Pregnancy

Developments in Contraception: An Extensive Analysis of Safety, Effectiveness, and Options

Contraception is referred to as a method to prevent unwanted pregnancy. There are various options available for women. Contraception enables couples to imply the concept of family planning. The choice of contraception depends on certain personal preferences like frequency of intercourse, number of partners, the desire to have children in future, prevention of certain transmissible diseases, affordability and diseases of the reproductive system. It enables individuals to safeguard their health along with enjoying the pleasures of life.  There are various modes of contraception available these days and they are offered as per the needs of the user, but the success rates may vary. The most common methods are oral contraceptives, barrier contraception, intrauterine system, intrauterine devices, hormone implants and surgery.  Image Source: merillife.com The merits and demerits of these methods are described below.  Combined oral contraceptive pills  Oral contraceptive pills are composed of hormones estrogen and progestin which are naturally produced by the ovaries. Progestin only pills are also available. This is a reliable mode of contraception exclusive for women, which inhibits ovulation and prevents conception. This method provides added benefit to women suffering from conditions like polycystic ovarian syndrome, dysmenorrhea and heavy menstrual bleeding. It regulates menstrual cycle in women with PCOS and decreases bleeding in women suffering from HMB.  (2)  These pills are taken for 21 days every day at the same time, with a seven-day pill free interval. There is withdrawal bleeding during this phase and the pills are taken after seven days from a new pack.  Combined oral contraceptives reduce the risk of ovarian cancer by 50 percent. However, it may increase the risk of cervical cancer as the use of barrier contraceptives is decreased which increases the exposure to human papilloma virus (HPV). (3)  Barrier contraception  Barrier contraception prevents the sperm from reaching the egg released from the ovary and prevents conception. It also prevents the transmission of sexually transmitted diseases and provides added protection.   Barrier contraception can be provided by various modes like spermicide, sponges, cervical cap, diaphragm in females and condoms in males.  (4)  Condoms- These are usually latex barriers that prevent the sperm from reaching the egg. Its role in preventing STI’s is more pronounced as compared to its function as a contraceptive. The incidence of cervical cancer increases when the use of this barrier contraceptive is decreased as it reduces the risk of transmission of HPV. (5)  Spermicide- As the name indicates, spermicide kills the sperms or makes it inactive. The dysfunctional sperms cannot penetrate the egg; hence fertilization does not occur. It can be used with or without barrier contraceptives, as per convenience. It contains nonoxynyl-9 which has spermicidal activity. It is applied in the vagina sometime before intercourse and may cause burning and local irritation in some women. (6)   Sponge- This is a soft sponge that contains spermicide. It is inserted in the vagina, on the cervix and prevents the sperms from entering the uterus. The spermicide slows the sperm and disables it. It is cheap and easily available, however; it’s not commonly used as better options of contraceptives with better efficacy are available. (7)  Cervical caps- This is usually made up of rubber and is placed over the cervix. Like most of the barrier contraceptives, it prevents the sperm from entering the uterus.  It can be used for a period of one year if cleaned and maintained properly. It can be used with a spermicide for maximum effect and is supposed to be kept in place for at least 6 hours after intercourse. (8)  Diaphragms- These are like cervical caps which are made up of latex or silicon. These are placed onto the cervix and can be used with a spermicide for better results. It may not be ideal for women who’ve recently given birth or have gained weight as there may be size differences. It must remain intact for up to six hours after intercourse. (9)  Intrauterine system  This is a T-shaped device that is placed inside the uterus. This is a long-term method of contraception and provides instant reversal of fertility.  It has 99 percent success rate which makes it the contraceptive choice for most women. It is ideal for women who want a long-term contraceptive choice. It releases progesterone locally which thickens cervical mucus and causes thinning of uterine lining which prevents implantation. This contraceptive device is inserted by a physician and is functional for three to four years depending on the brand.   It is helpful for women having heavy menstrual periods as it makes the periods lighter and pain free. However, it may cause irregular periods in the first few months following insertion. Intrauterine system does not provide protection against STIs hence added protection must be used for its prevention. (10)  Intrauterine device  This is also a T-shaped copper device which is inserted in the uterus by a physician. It releases copper which thickens cervical mucus and causes local atrophy which prevents implantation. It is 99 percent effective in preventing pregnancy. This device provides long term contraception and can remain functional for five to ten years depending on the brand.    There is a risk of infection with copper IUD which must be treated promptly or may lead to pelvic inflammation, and it may cause heavy menstrual bleeding in some women, following its insertion. It has prominent advantages like long term contraception, no induced hormonal changes and is safe to use for breastfeeding mothers.  (11)  Hormone implants  This is a small, rod-shaped contraceptive device that is inserted in the medial side of the upper arm and provides long term contraception. It is efficacy is 99 percent. It is a hormonal device hence; it releases progestin which prevents ovulation, thicken cervical mucus and hinders the access of sperm to the egg and causes thinning of uterine lining which prevents implantation.  There are temporary side effects associated with this like spotting in the first few months, weight gain, acne and breast soreness all of which are due to progesterone release in the blood stream. The benefits

