A General Understanding on the Common Health Issues of Woman: An Opinion
Devaki B1* and Avinash G2
1Masters in Pharmacy, Vignan Institute of Pharmaceutical Technology, India
2Vaagdevi College of Pharmacy, Warangal, Telangana, India
- *Corresponding Author:
- Devaki B
Masters in Pharmacy
Vignan Institute of Pharmaceutical Technology, India.
E-mail: devaki590@rediffmail.com
Received date 30-07-2016; Accepted date 20-08-2016; Published date 30-08-2016
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Abstract
ABSTRACT The present study is aimed to bring some changes in the lifestyle of women that brings changes in menstrual character. This study helps to aware lot of women population who is suffering from heavy cramps, emesis, and other common symptoms. Premenstrual syndrome is combination of both physical and emotional disturbances that occur after women ovulate and end with menstruation. PMS is caused by an imbalance in the estrogen to progesterone ratio, with a relative deficiency in progesterone. A more severe kind of PMS, referred as premenstrual dysphoric disorder (PMDD), happens in a smaller variety of women (2-6%). In this literature it also explains multiple methods to reduce menstrual cramps which assures no disturbances in their daily work, either it may be to a teenager or to lady of 25-30 age.
Keywords
Menstrual cramps, Pregnancy, Progesterone, Endometrium, Estrogen
Introduction
Menstrual cycle is series of changes which is observed in women’s body that prepares for the pregnancy. Once in a month the uterus grows a new endometrium (lining) which is getting ready for the fertilized egg. If it does not find a fertilized egg for pregnancy the uterus itself sheds its lining which is known as menstrual bleeding, were women experience from early teen years till the age of 50 which is called as menopause [1-10]. Girls will start having their menstrual periods between the age of 11 and 14, were women starts to have fewer periods at the age of 40-50. The duration of the menstrual cycle, usually occurs every 28 days varies from 4-10 days on an average of 6 days. The hormones play the major role in controlling the menstrual cycle among which estrogen and progesterone plays biggest role which helps uterus to change for its every cycle.
The female hormonal system consists of three hierarchies of hormones, as follows:
1. A hypothalamic releasing hormone, gonadotropin-releasing hormone (GnRH).
2. The anterior pituitary sex hormones, follicle-stimulating hormone (FSH) and luteinizing hormone (LH).
3. The ovarian hormones, estrogen and progesterone, which are secreted by the ovaries in response to the two female sex hormones from the anterior pituitary gland.
Function of estrogen is to build thin new lining were as progesterone increase its level once the ovary releases an egg. If there is a drop in levels of progesterone along with the estrogen then uterus ready to shed the lining that is how periods starts [11-15]. Even a mild change in the hormone level may effects the cycle or fertility; also there are few more changes that may alter the cycle which includes obesity, losing lot of weight, stress abortion pills, etc. (Figure 1).
Figure 1:A girl suffering from cramps.
Symptoms during Menstrual Cycle
Majorly observed symptom is that few women’s suffer from cramps and few may not, but there few other symptoms that are experienced before and after the cycle [15-20]. As majorly PMS is caused by an imbalance in the estrogen to progesterone ratio, with a relative deficiency in progesterone some after few research it was observed that by administration of progesterone hormone during the second half of the menstrual cycle may lower the severity of premenstrual symptoms in few women. During the onset of menstrual bleeding their might be some psychological event in few women’s [20-25]. These women may have negative and extreme thoughts about menstruation which further induces the severity of premenstrual symptoms. The symptoms that are observed in few women’s a week before a period is known as premenstrual symptoms which include as follows:
• Tense or Angry
• Breast may feel tender
• Acne
• Gain body weight
A day before the intolerable period cramps in belly, legs and back is also majorly observed in few cases, due to periods they also feel low level of energy in their body. Because of this cramps in belly some may also experience vomiting (emesis), diarrhea, but majorly these symptoms are not seen after one day of the period cycle. And some have heavy bleeding during the period [25-30].
How to Manage and Control the Menstrual Symptoms?
In order to handle the menstrual changes which occur in the body, girls may prefer regular exercise, yoga, taking a healthy diet (which includes rich in iron), control on intake of caffeine and alcohol content, and reducing stress prior to premenstrual symptoms. A wide variety of herbal and mineral supplements also been suggested in the literature that would be effective in reducing the severity and duration of the premenstrual symptoms. These include but not limited to daily calcium supplements (1000 mg) [28], magnesium (200 mg), vitamin E (400 units), vitamin B6 (pyridoxine), chaste tree (chaste berry or Vitex agnus castus), St John’s Wort, evening primrose oil (3000–4000 mg), Black Cohosh and Dandelion [30-40]. So by following the above habits in the daily lifestyle of girl may leads to normal period.
