Laszlo Prokai, PhD, Professor

An experimental drug (DHED) has been created by researches that is hoped will treat menopause symptoms without any negative side effects. Clinical trials have not yet been approved.

“The rest of the body does not recognize DHED, but the brain does and metabolizes it to estrogen,” said Laszlo Prokai, PhD, Professor and Robert A. Welch Chair in Biochemistry. “Since DHED delivers estrogen only in the brain, it spares other organs from hormone exposure, along with its side effects.”

Current methods of treatment include hormone replacement therapy however in 2002 a clinical study called the Women’s Health Initiative was undertaken investigating the long term benefits of the therapy. There were concerns that such treatments could lead to life threatening risks such as cancer. Many women today still opt for the treatment however under professional guidance receive smaller doses.

If you are currently going through menopause and are seeking treatment please contact us to book an appointment.

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In the first study to compare men and women and how menopause types impact risk of heart attack, researchers studied 23,086 black and white adults over age 45 and found:

White women who had surgical-induced menopause had a 35 percent reduced risk of non-fatal heart attacks or other cardiac events compared to white men. The reduced risk was 55 percent for natural menopause.

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Thinx technology

A New York based underwear company called has just created a range of fashionable period-proof underwear that retail between £15 to £22.

A statement from their website reads as follows

“We see a world where no woman is held back by her body. We will work proudly and tirelessly until every single girl has an equal opportunity for the brighter future she deserves. By reimagining feminine hygiene products to provide support, comfort, confidence, and peace of mind, we aim to eliminate shame, empowering women and girls around the world.”

If you are suffering from heavy periods Book An Appointment With Us Today, we will be able provide you with a diagnosis service and a course of treatment.

The National Institute for Health and Care Excellence (NICE) is drafting guidelines for doctors treating women going through menopause.

What is Menopause? When a woman reaches the end of her natural reproductive life and her ovaries stop producing eggs every 4 weeks (menstrual periods cease). The average age for this is 51 years old. At this point in a woman’s life her oestrogen levels will drop which may cause multiple problems.

“Menopause affects millions of women, and its symptoms can severely upset a woman’s day to day life. The effects of menopause are often misunderstood and underestimated… When women seek medical help for their symptoms, there is considerable variation in what is offered to them. So NICE is pleased to be developing the first guideline for the NHS on diagnosing and managing menopause, to help improve the lives of women affected by it.”

– Professor Mark Baker, Centre for Clinical Practice Director at NICE

For some women the menopause can be a troubling period in their life. Night sweats, mood swings, vaginal dryness, stark sleep and anxiety are just some of the problems a woman may face, more serious problems include brittle bones and cardiovascular disease. In a recent interview with the BBC Angela from Hastings spoke about the difficulties she suffered during the 10 year period, how it affected her marriage and why she did not seek medical help. You can watch the interview below.

If you are currently going through menopause and are seeking treatment please contact us to book an appointment.


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Ovarian Cancer

Researchers at the University College of London have recently developed a new overian cancer screening method that is twice a good as the standard approaches.

The trial is part of the UKCTOCS (UK Collaborative Trial of Ovarian Cancer Screening) the world’s largest trial for ovarian cancer, with just over 202,600 women over the age of 50 took part in the trial, women were randomly selected to receive either multimodal screening, transvaginal ultrasound or no test.

The results of the trail have been extremely promising, using the new method researchers were able to detect cancer in 86% of women with invasive epithelial ovarian cancer compared to 41% using previous trial methods and 48% using standard clinical practice methods.

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Managing heavy periods around the time of school examinations

There are a number of options available to you and your doctor.

  1. Consider the Combined Oral Contraceptive. This medication can reduce the bleeding, help with the timing of when the period starts, and may also shorten the duration of the bleeding. It is an important option even for young girls who are not sexually active.
  2. Use the Mini Pill
  3. In women who have tried this option unsuccessfully, other options are available including the Mini Pill, also known as the Progesterone Only Pill. This is very effective and can be used for several months, well beyond the time of the examination or sporting event.
  4. Add Tranexamic Acid tablets. The above options can be combined with a tablet called Tranexamic Acid, used to reduce the amount of bleeding. This medication is taken up to 4 times a day, during the menstrual period.
  5. For young women who have already sexually active, the Mirena coil is an option that works very well, particularly for those women who desire contraception as well. This is a tiny device inserted inside the womb. It releases small amounts of hormone into the cavity of the womb, thereby thinning the lining. A thin endometrial lining leads to light periods and can also lead to no periods at all.

Going forward – by managing the menstrual problems correctly.

When you have anticipated and prepared for your menstrual cycles during school examinations, you will be advised to start  the treatment program well ahead of the examinations. Doing so will allow for the body to get used to the medications and for the medication to work. Ideally, you want to start the oral contraceptive pill a month or two before the examinations.

Once the strategy of managing your heavy menstrual bleeding  is in place, you can approach your examination with confidence, which is very important for success.

