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Womens Health Tips

Pre-wedding Sexual Nutrition - Rasayana!

Dr. Himanshu Grover 95% (455 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD Ayurveda
Sexologist, Yamunanagar
Pre-wedding Sexual Nutrition - Rasayana!

Pre-wedding time can be full of extreme emotions such as sadness, happiness, or confusion. Marriage is one of the most important phases in one’s life. Hence, it is essential to be prepared for it in every way so that you can fulfill your marital responsibilities with your partner.

One aspect of a happy married life is sexual health. Pre-wedding time is optimal to start investing in sexual health for pursuing marital responsibilities effectively. For this, you need to maintain a nutritious diet plan that helps in the proper functioning of the reproductive system in your body. This nutritious diet can be maintained with the help of Ayurveda.

In Ayurveda, the balance of the energy levels is important to maintain the healthy functioning of the organs and tissues in the body. The purification of this energy is equally essential. This energy is refined/purified to develop Ojas; representing the self-healing or restorative body capacity.

Since reproductive tissue (Shukra Dhatu) is regarded as a psychological treasure for energy, the purification of this energy assists in proper and healthy functioning of the reproductive system. Healthy Ojas means an ideal balance of mind, body, and spirit.

Medication and Herbs as Sexual Nutrition

Sexual activity is a kind of vigorous exercise. Inactive individuals tend to lose energy quickly during sexual activity. In Ayurveda, there are various herbs that focus on improving one’s energy levels and sexual health.
There are two prominent herb branches in Ayurveda: Vajikarana and Rasayana. Vajikarana herbs mainly work on a regenerative approach that stimulates potency of sexual organs and hormones. Rasayana herbs are revitalizing medicines that have regenerative functions. These herbs help in revitalizing the reproductive system.

● Withania somnifera or Ashwagandha is a Rasayana herb that revitalizes the antioxidant enzymes in the body. It also helps in balancing the sex hormones. In men, it helps in improving sperm count and sperm motility.
Asparagus racemosa or Shatavari is considered as an effective Ayurveda medicine for women. The compounds present in Shatavari improve egg maturation and ovulation in young females. For older women, this herb helps in soothing menopause symptoms and maintaining proper functioning of sexual organs.
● Tribulus terrestris or Gokhsura herb is a commonly known aphrodisiac. This herb affects the hormone levels and has the capacity to increase luteinizing hormone (a regulating hormone) and androgens such as DHEA, Dihydrotestosterone, and Testosterone. In men, Gokhsura herb improves sexual function.
● Asphaltum punjabium or Shilajeet is regarded as an exceptional source of approximately eighty-five minerals in ionic forms. In men, this herb helps improve follicle stimulation and testosterone hormone. It also enhances sperm count and motility.

Takeaway

Sexual life is as important as any other dimension of life and one must look after her/his sexual health seriously. In Ayurveda, there are a number of herbs which help in improving the sexual health in both men and women together. Also, Ayurveda helps in maintaining a balanced diet and sleep cycle in one’s lifestyle. These herbs help rejuvenate reproductive tissues and ultimately improve the overall health of an individual.

1474 people found this helpful

Working Women & Hormonal Issues - Is There A Link?

Dr. Usha Agarwal 84% (11 ratings)
MBBS, MD - Obstetrtics & Gynaecology, DGO - Obstetrtics & Gynaecology, FCPS - Dermatology, Venereology & Leprosy
Gynaecologist, Navi Mumbai
Working Women & Hormonal Issues - Is There A Link?

Corporate culture is blooming now more than ever. The continuous development in the corporate industry is attracting people from various genders to work and build a better future. However, as productive and pleasing it may sound, the added pressure is always there for people to fulfil their marked goals, either set by corporate or individuals. With the cutting-edge competition in the corporate industry, the stress levels are high. Because of the tendency of women to produce more stress hormones than men, women are more likely to face development challenges in the corporate field. High-stress levels in the corporate industry can cause women to suffer from hormonal imbalances in their lives. But, discussing hormonal health is considered a private matter to women and it is rarely discussed. 

There are various types of hormones in the body regulated by various glands and some of the hormones play an important role in women to maintain the well-functioning body on a daily basis. These hormones include estrogen, testosterone, progesterone, thyroid hormone, cortisol, and prolactin. When these hormones are balanced, their bodies run smoothly.

