From Diagnosis to Relief: How Endocrinologists Treat PCOS

Polycystic ovarian syndrome (PCOS) is among the most common yet misunderstood female hormonal disorders worldwide. Leaving it unaddressed and mismanaged could lead to other, more severe health problems. The key to better health is how endocrinologists treat PCOS by taking a holistic approach to their care. Here is an explanation of an endocrinologist and what they can do for women with PCOS. What Is an Endocrinologist? Women with PCOS don’t always know that endocrinologists are the most essential doctors they should see for their condition. Endocrinologists specialize in hormonal imbalances and related conditions, such as the following: Diabetes Hyperactive thyroid or hypothyroidism Obesity Adrenal insufficiency Lipid imbalances Metabolic disorders Sexual and reproductive problems These endocrine specialists work to create hormonal regulation to ensure your body’s systems correspond and communicate. Concerning PCOS, endocrinologists issue several blood tests to measure the imbalances and indicate androgen and testosterone levels. They guide patients on various lifestyle changes to improve function and prescribe medicine as needed.  Currently, there is no set treatment or cure for PCOS. Endocrinologists and related specialists are actively trying to understand the root cause, how it develops over time, and possible medications to help with symptoms and prevent risk factors.  Some of the queries doctors ask include whether women with PCOS have different ovaries than non-PCOS patients, how weight relates to PCOS and whether a fetus exposed to male hormones has a higher chance of developing the condition. Doctors also question whether to screen PCOS patients for endometrial cancer because of the heightened risk.  The Toolkit: How Endocrinologists Treat PCOS  Managing PCOS and finding relief from symptoms is no easy feat — every patient is different and requires a unique approach. Endocrine specialists are equipped with extensive knowledge of hormonal imbalances and several treatments up their sleeves for individualized care. Here is how endocrinologists treat PCOS.  Lifestyle Changes Lifestyle changes are the cornerstone of PCOS management and most endocrinologists’ first line of treatment. Healthy habits are essential to prevent the onset of other serious diseases.  For instance, over 50% of women with PCOS develop type 2 diabetes before turning 40. Other risks include cardiovascular disease, endometrial and ovarian cancer, sleep apnea and abnormal lipids.  An endocrinologist might suggest a low-calorie and low-sugar diet to control your blood sugar and weight better. Some studies also show that yoga and 120 minutes of high-intensity exercise benefit women with PCOS.   Birth Control Although there is no cure for PCOS, many patients opt for birth control pills to balance their hormones. Of course, this is only a viable treatment for women who do not wish to get pregnant.  Endocrinologists prescribe combined hormonal birth control — comprising estrogen and progesterone — to patients with PCOS. Ultimately, the pills regulate menstruation, leading to fewer follicles on your ovaries. Some pills have helped patients manage hirsutism — unwanted hair growth on the chest, back, stomach or face — and acne.  Studies even indicate a 30%–40% reduction in endometrial cancer risk when taking oral contraceptives.  Anti-Androgen Medications Because women with PCOS tend to produce more androgens — a male hormone — endocrinologists may prescribe anti-androgen medications like spironolactone or cyproterone. These medicines address several PCOS symptoms, including excess hair growth and acne.  Some women may prefer to try an androgen-blocking medicine instead of birth control. While there is not an FDA-approved treatment for PCOS, these medications work well for many people.  Metformin The way diabetes patients get treated for insulin sensitivity is how endocrinologists treat PCOS patients — with metformin. Metformin decreases how much glucose you absorb from the foods you eat and limits how much glucose your liver produces. This is highly beneficial to women with PCOS who have developed pre-diabetes or diabetes. According to one study, long-term use of metformin helps women reduce their body mass index to a healthier weight, increase the number of menstrual cycles — improving the chances of women getting pregnant — and decreasing testosterone and androgens. Ovulation Induction Medication PCOS affects 8%–13% of women of reproductive age and is the leading cause of infertility. For one thing, PCOS may cause less ovulation, making it harder to conceive. Women also wait longer to start their families — for instance, to establish themselves in a career, buy a house or save money. As such, endocrinologists can prescribe ovulation induction medicine like clomiphene citrate to kickstart menstruation and increase your chances of becoming pregnant. A reproductive endocrinologist — a specialist in obstetrics and gynecology with extensive experience in endocrine disorders — may be better suited for you to overcome infertility with PCOS.  