ARTICLES ON Women Health

A mother is never off-duty. Many of you would agree with us on this. Be it changing the baby’s diapers, feeding him/her, putting them to sleep, or even helping them have a burp, a mother has to do all this, that too with a smile, despite being tied-up all day. Add to this, the usual household chores, taking care of the family members and whatnot. It is a tough deal. More so, if you are a breastfeeding mother. Why, you ask? You will get to hear all sorts of misinformation, from sagging breasts to eating bland foods, that you will be forced to believe. The result? No matter how hard you try to not fall for these, they will get you at some point of time. Dr. Gandhali Deorukhkar, Consultant Gynaecologist, Wockhardt Hospitals, Mumbai Central, busts a few and shows the right path. Myth 1: Breastfeeding is a reliable form of birth control Fact: Even if you exclusively breastfeed, ovulation and chance of becoming pregnant start after 3 months of delivery. So, consult before that for contraception. Myth 2: You should not nurse if you have blocked ducts Fact: Best way to treat blocked duct is to nurse as often as you can to prevent infections. Besides frequent nursing, apply hot fomentation before nursing. If you develop an infection, consult your gynaecologist. Myth3: Your breast will forever sag after breastfeeding Fact: The breast often doubles in weight during pregnancy. Whether or not you breastfeed, increase in breast size during pregnancy puts extra stress on the ligaments that support the breast and more stress equals extra sagging. Your age, BMI, pre pregnancy bra size, all affect how likely your breasts will drop. Myth 4: Mother must eat only bland foods and not gassy food while breastfeeding Fact: By the time the foods you eat have been digested and used to make breast milk, the potentially upsetting elements have been broken down and should not affect your baby at all, i.e. if you eat cabbage or broccoli, it is unlikely that it will make your baby gassy. Do not change your feeding habits. Keep yourself well hydrated. Myth 5: Drinking dark beer will help increase your milk supply Fact: There’s no evidence to back this up. In fact, drinking too much alcohol can reduce your prolactin level. This is the hormone that helps you make the amount of milk you make. According to the World Health Organization, not drinking alcohol is safest for breastfeeding moms. Source: https://www.pinkvilla.com/lifestyle/health-fitness/exclusive-5-breastfeeding-myths-busted-expert-905818

Vagina is the most sensitive part of women. The slightest carelessness towards this can be heavy on women. Like other organs, cleaning the vagina is also very important (Importance of Vagina Cleaning). Often women forget to clean or wash their vagina after urinating, but cleaning it is very important to keep the vagina healthy. If you do not clean the vagina after urination, there is a risk of getting an infection. Actually, even after urinating, some drops stay in the pubes, which later fall into the underwear. Due to this the underwear smells and bacteria start to grow. Due to this, there is a risk of urinary tract infection ie UTI. In such a situation, it is very important to clean the vaginal area after urination. For this, you can either wash your vagina with the help of water. Or you can wipe it with the help of tissue paper. Both methods remove the dirt and stagnant urine droplets on the vagina, but do you know which of these two methods is better to clean the vagina. How should you keep your vagina clean? Know from Dr. Indrayani Salunkhe, Gynaecologist, Wockhardt Hospitals, Mumbai Central, Gynecologist at Wockhardt Hospitals, Mumbai Central, after urination, the vagina should be washed with water or wiped with tissue paper- Wash From Water These days toilet paper ie tissue paper is used more in the toilet. Often people use tissue paper after urinating or having a bowel movement. If you want, you can also use water to clean your vagina. Washing the vagina with water clears all the urine droplets, but it keeps the vagina wet and moisture remains in it. Due to which there is a high risk of bacterial growth. Clean From Tissue Paper The vaginal area becomes wet after urinating, so if it is not cleaned properly, the chances of getting bacteria increase. Earlier people often used water to clean their vagina, but the vagina remains wet with water. This keeps moisture in the vagina, which gives rise to bacteria. For vaginal hygiene, it is very important for the vagina to be dry or dry, which does not cause infection. Tissue paper is very helpful in absorbing the moisture of the vagina. The vagina can be easily cleaned with the help of tissue paper. But rubbing the tissue paper more and faster in the vagina can cause burning and pain in it. This is a very sensitive part, which should be cleaned with light hands. What to Avoid While Cleaning the Vagina? The following is a list of things you need to avoid for vaginal hygiene: What Are the Benefits of Cleaning the Vagina After Peeing? The benefits of cleaning the vagina after peeing are: When Should You Consult a Gynecologist? If a person’s vaginal odour suddenly changes, especially if the odour is quite strong, they shouldcontact a doctor. A fishy smell usually indicates bacterial vaginosis. If a woman has an unusualdischarge or an unpleasant vaginal odour, she should consult a doctor, as these are some of theinitial symptoms of an infection that might require treatment. Washing the vagina with water after urination keeps the moisture in it, due to which there is a risk of infection.Rubbing the tissue paper can cause burning and pain in the vagina. In this case, clean it with light hands. Dr. Indrayani Salunkhe says that you can use water and tissue paper for cleaning the vagina after urination. But for good hygiene, you should use both together. For this, first, wash your vagina with clean water after urinating. After this, wipe it with tissue paper with light hands, so that the vagina will not remain wet and the risk of infection will be reduced to a great extent.

