is easy to digest form which increases the amount of nutrition absorbed by the baby s body. By breastfeeding a baby, the chances of them being overweight in their later years is also reduced.
Immunity booster: Along with nutrients breast milk is also rich in antibodies that protect your baby against viral and bacterial infections. Breastfeeding a baby reduces their risk of suffering from asthma and other allergies in future and also reduces the frequency of ear infections, respiratory diseases and diarrhea.
Better bonding: When a baby is being breastfed it is held close to the mother s body and skin to skin contact is established. This benefits both the baby and the mother and helps build a strong bond between them. For the baby, this skin to skin contact builds a sense of security and for the mother, breastfeeding the baby can help deal with postpartum depression and make her feel connected to the baby.
Helps the mother recover: Breastfeeding helps the mother get her body back to its pre-pregnancy condition faster. This is because breastfeeding burns calories and hence helps the mother lose pregnancy weight faster. It also triggers the release of hormones such as oxytocin which reduce uterine bleeding after delivery and help the uterus get back to its original size.
When breastfeeding a baby it is important to recognize when the baby is hungry and feed him or her before they start crying. Typically an infant should feed on each breast for 10-20 minutes at a stretch. It is also important to be patient and comfortable while breastfeeding so as to allow milk to flow evenly and to prevent fatigue. 

Breastfeeding - Creating Awareness On Its Benefits!

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