Signs and Symptoms of Hormonal Imbalance in Women -

There are various signs and symptoms of hormonal imbalance. Some of these imbalances can be diagnosed with the help of clinical tests, physical exams, or blood tests. Still, one can know that hormones are imbalanced by checking up the following:

Irregular menstrual cycle.
Sleep is inconsistent.
Chronic acne.
Foggy brain.
Fatigue or low energy.
Upset stomach.
Mood swings.
Feeling hungry most of the time.
Increase in weight.
Headache.
Irritation, depression, or anxiety.
Irritated or dry vagina.
Night sweats or hot flashes.
Heart palpitations.

These are some of the common signs of hormonal imbalance in women. Some of these signs are also dependent on stress situations or environmental factors and are for a shorter duration.

Treatment of Hormonal Imbalance -
The treatment for maintaining the hormonal balance is by decreasing the stress levels in day to day life. One can manage the stress levels by:

Healthy body weight.
Indulging in a healthy balanced diet.
Practising effective personal hygiene.
Avoiding stress triggers.
Yoga.
Decreasing the consumption of packaged food.

Other than these lifestyle changes, women can go for some natural remedies.

Manage hot flashes by black cohosh, evening primrose oil, red clover, and Dong Quai.
Use ginseng to manage anxiousness, sleep disturbances, and irritability.

Apart from this, women may also consult various treatment options available for treating hormonal imbalance. These include:

Hormonal Control or Birth Control.
Vaginal Estrogen.
Hormone Replacement Medication.
Eflornithine (Vaniqa).
Letrozole (Femara) and Clomiphene (Clomid).
Assisted Reproductive Technology.
Hormone Replacement Medications.

Take Away -
Hormonal imbalance in women is a common condition and most women suffer from this almost every day. The competition in the corporate environment these days add-on to the stress for every individual but majorly affects women. One can manage the hormonal imbalance by adopting a healthy lifestyle and following stress-managing remedies. Apart from this, women can also opt for medication and therapies.

1215 people found this helpful

Importance Of Gynecological Health!

Dr. Maneesha Singh 90% (142 ratings)
MBBS, Diploma in Gynecology and Obstetrics
Gynaecologist, Ghaziabad
Importance Of Gynecological Health!

Taking care of your health is very important. There is nothing to be embarrassed about visiting a gynecologist on facing discomfort related to your gynecological health.

1 person found this helpful

Vaginismus - How To Overcome It?

Dr. Prakash Phatnani 88% (29 ratings)
MBBS
Sexologist, Ajmer
Vaginismus - How To Overcome It?

While sex is something which is supposed to be a lot of fun and pleasurable to engage in can sometimes it can also turn out to be quite the opposite. One of the reasons for this can be a problem called vaginismus. And, a condition like this can threaten to break a marriage, it will be helpful to know a little bit about it.

Understanding the problem
Vaginismus is a problem which occurs when the muscles of the pelvic floor of a woman’s body contract when there is an attempt to insert something into the vagina. This contraction is not voluntary in nature. In a significant number of cases, vaginismus is the natural reaction of the body when something untoward has happened with the woman before
. In many cases, if the woman has been the subject of any form of sexual abuse, she is likely to suffer from vaginismus more than other women who have not been through this unfortunate experience.

The degree of severity of the case of vaginismus can really vary from one woman to another. The pain which is caused by vaginismus only occurs when there is an attempt to insert something into the vagina, be it a tampon or a penis, and does not exist at all otherwise. Your doctor can only correctly diagnose the issue. 

Vaginismus happens to be a rather common problem and many women are known to suffer from it at some point in their lives. What does differ, however, is the degree of intensity of the pain. That being said, it is not too hard to cure vaginismus, but it is easier to do so for women who have not been experiencing pain for a long period of time.

Overcoming the obstacle
The best way to go about setting the problem of vaginismus right is by making a daily habit of doing Kegel exercises. These exercises are focused on improving the strength and also the functioning of the pelvic floor. They are quite common in prenatal sessions for mothers who are close to giving birth.

The Kegel exercise method of solving vaginismus is successful in more than 90% of the cases though these exercises, which are to be done, may not seem to be all that complicates. As long as a woman is consistent, she can enjoy the joys of sex minus the pain. 

2450 people found this helpful

Gynaecological Problems - How Can Homeopathy Handle Them?

