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Reasons That Can Lead To Post Menopausal Bleeding!

Diploma In Endoscopic Surgery, DGO, MBBS
Gynaecologist, Delhi
Reasons That Can Lead To Post Menopausal Bleeding!
What is menopause?
Menopause is that phase in the life of a woman when she can no longer reproduce. It involves the loss of fertility and the cessation of the menstrual cycle. The woman will stop bleeding every month and the ovaries stop producing eggs that can be fertilized. Menopause normally sets on after the age of 40 and bleeding may permanently stop by the age of 50.

Post menopausal bleeding
You are known to reach menopause when you have not been bleeding for 1 entire year. Even a small amount of spotting should not have taken place. Post-menopausal bleeding is when bleeding occurs after a year of attaining menopause. It can be a serious health disorder and requires medical attention without any further delay.

Reasons behind post menopausal bleeding

Polyps that are mostly non-cancerous, unwanted growths on the cervical canal, uterus or ovaries are known to cause post-menopausal bleeding.
Thinning of the endometrium that lines the uterus can cause unexpected bleeding. It can be due to the rapidly receding levels of estrogen in the blood. It is also known as endometrial atrophy.
Endometrial hyperplasia is a condition that leads to the thickening of the inner lining of uterus (endometrium). It also leads to the growth of abnormal and malignant cells.
Endometrial cancer
Other health conditions such as reaction to hormone therapy, infections of the blood or reproductive organs, certain medications and blood-thinning drugs
Cancer of the ovaries, uterus or cervix
How it can be treated?

For diagnosis, you can undergo blood tests, ultrasounds, sonography and biopsy.
Hysterectomy is done to remove the uterus and cervix can be conducted for a complete cure. It also removes the ovaries, fallopian tubes and other lymph nodes.
Chemotherapy and other radiation therapies may be done for those who are in an advanced stage of endometrial cancer.
Medications such hormone regulators must be taken to prevent complications.

Treat Endometriosis Successfully With Ayurveda!

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Gynae & Obs ( Ayurevda ), Post Graduate Proficiency In Panchkarma
Gynaecologist, Mumbai
Little discomfort & pain during periods is normal. But if you have extremely painful periods detoriating your daily routine then we must rule out Endometriosis. The main symptom of endometrosis is extremely painful periods followed by heavy periods in some. Endometriosis has become one of the common gyneacological disorders seen in Modern era.

Endometriosis is nothing but growth of inner lining of uterus at unusual places like ovaries, tubes & other pelvic organs. The most common causes can be heredity, low immunity of reproductive system & reverse flow of menstrual blood through tubes to pelvic cavity. It increases inflamation in pelvic organs especially uterus leading to pain, bulky uterus, pelvic adhesions, endometriotic cysts, chocolate cysts, infertility & many more...

Coventional treatment of endometriosis is focused at stopping menstruation completely for certain period with hormones. But many times all the symptoms reapear once periods are back & surely there can be serious side effects of hormonal therapies offered for it too.

Ayurveda understands Endometriosis differently. Ayurvedic treatment for endometriosis is aimed at correcting the root cause. Ayurvedic medicines for endometriosis improves immunity of the reproductive system & prevent formation of new endometriotic lesions. At the same time Vatanulomana Ayurvedic combinations prevent the reverse flow of menstrual blood throgh tubes. Certain Ayurvedic combinations like Kanchanar guggulu, Yograj Guggulu etc are considered very good at desolving Endometriotic lesions completely if given with correct adjuvant. Herbs like Turmeric , Guduchi are very good at reducing inflamation & controlling pain during periods given in correct doses. Virechana formulations like Castor oil preparations also play important role to prevent backflow during periods & to reduce pain.

Each endometriosis patient need be assesed as per basic Ayurvedic Constitution & Dosha involved as per clinical symptoms by expert Ayurvedic doctors. No ayurvedic medicines should be taken by these patients without experts advise.

Endometriosis can be cured successfully without any side effects by Ayurveda!
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Menopause- What Are The Basic Changes Occurs To Your Breast?