There are few more methods to reduce the symptoms during cycle are:
Medications
Mostly women’s should try no-prescription type of treatment, only when the cramps are not in control then one may prefer for medication in which mostly suggested drug which comes under the classification of NSAIDs (non-steroidal anti-inflammatory drugs) like: Ibuprofen, Diclofinac and Meftal Spas which is combination of both NSAID and anticholinergic, by taking these pills it may reduce the cramps by lowering the levels of prostaglandin, but mostly suggested to take only after prescription [41-50]. But mostly aspirin is not suggested to girls of age below 20 years as they may be exposed to Reye Syndrome as this is very dangerous disorder that may be sometimes may leads to lethal condition.
Even there is no relief in pain after taking NSAID then you may need to consult doctor who may suggest you according to level of pain.
Natural therapies
• Using heating pad or a hot water bottle on the belly or by taking hot water bath may reduce the pain by improving the blood flow.
• Regular exercise may help in reducing the cramps as it improves blood flow level in body.
• Lie down according to your comfort by putting pillow beneath your knees which may help in reducing pain.
Conclusion
Menstrual symptoms are frequent among women of reproductive age. A variety of diagnostic venues and therapeutic approaches have been suggested in the literature to reduce the severity and duration of the symptoms. Among which menstrual cramps are general and natural changes that occur during every woman’s life, in order to overcome, should have their healthy diet, and regular exercise to overcome the serious symptoms so that they can have regular and safe period for healthy life. Make sure that there should not be any irregularity in the cycle, and if any severe levels of symptoms were observed one should be concern the gynecologist. But in case if a woman consistently suffers from several physical and emotional symptoms, it is suggested to refer to a professional for a diagnosis and treatment plan.
References
- Rossi P. Estrogen Therapy in Menopausal Women: No Effect on Cognition? Journal of Women’s Health Care.2016;5.
- Geetha P, et al. Effect of Socioeconomic Conditions and Lifestyles on Menstrual Characteristics among Rural Women. Journal of Women’s Health Care.2016;5.
- Vafa M and Mahmoodianfard S. Long-Term Effects of Maternal Nutrition and Childhood Growth on Later Health. Journal of Women Health Issue and Care.2016;5.
- Bapat RA, et al. The Effect of One Month Yoga Intervention on Perceived Stress and Anxiety in Pregnant Women. Journal of Women Health Issue and Care.2016;5.
- Havemann L, et al. A Genetic Need for Menopause: Reflections and New Perspectives. Journal of Women Health Issue and Care.2016;5.
- Ugianskiene A, et al. Teenage Pregnancies: Obstetric and Neonatal Outcomes at a Danish Regional Hospital. Journal of Women’s Health Care.2015;4.
- Khullar R. Impact of Obesity on Fertility and Pregnancy in Women. Journal of Women’s Health Care.2015;4.
- Ranabhat C. Womens Health Agenda after Millennium Development Goal. Journal of Women’s Health Care.2015;4.
- Messersmith L, et al. Utilization of the Breast Cancer Risk Assessment Tool in the Identification and Screening of Women at Increased Risk of Breast Cancer. Journal of Women’s Health Care.2015;4.
- Mrayan Land Cornish F. It is our Culture and the Transition to Parenthood in Jordan: A Descriptive Qualitative Study. Journal of Women’s Health Care.2015;4.
- Ezeruigbo CR and UdeNebonta AR. Impact of Health Education on Knowledge, Attitude and Practice of Cervical Cancer Screening Among Secondary School Teachers in Enugu State. Journal of Women’s Health Care.2015;4.
- Igwebueze OI and Asimadu EE. Premenarcheal Urethral Mucosa Prolapse in Enugu, Southeast, Nigeria: Five Case Series. Journal of Women’s Health Care.2015;4.
- Osawa E, et al. Socioeconomic Influences on Womens Self-Rated Health Status in Japan. Journal of Women Health Issue and Care.2015;3.
- Uchenna EG, et al. Victor Determinants of Umbilical Cord Prolapse in a Low-Resource Setting. Journal of Women Health Issue and Care.2014;3.
- Lee MY, et al.Preconception Care: Prevalence of Chronic Disease. Journal of Women Health Issue and Care.2014;3.
- Clarke K. Diagnosis, Treatment and Prevention of Catheter-Associated Urinary Tract Infections. Journal of Women’s Health Issue and Care.2014;3.
- Tacon AM. The Lifestyle Plague and Health: Obesity and Endometrial Cancer. Journal of Women Health Issue and Care.2013;2.
- Nicole S, et al.Rare Diagnosis of Malignant Fibrous Histiocytoma of the Breast. Journal of Women Health Issue and Care.2013;2.
- Linda JP. The Obesity Epidemic and Women's Health. Journal of Women Health Issue and Care.2012;1.
- Maureen KRN. Recognizing Heart Disease as a?Woman’s Disease? Journal of Women’s Health Care.2015;4.
- Ayenew F, et al. Pregnancy Anaemia Prevalence and Associated Factors among Women Attending Ante Natal Care in Debre Berhan Health Institutions, Ethiopia. Journal of Women’s Health Care.2014;3.
