Menstrual Health

Proactive for her

This blog has been compiled by <a href="https://www.linkedin.com/in/komal-adlakha-aa3596154/" target="_self"><ins>Komal Adhlaka</ins></a>, a content writer for Proactive For Her.
Typically, menstrual periods last four to seven days. Irregularities in the menstrual cycle include periods that occur less than 21 days or more than 35 days apart, missing three or more periods in a row and menstrual flow that is much heavier or lighter than usual. There can be many causes of such irregularities beyond PCOS. 
A normal menstrual cycle lasts for the duration of 2-8 days, and recurs somewhere between 21-35 days apart with the amount of blood loss being between 20-80 ml. 
Any variation from this is considered an abnormal menstrual cycle. Menstrual irregularities don’t essentially include the length of the cycle being long or short, it also includes the conditions where the duration and quantity of menstrual flow are affected. Menstrual irregularities are by far an umbrella term that includes various conditions.
<h1 style="text-align:justify;">What are the most common irregularities?</h1>
Heavy menstrual bleeding associated with the passage of clots, spotting before and after periods, and scanty flow during periods is some of the most common menstrual irregularities.
<h1 style="text-align:justify;">Types of irregularities</h1>
<ul>
<li>Heavy menstrual bleeding is also called menorrhagia where there is increased flow of bleeding during periods that might be associated with the passage of clots, or the flow might extend for more than 8 days.</li>
<li>Scanty flow during periods in which the menstruators experience reduced flow during periods which usually lasts for 1-2 days and soak less than 2 pads in a day.</li>
<li>Spotting in which there is the passage of drops of blood before or after the periods or in between periods.</li>
<li>Intermenstrual bleeding in which there is bleeding or spotting between two regular periods.</li>
<li>Polymenorrhoea where the menstruator experiences very frequent periods, the duration between two periods lasts for less than 21 days.</li>
<li>Delayed periods where the duration between periods lasts for more than 35 days.</li>
</ul>
<h1 style="text-align:justify;"></h1>
<img src="https://pfh-images-production.s3.ap-south-1.amazonaws.com/files/images/menstrual irregularities-min__dd2d4564-3dad-4c28-8521-50668a73a3a6.jpeg" alt="menstrual irregularities" style="height: auto;width: auto"/>


<h1>What are the possible causes and symptoms of menstrual irregularities?</h1>
According to the type of menstrual irregularity, the symptoms can range from very heavy menstrual flow of blood where the menstruator has to change the sanitary pad every hour, to no bleeding at all, where the menstruator doesn't even soak a single pad in a day. The period flow can continue for days together or spot of blood where there is the observance of spots of blood every time while using the washroom.
There are many causes of abnormal periods, which include:
<ul>
<li>Stress and lifestyle factors. Gaining or losing a significant amount of weight, fad diets, inconsistent exercise routines, excessive travelling, etc. can have an impact on her menstrual cycle.</li>
<li>Birth control pills. Most birth control pills contain a combination of the hormones estrogen and progestin (some contain progestin alone). They prevent the ovaries from releasing eggs and thus reducing the chances of pregnancy. Going on or off birth control pills can affect menstruation. Some women experience irregularities in their periods for up to six months after discontinuing birth control pills. Besides, women who take birth control pills that contain progestin only may have bleeding between periods.</li>
<li>Endometriosis. The endometrial tissue that lines the uterus breaks down every month, causing the menstrual flow discharge. Endometriosis occurs when the endometrial tissue starts to grow outside the uterus or on the intestines or other organs in the lower digestive tract and the area between your rectum and uterus. Endometriosis may cause menstrual irregularities, abnormal bleeding, cramps or pain before and during periods.</li>
<li>Uterine polyps or fibroids. Uterine polyps are small, noncancerous growths in the lining of the uterus. There may be one or several fibroids, which vary in size. These tumours are usually benign, but they may cause heavy bleeding and pain during periods. Large fibroids might put pressure on the bladder or rectum, causing discomfort.</li>
<li>Pelvic inflammatory disease. Pelvic inflammatory disease (PID) is a bacterial infection that occurs when the bacteria may enter the vagina via sexual contact, gynecologic procedures or through childbirth, miscarriage, or abortion and then spread to the uterus and upper genital tract. Symptoms of PID include a heavy vaginal discharge with an unpleasant odour, irregular periods, pain in the pelvic and lower abdominal areas, fever, nausea, vomiting, or diarrhoea.</li>
<li>Polycystic ovary syndrome. In polycystic ovary syndrome (PCOS), the ovaries make large amounts of androgens (male hormones). Small fluid-filled sacs (cysts) may form in the ovaries, which can be diagnosed with an ultrasound. The hormonal changes can prevent eggs from maturing, and so ovulation may not take place consistently. Sometimes a woman with polycystic ovary syndrome will have irregular periods or stop menstruating completely. Other symptoms may include obesity, infertility and hirsutism (excessive hair growth and acne). This condition may be caused by a hormonal imbalance, although the exact cause is unknown. Treatment of PCOS depends on whether a woman desires pregnancy. If she does not want pregnancy, then weight loss, oral contraceptive pills, etc. can regulate a woman’s cycles. If pregnancy is desired, ovulation-stimulating medications can be tried.</li>
<li>Premature ovarian insufficiency. This condition occurs in women under age 40 whose ovaries do not function normally. The menstrual cycle ceases. This can occur in patients who are being treated for cancer with chemotherapy and radiation, or someone who has a family history of premature ovarian insufficiency or certain chromosomal abnormalities. </li>
</ul>
<h1 style="text-align:justify;">Other causes:</h1>
<ul>
<li>Uterine cancer or cervical cancer</li>
<li>Medications, such as steroids or anticoagulant drugs (blood thinners)</li>
<li>Pregnancy-related complications, including miscarriage or an ectopic pregnancy (the fertilized egg is implanted outside the uterus; for example, within the fallopian tube)</li>
<li>Medical conditions which affect hormonal balance, such as bleeding disorders, and under-or overactive thyroid gland, pituitary disorders</li>
</ul>
<h1 style="text-align:justify;">What complications can women develop with menstrual irregularities and what treatments are possible?</h1>
Different menstrual irregularities can lead to various complications such as anaemia or low haemoglobin, fainting, giddiness, weakness, breathlessness, palpitations, and reduced concentration.
<h2 style="text-align:justify;">Treatment/s:</h2>
The treatment of abnormal menstruation depends on the underlying cause. The treatment in case of heavy menstrual bleeding is primarily targeted toward stopping the flow. Once the bleeding is under control either hormonal therapy or treatment of underlying pathology can be carried out. 
In case of scanty blood flow, underlying causes such as anaemia and hormonal disorders should be ruled out and the irregular periods treatment is based on the cause of the condition. 
<ul>
<li>Regulation of the menstrual cycle: Hormones such as estrogen or progestin might be prescribed to help control heavy bleeding.</li>
<li>Pain control: Mild to moderate pain or cramps could be treated with an over-the-counter pain reliever, such as ibuprofen or acetaminophen. Besides, a warm bath or shower or using a heating pad might help to relieve cramps.</li>
<li>Endometriosis: Although there is no cure for endometriosis, hormone treatments such as birth control pills may help prevent overgrowth of uterine tissue and reduce the amount of blood loss during periods. Over-the-counter or prescription pain relievers may help to lessen the discomfort. In extreme cases, a gonadotropin-releasing hormone agonist or progestin may be used to temporarily stop menstrual periods; or surgery may be necessary to remove excess endometrial tissue growth in the pelvis or abdomen. </li>
<li>Uterine fibroids: Uterine fibroids can be treated medically and/or surgically. Fibroids that induce mild pain, can be treated with over-the-counter pain relievers. In case of heavy menstrual flow, an iron supplement might help treat anaemia. Low-dose birth control pills or progestin injections may help regulate heavy menstrual flow. If fibroids are non-reactive to medication, surgical alternatives to remove them or lessen their size and symptoms may be tried. The type of procedure will depend on the size, type and location of the fibroids. A myomectomy is the simple removal of a fibroid. Whereas hysterectomy is the removal of a fibroid along with the uterus. Other alternatives include uterine artery embolization, which cuts off the blood supply to the active fibroid tissue.</li>
</ul>
<h1 style="text-align:justify;">Are there any home remedies to treat menstrual irregularities?</h1>
Unfortunately, no home remedies can treat any menstrual irregularity. Eating papaya or pineapple is not going to make you get your periods early. Home remedies can be used to improve the nutrition deficiencies in the body. Indulging in a healthy diet and healthy lifestyle will keep a check on the hormonal balance and can help to maintain menstrual regularity.
<h1 style="text-align:justify;">What can I do to prevent menstrual irregularities?</h1>
<ul>
<li>Practice a healthy lifestyle, indulge in unprocessed foods, cut down on sugar and unhealthy fats. </li>
<li>Maintain meal timings and engage in physical activity at least 30 minutes a day for at least 5 days a week.</li>
<li>Manage the stress levels and maintain good sleep hygiene to have a good effect on the hormonal balance.</li>
</ul>
<h1 style="text-align:justify;">Final Words</h1>
Call your doctor in case of irregular periods and the pattern changes. Your doctor may suggest medical tests to rule out pregnancy or the following symptoms:
<ul>
<li>You miss three or more cycles of periods a year.</li>
<li>You get your period more often than every 21 days.</li>
<li>You get your period less often than every 35 days.</li>
<li>Your bleeding flow is heavier than usual during your period or lasts more than 7 days or, is accompanied by unusual pains and cramps.</li>
</ul>
&nbsp;
Disclaimer - This information is educational and should not be construed as medical advice. Please consult your doctor before making any dietary changes or adding supplements 
<a href="https://www.proactiveforher.com/?utm_source=website&utm_medium=blogs&utm_campaign=conclusion" target="_self"><ins>ProactiveForHer</ins></a> is a digital clinic for women, offering accessible, personalised, and confidential healthcare solutions. We offer out-patient care, diagnostic services and programs for various health concerns of Indian women, across their lifetime - from puberty to pregnancy to menopause. To know more on the sexual and reproductive health of women, visit<a href="https://www.proactiveforher.com/" target="_self"> <ins>https://www.proactiveforher.com/</ins></a>

