Articles on menopause

Ayurveda for Menopause

Dr. Vishal Bhuva, Ayurveda
Menopause is a “pause” period of the menstrual cycle. It is called “Raja Nivrutti” in Ayurveda, which literally means retirement of menses.According to Ayurveda, menopause is linked with aging. Menopausal phase is an important benchmark for a woman. It brings upon a lot of changes in a female’s life. All these changes and their effects are commonly known as “Menopausal Syndrome”.Menopausal Syndrome is not a disease. However, when all these changes are aggressive, it brings a lot of dis-ease in the life and can make this syndrome a disease.Menopausal symptoms are experienced by 75-85% of woman. A diet containing hot spicy food, alcohol, caffeine and a stressful lifestyle will often exacerbate the symptoms of menopause.Herbs can help soothe the symptoms of menopause. Ayurvedic herbs possess certain phytoestrogens that connect with the body’s estrogen receptors. These estrogen receptors enable the hormones to function properly, thereby help smooth the transition through menopause.These herbs address almost all the changes of the menopause, without any side effects. In fact, they have an effect almost parallel to hormone replacement therapy and synthetic hormones medication.Common Herbs Used for Menopause:1. Anethum sova (Mishreya)2. Saraca indica (Ashoka)3. Trigonella foenum graecum (Methika)4. Asparagus racemosus (Shatavari) 5. Hemidesmus indicus (Sariva) 6. Emblica officianalis (Amalaki)Treatment of Menopausal Symptoms:• Dryness of vagina• Irritation and mood fluctuations • Hot flashes and night sweats• Bone health• Loss of libidoAyurveda can give relief from above symptoms & can give healthy life.Ayurveda is the perfect solution for a healthy aging and can create wonders. Ayurvedic healthcare can help one go through the menopausal phase with greater comfort and ease, without many problems.

Foods To Soothe Menopause Symptoms

Ms. Swati Kapoor, Dietitian/Nutritionist
Menopause is something which is experienced by every woman in her lifetime.This phase can be tough as the body goes through a lot of changes.During menopause, the body produces less of estrogen hormone due to which it brings out symptoms like hot flushes, mood swings, irritability,sleepless nights. In order to reduce these symptoms, you can include following foods in your diet which are rich in phytoestrogens.1.Flaxseed(ALSI)Flaxseeds contain phytoestrogens which actually gives a rise in estrogen levels. One can include them in moderation in order to minimize pre symptoms of menopause.You can sprinkle ½ tsp of flaxseed on yogurt / salad/smoothies/trail mix.2. SoybeanSoybeans are also one of the richest source of phytoestrogens. They are a great choice for snacks .They also act as a soothing agent for women who are suffering from menstrual cycles.3. ChickpeasChickpeas is also one of the relieving food item for women. You can have them as a snack, or as hummus to add variety in your diet.4. GarlicGarlic contains good amount of isoflavones,which is kind of phytoestrogen, helpful for women who experience bad symptoms during menopausal stage.The best way to add garlic is during the time of cooking.5. TofuTofu (curd made from soya) is again a source of isoflavones which provides soothing effect to menopausal symptoms. You can include them as a part of salad or even meal . It is also high in protein so it adds more benefit to women who are looking for weight management.Menopausal period can be a stressful phase for any woman,but support from family and friends can make this transition easier.Family members should be sensitive about these changes.Even children can make an effort to talk to their mothers regularly.