Laparoscopic Ovarian Surgery Some women require laparoscopic ovarian drilling — a minimally-invasive surgery in which the doctor drills small holes into the ovaries to induce ovulation.  In women with PCOS, the outer layer of the ovaries tends to be thicker. By drilling through the surface, doctors can decrease testosterone levels so the ovaries can more easily release an egg during menstrual cycles. Nearly 50% of women get pregnant after drilling. Unlike fertility treatments, ovarian drilling is a one-time surgical treatment. However, women hoping for twins or triplets have a better chance of conceiving them through more traditional in vitro fertilization. Should You Go to a Gynecologist for PCOS? Because of its reproductive nature, women often visit a gynecologist first for a PCOS diagnosis and management. Indeed, a gynecologist serves a purpose by providing pelvic exams, ultrasounds of the ovaries, birth control and monitoring for signs of endometrial, ovarian and cervical cancer. Obstetricians are also crucial for addressing infertility concerns.  However, a good gynecologist should encourage you to see an endocrine specialist if they suspect PCOS, as they are the best doctors to treat hormonal disorders.  If you have recently been diagnosed with PCOS, ask your gynecologist to refer you to an endocrinologist or look up a specialist in your insurance plan. Having a team of doctors for a more holistic approach to treatment and management is better than strictly seeing a gynecologist.  Treat PCOS With a Team of Doctors PCOS is multifaceted, with numerous symptoms and risk factors. Although an endocrinologist specializes in treating hormonal disorders, seeking care with a team of highly qualified doctors will ensure whole-body management of PCOS.

There are many ways that your body can alert you to problems. The uterus isn’t any different. If you experience specific symptoms, you may have an underlying medical issue that you need to address. But you need to know which indicators are irregular so that you can take action. Here’s a look at uterine diseases, causes and five signs something is wrong with your uterus. The Uterus: Its Location and Purpose Your uterus is a hollow, muscular organ that sits in your pelvis behind your bladder. It’s a part of your overall reproductive system. You’ll find your fallopian tubes and ovaries on either side. Those parts work together with your vagina to have children. Your uterus sheds lining every month during your period. If you become pregnant, your uterus serves as your womb to grow your baby. It expands throughout nine months to accommodate your baby’s size. Your uterus shrinks back to its regular size within weeks after birth. Common Uterus Issues and Causes It’s possible to experience a range of problems with your uterus. In many cases, you can treat your concern with medical care. That said, you might need to have a hysterectomy to remove your uterus. Take a look at a few common uterus issues and causes. Endometrial Hyperplasia This condition causes your uterus’s inner lining to become too thick. As a result, you experience abnormal bleeding and vaginal discharge. You might eventually get uterine cancer when you have adenomyosis in addition to endometrial hyperplasia. It’s also common to have endometriosis. Dysmenorrhea and Menorrhagia These concerns are related to your menstruation cycle.  Dysmenorrhea leads to severe pain during your period because of excessive hormones. This discomfort happens in the form of abdominal cramps. It’s usually treatable through medication or therapy. Menorrhagia causes extreme menstrual bleeding as a result of uterine fibroids, birth control and more. You can be treated for menorrhagia with medication. Pelvic Inflammatory Disease (PID) PID causes discomfort in your pelvic region, which is one of the signs something is wrong with your uterus. This concern happens when bacteria enter your cervix. It causes an infection that spreads upward into your uterus. PID may cause scarring. Fortunately, you can get antibiotics to get rid of PID. These are only a few examples of uterine concerns that you might have. It can help to identify your symptoms so that you can narrow down whether anything has changed.  Uterine Polyps The uterus is lined with a layer of tissue called endometrium.  