Facts about Premenstrual Syndrome (PMS)

Premenstrual Syndrome (PMS) encompasses a vast array of psychological symptoms such as depression, anxiety, irritability, loss of confidence and mood swings. There are also physical symptoms, typically bloatedness and breast pain. It is the timing, rather than the types of symptoms, and the degree of impact on a woman’s daily activity that supports a diagnosis of PMS.

Four in ten women (40%) experience symptoms of PMS and of these 5% – 8% suffer from severe PMS. Although the cause remains uncertain, it is assumed that some women are ‘sensitive’ to progesterone and progestogens. The second theory implicates the neurotransmitters serotonin and c-aminobutyric acid (GABA), in causing PMS symptoms. Reducing salt, caffeine, and stress along with increasing exercise is typically all that is recommended in those with mild symptoms. Calcium and vitamin D supplementation may be useful in some. Anti-inflammatory drugs may help with physical symptoms.  In those with more severe symptoms, birth control pills may be useful.

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Defeating Diabetes

The International Diabetes Federation states that 415 million people globally have diabetes. As per research conducted by the International Diabetes Federation, 19.3% of the population in UAE are living with Diabetes. [1]

Diabetes is a metabolic disorder in which a person has high blood sugar caused by discrepancies in producing sufficient insulin. It is a serious chronic condition caused when the pancreas does not produce enough insulin or when the body is unable to effectively use the insulin it produces. Insulin is a hormone produced by the pancreas and is responsible for regulating and maintaining the blood sugar levels in the normal range. Insulin deficiency causes an imbalance in the blood sugar levels, raising it to higher than normal levels, resulting in Diabetes.

Every year, the 14th of November is recognized as World Diabetes Day, in order to spread the word about diabetes and its health consequences of being left untreated and ineffectively managed. World Diabetes Day 2017 goes to the theme Women and Diabetes – Our right to a healthy future.

Half of the people affected by diabetes globally are women. The burden of diabetes on women is unique because it can affect a woman and her unborn child. There are majorly 2 types of diabetes; Type 1 and Type 2. Type 1 diabetes occurs when the body’s immune system attacks the pancreas considering it to be a foreign body. The pancreas stop functioning and there is no insulin production, hence causing the buildup on sugar levels in the blood. Type 2 diabetes generally develops after the age of 35 and is caused when the body doesn’t develop sufficient insulin or becomes insulin resistant.  Women, however also suffer from a condition called as Gestational Diabetes.

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Living with PCOS

PCOS is one of the most common endocrine disorders in women of reproductive age, often complicated by chronic anovulatory infertility and hyperandrogenism with the clinical manifestations of oligomenorrhoea, hirsutism, and acne.  Many women with this condition are obese and have a higher prevalence of impaired glucose tolerance, type II diabetes and sleep apnoea than is observed in the general population. They exhibit an adverse cardiovascular risk profile, as suggested by a higher reported incidence of hypertension, dyslipidemia, visceral obesity, insulin resistance and hyperinsulinemia. PCOS is frequently diagnosed by gynecologists and it is therefore important that there is a good understanding of the long-term implications of the diagnosis in order to offer a holistic approach to the disorder.

Counselling :

Women should be made aware of the long-term implications of their condition, including their cardiovascular risk, by their doctor, in a way that is tailored to their individual circumstances. Women should be made aware of the positive effect of lifestyle modification, including weight loss, for improving their symptoms. Especially those women who are overweight or obese.

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The importance of Vitamin D during pregnancy

Vitamin D deficiency and insufficiency are common across the globe. Large epidemiological studies reveal the high prevalence of vitamin D in women, including antenatal and lactating mothers.

Vitamin D requirements are probably greater in pregnancy, as evidenced by physiologically higher 1,25-dehydroxy vitamin D levels seen in the second and third trimesters. While 1,25(OH) 2D levels do not correlate directly with 25 hydroxyvitamin D concentrations, the physiological rise in the active metabolite, the enhanced intestinal calcium absorption, and enhanced fetal requirement of calcium (250 mg/day in the third trimester) all point to the importance of vitamin D biology in pregnancy

The following people are more prone to Vitamin-D deficiency :

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Frequently Asked Questions about Mammogram

  • What exactly is a mammogram?

A mammogram is like an X-ray of the breast. You will be made to stand in front of a machine with your breast placed on a plate-like surface. Another plate will press against the breast from above in and hold it in place for the X-ray. This step is repeated to get a side view of the breast. A mammogram helps the doctor get a closer view of the breast in order to understand any changes that may not have been felt during a breast examination.

  • Are mammograms painful?

Mammograms are not painful, although they do cause a certain amount of pain or discomfort when the breasts are compressed against the plate-like surface. However, if you experience any pain during the mammogram, make sure to report it to the radiologist. Do not ignore the pain if it feels like more than a pinch.

  • When should I get a mammogram screening?

Breast cancer is common in women over the age of 50. Hence, women over 50 years of age should get screened once in two years. Younger women must consult their doctors to check for the best time to start getting screened. However, self-breast assessment is advised in younger women in order to understand and report immediately in case of any abnormalities in the breast.

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