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO
Gynaecologist, Muzaffarpur
Menopause- What Are The Basic Changes Occurs To Your Breast?
Menopause is a natural change in a female body that occurs after or around the age of 45, when the ability to bear children stops permanently. The fertility diminishes and the menstrual cycle stops. A decrease in hormone production, especially in the levels of estrogen, happens after the onset of menopausal years.

During this time, there are a number of physical changes that take place inside the woman s body. The noticeable changes happen in the female breasts.

Some visible changes to breasts during menopause

Non-cyclical breast pain is mostly not related to menstrual cycle and slowly stops with time.

Loss of glandular tissues is common and causes shrinkage in size.

With age, the connective tissues also lose elasticity and causes sagging

Breast pain could also be due to fibrocystic breast changes

There could be a chance of developing breast cancer

Density of the glands decreases inside the breasts and fat develops.

It is advisable to get any kind of discomfort examined by the doctor to make sure you are in the safe zone. Hormone replacement therapy (HRT) is not generally advised as it may create hormonal issues in the long run.

It is also important to follow a healthy diet comprising of protein, calcium , magnesium and other vital nutrients as advised by your doctor. Reduction in smoking and alcohol intake is highly beneficial and cuts down risk of major diseases. It is also necessary to exercise, remain physically active and maintain a healthy body weight during this time.

Regular check-ups, mammograms and self-examination of breasts help to diagnose and detect early signs of breast tumours and cancer and are highly recommended, especially for women who are in the perimenopausal and menopausal years.

Hi, My wife suffering endometriosis disease last 9 years. Its a curable disease? We have no kids. How much treatment cost at your organizations?

Gynaecologist, Noida
Implications of endometriosis depends on it's grade. Grade 3 or 4 endometriosis can't be treated fully but it's symptoms can be alleviated by various medicines and hormones. Also fertility is badly affected by it .A diagnostic and palliative laparoscopy can be planned to restore normal anatomy and fulgerate as much of the bulk of the disease as possible but the outcome of this surgery on fertility is not that promising and in most cases IVF may be needed depending on the case.
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Hi, I have endometriosis in my overy and I had 6 months Rumiguest. Now 1 month back my medicine course over but still my period are not start. After medicine over when will start my period. I am worried about this.

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO
Gynaecologist, Pune
Since you were on rumigest for 6 months, your periods are delayed. Once your cycles become ovulatory, you will get your periods.
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Top 7 Possible Causes Of Weight Gain In Women!

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Jaipur
Top 7 Possible Causes Of Weight Gain In Women!
The problem of obesity or weight gain is increasing by leaps and bounds among the people of almost all the age groups. This rising health issue is not only a reason for a bad figure and body shape but is also a major cause of in-numerous diseases. Especially, women are being affected by sudden weight gain in stomach and thighs because of several reasons. It is surprising to know that these reasons are not special or unknown but related to their daily life and living style.

Let s explore the top 7 possible causes of weight in women:

Compromising on sleep

Maintaining a balance between work and family demands for compromises and the biggest sacrifice which women make here is proper sleep. Getting ready for work, making lunch, daily household chores, getting kids ready for school, everything leads to a lot of tiredness. To eradicate it, you need sufficient hours of rest. Studies have proved that lack of sleep increases the levels of Ghretin- a hunger hormone which leads to overeating and this results into excessive weight gain in a short period of time. Sleep is as important as a good diet to stop gaining extra calories. So, if you are also not taking a deep sleep, start it right away!


Depression and obesity are intertwined, symptoms of both the problems affect each other. If you have put on a lot of weight it can lead you to depression and vice versa. So, which one came first, no one exactly knows. When depression sets in, it affects your weight severely, the appetite control centre of the brain loses its power to decide how much to eat. This illness is most common among the women as they are stressed and sometimes get tensed very quickly. This issue if not treated at early stages can later give birth to serious diseases like diabetes, heart problems, thyroid and many more. You need to address this, before it takes a serious turn!