Dr. Padmaja Lekshmi 87% (10 ratings)
BHMS, MD - Homeopathy
Homeopathy Doctor, Ernakulam
Gynaecological Problems - How Can Homeopathy Handle Them?

Homeopathy offers several remedies for many gynaecological disorders. Some of the gynaecological afflictions that homeopathy treats are post-partum depression, fertility issues, pregnancy problems, menopause, complications arising from prolapse, infections of the vagina, pre-menstrual syndrome, tendency to miscarriage and many others.

Why homeopathic treatment?
There are nil or very little side-effects during homeopathic treatment of the various gynaecological disorders. Unlike allopathic drugs which cannot be ingested freely, the homeopathic remedies can be taken without any fears regarding their side-effects. Further, these medicines are non -toxic.

Homeopathy is constitutional and not symptomatic in its treatment. Both the mother and child are positively impacted by this form of treatment which is holistic.
If you have a child already and he/she is suffering from a defect such as a cleft lip, then both the parents must undergo a homeopathic treatment before the mother conceives another child. This way, the second born will most likely be free from a cleft lip.

Let us see how homeopathy helps you cope with some of these afflictions.

  1. Pulsatilla- This remedy has been found to have a positive effect on the reproductive systems of both the sexes. Pulsatilla can treat women with extreme menstrual disorders like excessive or sub-optimal bleeding and missed periods. Women who are treated with Pulsatilla are generally emotional and timid and are subject to mood swings. Such patients either have a craving for fats or are averse to them.
  2. Sepia- Sometimes gynaecological problems manifest in women with the following symptoms. They are irritable, prefer solitude and easily get tired after their domestic duties. However, these women get enthused by exercises. Physiologically, they have a bearing down sensation in their pelvic area, their menses are irregular and the volume of discharge may be meagre or excessive. Such patients are treated with Sepia.
  3. Agnus castus- This remedy is meant for women who feel depressed and are anxious about their health. They have poor memory and heavily indulge in sex, alcohol and drugs etc. Sexually, they experience a loss of libido over a period of time and gynecologically, these women have scanty menses.
  4. Caulophyllum- Are you thirsty, chilly, nervous and experiencing mood swings at all the times? Do you experience recurring pains in your body? Do those pains dart from one part of your body to another? Have you had problems like amenorrhea, infertility, arrested labour and miscarriage in the first trimester? If the answer is yes, then you must consider having Caulophyllum as medication.
  5. Cimicifuga- During pregnancy, if the mother is nervous, excitable and generally worried that something will happen to her foetus, then Cimicifuga comes to the rescue. A Cimicifuga mother suffers from rheumatic pain and tends to get neuragias.

Genital Tract Infections - How To Track Them?

Dr. Dimpy Irani 91% (13 ratings)
MD - Obstetrics & Gynaecology, MBBS, DGO, DNB
Gynaecologist, Mumbai
Genital Tract Infections - How To Track Them?

Genital tract infections are infections of the genital tract in both women and men, with it being more common in women. Genital tract infections can be of three types – infections spread through sexual contact, called exogenous infections or sexually transmitted infections (STIs); infections spread without sexual contact, called endogenous infections; and infections caused due to medical procedures such as abortion, called iatrogenic infections. Some of the most common Genital Tract infections are - bacterial vaginosis, trichomoniasis, yeast infections (candidiasis), gonorrhoea, syphilis, chlamydia, herpes genitalis, etc.

The symptoms associated with genital tract infections can range from no symptoms to severe ones. Women are more susceptible to contracting GTIs and more likely to suffer from complications of the infection. The most common symptoms of GTIs are:

  1. Abnormal discharge from vagina – Foul smelling discharge with unusual colour
  2. Itching or burning sensation in and around the genital area
  3. Pain or tingling and burning sensation while urinating
  4. Blisters, sores, persistent rashes, warts or bumps in and around the genitals or anus
  5. Pain and bleeding during or after intercourse
  6. Lower abdominal pain
  7. Excessive vaginal bleeding during menstruation

The consequences of untreated or undetected genital tract infections can be quite severe in women, especially in developing countries. It can lead to a number of harmful effects on the reproductive health of women, including chronic infection of the uterus and fallopian tubes, cervical cancer, pregnancy complications and more. Some of the most severe effects of untreated genital tract infections are:

Pelvic Inflammatory Disease
PID occurs when bacteria are spread from the lower genital tract due to unprotected sexual intercourse, or intercourse with multiple partners. PID can lead to scarring and damage to tissues resulting in infertility, chronic pelvic pain and pregnancy complications.