Developments in Contraception: An Extensive Analysis of Safety, Effectiveness, and Options Read More »

Navigating Wealth and Security in Pakistan’s Patriarchal Landscape

In Pakistan’s cultural landscape, traditional gender roles still weave a complex pattern, often leaving women on the fringes of financial decision-making. However, in the face of these challenges, the call for financial literacy among women is gaining momentum as a powerful tool for dismantling barriers and building both wealth and security. Pakistan, like many societies, has been shaped by traditional gender norms that often confine women to domestic roles. In such an environment, financial literacy becomes a beacon of empowerment, providing women with the knowledge and skills to navigate the intricacies of personal finance, investment, and economic independence. Image Source: Flickr.com One of the primary challenges women face in Pakistan is limited access to education and employment opportunities, which in turn impacts their financial autonomy. Financial literacy acts as a catalyst, breaking the cycle of dependency by equipping women with the tools to make informed decisions about their money. From budgeting and saving to understanding investment options, financial literacy becomes a pathway to economic empowerment. Navigating the patriarchal landscape of Pakistan, where women’s contributions to the workforce are often undervalued, financial literacy becomes a form of resistance. It challenges the traditional narrative that confines women to the role of financial dependents and encourages them to take charge of their economic destinies. Understanding the intricacies of financial planning allows women to participate actively in household financial decisions, moving beyond traditional gender roles. This shift not only benefits individual women but contributes to reshaping societal norms around gender and money. As women gain confidence in managing their finances, they become agents of change, challenging the status quo and inspiring others to follow suit. In a country where women’s financial inclusion is often hampered by cultural and social norms, financial literacy becomes a bridge to economic participation. Banks and financial institutions play a pivotal role in this process by designing inclusive financial products and services that cater to the specific needs of women. From accessible savings accounts to investment opportunities tailored for beginners, these initiatives contribute to creating a more inclusive financial landscape. Moreover, financial literacy serves as a shield against economic vulnerabilities. In a society where divorce or widowhood can lead to financial instability for women, understanding financial planning and having the skills to navigate economic challenges becomes crucial. Financially literate women are better equipped to weather financial storms, ensuring a more secure future for themselves and their families. Educational initiatives aimed at promoting financial literacy among women in Pakistan should be prioritized. Workshops, seminars, and outreach programs can empower women with practical knowledge, demystifying complex financial concepts and building confidence in managing money. The inclusion of financial literacy in school curricula can also play a pivotal role in fostering a culture of economic empowerment from a young age. To truly transform the financial landscape for women in Pakistan, a multi-faceted approach is necessary. This includes dismantling legal barriers that may impede women’s financial independence, promoting workplace equality, and fostering a cultural shift towards recognizing and valuing women’s economic contributions. Image Source : Freepik.com In conclusion, financial literacy emerges as a beacon of empowerment for women in Pakistan, challenging traditional gender roles and fostering economic independence. As women gain the knowledge and skills to navigate the financial landscape, they become architects of their financial destinies, contributing to a more inclusive and equitable society. The journey toward financial literacy is not just about money; it’s about dismantling barriers, fostering independence, and rewriting the narrative for women in Pakistan’s patriarchal context.