Typically, menstrual periods last four to seven days. Irregularities in the menstrual cycle include periods that occur less than 21 days or more than 35 days apart, missing three or more periods in a row and menstrual flow that is much heavier or lighter than usual. There can be many causes of such irregularities beyond PCOS.

Causes of menstrual irregularities beyond PCOS

Menstrual health

Endometriosis happens when the endometrium grows outside of the uterus. It may affect more than 11% of women between 15 and 44. It is common among women in their 30s and 40s. The symptoms of endometriosis can be improved by several different treatment options which may increase your chances of getting pregnant.


All About Endometriosis

Planning to shift to a menstrual cup but have many queries? We have answered them all in this article - what a menstrual cup is, how to use it, the pros and cons and answers to some crucial FAQs!

All You Need to Know About Menstrual Cups 

Say bye-bye to painful cramps every month by practising 5 simple exercises elaborated in this article. These poses will relax your entire body, reduce pains and uplift your mood. Remember to consult your doctor if the pain is too severe and does not reduce even by home remedies. 

Painful Period Cramps? Try these 5 Exercises to Relieve It!

Along with period cramps, bloating, and fatigue, is acne a usual symptom too? Then, read this article to learn about the medical treatments, home remedies, skincare routine and prevention methods for period acne. This hormonal acne may have no cure, but it is possible to manage and reduce the symptoms. 

Period Acne: Causes, Symptoms, Treatments 

This article has been compiled by <a href="https://www.linkedin.com/in/vaibhavi-kodnani-09016a9b/" target="_self"><ins>Vaibhavi Kodnani</ins></a>, a content writer at Proactive For Her.
&nbsp;
What is the Medical Termination of Pregnancy? 
Medical Termination of Pregnancy (MTP) or medical abortion is a non-surgical method of terminating a pregnancy. In this method, as the name suggests, medicines of two kinds are used for abortion. This method of abortion is allowed until 7-9 weeks of pregnancy also called, early pregnancy termination. For a pregnancy that has succeeded more than that, surgical abortion is preferred.
Please note: The medicines used for Medical Termination of Pregnancy are not over-the-counter drugs. Only your doctor can prescribe them to you if you prove eligible for it after an appropriate diagnosis. Do not self-prescribe; it is neither allowed nor advisable and can result in severe complications if consumed without prescription. 
When is a Medical Termination of Pregnancy done?
The doctor may suggest you opt for medical termination of pregnancy if:
<ul>
<li>It is an unwanted pregnancy for the mother due to personal circumstances. </li>
<li>The pregnancy poses a health risk to the mother. </li>
<li>There is a high probability for the baby to be susceptible to a medical condition that poses a risk to its long term health or survival. </li>
</ul>
Who is eligible for medical termination of pregnancy?
In India, according to the Medical Termination of Pregnancy Act, the indications for opting for an MTP are: 
<ul>
<li>When the continuation of pregnancy is a risk to the life of the pregnant woman or of grave injury to her physical or mental health;</li>
<li>When there is a substantial risk that the child, if born, would be seriously handicapped due to physical or mental abnormalities;</li>
<li>When pregnancy is caused by rape. (presumed to cause grave injury to the mental health of the woman);</li>
<li>When pregnancy is caused due to failure of contraceptives used by a married woman or her husband. (presumed to constitute a grave injury to the mental health of the woman).</li>
</ul>
Who cannot opt for medical termination of pregnancy?
&nbsp;Under some situations, medical termination of pregnancy may not be suitable for you. The circumstances include: 
<ul>
<li>Previous allergic reaction to one of the drugs involved in MTP</li>
<li>Inherited porphyria - a bleeding disorder</li>
<li>Chronic adrenal failure (Your adrenal glands are the ones on top of your kidneys that make your stress hormones and other hormones)</li>
<li>Known or suspected ectopic pregnancy ( An ectopic pregnancy is one that lies outside the uterus)</li>
</ul>
Apart from the above-mentioned conditions, there is caution required if:
<ul>
<li>The woman is on long-term corticosteroid therapy. (including those with severe, uncontrolled asthma)</li>
<li>She has severe anaemia. </li>
<li>She has pre-existing heart disease or cardiovascular risk factors (e.g. hypertension and smoking). In this case, surgical abortion is advised. </li>
</ul>