Menopause Homoeopathic Management

Dr. Abhay S Patil, Homeopath
MenopausePriti, a 47 year old a market research analyst presents with chief complaints of “sweats and hot chills” (6-7 episodes/day), accompanied by increased emotional liability, and crying outbursts over the past 3 months. She reports irregular periods over the last year (skipped 2 months without menses once, having heavier or lighter menstrual flow).  For the past 3 months, Priti noticed that not only it has been taking longer to get to sleep, but also she has not been able to maintain sleep, waking up on average 3 times per night. She also noticed that some nights she wakes up sweating, which makes her very uncomfortable. She reports being more tired and with difficulty concentrating at work.She has been using an over-the-counter  sleeping  pills because it “helps with headaches and helps her sleep”.  She has recently stopped taking painting classes because lost interest in social activities too.She has never sought treatment because “it was not severe enough to affect her job or concentration the next day”, and “it would go away when the periods come”  until one day her symptoms became very severe and had to visit her Homoeopath who gave her a detailed explanation that she was passing through the menopause stage.What is Menopause?Menopause is not a disease that needs to be cured, but a natural life-stage transition. It is, commonly known as the "change of life", is the period during which ovulation and menstruation comes to an end in a woman between the age of 45 and 50. It is produced when there is a decrease in the secretion of hormones, estrogen and progesterone by the ovaries. Symptoms of Menopause…· Hot flushes and night sweats, sometimes with feeling faint or feeling your heart thumping fast (palpitations)· Headaches· Changes in the vagina, such as dryness, discomfort, itching · Urinary tract infections· Difficulty sleeping (insomnia)· Loss of interest in sex (libido)· Changes in mood, such as feeling tired, irritable, depressed or anxious· Having difficulty concentrating or poor memory – although this may be caused by life changes rather than the menopause itself· Urinary changes – you may find you have less control over urination (incontinence)· BloatingRole of Homoeopathy in MenopauseThe doctor took a detailed case study i.e- complete history right  from origin, duration and any other health related issues. He took a detailed analysis of her nature and behaviour and prescribed a constitutional medicine on this basis.  With continued treatment, she noticed a gradual improvement in her. The first symptom that improved was Priti’s anxiety. She began feeling confident again and the episodes dissipated. She started sleeping well and her mind began to feel clearer and she was able to accomplish her daily tasks. Her periods remained irregular, about every other month, which is a normal in this stage of Menopause. The homoeopathy treatment for Menopause entails a detailed study of the individuals constitution whereby the remedy that covers all aspects is prescribed.There are few medicines which I would like to mention which are frequently indicated in Menopause. Pulsatilla:- It is indicated in mild and yielding types of patients.Patients needing pulsatilla find they have become more insecure during menopause, cant bear to be alone . They tend to weep on slightest provocation and desire open air .They feel better with near and dear ones and love to be consoled. They tend to feel hot all the time with no desire to water.Kali carb:- Indicated in females who find they are becoming irritable,and quarrelsome especially before menses. Slight noise causes palpitation and feels uneasiness in stomach. Have a tendency for obesity during menopause. They complain of anxiety especially related to family members at the same time get irritated on them.Sepia:- Indicated in lean females who have complains of Leucorrhoea(white Discharge ). They normally give history of abortions and never have been well since than. Females who feel depressed and indifferent towards loved one with no interest in sexual intercourse. They feel miserable after working in water like washing clothes and have no thirst for water. Grafitis:- Personality are very close to Pulsatilla. They also a tendency for obesity during menopause and have a complain of eczema which thick honey type of discharges from eruptions. They are indolent and fastidious with intolerance to cold weather.Lachesis:- Complain of hot flushes. Feels miserable before menses and better by menses. Cannot tolerate tight clothing around neck, even jewellery. They find themselves becoming religious and tend to be loquacious.

Managing the Menopause Mania

Ms. Nisha Singh, Dietitian/Nutritionist
Menopause for most women is an un-tamable monster. Scary and complex. It sounds the siren for a host of changes in a woman’s life. Menopause is a phase of both physical and emotional experiences in her life as she comes to terms with an onslaught of transformations. In reality it affects each woman in completely different ways. As ovaries stop producing enough estrogen and progesterone, women start undergoing various symptoms like excessive and sudden sweating commonly known as hot flushes, constipation, weight gain, depression etc. Long term consequences can include reduced libido, osteoporosis, heart diseases, certain kinds of cancers and also dementia all of which are linked to low estrogen levels. Research indicates that eating and avoiding certain kinds of foods can make the years around your menopause a lot more comfortable and bearable. Therefore, let food be thy medicine.Hot flushes:It is very important to have cooling foods to manage the flushes. Avoid having food that is too hot and spicy, caffeine, chocolate and alcohol as they are known triggers. Have ample plant based foods as they contain phytoestrogens which help relieve hot flushes. Two kinds of phytoestrogens – isoflavones and lignans are particularly helpful. Have foods rich in Vitamins E and C.Food Sources: flax seeds, pumpkin seeds, sunflower seeds, various legumes, coconut water, iced tea, soybean, wholegrain cereals, berries etc.Depression and Mood swings:Ensure that you consume foods rich in protein and calcium. Many protein rich foods contain an amino acid called tryptophan. Tryptophan helps manufacture serotonin which helps moods and may help sleep and appetite. Also have foods rich in Vitamin B complex. These foods not only help moods but also alleviate tiredness and fatigue.Food Sources: milk, paneer, oats, low fat cheese, legumes,eggs, fish, dried dates, yogurt, banana, peanuts, beans, nuts, lean meat etc.Osteoporosis: One of the long term consequences of menopause is osteoporosis. As estrogen levels drop in the body there is loss of calcium from the bones. Avoid foods containing phosphorous like aerated drinks, processed foods as they affect the integrity of the bone and lead to faster depletion of the minerals calcium and magnesium from the bones, further affecting bone health. Having foods rich in the mineral Boron is beneficial at this time. Also consume alkaline foods to prevent mineral loss. Also supplementation of vitamin D is essential during this time as this too helps in maintaining the bone health.Food Sources: milk, paneer, cheese, beans, fortified cereals,apples, pears, grapes, dates, raisins, berries, broccoli, onion, beets, bell peppers, cabbage, cauliflower, carrots, wheat, plums etc.Heart Health: Menopause does not cause heart diseases or strokes, however certain risk factors increase during menopause. High fat diet, smoking, unhealthy lifestyle can all contribute towards it. Estrogen is believed to have a positive effect on the inner layer of artery wall, helping to keep blood vessels flexible. Assorted changes in the body occur with menopause. Blood pressure starts to go up. LDL cholesterol, or “bad” cholesterol, tends to increase while HDL, or “good” cholesterol declines or remains the same. Triglycerides, certain types of fats in the blood, also increase. Opt for healthier fats like omega 3 and 6.Food Sources:Fish, flax seeds, pumpkin seeds, sunflower seeds, olive oil, mustard oil etc.Weight Gain:As we grow older our metabolism slows down, and women have lower metabolisms to begin with. Onset of menopause brings with it bloating, water retention and constipation. Fluctuating hormones slow down the digestive system. It’s hence advisable to have fiber rich foods like fruits and vegetables. Two and half cups of fruits and 2 cups of vegetables are recommended to be consumed daily. Be physically active. Also include weight bearing exercises in your fitness routine. Reduce your intake of salt and sugar. Also, it is very, very important to maintain good hydration levels. It not only helps in flushing out the toxins but also gives a push to your slowed digestive system.Exercise and being physically active is not only vital but also tied to proper diet. Along with helping to maintain bone health and keeping off the weight, exercise also improves circulation, heart health and mental well being. Menopause, for most women is understandably a not so eagerly anticipated, inevitable time in their lives. But thankfully this time can be managed well with the help of right nutritional choices.So ladies, this mother's day, make the right choices and enjoy your forties like the twenties!!