PCOS or polycystic ovarian syndrome can cause various issues but it can also be managed with regular workouts. These 4 exercises can help you in a big way! If you suffer from the polycystic ovarian syndrome, you already know how physically and emotionally distressing it can be. It is a hormonal condition that can cause multiple issues but one of the most prominent ones is weight gain. Apart from weight gain, PCOS wreaks havoc on your body in several other ways. Your body produces testosterone in higher quantities which can cause some major changes in your menstrual cycle. It also leads to reduced fertility, increased hair growth, and changes in your skin such as acne or darkened skin patches. In most cases, it also causes insulin resistance. PCOS affects up to 18 percent of women but can be managed with a nutritious diet and regular physical activity. So, let’s take a look at the 4 workouts you need to get to for PCOS. All set? 1. Cardio Try and include moderate exercises like brisk walking, jogging, cycling or swimming to help tackle symptoms of PCOS. These exercises increase your body’s response to insulin, reducing the risk of cardiovascular diseases and type 2 diabetes. Take out 30 minutes every day for cardio. You’ll definitely see a change in your weight and mental health. 2. Strength training It’s extremely helpful in reducing insulin resistance and increasing the metabolism rate. Make sure you include strength training as part of your fitness regimen. You can try bodyweight exercises like squats, push-ups, or tricep dips to improve the function of insulin in your body. What’s more, it can also accelerate your metabolism by building more muscle mass. If you combine resistance moves with cardio, you can get a lean body. Now, isn’t that absolutely amazing? 3. High-intensity interval training It’s really not about exercising for too long but doing it the right way. Hence, it is important to swap between short bouts of high-intensity exercise and low-intensity recovery. Not only does it boost your cardiovascular fitness, but it also benefits those with PCOS. Exercise on a spin bike for only 10 to15 minutes and burn calories while reducing abdominal fat more effectively. 4. Core strength If your weight is above the normal range, you can suffer from severe back pain and poor posture. Hence, including core training in your fitness routine is important. These muscles support your spine and must be strengthened. If you are trying to conceive, make sure to also train your pelvic floor muscles. They’re a vital part of your core, helping tackle urinary incontinence, boosting sexual health, and enhancing pelvic stability. Ladies, it’s time to focus on your fitness regime, and reduce the symptoms of PCOS! Source: https://www.healthshots.com/fitness/staying-fit/pcos-and-exercise-4-workouts-to-try-if-you-have-pcos/

We asked Dr Gandhali Deorukhkar Pillai, Consultant Obstetrics Gynaecologist, Wockhardt Hospitals, South Bombay to reveal everything that one needs to know about losing the v-card. Dr Pillai says, “You should talk to your partner about his history of sexually transmitted diseases or any kind of medication he could be on. After you’ve received an answer to this question from your partner, here are 5 things you need to keep in mind when you’re losing your virginity: 1. You might not orgasm the first time Sex, for the first time, doesn’t guarantee an orgasm. Your goal shouldn’t be that. A study published in the journal Advances in Psychosomatic Medicine Home observed that approximately 11 to 41 per cent of women face difficulty in climaxing with their partner. So, do not get your hopes high but make sure you relax and enjoy the moment. 2. You can get pregnant the first time Have you been thinking that you cannot get pregnant the first time you have sex? That’s far from the truth! If you don’t take any safety precaution, there’s always the risk of getting pregnant. So, ensure you’re aware of the different contraception methods and pick one for your first time.Virginity has countless mythical perceptions. It is time you know the actual reality. Image Courtesy: Shutterstock 3. Know about your fertility cycle Dr Pillai says, “Tracking your menstrual cycle will give you know the dates on which you’re fertile. This will help you avoid any actions that can cause an unwanted pregnancy.” 4. You can get an STI without vaginal penetration Apart from vaginal penetration, STI or sexually transmitted infection can also spread through oral sex or anal penetration. Hence, it is important for your partner to wear a condom all the time and not just during penetration. 5. It might be uncomfortable but it shouldn’t hurt much The first time can be uncomfortable and painful, but it shouldn’t be extremely painful. You can use antibiotic creams for any cuts and bruises after consulting with your doctor. You may experience pain due to the lack of lubrication but if it is extremely painful, it could be because of an underlying medical condition. Hence, if what you experience is debilitating pain, you should probably postpone the maiden act and visit a doctor. “You might have a mild urinary tract infection or urinary burning. But, if you experience foul-smelling discharge or a lot of itching in your private parts, you must talk to your gynaecologist,” advises Dr Pillai. So, girls, make sure you don’t just make your first time memorable but also safe! Source: https://winningbrain.com.ng/5-things-a-gynaecologist-wants-you-to-know-about-losing-your-virginity/

