Talking PointsTreatment of mild premenstrual disorders begins with 2-3 months of lifestyle changes during the same time that the woman is charting her symptoms [Johnson SR]. Based on medical history, the modifications can include:an increase of complex carbohydrates (whole grains, fruits, vegetables), water, nutritional supplements (Vitamin B6, Vitamin E)a decrease in salt, refined sugar, caffeine, alcohol, smokingReferencesJohnson SR: Premenstrual syndrome, premenstrual dysphoric disorder, and beyond: a clinical primer for practitioners. Obstet Gynecol. 2004;104(4):845-59.- - -Original content for this slide was developed based on ARHP’s A Quick Reference Guide for Clinicians: Managing Premenstrual Symptoms reviewed by Andrew Kaunitz, MD, Emily Rowe, PharmD, Sharon MyojiSchnare, RN, FNP, CNM, MSN, FAANP in June 2008. Original funding received from Bayer HealthCare Pharmaceuticals through an educational grant. Last reviewed/updated by Andrew Kaunitz, MD, Emily Rowe, PharmD, Sharon MyojiSchnare, RN, FNP, CNM, MSN, FAANP in June 2008. This slide is available at www.arhp.org/core.
Dr. Vikas Chothe on menstrual hygiene- 2
‘ nLiten yourself ’Menstrual Health and Hygiene - Dr. Vikas Chothe ( MD Sch. PGDEMS )
Hair Brushing your hair cleans and stimulates hair and scalp. Comb hair daily. Shampoo regularly
Fingernails and Toenails File fingernails in one direction Cut toenails straight– never cut into corners Protect against ingrown toenails by avoiding tight shoes, very high heels
Acne What makes pimples worse? Oil-based makeup, suntan oil, hair jells and spray. For girls, menstruation Squeezing or picking at blemishes Hard scrubbing of the skin
Pimples Myths1: Does chocolate cause acne?A: NO2: Does Extra washing help clear pimples?A: No, the extra scrubbingirritates skin and could makethem worse.3: Does acne leave scars?A: Yes, you can reduce thescarring by NOT PICKINGand avoid excessive scrubbing.
Change and washyour sleepwear andpillowcase regularly. Change clothes daily.
Wear cotton undergarmentsinstead of synthetic ones.
Sanitary napkinsshould bechanged at leastevery 4 hours orevery time yougo to thebathroom.
-If cloth is used ,it should be washedwell before reuse, and not used for morethan three months.-Cloth should be very soft .Rough orthick cloth can cause irritation & itching.-Always wipe from front to the back.
Wash with soap &waterbefore and after changing your padand urination.
Keep the areabetween the legs dry To avoid soreness and chaffing
Do not hold back urine when youwant to urinate, as it causes stasisin the bladder and promotesinfection .
The three pillars of healthy life[Charak Samhita, Su, 11:35]: Ahar Nidra (regular sleep) Brahmacharya (Abstinence form drugs, alcohol, and physical relationships) Healthy parent-daughter relationship.
A balanced dietAdolescent girls have high needs of energybecause their bodies are growing and they arephysically active.
Yogasanas for PMS•Tikonasana•Sarvangasana•Halasana•Virabhadrasana•Tadasana•Uttanasana
Benefits of yoga…• develops better posture• improve self-esteem• lower stress• release muscle tension• increase flexibility• to control the vrittis [propensities]
• Myth: Females who are menstruating cannot exercise (including swimming) until it is over.• Fact: False, it is possible to exercise when menstruating including swimming. During menstruation, a girl can do any activities she normally does. Copyright : Dr. Chothe. V.R
Preparing newspaper bags with recyclable newspaper, glue, and thread helps indisposing sanitary napkins in a healthy, environmentally friendly, wastepicker friendly way
Be prepared for menstruation. Keep track of your periods on a calendar. Carry a pad in purse or backpack a couple days before you expect your period. Change pads every few hours as needed. Do NOT flush pads, throw in waste basket after wrapping in paper bags.