<img src="https://pfh-images-production.s3.ap-south-1.amazonaws.com/files/images/medical termination of pregnancy-min__1809c098-4263-4b67-9450-87cc1e304398.jpeg" alt="medical termination in pregnancy" style="height: auto;width: auto"/>


What is the effectiveness of MTP?
Medical abortion is a safe procedure and does not have any severe side effects. It is around 98% effective before 8 weeks of pregnancy. 
What is the procedure of MTP? 
Medical abortion is a non-invasive 2-stage procedure with very few complications.&nbsp;
Before the procedure:
Before starting the process, the doctor will perform a series of tasks to confirm if you are eligible for a medical abortion. 
<ol>
<li>Pregnancy test: The doctor will first perform a pregnancy test to confirm the pregnancy. </li>
<li>Ultrasound test: If the result is positive, they will do an ultrasound exam to check the age of the pregnancy. It is also to confirm that it is not an ectopic pregnancy (fertilised egg implants outside the uterus) or molar pregnancy, wherein a non-cancerous tumour develops in the uterus. But there is a risk of malignancy, i.e. cancerous cells develop. &nbsp;</li>
<li>Other tests: The doctor will also check for anaemia, any Sexually Transmitted Diseases (STDs), and your blood group. </li>
</ol>
Medical Termination of Pregnancy:
You have to take two different medicines in the two stages.&nbsp;
Stage 1: 
During the first stage, the doctor will give you an oral tablet called mifepristone in the clinic or the hospital. This medicine blocks the hormone progesterone that is necessary for the pregnancy to continue.
Stage 2: 
After taking the first medicine, your doctor will give you a second medicine called misoprostol, which is to be taken at home after 48 hours. Misoprostol helps to expel the contents of the uterus (womb) through the vagina within 4-6 hours, thus resulting in the termination of pregnancy. During the abortion, you will also be given pain relief medicines as you will experience cramps which are slightly more painful than period cramps.
After the procedure: 
<ol>
<li>You will experience vaginal bleeding: After the procedure, the vaginal bleeding can continue for up to 10-14 days. It is like regular menstruation, but heavier and prolonged. However, if you feel the bleeding is unusually excessive or if you observe clots passing, you must report it to your doctor immediately. </li>
<li>Follow-up with your doctor: After roughly 14 days of taking mifepristone, you must schedule a follow-up visit with your doctor. They will determine whether the pregnancy is completely terminated or not and assess the degree of your bleeding. The doctor will decide the further course of action after your check-up. </li>
<li>Next menstruation: After taking misoprostol, the vaginal bleeding will continue for about a fortnight. You can expect your next menstruation to start approximately a month after the bleeding stops.&nbsp;</li>
<li>Sexual intercourse after abortion: You can resume sexual activity once the bleeding stops. However, don’t forget to use contraception. </li>
<li>Use contraception: Always use proper contraception when you start having sex again after the medical abortion. If you don’t do so, there are high chances you can conceive again even before your coming periods. </li>
</ol>
What are the advantages of MTP?
Compared to surgical abortion, here are some advantages of medical abortion:
<ul>
<li>You can avoid surgeries: Medical abortion is via medications, and generally, there is no need for surgery. However, it may be required in case of incomplete abortion. </li>
<li>You don’t require anaesthesia: Surgical procedures require the administration of anaesthesia. But with the use of only oral medicines, the need for it is eliminated. </li>
<li>There is no need to get admitted: For this process, you don’t need to get admitted to a hospital or clinic. You can take the medicines at home after your doctor prescribes them. However, it is crucial to follow the instructions given to you by your doctor. If you notice any unusual changes, call your doctor without further delay to prevent complications. </li>
<li>It is a non-invasive method: Medical abortion does not involve the use of any instruments. You only have to take oral tablets.&nbsp;</li>
</ul>
What are the possible side effects of MTP? 
You can experience problems during the process of medical abortion or after the process. 
At the time of abortion, problems include:
<ul>
<li>Excessive vaginal bleeding: Around 1 in every 1000 abortions will experience excessive vaginal bleeding. The number increases to 4 in every 1000 abortions with increased gestational age. If you present excessive bleeding, the doctor will perform a scan for retained tissues in the uterus. If yes, then the doctor will remove them via surgery. </li>
</ul>
After the abortion, problems include: 
<ul>
<li>Infection: If vaginal infections are detected, the doctor will prescribe antibiotics for treatment. </li>
<li>Incomplete abortion: If all the contents in the uterus do not get emptied, there may be a need for surgery to remove the remaining pregnancy tissues within the uterus. </li>
</ul>
How soon can you recover and return to your normal activities?
You can expect heavy bleeding for 4-5 days after stage two of medical abortion. You can return to your normal activities after that provided there are no complications. In case of any suspicion of unusual symptoms, contact your doctor for further advice. 
Bottom line
Medical Termination of Pregnancy is executed after guidance and consultancy with the doctor. It is a beneficial procedure if performed within 9 weeks of pregnancy. It is not allowed to self-prescribe the drugs used for medical abortion. Please let the doctor decide on an appropriate course of treatment for you after your diagnosis.
&nbsp;
Disclaimer: This information is educational and should not be construed as medical advice. Please consult your doctor before making any dietary changes or adding supplements.
<a href="https://www.proactiveforher.com/?utm_source=website&utm_medium=blogs&utm_campaign=conclusion" target="_self"><ins>ProactiveForHer</ins></a> is a digital clinic for women, offering accessible, personalised, and confidential healthcare solutions. We offer out-patient care, diagnostic services and programs for various health concerns of Indian women, across their lifetime - from puberty to pregnancy to menopause. To know more on the sexual and reproductive health of women, visit <a href="https://www.proactiveforher.com/" target="_self"><ins>https://www.proactiveforher.com/</ins></a>
&nbsp; &nbsp;

There may be a need for abortion under various medical or personal circumstances. We have compiled this article to provide relevant information about the medical termination of pregnancy - a non-surgical abortion method. Come what may, do not self-assess and take any action at home; always consult an expert.  

