Tag Archives: menstruation

DYK – Adolescents with Disabilities

Did you know adolescents with disabilities have more menstrual issues than most?

A recent review in The Obstetrician & Gynaecologist reminds us that what works for one does not necessarily work for all when it comes to managing menstruation (and the menstrual cycle) in disabled girls and young women.

If you prefer an easier read, RedOrbit has a great overview of the review. Here are some of the highlights.

Menstrual problems in girls with disabilities are often unique to the population and can cause significant disruption to their lives, states the review. Symptoms such as restlessness, aggression, hyperactivity, increased agitation and self-mutilation can be common. The review also highlights parental and carer concerns regarding menstrual management and hygiene, including vulnerability to sexual abuse and pregnancy, as well as inappropriate behaviour, especially if the adolescent is in residential care.

In addition, adolescents with disabilities are more likely to have menstrual problems than the general female population. Previous studies have shown that up to 18% of adult women with disabilities have premenstrual syndrome, compared with only 5% of the general female population. Women with epilepsy have a higher incidence of polycystic ovarian syndrome and hyperprolactinaemia and irregular bleeding is also more common in girls with Down’s syndrome as they have a higher incidence of thyroid disease.

Be period wise. Know the facts.

Is PMS Bad for You?

A recent post by Alanna Nuñez for SHAPE.com asked and answered the question: Is PMS bad for you?

Cramping, cravings, and exhaustion tend to be expected by women before Aunt Flo’s visit, but more and more experts agree that these symptoms aren’t normal. In fact, some think that what passes for PMS may be a hint that something’s off in your body.

Life without PMS.  Is it possible?  For many women the answer is YES.

In her article, Alanna provides an overview of the menstrual cycle. She also talks about what’s normal and what’s not. And, she gives advice for getting back in balance.

I know, from personal experience, that dietary changes can make a drastic difference in the severity of PMS symptoms.

Choosing the Best Period Panty

If you use pads for your period, then you deserve amazing period panties (and the same is true for your daughter!).  When it comes to choosing period panties both fit and style are essential.

Fit.  Go snug (or super snug).  When wearing a pad (or a liner) it’s important that your panties are tight (some girls and women even opt to go a size smaller than their everyday panties) to help eliminate shifting, bunching and gapping (all of which can lead to leaks!).

Style.  Choose granny (brief) or bikini over boyshorts or other cuts.

Recommendation.  Pay as much attention to choosing your panties as your pads; they work together to offer you the coverage and protection you want.

Starting Point.  Regardless of your age, flow, or size, Always Infinity is a great place to start if you prefer disposable pads.  Why do I prefer Always Infinity?

  • Absorbency. Infinity are among the best for catching the biggest gushes while also providing the best overall absorbency at each flow level.
  • Shape. Infinity are tapered rather than rectangular to match your shape and that of your panty (and super thin, too!).
  • Wings. Infinity feature double wings that allow for a near perfect cling to your panty while offering total leak protection.

 

Period Stash

I came across a YouTube video of a girl’s updated (menstrual) product storage.  It’s a little long, but if you will do as I did and just briefly scan through it, it’s easy to get a quick glimpse of the variety of products she has available.  I have to admit, I was drawn to all the colors and the way she has them organized.

After viewing the video, I glanced into my period stash to see how mine compares to hers.  And, I looked at my daughter’s, too.

Mine are organized in similar fashion to the video, but Daughter’s are tossed into a drawer and mingle with deodorant, toothpaste, brushes, hair doo-dads, etc…total disarray.

Watching the video made me want to run out to my local Wal-mart and pick up a few of the newly minted products in the cool colors and sizes.  Though I have much of what she showed, for some reason hers looked flashier, newer, more colorful than my own.

There’s nothing like buying and checking out new products.

And, there’s nothing like trying new/different products to gain insight into our flow, period wise.

I wonder…

  • What does your period stash look like?
  • When was the last time you updated it?
  • When was the last time you really looked at all the neat things your local store offers period wise?
  • When was the last time you stepped out of your menstrual comfort zone and did something really wild for your period?
  • How many of the items in her stash do you recognize by brand/type/size, or have in your own stash?
  • How period wise is your period stash?