Sometimes, the cells in the lining grow at an overwhelming size — up to the same size as a golf ball or even larger — expanding to the uterus and resulting in uterine polyps. These polyps or overgrown cells are typically noncancerous, although some cases can develop into a precancerous stage. This condition is common in people in the menopausal and postmenopausal stages.  Uterine polyps can cause heavy periods or vaginal bleeding after menopause. Medications and surgery are the primary forms of treatment. You should see a doctor to get treated and to determine the severity of the condition.   Risk Factors for Uterine Issues Just as unique health dynamics contribute to a heart condition, the factors leading to uterine diseases also vary and can sometimes even be genetic. In a case study of perimenopausal, researchers found that the factors attributing to abnormal uterine include the following: Age: Women over 50 are more likely to experience abnormal uterine bleeding. Body mass index: Women with BMI classified as obese are likely to suffer the same problem. Intrauterine device: An IUD in placement during the perimenopausal stage can also lead to abnormal bleeding. If you experience symptoms of potential uterus problems, consult your doctor immediately for advice. Early diagnosis can significantly increase the chance of successfully reversing the disease. Moreover, precursors of a uterus issue may manifest when you approach menopause. Be sure to pay more attention to your well-being so you can easily notice the signs of compromised health. 5 Signs You Need To Get Checked for Uterus Problems Here are five signs something is wrong with your uterus. 1. Pelvic or Back Discomfort If you frequently feel pain in your pelvis or back, you may have a uterine issue. Both polyps and fibroids are uterine growths that cause discomfort in those areas. It’s crucial to consult your doctor when you have pelvic or backaches alongside other symptoms. 2. Irregular Periods Your menstrual cycle is unique to you. For example, you may have a heavier and longer flow than your friend or skip certain months because of birth control. That said, your period should still come somewhat consistently with minor discomfort. If you experience heavy bleeding for more than a week, you may have menorrhagia. Those symptoms, coupled with pain, could lead to a dysmenorrhea or endometriosis diagnosis. 3. Frequent Urination Have you ever had a urinary tract infection (UTI)? If so, you know that a frequent urge to urinate isn’t normal. It’s smart to visit your doctor when you seem to be urinating more than usual. You might only have a UTI, but you should be safe rather than sorry. This symptom may be a sign of uterine cancer. 4. Pain During or After Intercourse You shouldn’t feel extreme discomfort during or after intercourse. This pain can be a sign of many uterine conditions. That’s especially true when you experience another symptom like lower back pain. If your intercourse-related discomfort doesn’t go away, you should visit your physician. 5. Infertility Are you having issues getting pregnant? This problem might have to do with something related to your uterus. If something is wrong, your entire reproductive system may be compromised, affecting your ability to conceive. Be sure to express your concerns about fertility to your doctor. When It’s a Smart Idea to See Your Doctor If you experience one or more of these signs, you should bring your concerns to your doctor’s attention. They’ll likely refer you to an OBG-YN who may conduct a pelvic exam or pap smear to see whether anything is wrong. There are several ways to treat uterine issues. In general, it’s always best to be upfront with your physician about your health concerns. This way, you can take the right steps to fix things while avoiding further problems. Keep an Eye Out for These Potential Uterus Issues A problem with your uterus can lead to long-term damage. It’s essential to play an active role in your well-being so that you can lead a healthy life. If you experience different signs something is wrong with your uterus, you should take preventative measures. Original Publish Date: April 23, 2021 — Updated September 30, 2024