Medical Termination of Pregnancy: Helpful Guidelines

This article has been compiled by <a href="https://www.linkedin.com/in/vaibhavi-kodnani-09016a9b/" target="_self"><ins>Vaibhavi Kodnani</ins></a>, a content writer at Proactive For Her.
&nbsp;
The uterus is a muscular organ of the female reproductive system. During pregnancy, the baby/ foetus grows in the uterus until it is time for the birth. The inner lining of the uterus is called the endometrium. Endometrial cancer occurs when tumour cells arise from this uterine lining, i.e. endometrium. In 95% of the cases, it affects the uterus. It is rare, but tumour cells may arise from the muscle of the uterus resulting in uterine sarcoma.
&nbsp;
Older women above 50 years are more likely to get endometrial cancer. On average, women 60 years of age get diagnosed with this cancer.
&nbsp;
Risk factors of Endometrial Cancer
&nbsp;
Certain factors listed below put you at a higher risk of developing endometrial cancer. 
<ul>
<li>Older age (crossed menopause)</li>
<li>Obesity </li>
<li>Metabolic syndrome</li>
<li>Type 2 diabetes</li>
<li>Endometrial hyperplasia</li>
<li>Lynch syndrome</li>
<li>Never given birth </li>
<li>Early-onset of menstruation</li>
<li>Late-onset of menopause </li>
<li>Using estrogen-only hormone replacement therapy (HRT) for menopause</li>
<li>Taking tamoxifen to treat breast cancer</li>
<li>Polycystic ovarian syndrome (PCOS)</li>
<li>Family history of endometrial cancer in a first-degree relative (mother, sister, or daughter)</li>
</ul>
&nbsp;
Symptoms of Endometrial Cancer
&nbsp;
Bleeding from the vagina is the most common warning sign of endometrial cancer that should not be ignored. If you notice any unusual bleeding and/ or other symptoms, immediately contact your doctor for further advice and treatment. 
The other common symptoms to take note of are:
<ul>
<li>Vaginal bleeding after menopause</li>
<li>Difficult or painful urination</li>
<li>Painful sexual intercourse</li>
<li>Pain in the lower abdomen</li>
<li>Vaginal bleeding not related to periods</li>
</ul>
&nbsp;
Diagnosis of endometrial cancer
&nbsp;
Upon the onset of your symptoms, visit your doctor without further delay. An early diagnosis of endometrial cancer can aid the treatment process. For diagnosis, the doctor will perform a few tests to confirm cancer. 
Clinical examination: The doctor begins the diagnosis with a routine pelvic exam to check the status of your organs. 
Biopsy: During the biopsy, the doctor inserts a thin flexible tube through your cervix into your uterus to collect a sample of the endometrial tissue for evaluation under a microscope.
Dilatation and curettage: D&amp;C is another procedure in which the doctor dilates the cervix to curette or scrape a layer of the endometrium to examine it under a microscope. 
Ultrasound and Hysteroscopy: The doctor may also take the help of ultrasound and hysteroscopy to examine the uterus during the initial diagnosis. 
Once endometrial cancer is confirmed, they will conduct a few imaging scans to find out the spread of the disease.
MRI scan and CT scan: These two imaging tests are done to detect the extent of the spread of the disease to the lymph nodes and other distant organs. The results of the tests will help to determine the stage of cancer and discuss the treatment options accordingly. 

<img src="https://pfh-images-production.s3.ap-south-1.amazonaws.com/files/images/6d203e67-885c-4c31-a556-90175510b04e.png" alt="" style="height: auto;width: auto"/>

Endometrial cancer is grouped for treatment as follows: 
<ul>
<li>Low-risk endometrial cancer</li>
<li>High-risk endometrial cancer</li>
</ul>
&nbsp;

<img src="https://pfh-images-production.s3.ap-south-1.amazonaws.com/files/images/Endometrial Cancer-min__4c8ab6d9-08ba-43ca-bad5-c6fcacc9dc0e.jpeg" alt="endometrial cancer" style="height: auto;width: auto"/>