Menopause: A Transition, Not the End of Life

Dr. Sujoy Dasgupta, Gynecologist/Obstetrician
Aging is an inevitable phenomenon in our lives. Often our parents or grand-parents say “we are aged now, so it’s just a matter of few years”. But is it really so? French author Jules Renard said “It`s not how old you are, it`s how you are old”. Scientific studies has shown that “we can expect to become old”. There are mainly two reasons for it. One is our life style changes, leading to faster aging of the general population. The second thing is profound improvement in medical care that made it possible to conquer death even at the age of 80 years.In 1000 BC, the life expectancy was only 18 years. By 100 BC, the time of Julius Caesar, it had reached 25 years. In 2005, it was 80 years for women and 75 years for men. And today, you can expect to reach 82 years if you are a male and 85 years if you are a female. Men and women population need to be addressed differently from social, economic and biological points of view. Half of men at 85 and above live with their wives, but only 10% of elderly women live with their husbands. Aging is nothing but a sign of maturity. There are three signs of maturity in each sex. Two of them are common in both men and women; graying of hair and cataract in eye. The third one is unique to each sex. In men, it’s increased size of prostate gland (prostatism) and in female, it’s menopause. Menopause is unavoidable in a woman’s life. In simplest term, it is the cessation of menstruation permanently at the end of reproductive life. The ovaries stop secreting female sex hormones- mainly estrogen and progesterone. In medical terminology, menstruation should be absent for 12 consecutive cycles to define it as menopause. Though menopause is the stoppage of reproductive function, it has profound effect in almost every organ of the body. Despite our socio-economic improvement, the age of menopause remains relatively the same; average 51 years with range of 45 to 55 years. However, there are some causes that may cause early menopause. If it occurs before 40 years, it’s called premature menopause. This needs medical consultation because it is caused by some serious diseases like genetic causes (may have family history of premature menopause- in elder sisters and mother), smoking, autoimmune disorders (body makes destructive substances against itself) etc. Sometimes premature menopause is the side-effect of some treatments like drugs (especially anti-cancer drugs), radiation and removal of ovaries by surgery. On the other hand, if menstruation continues to occur after 55 years, it’s called delayed menopause. It also deserves consultation with gynaecologists, as it is often caused by diabetes, some tumours and even some cancers. So, if menopause occurs too early or too late, it should never be ignored. But if menopause occurs in time, do the women should consult gynaecologists? Well. You can find the answers from this article. Most of the women have some common problems after menopause; they become irritable or depressed and sometimes very much emotional and moody. Even suicidal tendency is not uncommon. Often they complain of sudden sensation of excessive warmth, the hot sensation, as if there is something burning on the head, the ears or other parts of the body. This is called “hot flush”, which is often associated with excessive sweating at night, palpitation and anxiety. This happens due to absence of estrogen hormone. These problems can be solved by hormonal drugs. Even non-hormonal drugs also work well. So, timely treatment can give them good quality of life and you don’t have to say “my mother has become intolerable these days”.Frequently our mothers and grand-mothers complain of having back-pain or pain in the bones. This is due to osteoporosis; the destruction of components of bones and joints. They often get fracture with minor trauma. Again, this is due to deficiency of estrogen and also inadequate calcium intake. So, the treatment of this problem is exercise (at least 30 minutes per day), avoidance of smoking and the drugs that inhibits bone formation and adequate calcium and vitamin D intake. Hormone therapy is also effective and there are many non-hormonal drugs that can prevent destruction of bone. Thus timely medical consultation may stop our mothers saying “I cannot go outside for pain in my knees”.Cardiovascular disease is the leading cause of death in elderly. Before the age of 40 years, males are more likely to die, than females, due to heart attacks. After 40, the sex difference is lost. This is because of absence of estrogen in women after menopause that alters the composition of fat (especially cholesterol) in blood. Cholesterol get deposited in the wall of blood vessels. Such problems can be avoided by dietary control, control of high blood pressure and diabetes and regular medical checkup. The worst problem of the menopause is faced by the urinary and reproductive systems, i.e., the private parts of the body. In medical terminology, this is called “pelvic atrophy”. Our women remain very silent of it; most of them do not consult doctors for such problems. There is feeling of increased frequency of urination (women has go to the toilets frequently), burning sensation during urination and sometimes inability to hold the urine until they can reach the toilet or leakage of urine during coughing and sneezing (medically called “urinary incontinence”). The incontinence is not only a medical problem but also a social and hygienic embarrassment, for which many women avoid participation in social activities and even do not want to go outside. Sexuality is a thing that is often ignored both by the elderly people as well as the doctors. Menopause does not mean end of the conjugal life. Often the women may feel decreased libido (the desire) because of low hormone levels. And again there is difficulty in keeping intimacy for problems in the concerned area (due to decreased blood supply), again due to deficiency of estrogens. This may even lead to damage to the private parts and bleeding, while leading the conjugal life. For this, the couples should not suffer silently. There are many treatments that can avoid such urinary and sexual problems. Sometimes, simple counselling and some special exercises may prove to be adequate. Otherwise hormonal drugs (estrogens) can be used. And for this purpose, even we don’t need to take the hormones orally or by injection; simple local use of some creams or jellies help a lot. You will be surprised to know that testosterone may also help some women, because testosterone is not only found in male but is also an important female hormone. Those who want to avoid hormones, can try other non-hormonal agents. Even pregnancy is possible after menopause. There have been many examples of conception, either naturally or by test-tube baby (in vitro fertilization), after menopause. The recent