Women undergo hysterectomies for various reasons, from uterine fibroids to certain forms of cancer. Different types of hysterectomies exist — full, partial and radical. With a full or radical hysterectomy, the entirety of the uterus is removed, sometimes along with other organs in the case of a radical hysterectomy. If you're wondering, "Will I still have a period after a partial hysterectomy," the answer is both yes and no. A partial hysterectomy still constitutes major surgery. Many women cease menstruating after undergoing the procedure. Others, however, continue to bleed on a monthly or occasional basis. What Is a Partial Hysterectomy, and What Does It Treat? The Greek root of the word hysterectomy, "hysteron," means uterus. The suffix "ectomy" means "resection" or "to remove." A partial hysterectomy refers to a limited removal of the uterus. Hysterectomy is one of the most common gynecological operations. In a partial hysterectomy, surgeons remove the top part of a woman's uterus. This procedure is used to treat various female reproductive health woes. Depending on the underlying reasons for going under the knife, the doctor may remove the majority of the uterus but leave the cervix, fallopian tubes and ovaries intact. In others, physicians remove only the portion of the uterus causing problems. One reason women undergo partial hysterectomies is to combat uterine fibroids. Fibroids are painful growths of tissue in the uterus that cause considerable cramping and can rupture. Uterine fibroids do not increase the risk of cancer, including those most commonly seen in women such as cervical cancer and ovarian cancer. But they can result in excruciating pain during menstruation. Severe cases of endometriosis mark yet another reason why some women go under the knife. Endometriosis occurs when the uterine lining grows on organs other than the inside wall of the uterus. Typically, endometriosis impacts nearby organs such as the bladder, but can spread anywhere in the body. More aggressive diseases, such as cancer, require full or radical hysterectomies. One benefit of a partial hysterectomy is that, unlike in full and radical hysterectomies, the woman's sexual desire rarely changes. Because the cervix remains intact, her vaginal opening stays the same. and since the ovaries are still there, she continues to produce reproductive hormones at previous levels. Will I Still Have a Period After a Partial Hysterectomy? Since a woman's menstrual period occurs when she sheds her uterine lining after not conceiving that month, many find themselves asking, "Will I still have a period after a partial hysterectomy, and if so, why?" The answer hinges on how much of the uterus, if any, is left intact. If the surgeon removes the entirety of the uterus other than the cervical area, most women cease bleeding within six weeks post operation. However, if the doctor leaves a portion of the uterus in place, the remainder grows endometrial tissue and sheds it monthly, although the amount of the flow generally decreases significantly. This is, of course, assuming the ovaries also remain intact and continue to produce hormones. It's important to understand you will not be able to become pregnant after having a partial hysterectomy, even if you still bleed. If an egg were to be fertilized, there is no way for it to implant in the uterine wall. A slightly heavier than normal period is usually the only evidence an egg ever became fertilized at all. Manage Symptoms and Periods After a Partial Hysterectomy Assuming your reproductive remains relatively intact after a partial surgery, you may continue to have monthly periods after a partial hysterectomy. In such a case, the uterus is removed but not the ovaries. In both partial and complete hysterectomy, you'll no longer be able to conceive.  With the ovaries still there, the female glands will continue to release eggs and produce the necessary hormones to maintain a regular cycle. This means you'll also experience PMS, bloating and other symptoms, assuming you're not in your menopause. One way partial hysterectomy affects periods is you'll reach menopause earlier than those who haven't had the surgery. Moreover, your hormones will likely go out of whack following the removal of the uterus. You may experience these symptoms, signaling your hormones hit abnormal levels.  Hot flashes Sleep problems Vaginal dryness or discomfort Memory loss Your doctor may prescribe hormone therapy to replenish and stabilize the levels of biochemicals in your body. This treatment comes in various forms, such as a pill, vaginal ring, skin cream and patch.  Be aware that while hormone therapy relieves symptoms of hormone fluctuations, it carries some risks. It will make you vulnerable to blood clots, stroke and gallstones, which can be a serious problem if you're predisposed to these conditions. Talk to your doctor about the best treatment options with the most minor risks. Adjusting to Life Following a Partial Hysterectomy Due to the loss of fertility, some women find themselves experiencing depression after undergoing a hysterectomy. One study revealed some women developed negative attitudes towards menopause after an operation. It changed their body image and self-perception, increasing the risk of depression, anxiety and social dysfunction. Because society has long