Treatments of Endometrial Cancer
&nbsp;
After the complete diagnosis, the doctor will understand the accurate stage of the disease and the type of the disease to decide the course of treatments. However, surgery remains the mainstay for the treatment of endometrial cancer. It includes surgical removal of the uterus, ovaries and surrounding lymph nodes. In high-risk patients, radiation therapy and chemotherapy are also used for the treatment along with surgery. Novel treatment includes hormone therapy and targeted therapy. Endometrial cancer is treatable, but just like any other cancer, even this cancer can recur. 
&nbsp;
Endometrial Cancer Support 
&nbsp;
Apart from the medical treatments, emotional support plays an equal role in recovery from cancer. The many side-effects associated with the treatments can distress the patient physically and mentally. Knowing that there are people to support you in these difficult times can put them at ease. You can even consider joining cancer support groups and learn from other’s experiences. It will provide motivation, strength and support to deal with the disease. Counselling with a therapist can be equally helpful and comforting. 
&nbsp;
Endometrial Cancer Prevention 
There are not many preventive measures for endometrial cancer. However, if you fall under any of the risk factors categories, make sure to take care of those. 
Manage your weight: Eating healthy and regular exercise can help you maintain a healthy weight. If you are overweight or obese, losing weight can prove beneficial. 
Manage other conditions: In case you have metabolic syndrome or diabetes, then take the necessary treatments to keep it under control. 
Manage PCOS: PCOS is not curable, but it is manageable. Hence, take the required treatments and adopt some lifestyle changes to manage your PCOS symptoms. 
Inform your doctor if you have a history of Lynch Syndrome: Discuss the preventive measures with your doctor if you have a family history of Lynch syndrome. 
Reconsider using estrogen-only hormone replacement therapy (HRT) for menopause: As it can have certain repercussions, it is advisable to understand the advantages and disadvantages before taking it. Your doctor can explain this to you further in this matter. 
Apart from these, maintain a healthy lifestyle, eat healthy meals and exercise regularly to stay fit. 
&nbsp;
FAQs about endometrial cancer 
Can one become pregnant after endometrial cancer?
&nbsp;
It is rare for endometrial cancer to occur in young women. If it happens and the woman still wishes to have children, the doctor will make a decision depending on your condition. Only in low-risk scenarios, the doctor may allow the woman to have a baby. However, be ready for a change of plans in case the disease progresses. 
&nbsp;
Does endometrial cancer affect the menstrual cycle? 
&nbsp;
Endometrial cancer mostly affects post-menopausal women. Therefore, there is not much relation between endometrial cancer and menstruation. 
&nbsp;
Is endometrial cancer fatal?
&nbsp;
During the late stages of endometrial cancer, its progression is fast. If a woman has reached such a stage, it can prove fatal. 
&nbsp;
Is there a way to detect endometrial cancer early?
&nbsp;
There are no screening tests available for endometrial cancer. But as vaginal bleeding is the most common symptom, endometrial cancer is detected at relatively early stages. 
&nbsp;
Bottom line 
To conclude, endometrial cancer can be detected early due to visible symptoms such as vaginal bleeding. Hence, visit your doctor at the earliest if you notice any abnormalities. Preventive measures are not a lot but staying healthy and fit is of utmost importance. 
Disclaimer : This information is educational and should not be construed as medical advice. Please consult your doctor before making any dietary changes or adding supplements.
<a href="https://www.proactiveforher.com/?utm_source=website&utm_medium=blogs&utm_campaign=conclusion" target="_self"><ins>ProactiveForHer</ins></a> is a digital clinic for women, offering accessible, personalised, and confidential healthcare solutions. We offer out-patient care, diagnostic services and programs for various health concerns of Indian women, across their lifetime - from puberty to pregnancy to menopause. To know more on the sexual and reproductive health of women, visit <a href="https://www.proactiveforher.com/" target="_self"><ins>https://www.proactiveforher.com/</ins></a> &nbsp;

Endometrial cancer/endometrial carcinoma is a type of cancer that generally affects post-menopausal women. Find out who’s at a higher risk for endometrial cancer, the warning signs for early detection, treatments and common enquiries. Do not delay consulting a doctor if you find yourself at risk of developing it.

Endometrial Cancer: Everything You Must Know

What are painful periods?
We all dread ‘that time of the month’. Periods can cause a lot of mood swings, cramps, bloating and body aches. But many menstruators experience periods differently with extreme bleeding followed by throbbing pain in the pelvic, buttocks and waist area. 
More than half of the female population experience pain during periods. Especially during the initial 1-2 days of menstruation. This pain is usually moderate and in the form of discomfort due to cramps caused by the contraction of muscles. This kind of pain that doesn’t affect your day-to-day routine, is normal and common. However, once the pain starts becoming difficult to bear and also affects your bleeding, it’s called ‘Dysmenorrhea’ – painful periods. 

There are two kinds of Dysmenorrhea

<ol>
<li>Primary Dysmenorrhea – This begins when a female starts bleeding for the very first time in her life. This type of dysmenorrhea results in mild and frequent menstrual cramps followed by abnormal uterine contractions. </li>
<li>Secondary Dysmenorrhea – This type of painful period usually starts at a later stage in life. And it is backed by some physical causes. It is usually diagnosed with other underlying medical conditions in the uterine. </li>
</ol>

Symptoms of Dysmenorrhea
In either type of condition, the symptoms usually remain the same. However, every human body is different and so is its threshold for pain. The major distinguisher to determine the seriousness of painful periods is the quantum of discomfort it brings along. Constant unbearable pain that affects your routine, requires immediate medical attention. However, the following are also some symptoms of this. 
<ul>
<li>Heavy bleeding that requires changing of period products every 1 to 2 hours</li>
<li>Pain during urination or in the bowels</li>
<li>Constant headache with nausea and/or diarrhoea</li>
<li>Pain that stays beyond the first few days of the periods</li>
<li>Periods that last longer than 5 days </li>
</ul>

The causes of Dysmenorrhea
Primary dysmenorrhea is a cause of the general menstruation process. This pain is caused by natural chemicals called prostaglandins that are in the uterus lining. This results in muscular contractions that cause pain. Prostaglandins are very high on the first day of the period. As bleeding continues and more lining is shed their levels go down, further reducing pain in the coming days. 
However, secondary dysmenorrhea could be a cause of concern and is caused due to other underlying disorders in the reproductive organs. This gets worse with time and lasts longer than usual menstrual cramps. One of the most severe causes of this pain is endometriosis. In this condition, the endometrial tissue implants outside the uterus and over the fallopian tubes. Women with this condition suffer an extremely painful period and seek constant medical attention. 
There are also some other causes of secondary dysmenorrhea like -
<ul>
<li>Ovarian Cysts</li>
<li>Fibroids in the uterus</li>
<li>Pregnancy complications (miscarriage, abortion)</li>
<li>Pelvic Inflammatory Diseases</li>
<li>Bladder Infections </li>
</ul>


<img src="https://pfh-images-production.s3.ap-south-1.amazonaws.com/files/images/Painful Period-min__67065273-9a2b-409a-909d-0d8202662061.jpeg" alt="painful periods" style="height: auto;width: auto"/>


When is it abnormal or suggestive of these underlying diseases?
Dysmenorrhoea could be a sign of something serious if -
<ol>
<li>You experience menstrual cramps before or after your period.</li>
<li>You experience pain during passing motion or while you pee</li>
<li>You have foul-smelling vaginal discharge</li>
<li>You experience heavy bleeding for which you need to change the period product every 1-2 hours.</li>
<li>You pass clots of the size of a coin.</li>
<li>You suffer from nausea and diarrhoea along with painful periods.</li>
<li>You have had last 3-4 severely painful periods such that it hampers your normal routine</li>
</ol>

If you have painful periods, you should definitely visit and consult your gynaecologists for the same. The proper cause of dysmenorrhea can be diagnosed through different medical methods, like:
<ol>
<li>Ultrasound – Your doctor uses an ultrasound probe to visualise your internal organs. It’s painless and safe for all age groups. A vaginal ultrasound can provide a deeper understanding of the overall uterine health and help in examining the ovarian conditions for any cysts or fibroids.</li>
<li>Laparoscopy – In this procedure, a small cut is made near the belly button that lets in a thin camera that further assists in viewing the pelvic organs and determining severe ailments in the pelvic area.</li>
<li>Physical Examination – In this form of examination, your doctor will physically check the vagina, cervix and feel the ovaries to determine any changes or complications. This method is not used for young, adolescent women. </li>
</ol>