Navigating Wealth and Security in Pakistan’s Patriarchal Landscape Read More »

Forced Marriages In Pakistan And Their Devastating Impact

In the heart of South Asia, where traditions intertwine with modernity, a dark and pervasive issue persists: forced marriages in Pakistan. This age-old practice, deeply rooted in cultural norms, not only jeopardizes the fundamental human rights of individuals but also has the potential to lead to unhealthy living environments, childhood trauma, and abuse. Image Source: Freepik.com Forced marriages are often seen as a means of upholding family honor and societal expectations. However, the grim reality is that they can become breeding grounds for a host of social issues, starting with the immediate impact on the individuals involved. Young boys and girls find themselves entangled in a web of decisions made by others, forced to embark on a life journey with a partner they did not choose. Living in a marriage forged by external pressures rather than personal choice can create an environment laden with tension and resentment. The lack of emotional connection between spouses, a cornerstone for a healthy marriage, often results in an atmosphere of perpetual strain. This not only hampers the well-being of the couple but sets the stage for an unhealthy upbringing of the next generation. Children born into such unions may be exposed to dysfunctional family dynamics, witnessing their parents grapple with the consequences of a forced marriage. The ripple effect of this unhealthy environment extends beyond the immediate family, impacting the community at large. It becomes a cycle that perpetuates itself through generations, normalizing a practice that should be recognized as a violation of basic human rights. Childhood trauma is an inevitable byproduct of forced marriages. The emotional toll on individuals who are coerced into unions is profound, and it manifests in various ways. Anxiety, depression, and a sense of powerlessness are prevalent among those forced into marriages against their will. The scars of such trauma extend far beyond the wedding day, affecting one’s ability to form healthy relationships and navigate the challenges of adulthood. The issue compounds when we consider the prevalence of abuse within forced marriages. The power imbalance between spouses, exacerbated by the lack of emotional connection, creates an environment ripe for physical, emotional, and psychological abuse. Victims, especially women, often endure silent suffering due to societal pressures and a fear of tarnishing the family name. The perpetuation of forced marriages in Pakistan is not solely a consequence of individuals’ choices; it is deeply ingrained in societal structures that perpetuate gender inequality and restrictive norms. Breaking this cycle requires a multi-faceted approach that involves legal reforms, community education, and support systems for victims. Legal frameworks need to be strengthened to protect individuals from forced marriages, with stringent consequences for those who perpetrate or facilitate such acts. Simultaneously, community-based educational programs can challenge traditional norms and raise awareness about the damaging effects of forced marriages on individuals and society as a whole. Support systems, both governmental and non-governmental, should be established to provide assistance and refuge for victims seeking to escape forced marriages. Counseling services and safe spaces can play a crucial role in helping survivors rebuild their lives and break free from the shackles of trauma. Image Source : Freepik.com Forced marriages in Pakistan are a deeply entrenched issue that demands urgent attention and comprehensive intervention. By dismantling the cultural norms that uphold this practice, fostering awareness, and providing support for victims, we can strive toward a society where individuals have the autonomy to choose their life partners and build relationships based on love, respect, and mutual consent. It is a collective responsibility to break the chains of forced marriages and pave the way for a future where every individual can thrive in a healthy, nurturing environment.

Forced Marriages In Pakistan And Their Devastating Impact Read More »

Why The Idea Of Preserving Toxic Marriages In Pakistani Culture Is Damaging To Women