socio-economic trend of delaying the age of marriage and child-birth is making this issue of pregnancy after menopause very much relevant.Cancer is the second leading cause of death in elderly, after heart attack. Lung cancer is increasing day by day in women and even non-smokers can also have lung cancers. Discharge of blood with cough or vomiting, long-standing cough, chest pain and weight loss needs consultation with chest physician. Breast cancer is a major cause of death in women. This can be avoided by monthly self-breast examination and consultation; if any abnormal swelling or discharge is found. Colo-rectal cancer (cancer of lower part of our digestive tract), recently showed increased incidence in all the age groups. So, if there is any bleeding with stool or passage of black coloured stool, it should never be ignored. Ovarian cancer is showing increased incidences all over the world. Despite significant improvement in cancer management, ovarian cancer is a nightmare of the gynaecologists. Often, even after best possible treatment, patients of ovarian cancer don’t survive beyond one year of diagnosis. So, if you have any problems in digestion, abdominal discomfort, pain and swelling, please don’t just go to medicine shop to take antacids; instead go to your doctor. Post-menopausal bleeding is a medical term, used to describe the condition where there is bleeding through vagina, after menopause. Even if the bleeding is only one drop, it should never be ignored. Though, most causes of such bleeding are not worrisome (due to drugs and ‘’pelvic atrophy”- as mentioned earlier), some cancers may present in this way. Cancer of endometrium (the inner lining of uterus) almost always present with post-menopausal bleeding. Cancer of cervix (the mouth of uterus) is the commonest cancer of reproductive system in our country, which is totally preventable by timely diagnosis by screening (even before actual cancer occurs) and timely HPV vaccination. “What cannot be cured, must be endured”. We cannot cure the menopause, nor can we avoid it. But definitely we can give our older generation a better quality of life. The first step is obviously making them aware of the menopause and its aftermaths. Second issue is regular health checkup by physicians and gynaecologists, even if they feel no problems as such. But the most important issue is managing their problems. As mentioned above, life-style modifications (like diet, exercise) and non-hormonal drugs play important role. But if we consider the basic problem is menopause, it’s simply deficiency of secretion of female sex hormones from the ovaries. So, if we can artificially introduce those hormones in women, menopausal symptoms can be reduced. This led to emergence of a treatment modality, called HRT (Hormone Replacement Therapy). Clearly, as discussed earlier, HRT is required in women complaining of menopausal symptoms like “hot flush”, urinary and sexual problems, osteoporosis, and mood depression and also for young women having premature menopause. HRT does not only help to improve these problems, but also has some added advantage like preventing excessive weight gain, problems in oral cavity, eyes and ears and even colorectal cancer. Majority of the women report feeling better and having improved quality of life (social, personal, biological and conjugal) after start of HRT. There are multiple ways to give HRT to a woman. Those include injections (one in 1-3 month), oral tablets, local creams or jellies, skin patches etc. And the drugs include estrogen only, estrogen plus progesterone, tibolone etc. Now the million-dollar question is, “is HRT absolutely safe?” The answer is difficult to give in one word. After the publication of the reports of the WHI (Women’s Health Initiative) and the MWS (Million Women Study), there have been a great hue and cry regarding safety of HRT. Those study found out many serious side effects of HRT and concluded that HRT should not be used in all the menopausal women. However, subsequently, many flaws of those studies were found out and subsequent review of the WHI study proved that HRT has few side effects. Thrombosis (increased tendency of blood to form clots) is a known side effect of hormonal drugs, but the problem occurs only to those who are at risk of thrombosis due to other causes (like obesity). Breast cancer is definitely a risk factor but the risk is small. So, the women need to continue self-breast examination and yearly checkup by their consultants. Blood fat concentration (cholesterol) may be altered, which needs regular lipid profile checkup. And finally there is increased risk of heart attacks and stroke. But possibility of heart attack is there only if HRT is started in very elderly women (after 60 years) and those who are already have some risks (obesity, smokers, and hypertensive). Even, timely initiation of HRT (before 60 years) can protect the heart and brain against stroke. Thus HRT is found to have very minimum side-effects and that too at the expense of so many benefits. There are very few women who should not use HRT; those having thrombosis, heart disease or liver disease at present and very high blood fat level (high triglyceride). If the woman has any mass in the breast or post-menopausal bleeding, then HRT should be used only when the diagnosis of the mass or the bleeding is certain. To be on the safe side, before start of HRT, details examination by the consultant doctor is required. This includes checkup of blood pressure, heart, breast, liver and the pelvic organs. The best time to start HRT is as early as after menopause. For premature menopause, the women are relatively younger (before 40, even before 30). So, they should start HRT soon after consultation with doctors, if HRT is suitable for them. For women with natural menopause, HRT should be started before 60 years. Annual visit to the doctor is necessary to detect any side effects and to find whether HRT is needed further or not. HRT need not be continued lifelong. Most of the women can stop it after 5 years. Very few women have to continue it beyond 10 years. Actually, after 2-3 years of HRT, most of the menopausal problems subside and women do not require to continue HRT. However, before stoppage, doctor consultation is required. In a nutshell, elderly people deserve special care. But that does not mean they should always be in the bed. They should continue their day to day activities. They have the full right to enjoy their life by themselves. What we can do is be supportive to boost up their confidence and self-esteem. That needs social as well as medical attention. Regular touch with physician and gynaecologist cannot be over emphasized. Most of the symptoms can be taken care by life style modifications and drugs. HRT should be used as necessary. HRT is very safe and cost-effective modality. “Not everyone grows to be old, but everyone has been younger than he is now”.