What practices can we follow at home to minimize the pain?
Especially for primary dysmenorrhea, home remedies and treatments have proven to be relieving and partly effective. However, these are also effective in treating dysmenorrhea in general. You may try the following to ease menstrual pain:
<ul>
<li>Heat – The most tried and tested method for reducing menstrual cramps. When we externally press heated pads or hot water bags against the contracting muscles, heat releases the tension in the muscles and relaxes them further while reducing pain. </li>
<li>Nutrition – Periods take up a lot of your body energy. Keeping yourself well-nourished with a balanced diet consisting of healthy veggies, fruits, nuts and meat can keep your energy levels constant, further reducing the pain. </li>
<li>Exercise – Simple physical movements can relax the muscles and help in easing out the pain. Basic stretching followed by a meditation routine will also distract your mind and calm the body. Do not do any extremely rigorous workout or activity that will cause rather more discomfort and pain. </li>
<li>Hydration - Just like any other muscles in your body, your uterus is made up of muscles too and can cause painful cramps if you're not hydrating enough. Staying hydrated will definitely lower the intensity of pain. </li>
</ul>

Medical remedies that doctors may suggest
<ol>
<li>Pain Medication – Over the counter medicines are extremely effective in managing pain. These medicines act by reducing the pain-producing substance in our body - prostaglandin. These should be taken at an interval of 6-8 hours depending on the severity of pain.</li>
<li>Birth control methods - Such as the contraception pills, the patch, vaginal rings that control the estrogen and progestin levels have proven effective in the treatment of dysmenorrhea. These help in thinning the uterus lining that shall reduce contractions and result in lesser pain.</li>
<li>Intrauterine Device (IUD) – IUD is a small T-shaped device inserted in the vagina to prevent insemination. This has the hormone levonorgestrel that is proven to reduce dysmenorrhea by half. However, this method is not recommended for young females. </li>
</ol>
While painful periods are quite common, it is suggested to always keep track of the kind of pain you experience, how long it stays and what works best as a relief. The key is to know where to draw the line when it comes to testing your physical endurance. A routine checkup of your uterine health will help in making your periods easier and healthier.

Disclaimer - This information is educational and should not be construed as medical advice. Please consult your doctor before making any dietary changes or adding supplements. 
&nbsp;<a href="https://www.proactiveforher.com/?utm_source=website&utm_medium=blogs&utm_campaign=conclusion" target="_self"><ins>ProactiveForHer</ins></a> is a digital clinic for women, offering accessible, personalised, and confidential healthcare solutions. We offer out-patient care, diagnostic services and programs for various health concerns of Indian women, across their lifetime - from puberty to pregnancy to menopause. To know more on the sexual and reproductive health of women, visit <a href="https://www.proactiveforher.com/" target="_self"><ins>https://www.proactiveforher.com/</ins></a>&nbsp;

We all know that periods are no cakewalk. They usually bring us discomfort, mild cramps, overall weakness and body ache. But do you know that terrible pain and extreme discomfort in periods, can be serious and requires immediate medical attention? This condition is called ‘Dysmenorrhea’ and it is not normal.

Painful Periods – Knowing When to Seek Help

Let’s talk about the science of ovulation first and understand why it is important to know about it, even if you’re not planning a baby. 
 
What is ovulation and how does it work?
Your ovaries are small egg-shaped organs on either side of your uterus. They house up to a million premature eggs or primordial follicles at the time of your birth. They keep reducing in number as we age. 
Beginning at puberty, every month several of these eggs try to mature and grow and release from the ovary to be available for fertilization for the sperm. Under the influence of reproductive hormones, one of these eggs takes centre stage, leaves the ovary and is released as a mature egg. This process of the egg being released is called ovulation.
The menstrual cycle is affected by the levels of 4 hormones - estrogen, progesterone, luteinizing hormone or LH and follicle-stimulating hormone or FSH. All these hormones also play a crucial role in ovulation. 

How does ovulation assist in pregnancy?
When a sperm joins with an egg, fertilization occurs. The usual timeline for an egg to stay in the fallopian tube is between 12-24 hours. While the sperm can stay up in the uterus or the fallopian tube even for up to 6 days after sex. The fertilized egg then travels from your fallopian tube to your uterus and gets attached to the uterine wall, which will result in pregnancy. And if egg fertilization doesn’t happen, you will eventually get your period.
So, an egg stays up for about a day and the sperm lasts for 6 days post-sex. This makes you fertile for around 7 days of every menstrual cycle, ie. 5-6 days before and a day after the ovulation.

When does ovulation occur?
In a regular menstrual cycle, ovulation occurs approximately 14 days before your next period.
To put it in simpler terms, if you get a period every 28 days, ovulation occurs on day 14 of your cycle. For those having a 30-day cycle, ovulation day is typically day 16. Nowadays, period/cycle tracking apps make it extremely easy for us to calculate that day.
 Benefits of tracking Ovulation:
For anyone who is sexually active, tracking their ovulation helps in determining the course of their actions. 
<ul>
<li>Trying to conceive?</li>
</ul>
If you are trying to conceive, tracking your ovulation will give you a clear picture of the fertility window in your cycle. If you have been trying to get pregnant and have had some unsuccessful attempts or suffered a miscarriage, turning to ovulation tracking methods, can help in increasing your odds of conception.
<ul>
<li>Preventing pregnancy?</li>
</ul>
It is one of the most traditional methods of contraception. Having sex on the days you are infertile with the help of ovulation tracking, can prove helpful in not getting pregnant.
<ul>
<li>Just looking to keep your health in check?</li>
</ul>
Knowing about your ovulation definitely gives you a great insight into your reproductive and hormonal health. Ovulation is symbiotic with multiple other processes in your body and if something is amiss, it’s likely to throw your ovulation process off too.