In Pakistan, a prevailing cultural norm often places immense importance on the preservation of marriages, sometimes at the cost of a woman’s well-being. The societal expectation that women should endure toxic households under the guise of “saving the marriage” contributes to a cycle of silence and suffering. This article explores the dynamics that compel Pakistani women to stay in unhealthy relationships, focusing on the cultural pressure exerted by parents and the transformation of a woman’s marital home into her permanent residence. Image Source: Freepik.com Cultural Expectations and Preserving Marriages: In Pakistani society, marriages are considered sacred, and there is a societal emphasis on preserving the institution at all costs. This expectation is deeply ingrained in cultural norms, with women often receiving the message that their primary duty is to maintain harmony within the household, even if it means enduring toxic dynamics. Parents as Reinforcers of Cultural Norms: Parents, who play a significant role in shaping societal norms, often reinforce the idea that a woman’s primary responsibility is to ensure the stability of her marital home. This expectation is particularly intense for daughters, who are often raised with the notion that their success lies in maintaining a harmonious family life. Mothers, who may have experienced similar pressures in their own marriages, may inadvertently pass on the message that enduring hardship for the sake of the family is a virtue. Fathers, viewing the marital home as a sacred institution, may discourage their daughters from taking actions that could be perceived as disrupting the established order. Transforming Marital Home into Permanent Residence: A significant aspect of this cultural dynamic is the transformation of a woman’s marital home into her permanent residence, even if it becomes a toxic environment. The idea that a woman’s loyalty and commitment should be unwavering perpetuates the notion that she is a guest in her parents’ house if she chooses to leave her marital home. The cultural narrative often dictates that a woman’s allegiance must shift entirely to her husband’s family, emphasizing her role as a wife and daughter-in-law over that of a daughter. This shift in allegiance can lead women to feel like outsiders in their parents’ homes if they consider leaving a toxic marriage. The Stigma of Divorce: Divorce carries a significant stigma in Pakistani society, particularly for women. The fear of societal judgment and ostracization can be paralyzing, making women reluctant to consider separation even in the face of emotional or physical abuse. The pressure to maintain the facade of a happy marriage, especially in conservative communities, further contributes to women enduring toxic households silently. Empowering Women to Break the Silence: Breaking the cycle of enduring toxic marriages begins with challenging ingrained cultural norms and fostering open conversations about mental health, well-being, and the right to a safe and fulfilling life. Educating parents and families about the importance of a woman’s autonomy, emotional health, and the possibility of a better life beyond a toxic marriage is essential. Legal and social support systems need to be strengthened to provide women with options and resources when leaving toxic marriages. Community initiatives that destigmatize divorce and encourage open dialogue about mental health can contribute to a shift in societal attitudes. Image Source : Urdu Drama Point The cultural pressure on Pakistani women to endure toxic households under the pretext of saving marriages is a pervasive issue that demands examination and transformation. Addressing this challenge requires a collective effort to reshape cultural norms, empower women to prioritize their well-being, and provide them with the support and resources needed to break free from toxic relationships. By fostering open conversations and challenging the stigma surrounding divorce, Pakistani society can take crucial steps towards creating an environment where women are not only valued as wives and daughters-in-law but are also recognized as individuals deserving of respect, happiness, and autonomy.

Why The Idea Of Preserving Toxic Marriages In Pakistani Culture Is Damaging To Women Read More »

Social Boundaries Placed On Women In Pakistan That Make Them Hesitant To Step Out

In Pakistan, societal norms often perpetuate the idea that women should maintain a more reserved and secluded presence. The media plays a significant role in reinforcing these stereotypes, influencing perceptions of women’s roles and limiting their social interactions. This article explores the impact of media on the reclusive tendencies of women in Pakistan and offers insights into how women can boost their confidence in social settings. Image Source: Freepik.com Media’s Role in Perpetuating Seclusion: The portrayal of women in Pakistani media often reflects traditional gender roles, emphasizing modesty and domesticity. Television shows, films, and advertisements tend to depict women in confined spaces, reinforcing the notion that their primary sphere should be within the home. This representation can contribute to the social conditioning that encourages women to be more reclusive, limiting their interactions outside familial circles. Media’s influence extends beyond visual representation; it shapes societal expectations and norms. Messages from media outlets may inadvertently reinforce the idea that women should prioritize domestic responsibilities over social engagement, further contributing to their seclusion. Breaking the Mold: Empowering Women in Social Settings Media Literacy: To counter the impact of media stereotypes, fostering media literacy is crucial. Women should be encouraged to critically analyze media content, question stereotypical portrayals, and understand how these images may influence societal perceptions. Educational programs and workshops can play a pivotal role in developing media literacy skills among women, empowering them to challenge limiting narratives. Promoting Positive Role Models: Highlighting positive and diverse female role models in media can reshape societal attitudes. Platforms should actively showcase women who excel in various fields, breaking away from the limited narratives that confine women to traditional roles. By showcasing successful, confident, and socially active women, media can inspire others to step out of the confines of societal expectations. Encouraging Social Education: Empowering women with social education can enhance their confidence and interpersonal skills. Workshops and community programs that focus on communication, networking, and social engagement can equip women with the tools to navigate various social settings. This education should emphasize the importance of building supportive networks, both personally and professionally. Community Support Networks: Establishing community support networks can provide women with a sense of belonging and encouragement. Local initiatives and women’s groups can offer platforms for networking, skill-sharing, and mutual support. These networks break the isolation that societal norms may impose on women, fostering a sense of community and empowerment. Promoting Inclusive Public Spaces: Cities and communities can contribute to women’s confidence by creating inclusive and safe public spaces. Well-lit areas, accessible transportation, and community events designed to encourage social interaction can help women feel more comfortable outside their homes. A positive environment is crucial for women to develop confidence in engaging with the broader community. Mentorship Programs: Mentorship programs connect women with experienced mentors who can guide them in navigating social and professional challenges. These programs provide valuable insights, advice, and support, fostering personal and professional growth. Mentorship can be a powerful tool in helping women build confidence and overcome societal constraints. Image Source : Urdu Drama Point Women in Pakistan face societal expectations that encourage a more secluded existence, often perpetuated by media portrayals that reinforce traditional gender roles. However, with intentional efforts, women can break free from these constraints and develop the confidence to navigate social settings. By fostering media literacy, promoting positive role models, encouraging social education, establishing community support networks, creating inclusive public spaces, and implementing mentorship programs, Pakistan can empower women to embrace their social skills and confidently participate in all facets of society. The journey towards empowerment begins with challenging societal norms and creating an environment where women are encouraged to step out, connect, and contribute to the broader community.