Manage Menopause Weight Gain

Ms. Swati Kapoor, Dietitian/Nutritionist
Weight gain during menopause is a big concern for women. The menopausal phase triggers changes in body shape resulting on an average weight gain of about  5-10 kg. This weight is primarily  hormone related and has a direct impact on appetite, metabolism, and fat storage.  Therefore controlling weight during this time becomes extremely difficult due to fluctuating estrogen, testosterone, and androgen levels. These added kilos further aggravate depression and anxiety which in turns can bring on the hot flashes and disturbed sleep.Estrogen plays a big role in menopausal weight gain especially as the estrogen levels decline with age as the body stops ovulating. Due to the decrease in estrogen levels produced by the ovaries, body searches for other sources to substitute the shortage of estrogen in the body. Meanwhile fat cells in our body have the natural capability to produce estrogen, hence the body starts restoring to these cells  to convert calories into fat to increase estrogen levels. Unfortunately fat cells don't burn calories the way muscle cells do, which causes this unwanted weight gain.Insulin resistance caused by reduced tendency of naturally processing simple carbohydrates in the body is another cause of weight gain during menopause. Simple carbohydrates like those found in white bread, pasta, processed snack foods, beer and wine, which raise blood-sugar levels. Over time, eating a high-carb diet can lead a person into becoming insulin resistant. When a person is insulin resistant, a much higher proportion of consumed calories are turned into fat.Stress causes the body to release the hormone cortisol which in turn blocks weight loss. When stressed, the body goes into survival mode and holds onto fat. It is also due to high sugar levels and the presence of toxins in the body which gets accumulated in the body overtime.Losing weight during menopause isn’t impossible and understanding why weight gain occurs during menopause is the first step in starting a weight loss program. Eating healthy and eliminating certain foods is the key to maintaining a healthy weight during, and after, menopause.Adding foods to your diet that contain plant-based estrogen can help to balance the hormones. Eating soy, as well as fruits and vegetables that contain phyto-estrogens, can help the body function normally so fat is not as difficult to lose. Plums, grapes, strawberries, apples, beets, carrots, cucumbers and lettuce are just some of the foods that can help balance estrogen during menopause. Eating a diet rich in fiber, antioxidants and nutrients is the best way to slowly lose weight during menopause in order to reduce the risk of toxins, and inflammation, being released into the body.

