Malaysia
GIRL TALK

FAQ

Q & A about Menstruation & Menopause

Yes, its that stage of life that we all dread and want to put off at the very least but let’s face it. Its one of those universal things that transcends sex, race and gender. Yes, incase you didn’t catch on, even men face go through it. The important thing to remember is that being equipped for this is the best possible way of dealing with this phase of your life, researching about it has certainly become easier and more private with the internet and dispelling any old wives tales is an important part of the process. As this usually occurs when a woman enters her late forties or early fifties when one’s appearance is beginning to head downhill, it’s a very emotionally trying time in one’s life. Acceptance, family and spousal support and finding an appreciation for other things in life are pivotal to this. Nonetheless, some of the challenges that women face is discussed below.

Q
What are Hot Flashes?
A
Hot flashes are among the early physical symptoms of menopause and are often accompanied by night sweats and sleeplessness. Usually lasting between 3 and 6 minutes, they may occur several times a day and can be disabling and physically draining. The flashes generally being suddenly on the chest neck and face with profuse sweating which can be embarrassing.
Why Frequent Bladder or Urinary Tract Infections?
Q
Frequent bladder infections or urinary tract infections are common after menopause, and then there are also Atrophic virginities, which can be vexing. Both can be treated in a variety of ways. The best is Estrogen replacement with an estrogen cream. Avoid hormones, take unsweetened cranberry juice or capsules, if you prefer, with goldenseal instead.
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Q
Why Having Sexual Problem during Menopause?
A
A decline in your desire, motivation, fantasies, satisfaction, pleasure and orgasmic response will occur due to the decrease in your estrogen and androgen levels during and after menopause resulting in a decline in sex drive and desire. These symptoms are preventable and can be treated by testosterone supplementation.
Why Mood Swings during PMS or PMSS?
Q
Women who suffer from PMS (Pre-Menstrual Syndrome), PMSS (Pre-Menstrual Dysphoric Disorder) or depression are particularly susceptible towards experiencing mood swings during menopause again due to a drop in their estrogen level. It's not uncommon to experience a crying spell and irritability too.
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Q
Why some people have depression during Menopause?
A
Poor social support and marital relations contribute to this thus the family plays an integral part in minimizing this. Usually requires treatment other than hormone replacement therapy and occurs because women see menopause as an end of their youth which is difficult to deal with when our society prizes youth and attractiveness.
Why Irregular Bleeding takes place during Menstrual Period?
Q
This is the result of changes in the menstrual flow where a decrease in flow is followed by skipping periods and finally no bleeding. But it is also not unusual to see increasing flow and longer or more frequent periods. Do consult a doctor though if bleeding occurs within 21days, lasts longer than 8days, is very heavy or doesn’t occur for 6 months.
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Q
If Heavy Bleeding Occurs?
A
Heavy bleeding can precipitate sometimes irregular bleeding. This can be detected earlier on by Gynecological Ultrasound, D&C, Biopsy or Hysteroscopy. In the past heavy bleeding during menopause often resulted in Hysterectomy but now there are less invasive alternatives including Endometrial Ablation, a new treatment where the endometrial lining of the uterus is destroyed using heat, and then there is the use of hormones.
Short Term Memory Problems?
Q
Problems with short-term memory, like forgetting your car keys, appointments, or losing the end of a thought when speaking or writing is not uncommon. Again the declining level of estrogen is to blame and taking estrogen replacement therapy will help.
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Q
Having Bladder Control Problem?
A
This occurs due to the weakening of the muscles that surrounds the bladder. It is partly due to having low estrogen, which is unable to hold the urine inside. Taking estrogen will help, as well as simple “Kegel” exercises to strengthen these muscles. Just contract the pelvic muscles as if trying to close the vaginal opening for 3seconds then relax. Wait for a couple of seconds and repeat. Performing several in a day (try for 50) can remarkably improve things.
Having Weight Gain Problem?
Q
As the body’s metabolism tends to slow down during the early 30’s and onwards, during and after menopause. It is advisable to take a sensible nutritious diet and having a regular exercise regime to prevent gaining unnecessary weight.
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Keeping skin Fresh & Healthy during Menstruation

In order to prevent skin discomforts around your delicate area, its important to keep these 3 major factors in mind:

Q
What undergarments is best use during menstruation?
A
Choose the right undergarments that allow good air circulation. Girdles, pantyhose, tight pants and anything constrictive will impede circulation. Wear loose-fitting clothes with breathable fabric such as cotton.

We also recommend panties specially designed for proper ventilation and fit; this not only ensures dryness where you need it, it also prevents your napkin from moving around and minimizes leakage.
How often should napkins be change?
Q
If you enjoy playing sports, perspire a lot, or are sitting down for extended periods of time, humidity level will rise. Don’t change what you can’t, instead change your napkins regularly to stay fresh and dry.
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Q
What napkins is most suitable?
A
The napkin you use is probably the most important consideration in staying dry. Good ventilation, quick absorbency and comfort are what you are looking for in the ideal napkin.

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