Social Boundaries Placed On Women In Pakistan That Make Them Hesitant To Step Out Read More »

Gender Biased Stereotypes Still Prevalent In Workspaces Today

Despite significant strides in gender equality, the issue of underrepresentation of women in the workforce persists. Companies around the world continue to grapple with the challenge of hiring and retaining female talent. In this article, we delve into the complex web of gender bias that hinders women’s career advancement, examining stereotypes related to menstruation, maternal leave, and family choices, and why it is crucial to dismantle these stereotypes for a more inclusive workplace. Image Source: Freepik.com Menstruation Stigma: One pervasive gender bias that women face in the workplace is the stigma surrounding menstruation. Despite being a natural biological process, menstruation is often treated as a taboo subject, contributing to the creation of an uncomfortable work environment for many women. The stereotypical perception that menstruating women are less productive or emotionally unstable perpetuates discrimination. This bias can result in women feeling hesitant to discuss their needs openly, impacting their overall job satisfaction and hindering their professional growth. Maternal Leave Stereotypes: Another significant barrier faced by women in the workforce is the stereotype surrounding maternal leave. Many women fear that taking time off for maternity leave will be perceived as a lack of dedication to their careers. This stereotype not only hampers career progression but also discourages women from pursuing leadership roles. To address this bias, companies must establish policies that promote work-life balance, provide adequate parental leave for both men and women, and create a culture that values employees for their contributions rather than penalizing them for fulfilling family responsibilities. Family Choices and Career: Gender bias also manifests in assumptions about women’s commitment to their careers based on their family choices. Women are often unfairly pressured to choose between career advancement and family life. This binary mindset perpetuates the stereotype that women cannot balance both successfully. Companies can challenge this bias by implementing flexible work arrangements, such as remote work options and compressed workweeks. By acknowledging and accommodating diverse family structures, organizations can create an environment where women feel empowered to pursue both their professional and personal aspirations. Impact on Diversity and Inclusion: The perpetuation of these stereotypes not only limits the professional growth of women but also hampers overall diversity and inclusion in the workplace. When companies fail to recognize the unique challenges faced by women, they miss out on the diverse perspectives and talents that women bring to the table. Dismantling these stereotypes is not just a matter of promoting gender equality; it is an essential step towards building a more innovative, dynamic, and inclusive work environment. Companies that embrace diversity and inclusion attract a wider pool of talent, foster creativity, and ultimately outperform their competitors. The Role of Company Policies: To combat gender bias and create a more inclusive workplace, companies must take proactive steps. Establishing and enforcing policies that address gender bias, offering comprehensive parental leave, promoting flexible work arrangements, and fostering a culture of open communication are crucial components of a more equitable work environment. Additionally, educating employees and leadership about unconscious biases and implementing training programs can help dismantle stereotypes and promote a more supportive workplace culture. Image Source : Freepik.com The underrepresentation of women in the workforce and the perpetuation of gender biases related to menstruation, maternal leave, and family choices are pressing issues that companies must address head-on. By challenging these stereotypes, implementing inclusive policies, and fostering a culture that values diversity and inclusion, organizations can create environments where women are empowered to thrive professionally, unburdened by societal expectations that hinder their career advancement. Breaking the chains of gender bias is not just a moral imperative; it is a strategic move that benefits individuals, companies, and society as a whole.