At the age between 45 to 55 menstruation ceases in women and this is known as Menopause. But what it generally brings in is obesity. Studies show that about 35% of women aged between 50 to 55 are obese. The fat at the waistline increases after menopause and this is the major reason of weight gain. The lower levels of estrogens makes them eat more and remain physically inactive, all these processes ultimately increase the fat storage hence making them overweight. This problem is to be considered seriously before you are affected by any fatal disease.


Many more women than men suffer from thyroid and weight gain. This is because they undergo a lot of stress that finally affects their thyroid function. Mostly in this case the problems occur within the thyroid gland and appear later with a large imbalance in hormones. Thyroid, weight gain and menopause are therefore interrelated issues. If not cured at the earliest, it can be detrimental.

PCOD/PCOS(Polycystic Ovarian Disease/Syndrome)

Polycystic ovarian disease or Polycystic ovary syndrome is a condition in which a female s hormones are imbalanced. This disease has affected 5% to 10 % of women between the age group of 12 to 45 causing, irregular menstrual periods or even difficulty to conceive. If not treated on time it can lead to high insulin levels, obesity and ultimately heart diseases. The weight gained due to PCOD is difficult to lose. Hence it should be cured before this condition becomes disastrous.


This happens most of the time that women put on weight when they are expecting. Moms to be need to take care in this condition otherwise excessive weight gain can lead to many serious issues during their delivery. Bring obese at the time of pregnancy will not expose you to some extremely fatal diseases but can affect your baby too. Obesity increases the risk to miscarriage, birth defects, premature birth, stillbirth and a lot more.

Finishing Remaining Food

Yes, this is the biggest and the most common cause of obesity, especially in women. With the fear of wasting their own cooked food, most of the women try to finish whatever is left over, hence giving obesity an easy way to devour them completely. Excessive unnecessary eating leads to the collection of fats and calories in the body. Not just this, the in between hunger pangs and food cravings also makes them eat more than needed, paving way for extra carbs.

These are the 7 leading causes of weight gain and obesity that portray how risky and harmful this problem has become, especially among women. If you fall under any of these categories, don t wait till the situation becomes beyond control.
Smell the coffee before it gets cold!
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Hello Doctor, My endometrial thickness not increase from long time 5.3 only what can I do to increase thickness?

BHMS, Diploma in Dermatology
Homeopath, Hyderabad
Thicken the Endometrium Fertility doctors often prescribe medications that can thicken your endometrial lining. They may prescribe other drugs, too, that are designed to increase your chances of conception. Some of these medications have side effects, like multiple births, which may not be desirable to you. Working with a fertility clinic is also very expensive. If you have been told that your infertility may be a result of a thin endometrium, you can try to thicken it using a home remedy before paying for other fertility measures. The uterine lining responds to the levels of estrogen and progesterone in your body at any given time. As your estrogen level rises during the course of your menstrual cycle, the lining will increase. If you have a thin lining, you may simply need estrogen supplementation. Recent theories state, however, that taking synthetic or animal-derived estrogen may increase your chances for breast or uterine cancer, as well as heart disease. Rather than a prescription, you can try plant-derived phytoestrogens. These substances, found in soy, red clover and other plants, act the same way as your own estrogen in your body, without the health risks. You can find phytoestrogen supplements at your local pharmacy or health food store, and online. Follow package directions, and be sure not to overuse these products. Changes in hormone levels can affect many aspects of your health, not just reproduction. If you supplement with phytoestrogens, and still have trouble conceiving, consult with a qualified fertility expert.
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Nutrients During Menopause

Bsc Food & Nutrition, Msc Food & Nutrition
Dietitian/Nutritionist, Delhi
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The less weight you gain during menopause, the better your menopause symptoms in general, so it's worth adopting a diet of low fat, healthy foods, including fruits and vegetables, whole grains, and lean protein, that will help you maintain your weight.
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endometrial hyperplasia Kya ye theek ho skta h Aur kitte time mai Kya isse hmari pregnancy mai asr hoga.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, Fellowship in Assisted Reproductive technology, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Noida
endometrial hyperplasia Kya ye theek ho skta h  Aur kitte time mai Kya isse hmari pregnancy mai asr hoga.
Hello, Yes this is not normal. it is important to learn if its simple or complex and with or without atypia. Each has a different management.
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