SATURDAY |FEBRUARY 16, 2008| PHILIPPINES

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Chronicles of red days


BY DR. ELENA AZARRAGA

Women are highly vulnerable during their menstrual period – otherwise known as the "red days." This is the time of the month when bacterial growth in the vulvo-vaginal area is higher due to the presence of blood, which, if not addressed properly, could lead to odor, irritation, and itchiness – or worse, infection.

Females also experience discomfort due to menstrual symptoms such as dysmenorrhea and migraine. These red days can affect their daily activities. these symptoms can be prevented if women know more about menstruation, its physical and emotional effects , and the best ways to deal with them.

The menstrual cycle is a result of the physiological changes that women undergo. It lasts from 21 to 45 days and is counted from the first day of menstruation or menstrual bleeding followed by the follicular phase, ovulation and the luteal or secretory phase.

During the follicular phase, estrogen levels rise and cause the lining of the uterus or womb to grow and thicken. As the follicles (sacs found inside the ovaries) ripen over a period of about seven days, they secrete more estrogen into the bloodstream.

Ovulation occurs when estrogen levels reach a certain level and cause what is referred to as leuteinizing hormones to trigger the mature follicles found inside the ovaries to release an egg or ovum.

After the egg is released, it travels through the fallopian tube to the uterus, releasing the hormone progesterone that helps prepare the uterus for pregnancy. If the egg is not fertilized, the woman’s estrogen and progesterone levels drop and the thickened lining of the uterus is shed during the menstrual period.

Menstruation is the visible manifestation of the menstrual cycle and it lasts from three to five days or even longer for some women. It is during this period when the lining of a woman’s uterus or womb is shed.

At this time, prostaglandins trigger the muscles of the uterus to contract, which causes the blood supply to temporarily stop This is the reason why a few hours before the menstrual flow, women experience cramps in the lower abdomen, radiating to the lower back. This is sometimes accompanied by nausea and migraine.

These physical discomforts are just as worse as the emotional complications that women undergo when they are menstruating. It is also the period when they are most insecure because they worry about the odor, itchiness and, most importantly, the irritation that the flow of blood may cause.

Betadine came up with a feminine wash that helps stave off fears or irritation and infection. Its Swiss-formulated povidone iodine solution has antimicrobial action that kills microorganisms, making it better than other daily and antiseptic feminine wash brands. It also helps that women lead a clean lifestyle to stop irritations and infections from occurring.

As for dysmenorrhea and headaches, there are a number of over-the-counter pain killers that can help address these. But when these discomforts become unbearable, it is still best to consult with your trusted gynecologist.

(Dr. Elena Azzaraga has been a senior consultant at Medical City for 38 years. She is a fellow of the Philippine Obstetrics and Gynecological Society and the Philippine Cancer Society. She earned her medical degree at UST.)

 

 

 


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