Gender Biased Stereotypes Still Prevalent In Workspaces Today Read More »

Postpartum Trauma: How To Start The Journey To Healing in South Asia

The birth of a child is often regarded as a moment of joy and celebration, deeply rooted in the cultural fabric of South Asia. However, for some women in the region, the postpartum period can be overshadowed by unexpected challenges, giving rise to postpartum trauma. This article explores the unique aspects of navigating postpartum trauma in the South Asian context, shedding light on the cultural nuances and offering insights into the path to healing. Image Source: Freepik.com Cultural Context: In South Asia, societal expectations and cultural norms surrounding childbirth can significantly impact a woman’s postpartum experience. Traditional customs often dictate that motherhood should be an exclusively blissful period, leaving little room for the acknowledgment of emotional struggles or trauma. The pressure to conform to these expectations can exacerbate feelings of guilt, shame, and isolation for women grappling with postpartum trauma. Understanding and addressing postpartum trauma within the South Asian cultural context requires a delicate balance between preserving cultural values and fostering an environment where women feel empowered to seek help without judgment. Breaking the Silence: One of the critical challenges in navigating postpartum trauma in South Asia is the prevailing silence surrounding mental health issues. Open discussions about mental well-being, especially related to the postpartum period, are often stigmatized or dismissed. Breaking this silence is essential for creating a supportive environment where women feel comfortable expressing their emotions and seeking help. Community and Family Support: In South Asian societies, the family unit plays a central role in postpartum care. While this can be a source of comfort, it can also contribute to additional stress if there is a lack of understanding about postpartum trauma. Educating family members about the emotional challenges that some women may face post-childbirth is crucial in fostering a supportive atmosphere. Cultivating empathy within the community is equally important. Traditional practices of community support or gatherings can be adapted to include discussions about postpartum mental health, providing a platform for women to share their experiences and seek advice from those who have navigated similar challenges. Professional Guidance: Access to mental health professionals is a vital aspect of addressing postpartum trauma in South Asia. However, barriers such as limited awareness, social stigma, and economic constraints may hinder women from seeking professional help. Efforts to destigmatize mental health care and increase awareness of available resources are essential. Integrating mental health education into antenatal and postnatal care can help normalize seeking professional guidance. Telehealth options and community-based mental health initiatives can also bridge the gap for women who may face geographical or economic challenges in accessing in-person services. Integrating Traditional Healing Practices: South Asia boasts a rich tapestry of traditional healing practices, including Ayurveda, yoga, and herbal remedies. Integrating these practices into postpartum care can offer holistic support for women navigating trauma. Yoga, for instance, not only contributes to physical well-being but also provides a space for mindfulness and relaxation. Collaboration between mental health professionals and traditional healers can create a comprehensive approach to postpartum healing, acknowledging and respecting the cultural heritage of South Asian women. Image Source : Freepik.com Navigating postpartum trauma in South Asia requires a multifaceted approach that addresses cultural nuances, promotes open dialogue, and integrates both modern and traditional healing practices. By breaking the silence, fostering community and family support, increasing awareness of mental health resources, and embracing the richness of traditional healing, South Asian women can embark on a compassionate journey towards healing—one that acknowledges the challenges while celebrating the resilience and strength inherent in their diverse cultural heritage.

Postpartum Trauma: How To Start The Journey To Healing in South Asia Read More »