7 Ways Lindsey’s Menstrual Cup Changed Her Life

I came across a blog on So Easy Being Green that I simply cannot resist sharing.

Perhaps it’s the colors. Or, maybe it’s the beautiful pictures. Or…it could be that the topic is reusable menstrual cups.

It could be that it’s all that and more – the “more” being Lindsey and her delightful way with words.

Lindsey describes herself as a “green Mommy blogger” whose first and foremost roles are “Mommy” and “Wife.”

7 Ways My Menstrual Cup Changed My Life describes Lindsey’s experience with a Lunette cup – (size 2 according to the pictures) and her thoughts concerning it.

“It has literally changed my life and I finally found freedom from my period.” — Lindsey

If you’ve never given reusable menstrual cups much thought, do the period wise thing – be open to change.

Currently, three companies of reusable menstrual cups have received US FDA approval: Lunette, Moon Cup/Keeper Cup, and DivaCup.  Instead SoftCup has also received FDA approval for both the disposable and the reusable cups.

Your Cervix Can Tell Your Cycle Day Count

From the age of 21, for the next 32 years I relied more on what my cervix told me about my cycle than what my calendar did.

Did you know that your cervix is an accurate means of knowing when to expect ovulation and when to expect menstruation?  And, that you can accurately judge your start time to within an hour of beginning just by learning the signs your body is giving you?

Beautiful Cervix provides pictures of an entire cycle, showing the changes the cervix goes through and provides comments.

If you are not aware of the changes your cervix goes through each day of your cycle, or wish to know when to expect your fertile days and your period’s please take a few minutes and visit the site, look at the pictures, read the information provided.

This is period wise information that you should not be without!

 

 

Keep Your Ovaries – Study Says

This is a matter dear to my heart – and one I argued with my own GYN about prior to and up to the moment of my own hysterectomy.

Me: “When you get in there, if my ovaries are not diseased or irreversibly damaged by the tumors, I insist that you save them!”

He countered with: chances are great that following hysterectomy your ovaries will cease functioning – at your age, menopause is just around the corner anyway. By removing them we remove any possibility of ovarian cancer down the road. You can always take the HRT route.

Me again: “I respect your thoughts and concern, but it’s my body and my decision.  I keep my ovaries if at all possible!”

For me, the period wise thing to do was to keep my ovaries.  And, I did. They continue to function. I still cycle. Not as regularly as I did when younger (peri-menopause does that, you know), but I do feel the affects of the hormones my ovaries continue to crank out. And, I know I made the right decision.

While surfing the web for ideas (actually, I was bored and was looking for something interesting to read) I stumbled upon a report on Fox News entitled “When Removing the Uterus, Leave the Ovaries”. The byline indicated it originated with Reuters so I headed there, searched “hysterectomy” and found the article by Kerry Grens – which directed me to Obstetrics & Gynecology.

Obstetrics & Gynecology, also known as The Green Journal, has been around 60 years and is the official publication of the American College of Obstetricians and Gynecologists. The goal of the journal “is to promote excellence in the clinical practice of obstetrics and gynecology and closely related fields.”

The April, 2013, issue of Obstetrics & Gynecology provides an interesting report about a study conducted to determine the effects of removing ovaries (oophorectomy) vs saving them (ovarian conservation) at the time of a hysterectomy for benign disease.

It’s noted that the participants of this study were nurses – 30,117 women – and the follow-up process was long-term: 28 years.

An excerpt follows.