Ectopic pregnancy
Ectopic pregnancies occur when the zygote is implanted outside the uterus, usually in the fallopian tube. Genital tract infections can cause scarring and block tubal passage which leads to ectopic pregnancies.

Infertility
Long-term genital tract infections that remain untreated can lead to inflammation and scarring of the fallopian tubes, which block the descent of the egg. This leads to tubal infertility in women. Further, the untreated pelvic inflammatory disease can lead to damage of uterine tissue that again causes infertility.

Genital cancers
Certain genital tract infections such as those associated with human papillomavirus have been found to be linked to the development of cervical neoplasia and lead to cervical cancer.

Genital tract infections can become life-threatening if left untreated for too long, thus it is crucial to consult a doctor as soon as you notice any abnormal symptoms of GTIs.

2944 people found this helpful

Genital Tract Infections - Know Impacts Of Them!

Dr. Teena Gupta 89% (36 ratings)
MS - Obstetrics and Gynaecology, Diploma in Gynaecological Endoscopy, Certification in IVF & Infertility
Gynaecologist, Bhopal
Genital Tract Infections - Know Impacts Of Them!

Genital tract infections are infections of the genital tract in both women and men, with it being more common in women. Genital tract infections can be of three types – infections spread through sexual contact, called exogenous infections or sexually transmitted infections (STIs); infections spread without sexual contact, called endogenous infections; and infections caused due to medical procedures such as abortion, called iatrogenic infections. Some of the most common Genital Tract infections are - bacterial vaginosis, trichomoniasis, yeast infections (candidiasis), gonorrhoea, syphilis, chlamydia, herpes genitalis, etc.

The symptoms associated with genital tract infections can range from no symptoms to severe ones. Women are more susceptible to contracting GTIs and more likely to suffer from complications of the infection. The most common symptoms of GTIs are:

  1. Abnormal discharge from vagina – Foul-smelling discharge with unusual colour
  2. Itching or burning sensation in and around the genital area
  3. Pain or tingling and burning sensation while urinating
  4. Blisters, sores, persistent rashes, warts or bumps in and around the genitals or anus
  5. Pain and bleeding during or after intercourse
  6. Lower abdominal pain
  7. Excessive vaginal bleeding during menstruation

The consequences of untreated or undetected genital tract infections can be quite severe in women, especially in developing countries. It can lead to a number of harmful effects on the reproductive health of women, including chronic infection of the uterus and fallopian tubes, cervical cancer, pregnancy complications and more. Some of the most severe effects of untreated genital tract infections are:

Pelvic Inflammatory Disease
PID occurs when bacteria are spread from the lower genital tract due to unprotected sexual intercourse, or intercourse with multiple partners. PID can lead to scarring and damage to tissues resulting in infertility, chronic pelvic pain and pregnancy complications.

Ectopic pregnancy
Ectopic pregnancies occur when the zygote is implanted outside the uterus, usually in the fallopian tube. Genital tract infections can cause scarring and block tubal passage which leads to ectopic pregnancies.

Infertility
Long-term genital tract infections that remain untreated can lead to inflammation and scarring of the fallopian tubes, which block the descent of the egg. This leads to tubal infertility in women. Further, the untreated pelvic inflammatory disease can lead to damage of uterine tissue that again causes infertility.

Genital cancers
Certain genital tract infections such as those associated with human papillomavirus have been found to be linked to the development of cervical neoplasia and lead to cervical cancer.

Genital tract infections can become life-threatening if left untreated for too long, thus it is crucial to consult a doctor as soon as you notice any abnormal symptoms of GTIs.

1260 people found this helpful

Gynaecology Problems - How Can Ayurveda Handle Them?

Dr. Kamalpreet 90% (137 ratings)
BAMS, CGO - Course in Gynaecology & Obstetrics
Ayurvedic Doctor, Mohali
Gynaecology Problems - How Can Ayurveda Handle Them?

Women can face a number of gynecological issues at various stages of their life. This includes irregular periods, painful periods, infertility, uterine cysts, impotency and frizidity. According to Ayurveda, most of these issues arise from an unhealthy diet and lifestyle that disturbs the balance of doshas. The symptoms exhibited thus depend on which of the three doshas; vata, pitta or kapha is aggravated and which is lowered. This, in turn, means that to treat these gynecological issues, Ayurvedic doctors attempt to correct the balance of doshas through lifestyle changes and herbal remedies.