<img src="https://pfh-images-production.s3.ap-south-1.amazonaws.com/files/images/Ovulation-min__d1227d03-c2c9-4d67-9adb-40c7c1c2f01e.jpeg" alt="ovulation" style="height: auto;width: auto"/>


Some of the most common reasons for a person’s ovulation to be affected are :
<ul>
<li style="margin-left:1.5em;">Medication: Birth control is an example of a medication that completely stops ovulation.&nbsp;</li>
<li style="margin-left:1.5em;">Disturbances in reproductive hormones such as PCOS. PCOS can cause an increase in the amount of masculinizing hormone or androgens in your body and that prevents ovulation.</li>
<li style="margin-left:1.5em;">Imbalance of thyroid and prolactin hormones</li>
<li style="margin-left:1.5em;">Extreme stress</li>
<li style="margin-left:1.5em;">Extremes of exercise</li>
<li style="margin-left:1.5em;">Sudden weight loss or weight gain</li>
<li style="margin-left:1.5em;">Breastfeeding: Breastfeeding acts as a natural contraceptive for your body and prevents ovulation. (Natural but not 100% effective)</li>
<li style="margin-left:1.5em;">Substance Use: Substances such as alcohol, marijuana and cocaine are likely to delay ovulation.</li>
<li style="margin-left:1.5em;">Extremes of age and in the perimenopausal period.</li>
</ul>
 &nbsp;
How to track ovulation?
Fertility Awareness Methods (FAM) comprise different ways of tracking your ovulation that can prevent/aid the process of pregnancy. These are generally also called ‘Natural Family Planning’ and also the ‘Rhythm Method’
There are different kinds of FAMs that not only help you track your menstrual cycle but also help in determining when the ovaries release an egg and the process of ovulation begins.
Depending on what purpose you are using it for, using a combination of methods works better than relying on just one. 
These methods work better at aiding pregnancy than preventing one. If used as natural contraception, they have a high failure rate.
<ul>
<li>The Temperature Method: While following this, keep a tab of your body temperature every morning, right after you wake up and get out of your bed. Your body temperature increases by about 0.5 or 1 degree after your ovulation. So charting the temperature will help in predicting your next ovulation cycle. </li>
<li>The Cervical Mucus Method: During ovulation, there would be certain changes in the vaginal discharge (mucus). You have to check on the same every day to learn the pattern. It changes throughout the menstrual cycle due to the hormones, estrogen and progesterone. Cervical mucus that’s more transparent and resembles an egg-white, suggests that ovulation is about to begin soon. </li>
<li>The Calendar Method: The oldest and one of the most trusted methods. This is physically tracking and maintaining records via a calendar of your cycle and learning about the number of days between each menstrual cycle. </li>
<li>Ovulation Testing Kit: These kits contain strips that measure the luteinizing hormone in your urine. This hormone is triggered and is higher during the 2-3 days before your ovulation. However, it’s not a very accurate method and can sometimes need medical intervention if it denotes a lot of hormonal fluctuations. </li>
<li>Mittelschmerz or mid-cycle spotting: Not a fertility awareness method per se, but getting a small amount of spotting or one-sided pain in the middle of your cycle can be indicators that ovulation has happened. The process of the egg being released from the surface or your ovary can cause either of these symptoms. </li>
</ul>
How effective are FAMs?
The statistical figures might lie between 70-80%. However, studies say that when all the FAMs are used together, the effectiveness increases. But getting pregnant is a natural process and sometimes even the utmost precautions can fail. 
When compared to other birth control methods, FAMs need a lot of homework and their efficacy is proved only over a long period of time.
For those who have a regular period routine, either of the FAMs might work perfectly. However, others might have to use a combination of these methods with utmost precautions – as irregular periods make these methods less efficient.
Only you can know the best for you. Follow methods that you are comfortable with. Wanting pregnancy and avoiding it, are both very natural experiences and tracking your ovulation can prove to be beneficial in both cases.

When should I consult a doctor?
Consider consulting a healthcare provider, if you are experiencing any of the following:
<ul>
<li>Irregular or missed periods</li>
<li>Periods more frequent than 20 days</li>
<li>Periods over 45 days </li>
<li>Foul-smelling vaginal discharge during or after periods</li>
<li>Pain in your lower belly and spotting infrequently between your period</li>
<li>If you have been struggling to conceive &gt;1 year under the age of 35 and &gt;6 months over 35 years. </li>
</ul>
Disclaimer - This information is provided for educational purposes and should not be construed as medical advice. Please consult with your healthcare practitioners before undertaking any changes in your diet or adding supplements.
&nbsp;
<a href="https://www.proactiveforher.com/" target="_self"><ins>Proactive</ins></a> is a digital clinic for women, offering accessible, personalized, and confidential health-care solutions. We offer products and services for out-patient health concerns of Indian women, across their lifetime - from puberty to pregnancy to menopause. To know more on the sexual and reproductive health of women, visit <a href="https://www.proactiveforher.com/" target="_self"><ins>https://www.proactiveforher.com/</ins></a> &nbsp;

Have you ever wondered if tracking your menstrual cycle and following the ovulation pattern can help in family planning? Well, it surely does play a vital role in both conception and contraception. Read on to know more on how to track your ovulation and benefit from the same.


How Do I Track My Ovulation?

This blog has been compiled by <a href="https://www.linkedin.com/in/komal-adlakha-aa3596154/" target="_self"><ins>Komal Adhlaka</ins></a>, a content writer for Proactive For Her.
What is Endometriosis?
Endometriosis is an excruciating, chronic disease where tissue that lines the inside of the uterus grows outside of the uterus. This tissue may grow on the ovaries and fallopian tube just like the bladder, bowel, vagina, cervix, and the region between the vagina and rectum. The lost tissue develops, separates, and sheds like the tissue that lines the uterus during menstrual cycles. In any case, the lost tissue has no chance to leave the body which causes internal bleeding, inflammation, bowel issues, scar tissue formation, etc
How common is Endometriosis?
More than 170 million women across the world have endometriosis. The early symptoms of the disease often occur during reproductive age (12-60 years old) but most women are usually undiagnosed. 
What are the symptoms of Endometriosis?
The symptoms of the disease include:
<ul>
<li>Fatigue and exhaustion</li>
<li>Painful urination before periods</li>
<li>Painful bowel movements during periods</li>
<li>Painful sex</li>
<li>Severe cramps before and while periods</li>
<li>Heavy menstrual flow</li>
<li>Periods lasting more than 7-8 days</li>
<li>Diarrhoea</li>
<li>Nausea</li>
<li>Constipation</li>
<li>Infertility </li>
</ul>


<img src="https://pfh-images-production.s3.ap-south-1.amazonaws.com/files/images/Diet for Endometriosis-min__77faa37b-32c5-42d9-a6fd-3351dba05b45.jpeg" alt="diet for endometriosis" style="height: auto;width: auto"/>