51st Haryana Day-Majority of Women Do Not Have Menopausal Hot Flushes!

Dr. Neelam Nath Bhatia, General Physician
Just after partition Haryana & Punjab were Sibling Rivals, both states are progressive in their own individual ways.I was born at Hissar, now a major city of Haryana but relocated to Delhi when I was Just 6 years old.My experiences are based on observations while working for 20 years plus opposite one of the villages opposite posh colony where these folks are barred due to cultural differences.I worked for a PHC in one among 2000 Lal Dora villages within Delhi and got Cultural Shocks at age 50 +Lal Dora Land was Demarcated by British around 1900 and given as a gift to rural folks who were happy tending to cattle and dedicating their lives to Agriculture.There are No MCD rules Applicable to land marked as Red Spots in Map of Delhi.Suddenly but gradually these simple folks became The Mighty Landowners.Haryana is land of Jai Jawan, Jai Kisan. This is the land of the people who till the land.Only Positives about people but some negatives too as it is with people belonging to any race,place,religion or region.The women,despite in Purdaah are as hard working as men, help them in tilling the land and looking after cattle like own kids.Seniors are looked after well, respected & Live among Juniors as a large Family with concept of Live and Let Live and Widows Are Not Dumped At Places Like Vrindavan.These women complain less and visit doctors only if need be, they are loyal,do not have to resort to Botox as anti ageing medicine, as working all day is the Gymn and exposure to Sun is Sunshine Vitamin D for their bones at times of Menopause. There is Plenty of Pure Milk and they Do Not Require Supplements Of Calcium or Vitamin D. They grow their own vegetables and before Organic farming became 'In" These folks were giving us organic vegetables and fruits grown Local , in and around Delhi.These folks Talk Straight. No Beating around the Bush for a Thinking Brain ! Yes Me too Believe in Straight Talk and abhor Deception & Falsehood.Some Negatives.Maximum number of kids born with congenital illnesses are here only ,because Women are given Medicines during pregnancy to Bear the Much Coveted Son(s)Being Mighty Landlords have made them to House Innumerable Migrant Tenants who get cheap places to live minus amenities. Criminals and others live together in all 2000 red dotted villages of Delhi,where MCD, Water & Electricity folks are not welcome as No Rules are applicable since British Times 1900 onwards till date.Poor Cousin Haryana Surges Ahead of Punjab !But Girl child ratio is all time low at 200:1000 girls vs. boys.If Migrant Tenants people do not have money to spend on sex determination tests, girls are KILLED at birth,not one, not 2 but 3 in a row despite Best Efforts of (Lady)Doctors working in Rural Villages of Delhi under Most Tedious Conditions among Migrants from UP, Bihar & Bengal. And Mighty Landlords are HelplessThese Migrant Tenants folks care a Damn for Slogans of Govt. Beti Bachao, Beti Padao. On paper Ultrasound Centers have been closed though.One or two Olympic Medals brought by Survivor Girls of Haryana has uplifted to Spirit of Other Wannabe Girls who want to Make It in Life and These Girls Will Make it For Sure as it is Inherent in Girls-to have a One Tract Mind. Have an Aim and Follow it religiously !1990 with New Wave of opportunity, Haryana Could make More Progress compared to Punjab Equally Notorious for Not Saving The Girl Child.Progress of Haryana is weighed down by Inequitable Growth.It is a lesson to keep in mind while the state opens another chapter of growth for next 50 years keeping in mind the  Survival of women and girls which Will constitute 50% of population for Sure.Wishful Thinking And Girls of Haryana are going to Change the Scenario for Good.