Reference: http://onlinelibrary.wiley.com/doi/10.1111/j.1471-0528.2009.02372.x/full

On behalf of everyone at One Stop Clinics Healthcare we would like to wish everyone taking their summer exams the very best!
If you have any questions or wish to book an appointment don’t hesitate to call or drop us an e-mail.

What will the doctor do to ease your menstruation periods?

You can expect a sympathetic ear. The doctor will discuss with you how periods have affected you in the past. It is therefore important to have all the details of how heavy the periods have been and how painful and disruptive they have been. If they have prevented you undertaking any activity say so. If the periods have led to time off school or to vomiting – do not hesitate to say so.

The doctor will want to examine you including performing an internal pelvic examination if you have been sexually active.

In some instances, the doctor may want to run some tests including a blood test to check if you have a low blood count known as anaemia. Another very important investigation, particularly in an older woman is an ultrasound scan to assess the womb and ovaries.

Therefore, preparing for the questions the doctor is going to ask you is very important. Keeping a calendar of events, including what heavy periods and pain have had on your life is important. Once you have the information, you are going to find the consultation with your health worker easy and beneficial. Some young women find it difficult to express themselves to male doctors. If this is going to be a problem go with someone else like your mother to provide support. However, it is most helpful if you could gather courage and express yourself clearly.

 

Reference: http://onlinelibrary.wiley.com/resolve/doi?DOI=10.1111/j.1479-828X.2005.00470.x

Tomorrow We Complete the Series with Part 5 – “What Can doctors do to ease your menstruation periods?”

What can be done for a young person about to sit school examinations?

Heavy and painful menstrual periods at the busy time of examinations can be very disruptive and of great concern to the student, teachers and parents. The degree of concern will depend on previous experience regarding heavy periods.

If the young person has had to take time off school because of pain, heavy bleeding or other symptoms such as headaches or migraines in the past, she will be very worried as exams approach. Similar concerns are expressed by athletes or sportswomen facing competitive events.

For some young women, the periods are also associated with other symptoms such as nausea and vomiting. The girl in question can feel almost disabled, unable to go to school or to function normally.

Advice and management of heavy menstrual bleeding

The first point of advice is to anticipate problems and plan for the potential problems and disruptions.

See your doctor and explain your fears about periods and forthcoming events.

Reference: http://journals.lww.com/greenjournal/Abstract/2002/04000/Menstruation_in_Young_Girls__A_Clinical.28.aspx

Tomorrow Part 4 – “What Can doctors do to ease your menstruation periods?”

What are the causes of heavy painful periods?

Immature ovaries and irregular ovulation

Heavy periods in young women can be very irregular as well, because the ovaries are not mature yet. When ovaries are still maturing, the timing of the production of eggs (ovulation) can be variable. In most cases, ovulation (the production of eggs) can be much longer than every 30 days.

In those instances, the cycle can be up to several months. When this happens, the build up on the lining of the womb can be very thick. This can be followed by a very heavy period with clots. Fortunately such periods are usually painless.

Heavy irregular periods due to Increased body weight

Increased body weight is associated with irregular ovarian function.  The clinical condition is called polycystic ovary syndrome. In this condition, also known as PCO, the ovaries are not making and maturing eggs every month. Typically, there are several small cysts on the ovaries when viewed by an ultrasound scan.

Heavy periods due to fibroids of the womb.

Although in older women the problem of heavy painful period can be associated with fibroids of the uterus, in young women fibroids are very uncommon. Fibroids are benign tumours on the womb. They are very common in women in their 30s and 40s. They can be very large causing pressure and a large abdomen. However, they are well known for causing very heavy periods. In less than 1 percent, they can turn into cancer.

In young women, including teenagers, there is little concern about fibroids. The focus is on how the ovaries are working and the balance of hormones, estrogen and progesterone.

 

Reference: http://onlinelibrary.wiley.com/resolve/doi?DOI=10.1016/S1526-9523(03)00061-8

Tomorrow Part 3 – “What can be done for a young person about to sit school examinations”

It is school examination season, and for some girls, coping with examination pressures can be made worse by worries about menstruation problems.

Heavy menstrual bleeding is a very common problem for women of all ages. It is the commonest problem women in the reproductive age groups present to their doctors with. It is estimated that over 30 percent of adult women will experience heavy menstrual periods at some point in their lives.

Heavy menstrual periods can be associated with clots and can be very painful and debilitating at times. The consequences can be severe with far reaching consequences.

Heavy menstrual bleeding with clots in young women

Young women and school children can experience bad periods as well and in these cases, the impact can be equally bad. The approach to managing heavy menstruation with pain or clots that are disrupting daily routine or school involves a visit to the doctors.

Best is a consultation with a specialist familiar with managing these conditions, who will be a source of reassurance and medical management when necessary. Don’t delay anymore! Go now before the examinations start, because putting treatment plans for your heavy menstrual bleeding may take some time to implement.

Reference: http://journals.lww.com/co-obgyn/Abstract/2012/10000/Management_of_heavy_menstrual_bleeding_in.3.aspx

Come back tomorrow or subscribe to our RSS Feed for Part 2 – “What are the causes of heavy painful periods?”