Menstrual Health and Hygiene, Notes for Women Experiencing Periods

Menstruation is a natural process that occurs after 28-35 days duration every month. This process occurs because of the cyclical production of hormones which promotes the growth of a mature follicle that releases an egg which if fertilized results in conception. If the egg is not fertilized, the endometrium sheds and results in menstrual flow. This is a monthly process that happens to all women. During menstruation adequate hygiene should be maintained. Menstrual health and hygiene are fundamental for the wellbeing of every female. It empowers women to be confident and at the forefront of their daily activities. According to the World Bank, around 500 million women worldwide lack access to basic menstrual products. An unsatisfactory menstrual hygiene predisposes the body to infections, which is why it is considered very important to follow the general protocol. Image Source: safeamna.org Period poverty in Pakistan  Period poverty refers to social or cultural barriers that prevent women to freely access menstrual products. Lack of access to these products affects the physical and emotional tendencies of females and hurdles to their potential of performing their best. Another important factor that prevents women to attain good menstrual hygiene and access menstrual products is due to the financial constraints and tax on these products which makes it expensive and out of reach for them. Hence the unmet menstrual needs of women is an important issue that must be tactfully handled by the concerned authorities to aid the access of these products to all. Lack of basic menstrual wellness Around 80 percent of girls discover about menstruation after getting their first period. This lack of knowledge predisposes them to hesitancy and emotional discomfort. Having the basic knowledge about the process of menstruation and menstrual products allows young girls to be mentally prepared for the time they experience it. It also protects them from social embarrassments. Menstrual health management (MHM) To prevent the occurrence of disease and infection the WHO has introduced guidelines that highlight some precautions. Menstrual health management (MHM) focuses on women and adolescent girls to use an absorbable material that can be changed in privacy with the availability of water soap and proper sanitation. Maintain the cleanliness and disposing the used menstrual product wrapped in toilet paper or paper bag in a bin instead of flushing it down the toilet. Previously cloth was most popularly used by women during menstruation but the use of newer menstrual products like pads, tampons, menstrual cups and period underwear is preferred now. All these products are advised to be changed within 4-8 hours to prevent overflow. The menstrual cups are reusable and are to be washed properly to maintain hygiene. Image Source: menstrupedia.com Important steps to maintain good hygiene Use of clean water – Rinsing of the vulva with clean water with the direction being from vulva to the anus. This is important in preventing the bacteria to reach from the anus to the vulva. Changing the menstrual products regularly – It is advised to change the menstrual products within 4 to 8 hours to prevent overflow but more importantly to prevent toxic shock syndrome. Toxic shock syndrome is a life-threatening condition which is caused by bacteria entering the body and releasing toxins which are harmful for the body. This is highly associated with the use of tampons in young girls. Use of good quality non scented products – Scented products can irritate the skin and lead to rash. Hence, it is better to use good quality products which are not scented. Bathing and cleaning – In some regions menstruation is considered impure and dirty. There are many misconceptions and people believe that bathing can have negative effects on health. This is false as there is no data that can show negative effects of bathing on health. However, bathing and maintaining cleanliness is good for health and prevents the development of possible infections. Image Source: Freepik.com Types of menstrual products and their availability There are many types of menstrual products available in the market. The safe menstrual products to maintain good hygiene are sanitary pads, tampons and menstrual cups. The choice of the perfect menstrual product depends on certain factors that vary amongst women. These factors include the level of activity, cost, ease of change and the amount of flow. The most used product is sanitary pads followed by tampons. Sanitary pads are the most popular amongst menstrual products. These are highly absorbent and made from natural and synthetic fibers majorly cotton. These need to be changed every 6-8 hours to prevent overflow and infection. Tampons are also commonly used. These are also made from natural and synthetic fibers and are inserted in the vagina. These may be a little difficult and uncomfortable for some women to insert hence pads are superiorly used. Tampons must be changed 4-6 hours to prevent the occurrence of toxic shock syndrome (TTS). This is a rare but life-threatening condition and may present with symptoms like fever, nausea, vomiting, muscle cramps and rashes. Menstrual cups have recently become popular and in use. These are washable and pocket friendly. Like tampons, a menstrual cup is inserted in the vagina and where they collect menstrual blood. The menstrual cup can be washed and changed till 12 hours which is greater duration than sanitary pads and tampons, but this again depends on the amount of flow. Other less popular options are menstrual discs and period underwear. Menstrual disc is placed in the vagina at the opening of cervix. The period underwear is made up of poly filaments that absorb the period flow and prevents leakage. It can be washed and reused for 2 years. Hence, the choice of menstrual product depends on the amount of flow, cost and sustainability. This article concludes the importance of menstrual hygiene and how it is significant to prevent the occurrence of infectious disease that may be life threatening for women. Take away points Menstruation is a natural process that occurs in all females and normally is at the end of 28–35-day cycle. There are

Menstrual Health and Hygiene, Notes for Women Experiencing Periods Read More »

To Be Aware of PCOS, its Symptoms and Possible Treatments.