Although ginseng is a brilliant herb otherwise, when it comes to pregnant women it has some major side-effects.   According to Rizwana Sayed, dietitian at Apollo Clinic, Pune, ginseng is a type of herb mainly found in Asia and America. It is generally consumed for these following reasons:  But when it comes to pregnant women, Sayed has her reservations. She says, “Ginseng generates heat in the body which is neither good for the expecting mother, nor the fetus.” But why are we blaming this otherwise good herb? “Without a doubt, ginseng is otherwise a great herb. However, besides having such great health benefits, ginseng is generally not recommended during pregnancy at least in the first trimester,” she explains. Sayed says, “Ginseng Rb 1 is an active chemical in ginseng, which is associated with development of defected embryos. It also has anticoagulant properties, which makes it potentially unsafe during childbirth.” If you are pregnant you should stay away from this little herb. Image courtesy: Shutterstock She also mentions that women who consume ginseng knowingly or unknowingly have reported more headaches, diarrhea, vaginal bleeding, and hormonal imbalances. That’s why it is better for pregnant women to avoid this herb or consult a doctor before consuming it. “Due to the overdose of ginseng, it has been seen that babies are born with a shorter length and less muscle cells. More exposure to ginseng Rb 1 means more birth defects. Do you know there are a lot of herbal teas like kahwa that also have ginseng in it, which is also not safe for the expecting mothers? Although, there is no proven data but there are ongoing studies,” says Dr. Gandhali Deorukkhar Pillai, gynecologist, Wockhardt Hospital, Mumbai.  And it also interferes with sleep patterns of pregnant women Everyone knows that expecting mothers are advised to take proper rest for better development of the fetus. But ginseng won’t let that happen.  “There are expecting mothers who have reported major mood swings and sleep disturbance, after consuming ginseng in any form. Due to this, they feel major fatigue all the time”, says Dr Pillai.  Not just that, women have also reported lower blood sugar levels, due to which they feel dizzy and nauseous all the time. “Do you know this can also increase the risk of diabetes?” she warns. Dr Pillai also mentions that some women experience a dry mouth. That’s because ginseng releases certain enzymes in your body that impact the functioning of the salivary glands.  The bottom line is that ginseng isn’t a safe bet, especially when it comes to pregnancy. So, it’s better if you steer clear of this herb if you are pregnant and breastfeeding. Better safe than sorry! Source: https://winningbrain.com.ng/ginseng-is-a-complete-no-no-for-pregnant-women-confirms-a-top-dietician-heres-why/