  • Diet: Women need more energy than men, especially during menstruation. Thus, it is important to eat a healthy, well-balanced meal. Avoid processed foods, teas and caffeinated drinks and focus on whole grains and fresh fruits and vegetables. Do not skip your meals. The type of fruits and vegetables that should be eaten will also be determined by the dosha that has been aggravated. For example, if the kapha dosha has been aggravated, one must eat light food and favour vegetables such as broccoli, cabbage, carrots and garlic.
  • Lifestyle: Along with eating the right food, it is also important to eat at the right time. Along with this, you must also get enough sleep, exercise regularly and not be overcome by stress. When it comes to stress management, yoga is very beneficial. It is also important to maintain a healthy weight.
  • Herbal Remedies: When it comes to herbal remedies, Ayurveda does not merely treat the symptoms shown, but also strengthens the patient’s overall mental and physical health. These remedies have negligible side effects and are easily available. For example, if you suffer from painful periods, ginger, saffron and licorice root could help relieve the pain. Even more serious gynecological issues such as infertility can be treated with Ayurveda. In such cases, the treatment can take many forms. This includes herbal remedies made from Ashwagandha, Shatavari, Guduchi, Triphala etc. and Swedanam to sweat the toxins out of the body. In cases of frigidity, treatment could include remedies made of banyan tree root that has been powdered and milk or milk and powdered Ashwagandha. For the treatment of uterine fibroids, herbal remedies may be prepared from Guggul, Varuna, Aloe Vera or Asoka. These may also be combined together.

Panchakarma treatment can also be very helpful in treating gynecological issues. This involves five different types of treatments based on the patient’s complaint and overall health.
 

1450 people found this helpful

Vitamins & Minerals - Know Their Requirement In Women!

Multi Speciality, Guwahati
Vitamins & Minerals - Know Their Requirement In Women!

Women’s physiologic needs are somewhat different from men. Since they have altogether different build and physiologic processes they also have a different nutritional need compared to men. Women in different age groups need a number of minerals and vitamins in higher quantities than men in the same age group. Here are some of the most important vitamins and minerals supplements and for women. 

Calcium 

Calcium is essential for strong bones, healthy muscles, and more in both men and women. However, it is all the more essential for women since they start losing bone after menopause. They need to get enough calcium throughout their lives so that they don’t suffer from porous bones and problems associated with it. You need to build a sustainable bone density within 19 to 30 years of age since you are invariably going to lose some as you age and cross menopause. If the diet is not enough, you may consider supplements but with medical advice. Dairy products, calcium-fortified juices, beans, cereals, almonds, leafy greens, salmon they all deliver a good amount of calcium.

Vitamin D

Vitamin D is also essential for healthy bones and women to tend to get porous bones as they age. It may also reduce the risk of some cancers and heart diseases. But the significance of Vitamin D lies in the fact that it promotes calcium absorption. Without Vitamin D, calcium-rich diet and supplements would not be of any use. One can get vitamin D in sea fishes like tuna and salmon, fortified milk, fruit juices, cereals, etc. One also needs to get enough sunshine since vitamin D is made in the skin on exposure to sunlight.

Iron

Iron helps increase hemoglobin that in turn enhances the number of red blood cells in the blood. This keeps blood healthy. Women undergo heavy menstrual bleeding, and to counter that they need a healthy blood level. Women also need a healthy blood level since it is through the blood that the fetus derives all the nutrition. So they need iron-rich diets and/or iron supplements. If they don’t get enough iron, they may suffer from anemia. The best sources of Iron are animal sources since the iron found in animal meat is heme iron, which is easily assimilated by the body.

Folate

Women in the reproductive age group need to take Folate, a type of Vitamin B, that helps in the development of the fetus and reduces the risk of congenital problems like spina bifida in children. One can get enough Folate in brown rice, dark green vegetables, sprouts, spinach, green beans, broccoli, potatoes etc. You can also get it in fortified cereals and bread. However, pregnant women or those desiring to get pregnant need to add folate in the form of supplements in their regimen. For pregnant and breastfeeding women the requirement of folate shots up.