What is PCOS? Polycystic Ovarian Syndrome (PCOS) is a hormonal disorder found in females of reproductive age. It is predominated by a triad of presentation which includes hyperandrogenism, hirsutism and polycystic ovaries. These females experience anovulatory or missed cycles and often present with infertility. This disorder affects the ovaries which produce estrogen and progesterone. The cyclical production of these hormones enables the ovaries to release an egg by the process of ovulation. The egg, if fertilized by the sperm results in conception. Hence, the process of ovulation is the key to fertility which is impaired in females suffering from PCOS. What causes it? The exact cause of PCOS is not determined but there are some important factors that are considered to play a vital role in the pathogenesis of the disease. Insulin resistance, family history, increased level of androgens and inflammation are considered to be important factors. Image Source: The Vagenda Insulin resistance This refers to the decreased effect of insulin on peripheral tissues and one cause of this is obesity. Insulin resistance causes increased production of androgens (male hormones) from the ovaries. Androgens are normally secreted by the ovaries and adrenal glands but cause clinical symptoms when produced in excess. These include hirsutism and acne. When there is persistent insulin resistance there is a great chance of developing type 2 diabetes in the future. Lifestyle Sedentary lifestyle is an important contributor in causing PCOS. Eating an improper diet focused on carbs and calories with lack of exercise and energy consuming tasks leads to weight gain which directly leads to hormonal disturbance and PCOS. Focusing on a healthy diet and daily exercise is the first line of treatment for this disease which further signifies its importance. Family history Women with PCOS have 50% chances of having an immediate female relative with the same disease. Genes and family history have an important role in the development of this disease. Hormones The two most important hormones involved in the development of PCOS are androgens and insulin. These hormones are normally produced in humans in a regulated amount but when produced in excess, they prevent ovulation and disrupt menstrual cycle. Obesity increases the production of these hormones hence an important factor in causing this disease. Image Source: tlcfertility.com How do patients present? PCOS can be completely asymptomatic in some patients and may come to attention when the patient has irregular cycles or difficulty with getting pregnant. The most common presenting symptoms are, Irregular periods This refers to the absence of regular periods or missed cycles. Some women have less than eight cycles or less per year. Hair growth About 70% of women with PCOS have excessive hair growth on their face and other regions of body. This is because of high levels of androgen in the body. This excessive hair growth is called hirsutism. Acne The effect of elevated androgens also results in oily skin and acne. Weight gain Insulin resistance is a major cause of the resulting weight gain that occurs in patients with PCOS. Infertility As explained earlier, whenever the process of ovulation does not occur normally and the egg is not released, fertilization cannot occur. Depression and anxiety Depression and anxiety are common symptoms of PCOS. It is mostly estimated that this is due to hormonal changes, but further research is required. Some women have also been reported to suffer from eating disorders and all these side effects must be assessed by doctors to provide adequate help. Sleep troubles Women with PCOS tend to be obese and are more likely to have sleep apnea which causes breathlessness in sleep. This results in disturbed sleep and fatigue which aggravates bad mood. How is it diagnosed? PCOS is a clinical disease and is best diagnosed based on history and examination. A thorough history about menstrual cycle, weight gain and skin manifestations like excess hair growth on the body, acne and alopecia. The doctor may inquire about the family history as there is a close genetic relation observed. Other than this, a pelvic ultrasound to see for cysts in the ovaries is also done for diagnosis. Rotterdam criteria is used to diagnose this disease and is based on three factors Androgen excess- This can be measured and checked via labs and can be appreciated clinically in the form of acne and hirsutism. Ovulatory dysfunction- This can be assessed by the regularity of periods and a mid-cycle check of progesterone. Polycystic ovaries- These are cysts caused by incomplete ovulation when there is a failure of the mature follicle to release an egg and it forms a cyst. It is very important to rule out other important causes of such symptoms like adrenal and thyroid disorders. For this, blood tests are done to be certain about the cause. Image Source: Unknown Treatment of PCOS PCOS does not have a definitive treatment, but the symptoms can be managed. There is a range of symptoms that are presented and can be treated according to severity. Lifestyle changes The most initial and important step in treating PCOS is to focus on lifestyle changes. These changes are focused on diet and exercise. In overweight females, weight loss can improve the overall outcome of the disease and may prevent from the future complications of this disease. The ideal BMI is between 18.5-24.5. The diet must be focused on whole foods and fresh protein. Processed food intake increases weight gain and must be avoided overall. Medication Different medications can be helpful in treating the symptoms. Irregular menstrual cycle – Oral contraceptives are best used for making the menstrual cycle regular. These are taken from the first day of the cycle for 21 days (about 3 weeks) with a seven-day pill-free interval. The use of OCPs provides an added effect of prevention of endometrial cancer with regular cycles every month. Infertility – Women with PCOS who are trying to conceive can use clomiphene which induces ovulation and promotes fertility. It is a commonly used drug and may be the first recommended drug for

To Be Aware of PCOS, its Symptoms and Possible Treatments. Read More »

Book a Demo Interview

Submit your CV