Achieve an Elegant Menopause- Ayurveda Way

Mr. Rajiv Vasudevan
Menopause is not a disease. It is a normal pause to the rhythm of a body function. Hence, the effects of this pause are to be managed naturally.Well, Ayurveda has acknowledged menopause as a natural transition. And it says that each woman has unique symptoms during this phase owing to the uniqueness in one's body and mental constitution. Hence a personalized unique approach is a must to ease the signs and symptoms of Menopause. With this precise understanding, Ayurveda ensures that menopause can be health promoting, spiritually-transforming and free of signs and symptoms at all the body- mind and spirit level.As related to the concerns of Brain Fog/ Natural Decline in the Menopause, Ayurveda Attributes this to the physiological stage of Parihaani (Degeneration) to VATA. Beyond 50 Vata is naturally at its peak, leading to various Vata signs in the body like - anxiety, insomnia(lack of sleep), Diminishing memory, forgetfulness etc.Ayurveda gives significance to Kala - time in its chikitsa approach in all the diseases. There is always a right time to address the disease. The imbalance of menopause sets in much early in a woman's life - that is in her mid 30s and 40s. Health problems at menopause represent imbalances in the body that were already growing in the body and are unmasked by the stress of shifting hormones. So to minimize the symptoms at Menopause and for an easy transition get in charge of your health much early in life.The natural aggravation of Vata in the upcoming stage of Parihaani (Degeneration) should be addressed right on time. An extended approach of Diet, Lifestyle, Medicine and Panchakarma effectively balances Vata.Ayurveda System of Medicine advocates the following CHECKLIST for all the WOMEN for a GRACEFUL MENOPAUSE1. Am I eating the right food that suits my body constitution?2. Is it the right lifestyle that I am following?3. Is my mind and body in harmony, or is there a disconnect which needs to be addressed?4. Am I able to balance my work and life well?5. Is my reproductive health up to the optimum? Menarche at Right Age, Regular Periods, Uneventful Pregnancies, Uneventful Post Pregnancy Period, Genital Hygiene6. What are the Methods of Contraception adopted during the Sexually Active Period- Oral Contraceptives, Intra Uterine Device?7. Am I just beyond disease or am I actually possessing the good health with all my vital parameters- Weight, Sleep, Appetite, Motion etc. intact?If any of the above list poses a risk for you, address them right on time and get in charge of your health for a beautiful transition to menopause. Hormone therapy is a tangled mess of risks, benefits, and side effects. Studies have been published about hormone therapies raising risk of aggressive Breast Cancers.Do not subject yourselves to Hormone Replacement therapies immediately.THINK TWICE BEFORE YOU POP A HORMONE PILL. HORMONE REPLACEMENT THERAPY IS NOT VERY SAFE.

Menopause and Sexuality

Dr. Sharmila Majumdar, Sexologist
Sexuality in all its forms can be an important part of our health and identity. However, in the indian society sexuality is often considered the domain of the young, and the idea of older women having and enjoying sex sits uncomfortably with many people. The ideas of older women’s sexuality often stem from Victorian times, where the woman was passive in her sex life, and sex was mainly for reproductive purposes Hence, the idea was that sex would stop after the menopause.The menopause is often described as a very negative time for women, especially in medical literature. On the other hand, many feminists celebrate the menopause and subsequent years as a time of positive change, without the commitment to childrearing, and a time to find new fulfilment. The experience for each individual woman is probably somewhere in the middle. Hormonal changes in the menopause, such as a drop in oestrogen levels within the body, can bring about physical changes such as vaginal dryness, which can affect the sex life. But at the same time, there are many ways of adjusting to these bodily changes that can lead to new ways of lovemaking.Physical complaints and sexuality:Vulval discomfort -When you get older, your body produces less oestrogen. This can cause vaginal dryness, which means that sex might become less enjoyable or even painful. Urinary Tract Infections (UTIs)-When a woman’s vaginal walls become thinner because of lower levels of oestrogen in her body after menopause, penetrative sex can not only cause vaginal discomfort, it can also cause urinary irritation or urinary tract infections. This is because the urethral passage also thins. Penetration might irritate the bladder and the urinary tract through the thin walls of the vagina. This irritation can lead to infections.Sexual health: Sexually Transmitted Infections (STI) and AIDS-Articles and books on STIs hardly ever talk about older women specifically, but STIs as well as HIV/AIDs are on the increase in older women. This might partly be because women after the menopause do not need to use birth control, and therefore also do not use protection such as condoms anymore. If you have had the same partner for many years, and your partner has also not had any other sexual partners, the risk of getting a sexually transmitted infection is low. But if either you or your partner has unprotected sex with anyone else, the risk is increased. There are many different STIs, and some of them do not have any symptoms. However, if you notice any unusual or smelly discharge from the vagina, bleeding, blisters, itches, pains or sores, you should go to a sexual health clinic.Pelvic Cramps-Sometimes women may experience pelvic cramps during or after sex, especially women who have penetrative sex. It is more likely to happen if you do not have orgasms very often, and is generally nothing to worry about. Just like any muscle in the body, it can ache if it doesn’t get used very much and then gets a lot of exercise.Psychological changes:Sometimes, changes in the family can be difficult to adjust to when getting older, for example if your children leave home or you stop working and retire. It can help to talk with your friends and your partner about these changes and how they make you feel.Because of the physical changes that occur as part of the aging process, it is possible that you may feel less comfortable with your body and that you lose some of your self-esteem. But again, these changes happen gradually, and many women adjust well to them.However, if fatigue or psychological illnesses such as chronic depression or anxiety develop, they can interfere with your libido and sex life.Medications and sexuality:As women get older, they are more likely to need long-term medications. Often, these medicines have side effects that influence libido, for instant blood pressure medications, and tranquillisers. However, alternative therapies might be available, and if you think that medication impacts negatively on your sex drive, speak to your doctor and ask if there is an alternative. Antihistamines and other drugs can cause drying of the vagina, and although this might not influence your libido, it might curb your enjoyment of sex.Final thoughtsMany women actually enjoy sex more in later life, maybe because they are more experienced, and know what they want and enjoy. In addition, there may be more opportunity for spontaneous sex, for instance if you have children who have now left home. Overall, women in their late 40s are said to be much more likely to have fulfilling sex lives and multiple orgasms than women half their age 5.Women’s sexual response is thought to be different from men, and many women do not have ‘spontaneous desire’, meaning it may not be until starting to engage in some sort of sexual activity that they start to feel sexual desire, and many women do not have any sexual feelings or thoughts, unless engaging in sexual activity. Because women’s sexuality is so complex, it might actually be more appropriate to try and solve occurring problems with counselling first, rather than medications.