- Leonardi M, et al. Women with Disability across Europe: Issues on Updated and Available Data. Journal of Women’s Health Care.2014;3.
- Khamdan HY, et al. The Impact of Menstrual Period on Physical Condition, Academic Performance and Habits of Medical Students. Journal of Women’s Health Care.2014;3.
- Reaves DL, et al. The Effects of Abuse History and Age on the Interrelationship between Perceived Stress and Premenstrual Symptom Reports. Journal of Women’s Health Care.2014;3.
- Evangeline B and Laura D. Management of the Sexually Assaulted Patient: Utilization of the Forensic Survey? Journal of Women’s Health Care.2014;3.
- Anja WMM Stevens, et al. The Effect of Sleep Disturbance during Pregnancy and Perinatal Period on Postpartum Psychopathology in Women with Bipolar Disorder. Journal of Women’s Health Care.2014;3.
- Kalampokas T, et al. Vitamin A Deficiency and Female Fertility Problems: A Case Report and Mini Review of the Literature. Journal of Women’s Health Care.2014;3.
- Ayako Y, et al. Current State of College Women's Coping behaviors against Peri-menstrual Symptoms and Educational Challenges in Thailand. Journal of Women’s Health Care.2014;3.
- Nidaa H, et al. Maternal Factors Hindering Successful Breastfeeding in Al Ain City, United Arab Emirates. Journal of Women’s Health Care.2014;3.
- Saori M, et al. The Association between Pregnancy-Related Discomforts and Pre-Pregnancy Body Mass Index in Japanese Women. Journal of Women’s Health Care.2014;3.
- Moawia EH, et al. Ultrasonographic Appearance of the Uterine Endometrium in Sudanese Breast Cancer Women on Tamoxifen Therapy. Journal of Women’s Health Care.2014;3.
- Serena P, et al. Incidence of Menstrual Disorders is Not Influenced by Nulliparity. Journal of Women’s Health Care.2013;3.
- AbdelAziem AA. Maternal Health Care in Developing Countries. Journal of Women’s Health Care.2013;3.
- Akaba GO, et al. Ruptured Ectopic Pregnancy after Bilateral Tubal Ligation: A Case Report. Journal of Women’s Health Care.2013;3.
- Lubov IK, et al. Menstrual and Reproductive Function in Women with HIV-infection and Antioxidant Vitamins Deficiency. Journal of AIDS & Clinical Research.2014;5.
- Diane Eloy CB, et al. Changes in Taste and Food Intake during the Menstrual Cycle. Journal of Nutrition & Food Sciences.2015;5.
- Khajehei M. Aetiology, Diagnosis and Management of Premenstrual Syndrome. Journal of Pain Relief.2015;4.
- Umit N, et al. Menstrual Bleeding Patterns and Development of Ovarian Cysts in Turkish Levonorgestrel- Releasing Intrauterine System Users. Journal of Health Medical Informatics.2015;6.
- Kavitha T. A Random Survey of Menstrual Problems in Allithurai and Lalgudi Areas of Tiruchirapalli District. Journal of Health Research.2015;3.
- Fernando MR. Effects Of Menstrual Cycle On Sweating During Exercise Performed In Hot And Dry Environment. Comparative Biochemistry and Physiology.2013;S3.
- Jayaseelan R and Pichandy C. Uses of Information and Communication Technology among Women during Pregnancy. Journal of Mass Communication & Journalism.2016;6.
- Marzieh G. Conservative Management of Advanced Cervical Ectopic Pregnancy in the 12th Week of Gestation: A Case Report. Journal of Gynecology & Obstetrics.2016;6.
- Priscilla MN, et al. The Impact of Physical Activity on Sleep during Pregnancy: A Secondary Analysis. Clinics Mother Child Health.2016;13.
- Patrick B, et al. Abdominal Wall Varices in Pregnancy-A Case Report and Review of the Literature. Journal of Pregnancy and Child Health.2016;3.
- Guyton and Hall. Female Physiology Before Pregnancy and Female Hormones. Medical Physiology. 11th ed. Elsevier.
- Miljana ZJ. The Effect of Abruptio Placentae on Perinatal Outcome of Pregnancy. Journal of Clinical Case Reports. 2016;6.
- Nilanchali S, et al. Undiagnosed Hypothyroidism in Pregnancy Leading to Myxedema Coma in labor: Diagnosing and managing this rare Emergency. Journal of Pregnancy and Child Health.2016;3.
- Wei YY, et al. Prevention of Preeclampsia with Aspirin Therapy in the Second Trimester and Pregnancy Outcome: A Meta-analysis. Journal of Health Medical Informatics.2016;7.
- Melkamu AA and Mulat AW. Near Term Rudimentary Horn Pregnancy with Term Intrauterine Pregnancy: A Case Presentation. Journal of Clinical Case Reports. 2016;6.
- Cringu AI, et al. Invasive Molar Pregnancy in a Woman Aged 54 Years A Case Report. Journal of Clinical Case Reports. 2016;6.