Magnesium

Magnesium supports a number of bodily functions in both men and women, but its significance for women lies in its ability to promote strong bones and preventing bone loss. This is why it is very important for women above 40 years of age when the risk of osteoporosis increases.

3340 people found this helpful

Menorrhagia - How To Get Rid Of It?

Dr. Usha Agarwal 84% (11 ratings)
MBBS, MD - Obstetrtics & Gynaecology, DGO - Obstetrtics & Gynaecology, FCPS - Dermatology, Venereology & Leprosy
Gynaecologist, Navi Mumbai
Menorrhagia - How To Get Rid Of It?

Excess bleeding or menorrhagia is a common kind of abnormal bleeding occurring at the time of menstruation. Menorrhagia causes more blood loss which leads to anaemia. Fatigue and breathlessness are common symptoms of anaemia.

Symptoms of excess bleeding

A few of the common symptoms of excessive bleeding are: 

  1. Discharge of large blood clots is a sign of heavy bleeding 
  2. Bleeding during the night which causes disruption in sleep as one has to wake up several times in the night to change the sanitary napkin 
  3. Menstruation lasts longer than usual or more than 5 to 7 days. 
  4. Any menses requiring an excess change of pads than usual 

Causes of excess bleeding 

  1. Imbalance of hormones: During adolescence and when nearing menopause, the female body undergoes some imbalance in oestrogen and progesterone hormones. At these points of time, heavy bleeding is common among women. But it’s abnormal. So get it evaluated. 
  2. Abortion / Ectopic pregnancy: Conception occurs in mid-cycle and so by the time a menses start, one could be a pregnant too. So excess bleeding occurring at menses could be also due to an abortion or miscarriage. Unlike the usual course of pregnancy, if the fertilised egg gets stuck in the fallopian tubes and develops there, It results in Ectopic pregnancy. Excess bleeding can be a sign of ectopic pregnancy too.
  3. Fibroids: Growth of fleshy solid tumours in the wall of uterus namely Fibroids can lead to excess bleeding. 
  4. Cancer: Cervical, ovarian and uterine cancers are rare causes of heavy bleeding, but it is possible. So the early detection of these conditions is better for treatment. 
  5. Adenomyosis: This is common in middle-aged women who have given birth to more than two children. In this case, the glands that appear in the lining of the uterus become deeply embedded in the muscle of the uterus wall. These women with adenomyotic uterus have severe dysmenorrhea ( pain during menses ) and excess bleeding. 
  6. Intrauterine device: IUD used for birth causes more bleeding during menstruation. In some the bleeding reduces over time, but if in excess one must get evaluated. 
  7. Pelvic inflammatory disease: PID is an infection that occurs in the uterus, other reproductive organs and the fallopian tubes. Inflammed reproductive organs bleed more and hence cause menorrhagia. 
  8. Other diseases and disorders: Diseases like that of liver, kidneys and thyroids can cause excess bleeding. Disorders in blood levels or platelets can also be a cause. 

Treatment for excess bleeding 

Several treatments are available to treat heavy bleeding during menstruation. Choosing the right one mainly depends on the reasons that cause heavy bleeding.

Non-surgical treatments: 

  1. Hormonal therapy: This therapy is used as a treatment to stabilise the lining of the uterus (endometrium) and thus regulate the menstrual bleeding. 
  2. Non-hormonal medication: A tranexamic acid is a non-hormonal medication prescribed by the doctor that promotes clotting of the blood.
  3. Nonsteroidal drugs: Nonsteroidal medications that are anti-inflammatory like Ibuprofen, mefenamic acid helps to reduce blood loss. 

Surgical Treatments 

  1. Hysteroscopy: A long and thin scope can be inserted into the uterus through the cervix and the vagina. The doctor observes the lining of the uterus, remove the excess lining or the endometrial polyps that cause bleeding. 
  2. Dilation and curettage: In this procedure, the mouth of the uterus (cervix) to be dilated and the lining of the uterus is scrapped off to make it shed all at once and stop bleeding. 
  3. Hysterectomy: This involves removing the uterus. It is mainly done for uterus having adenomyosis, fibroids, or cancers, or when the patient does not respond to medical therapies. 
  4. Ablation: Ablation or endometrial resection allows removal of the lining of the uterus. But it may be a temporary measure as the lining recurs. 

To conclude, proper diagnosis, choosing the right treatment for excess bleeding at menses needs to be done urgently as it affects the overall health of the women suffering from it.

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