We all get tired and exhausted at some point of time. Honestly, it is only normal. But, do you feel extremely drained and exhausted during your periods? Having a headache, feeling nauseous and getting tired too easily is your body’s way of telling you that something isn’t right. The fatigue that you experience during your period happens due to premenstrual syndrome (PMS). However, it could be seeding from many reasons like lack of sleep, dehydration, excessive physical activity, iron deficiency, unhealthy food habits, and even stress.  Believe it or not, premenstrual syndrome (PMS) is a real thing and it can affect the best of us. Now, we may not be able to eliminate the fatigue but we sure can look at ways to manage it and minimize its effect on your life. So, we spoke to Dr. Gandhali Deorukhkar Pillai, consultant obstetrics gynaecologist at Wockhardt Hospital, Mumbai Central to understand how we can deal with the feeling of fatigue effectively. Here are some suggestions by her which can ease out your life if your periods make you lethargic:  1. Track your periodsThe first thing we recommend is that you keep track of your periods. This way, you can track not only your cycle but also your behavioural patterns. There are a lot of period tracking apps that can help you mark the calendar and even take notes. Once you trace the pattern, you can make due changes in your eating habits, sleeping timetable and workout routine to be mentally prepared for what is to come your way.Track your periods to track your behavioral patterns . Image courtesy: Shutterstock 2. Eat rightThe next task is to deal with your cravings. You might crave for a sweet treat or even just some junk food, but that’s not really what your body needs. Fill your diet with protein-based foods to keep you full and fairly energetic.Understand that due to the blood loss, the iron levels of your body are going down and that causes fatigue. We say you eat a lot of spinach and other iron rich food. “Avoid unhealthy and greasy food. Instead, stick to home-cooked meals. If you are anaemic, you can also resort to iron supplements. It is important that you get checked for thyroid as well. In case you do have thyroid issues, you must start your medications right away, considering that they will help improve the hormonal balance,” says Dr. Pillai. If you eat a lot at once, the heavy digestion process will use up a lot of your energy and contribute into making you feel lethargic. So, the trick is to eat small but frequent portions throughout the day. This way, you can be in control of your energy levels and feel upbeat throughout the day. 3. Sleep wellCut down on your caffeine and your screen-time because these factors can really disrupt your sleep pattern. We often underestimate the value of a goodnight’s sleep. Of course, if you aren’t fully rested over the night, you are bound to carry on the tiredness to the next day. So, it’s important that you get some good and sound sleep. 4. Have a good workout“You should not be working out during your periods”, is one of the greatest period myths you’re likely to hear. On the contrary, working out actually helps you feel more energetic since it gets the blood flowing and fills you with endorphins. It doesn’t have to be extremely rigorous or even as intense as your regular workouts. “Don’t push yourself beyond your limits, your body needs rest and you need to listen to what your body has to say to you. So, stick to low intensity workouts. The main idea is to keep those happy hormones releasing,” says Dr. Pillai. 5. Drink a lot of fluidsWhile you should always keep yourself hydrated with a healthy amount of water consumption, your periods give you all the more reasons to keep chugging on those fluids. When your body is dehydrated, you are bound to feel tired. Even alcohol worsens fatigue and you should avoid those occasional drinks that you like to have over dinner, when on your periods. According to Dr. Pillai, it doesn’t just have to be water as long as you are keeping your fluid intake high. She suggests you drink coconut water that is rich in sodium and would maintain your blood pressure. In the end, Dr. Pillai suggests that you do whatever makes you feel happy because it’s important to get the endorphins flushing to keep you happy and energetic. Source: https://winningbrain.com.ng/periods-making-you-feel-tired-5-easy-ways-to-kick-away-the-fatigue/

Infertility is defined when couples are unable to conceive a child, even though they’ve had frequent, unprotected sexual intercourse for a year or longer. Infertility can be caused due to factors affecting the female or the male partner. Here are a few common reasons in women that lead to Infertility : Causes in Women: 1) Advancing maternal age: Female age-related infertility is the most common cause of infertility today. For unknown reasons, as women age, egg numbers decrease at a rapid rate. And as ageing occurs, egg quality, or the likelihood of an egg being genetically normal, decreases as well. 2) Ovulation disorders: Normal and regular ovulation, or release of a mature egg, is essential for women to conceive naturally. There are many disorders that may impact the ability for a woman to ovulate normally. 3) Tubal occlusion (blockage): A history of sexually transmitted infections including chlamydia, gonorrhea, or pelvic inflammatory disease can predispose a woman to have blocked fallopian tubes. Tubal occlusion is a cause of infertility because an ovulated egg is unable to be fertilized by sperm or to reach the endometrial cavity. 4) Uterine fibroids: Fibroids are very common (approximately 40% of women may have them) and the mere presence alone does not necessarily cause infertility. The size and position of the fibroid determine its effects on your pregnancy. 5) Endometrial polyps: Endometrial polyps are finger-like growths in the uterine cavity arising from the lining of the uterus, called the endometrium. They can decrease fertility by up to 50% according to some studies. 6) Endometriosis: Endometriosis is a condition whereby cells very similar to the ones lining the uterine cavity, or endometrium, are found outside the uterine cavity. It is found in approximately 10-50% of reproductive-aged women and can be associated with infertility as well as pain during intercourse and/or menstrual periods. CAUSES IN MALES: 1)Erectile dysfunction, 2) Low sperm production, abnormal sperm function or blockages that prevent the delivery of sperm. Illnesses, injuries, hormonal imbalances, chronic health problems, lifestyle choices and other factors can play a role in causing male infertility. The semen analysis is one of the main tests to evaluate the male partner. Risk factors linked to male infertility include: Fertility treatments for females: 1)Fertility drugs and hormones to help the woman ovulate or restore levels of hormones. 2)Surgery to remove tissue that is blocking fertility (such as endometriosis) or to open blocked fallopian tubes. 3)assisted reproductive technology or ART treatments used for male as well as female infertility problems: -IUI (intrauterine insemination): Sperm is collected and placed directly inside the woman’s uterus while she is ovulating. -IVF (in vitro fertilization): The sperm and egg are collected and brought together in a lab. The fertilized egg grows for 3 to 5 days.