Each year approximately 610,000 U.S. women undergo hysterectomy for benign disease and 23% of women aged 40–44 years and 45% of women aged 45–49 years have concomitant elective oophorectomy to prevent the subsequent development of ovarian cancer.1,2 Bilateral oophorectomy, when compared with ovarian conservation, is associated with a decreased risk of ovarian cancer but may increase risks of death from coronary heart disease (CHD) and all causes.3,4 Although some studies are not consistent with these findings, they include small numbers of women, have short-term or delayed onset of follow-up, or compared oophorectomy with natural menopause.5,6The Nurses’ Health Study is an ongoing prospective observational study of women and health outcomes. In a previous investigation over 24 years of follow-up, we found that bilateral oophorectomy, compared with ovarian conservation, at the time of hysterectomy was associated with a lower risk of incident ovarian and breast cancer but a higher risk of incident CHD, stroke, lung cancer and total cancers, and mortality from all causes.7…we found that at no age was there an overall survival benefit associated with bilateral oophorectomy compared with ovarian conservation at the time of hysterectomy for benign disease. Our analysis…found that at the time of hysterectomy, bilateral oophorectomy was associated with a marked reduction in mortality from ovarian cancer and a lower risk of mortality from breast cancer when oophorectomy was performed before age 47.5 years. Among the 30,117 study participants followed over 28 years, 44 women with ovarian conservation and four with oophorectomy died from ovarian cancer. However, these risks were overshadowed by the significantly increased risks of dying from other causes: a 23% increase in CHD mortality, a 29% increase in lung cancer mortality, a 49% increase in colorectal cancer mortality, and a 13% increase in all-cause mortality.

Additionally, it was found that

  • oophorectomy before age 50 years in women who never used estrogen therapy was associated with a 41% increased risk of all-cause mortality
  • lung cancer and cardiovascular disease mortality were also elevated only in the women who never used estrogen therapy
  • oophorectomy increased the risks of cardiovascular disease and all-cause mortality in low-risk women
  • oophorectomy may have a greater effect on otherwise healthy women
  • for women who never smoked and never used estrogen therapy, oophorectomy before age 50 years was associated with a 200% increase in mortality
  • oophorectomy may be associated with increased risk of colorectal cancer
  • oophorectomy may affect lung cancer risk
  • 80% of both cardiovascular disease deaths and all deaths occurred 15 or more years after hysterectomy

A reminder to women with a known genetic tendency toward ovarian and breast cancer was issued and a warning to women who undergo elective oophorectomy at the time of hysterectomy:

At the time of hysterectomy, women with known high-penetrance susceptibility genes for ovarian and breast cancer (BRCA, Lynch) should strongly consider oophorectomy because the lifetime risk of ovarian cancer is high.18 In contrast, approximately 300,000 U.S. women without these mutations, and many more worldwide, have bilateral oophorectomy at the time of hysterectomy for benign disease every year. Consequently, the association of oophorectomy with increased mortality in the overall population has substantial public health implications.

For more information on the study and its findings, please visit Obstetrics & Gynecology: April 2013 – Volume 121 – Issue 4 – p 709–716

Why are we hesitant?

Your menstrual product of choice is not working as well as you would like…leaks, frequent changes, itching, irritation, cost…you’re not completely happy with it, but you are not open to change.

Why not?

If we are dissatisfied with clothing, what do we do? Continue to wear what we’ve always worn?

If we don’t receive service we like at a restaurant, what do we do? Go back to the same place time and again expecting different treatment?

If we don’t like a particular brand/type of food, what do we do? Purchase it again and again, eat it and complain about how much we dislike/detest it?

If we are watching TV and don’t like what’s on the channel, what do we do? Settle in to view something that doesn’t meet our needs or speak to our desires?

No!

Then, why do we continue to use the same menstrual product for years even though our needs change?

There are some awesome menstrual products available now and if you’re stuck in the rut of using the same product you’ve used since X, I encourage you to open yourself to the idea of trying something new.

What do I recommend?    I recommend that you shop your options.  Take a chance. Try something new.  Explore the new pads, consider cloth, and give menstrual cups a look.

As always, I welcome questions and will help you find answers as you look into the options available to you.

Are Clots Normal?

Holly and Charisse are two women who regularly talk about periods and things every girl and woman should know.

In their most recent video, they answer the question, “are clots normal?” and provide additional information about what causes clots and what, if anything, needs to be done about them.

2 minutes and 40 seconds of video – it’s period wise to take the time and watch, especially if you have a tween or teen girl.