Beyond 40 – Fab (Not Flab): 6 Tips for Grab

Dr. Deepak Sharma, Nephrologist
Good news! Aging does not have to equal weight gain. Women do tend to put on a pound a year in their 40s and 50s, but it’s more likely due to a drop in activity rather than hormones.However, hormonal changes can shift your body composition, so any pounds you do gain tend to land in your middle. Find out how to stay slim, reduce menopausal symptoms, and cut the health risks that can rise after menopause.1.Go fish(ing)Heart disease risk is likely to rise after menopause, so you should try to eat at least two servings of fish per week (preferably those with healthy fats like salmon or trout). “Women may want to give [fish oil] supplements a try if having two servings of fish a week is problematic,” says JoAnn Manson, MD, chief of preventive medicine at Brigham and Women’s Hospital, in Boston. Preliminary research suggests that fish oil may also help prevent breast cancer. Aim for two servings of fish a week—and talk to your doctor about whether or not you should try a supplement.2. Slim downIf you’re overweight you can minimize menopausal symptoms and reduce the long-term risks of declining hormones by losing weight, says Mary Jane Minkin, MD, clinical professor of obstetrics, gynecology, and reproductive sciences at Yale University School of Medicine, in New Haven, Conn. Slimming down not only reduces the risks of heart disease and breast cancer, both of which go up after menopause, says Dr. Minkin, but new research shows that it may also help obese or overweight women cut down on hot flashes.3. Bone upon calciumYour calcium needs go up after age 50, from 1,000 milligrams per day to 1,200 mg. “With less estrogen on board, your bones don’t absorb calcium as well,” says Dr. Minkin. If you have a cup of low-fat milk, one latte, and one 8-ounce yogurt, you’re getting around 1,100 mg calcium. This means you need to take only an additional 100 mg of supplements a day—less than one caplet’s worth—to make up the difference. If you're eating dairy, choose low-fat products. These have roughly the same amount of calcium as their full-fat counterparts, but with fewer calories.4. Bloating?"About 100% of my patients going through menopause complain of bloating," says Dr. Minkin. Although -the reasons aren’t clear, fluctuating hormones during peri-menopause may play a role. Dr. Minkin recommends cutting the amount of salt and processed carbohydrates in your diet, as they can make you retain water. But don't skimp on whole grains, which are rich in heart-healthy fiber, as well as fruits and vegetables. If healthy food, such as apples and broccoli, make you feel bloated, Dr. Minkin suggests taking Mylanta or Gas-X to combat gas buildup.5. Rethink that DrinkRed wine gets a lot of press for its impact on heart health, but for menopausal women the drawbacks of alcohol might outweigh the benefits. “One drink a day has been linked to an increased risk of breast cancer,” says Dr. Manson. “So while it has been linked to a reduced risk of heart disease, it really is a trade-off for women.” If you enjoy a glass of Pinot, try watering it down with seltzer to make a spritzer(you’ll cut calories too). Also keep in mind that red wine and other drinks may bring on hot flashes as a result of the increase in blood-vessel dilation caused by alcohol.6. Say yes to SoySoy contains plant estrogens, so many women think it can increase their breast cancer risk, says Dr. Minkin. However, there is little data to support this. The misconception likely comes from studies of high-dose soy supplements, which may stimulate the growth of estrogen-sensitive tumors. Soy foods like tofu, soy nuts, and soy milk may offer relief from mild hot flashes and are not thought to increase breast cancer risk. “Women in Japan have the highest soy intake and the lowest risk of breast cancer, but Japanese women who move to the U.S. and eat less soy have a higher risk,” adds Dr.Minkin.·