What should your diet include if you have endometriosis?&nbsp;
A good diet to ease the endometriosis and help with irregularity and pain of periods includes: 
<ol>
<li>Vegetables:</li>
</ol>
Vegetables contain rich amounts of flavonoids and carotenoids with antioxidants and anti-inflammatory properties. Eat a wide variety of vegetables that contain vitamins, including A, E, and C which help lower the pain in endometriosis patients. 
Servings- 5 servings per day (one serving = 2 full cups of salad and dietary fiber, ½ cup of cooked vegetables with controlled salt levels).
Sources- spinach, collard greens, broccoli, Brussels sprouts, cauliflower, cabbage, carrots, beets, onion, peas.
 2. Fruits:
Eat fruits religiously because they are a wholesome food source, which contain antioxidants and anti-inflammatory properties. If you can, choose organically grown fruits for reduced pesticide residue that have been associated with hormone imbalances. 
Servings- 1-2 servings per day (include fresh as well as dried fruits)
Sources- Grapes, cherries, apples, strawberries, raspberries, blueberries, peaches, oranges, plums, pomegranates, blackberries, and pears, etc. have a lower glycemic index. 
3. Beans and Legumes:
Legumes are rich in folic acid, potassium, magnesium, and soluble fiber. They have low-glycemic levels which help to stabilize blood sugars. 
Servings- 2-4 servings per week (one serving = ½ cup boiled or blandly cooked legumes)
Healthy Sources- Chickpeas, black-eyed peas, lentils, kidney beans, etc. 
4. Cold-Pressed Vegetable Oils:
Oils contain high amounts of Omega-3s and antioxidants which are anti-inflammatory. They are also rich in monounsaturated fats that increase HDLs (good cholesterol) and lower LDLs (bad cholesterol). Expelled cold-pressed oil is not chemically treated and is the better alternative to vegetable oil. 
Servings- 2-4 servings a day (one serving= 1 teaspoon of oil)
Sources- Canola oil, extra virgin olive oil, vegetable oil, nuts-based oils, flaxseed oil, etc. 
Quick note:
When using oil to cook, heat it at lower temperatures as higher temperatures increase the production of trans fat. When you’re not using the oil to cook, you could drizzle some on salads, over vegetables for roasting, or while sautéing the veggies. 5. Low-fat Dairy or Dairy Alternatives:
Studies suggest that Vitamin D helps to reduce pro-inflammatory cytokines that contribute to inflammation caused during endometriosis. Low-fat dairy products could help reduce the number of hormones added to your foods. 
Servings- 3 servings a day (minimum 2 glasses of low-fat, skimmed milk/dairy-free milk, 1 cup of yoghurt, etc.)
Sources- Low-fat cheeses like mozzarella, parmesan), fat-free yoghurt, cottage cheese or paneer, skimmed milk (coconut, almond milk for alternatives). You can always find dairy-free options of these foods if you’re a vegan. 
6. Fish and Seafood:
Fish is rich in Omega-3s which are anti-inflammatory. For an endometriosis diet, high-fat, deep-sea fish would be the best alternative available as it contains huge amounts of Omega-3s. 
Servings- 4-5 servings per week (one serving = 4 oz. of seafood or fish)
Sources- tuna, salmon, mackerel, etc.
7. Eggs, Lean Meat, Poultry:
Lean meats have fewer amounts of saturated fat that help in controlling the cholesterol levels better. 
Servings- 3-4 servings per week (one serving = 3 oz. of poultry)
Sources- Skinless poultry, brown eggs, turkey, grass-fed lean meats, etc. 
8. Whole Grains:
Whole grains contain vitamin-B and fiber which help to promote a healthy digestive tract and reduce spikes in blood sugar that cause inflammation. 
Servings- 3-5 servings a day (one serving = ½ cup cooked grains, potentially unsalted) ·
Sources- Brown rice, basmati rice, quinoa, gluten-free noodles or pasta, flat rice, or poha.   
9. Nuts and Seeds:
Nuts and seeds have huge amounts of Omega-3s. They are excellent sources of vitamin B and phosphorus. 
Servings- 1-2 servings a day (one serving = 2-3 walnuts, 1 tablespoon of flaxseed (optional), 1 oz. of avocado, 4-5 almonds, etc.)
Sources- Almonds, avocado, chia seeds, walnuts, ground flaxseed, hemp seeds, etc.
10. Alcohol, Caffeine, Processed Foods, Sugars:
It is always better to avoid these foods. They have no nutritional value. Moreover, the added sugar can prevent other vital nutrients from being absorbed. Caffeine and alcohol have been suggested to impair ovarian function, aggravate PMS symptoms, and negatively affect infertility. While sweets or chocolates, etc. proinflammatory and should be limited.
Servings- 1-2 servings per week, you can also avoid if you can
Sources- Processed foods, fried and fast food, caffeine, alcohol
11. Water:
Water is important for the overall proper functioning of the body because it helps in keeping the body hydrated and removes unnecessary metabolic wastes.
Servings- minimum 8 glasses of water, half a gallon (64 oz.) 
Foods to avoid&nbsp;
Reducing or eliminating some foods from your diet may ease the pain, nausea, and cramps if you have endometriosis. Some foods to avoid include high-fat foods, caffeine, and processed foods with added sugar. Soy products increase estrogen levels, which may aggravate the symptoms of endometriosis and encourage the growth of new lesions if consumed in large quantities. Red meat, such as beef also increases estrogen levels and aggravates endometriosis symptoms. 
Everyone has a different body and food consumption system. Hence, some foods may worsen the symptoms in some people while they may not impact others. It is, therefore, important to recognize which foods may aggravate disease symptoms and eliminate them from your diet. 
Final Words
While surgical or medical treatments remain the most effective methods of managing endometriosis, there is hardly any natural cure for endometriosis. However, making some relevant and needful dietary changes is a complementary approach that may help some women manage their symptoms. Consulting a health expert would help you plan your diet to fulfil your nutritional requirements and manage endometriosis effectively. 

Disclaimer - This information is provided for educational purposes and should not be construed as medical advice. Please consult with your healthcare practitioners before undertaking any changes in your diet or adding supplements. 
<a href="https://www.proactiveforher.com/" target="_self"><ins>ProactiveForHer</ins></a> is a digital clinic for women, offering accessible, personalized, and confidential health-care solutions. We offer products and services for out-patient health concerns of Indian women, across their lifetime - from puberty to pregnancy to menopause. To know more on the sexual and reproductive health of women, visit <a href="https://www.proactiveforher.com/" target="_self"><ins>https://www.proactiveforher.com/</ins></a> &nbsp;

1 in 10 women worldwide suffers from endometriosis. The cause of the disease is unknown, and there is no cure as of now. However, a diet may increase or decrease the risk of endometriosis, and some women find that making dietary changes can help reduce symptoms.

It’s good to stay curious about things.