equated a woman's worth with her ability to procreate, it's understandable the loss of this would create feelings of distress. Due to this, health care providers, as well as your support system, should remain alert to the possibility and learn the signs of depression in women: Feeling tired and listless: Some women suffering from depression sleep too much while others lie awake at night tossing and turning. Even when she is well rested, a depressed woman may feel exhausted. Loss of interest in sex and previously enjoyable activities: Doctors recommend women wait at least six weeks before resuming sexual intercourse following a partial hysterectomy. However, some women fail to renew interest after this time passes. Others lose interest in things they previously loved, such as gardening or exercising. Acting withdrawn and sullen: While men tend to express depression through anger, women tend to withdraw and become silent and quiet. Not all depressed women cry often, though some do. Giving away favorite possessions or talk of suicide: This is a serious risk requiring immediate medical attention. Never dismiss a woman's talk of suicide as an attempt to get attention. Yes, it may be one — but it is a cry for help, not the whining of a drama queen. If a woman talks about killing herself or begins giving away her most prized possessions, contact a crisis line for advice and call the police to do a welfare check if you cannot be with her. With adequate support, you can and will bounce back from having a partial hysterectomy. Make sure you have assistance in the weeks following the procedure. It will be beneficial to have friends swing by and help prep dinner, tidy your home and, most importantly, discuss how you're feeling. A Partial Hysterectomy Can Give You a New Lease on Life Getting a partial hysterectomy affects your periods. While adjusting post-surgery can take time, you will likely rejoice in the relief you feel. Even if you still experience bleeding or spotting monthly, for those who have completed childbearing, the procedure can elevate your enjoyment of sex due to the lack of fear of getting pregnant unintentionally. Knowing what to expect and being prepared are key to a successful outcome from this surgery. Original Publish Date: July 3, 2019 — Updated September 30, 2024

If you're planning on starting a family, few things are more stressful than seeing only one line pop up on your much-anticipated pregnancy tests. Sometimes, a bit of stress causes hormones to go out of whack. And other times, the pressure of trying to conceive is just too much. Fortunately, a little downward dog and lotus posing may be able to help. Time to get bendy with it and try out a few yoga poses for ovulation! There are few things in life a bit of yoga and relaxation can’t improve — fertility included. Yoga is a very conception-friendly exercise. In a society as fast-paced as ours, it's no wonder the constant worrying and anxiety take their toll on our ability to be lively and healthy, so adding some yoga for regular ovulation to your routine can really help you de-stress. And if your wellness isn’t ideal, you’ll find that creating a new life while trying to balance your own isn’t always easy, either. Whether you’re experiencing infertility or want to prepare your body for attempts to conceive, yoga is a natural and effective way to help get your reproductive system on track. It's yoga for reproductive organs! Zenify your eggs and find out that balance really does exist! Don’t believe us? Try them out for yourself! Here’s a look at a few yoga poses for ovulation that may help awaken and revitalize your sense of fertility. 1. The Butterfly Pose If you’re looking for a conception-friendly exercise, the butterfly pose (also known as “Baddha Konasana”) is sure to do the trick. When a woman does the butterfly pose, she builds the strength in her knees, groin and inner thighs. While this yoga position does an excellent job at making you stronger, it also enables you to release any unwanted energy that's keeping you from experiencing a sense of inner peace. Do you want your eggs stress-free, fried or over-easy? As an added bonus, research studies show that flexibility can increase the functioning of your muscles and reduce the risk of injury — an essential feature for women planning to give birth. 2. Yogini Squat If you’re wondering how to be fit during pregnancy or perhaps even before you attempt to conceive, you’ll want to focus on toning your body and preparing it for the road of motherhood that lies ahead. And while you may have heard that squats are great at toning your bottom, they also work wonders when it comes to strengthening your reproductive organs, too. You get a two-for-one special! Pop a yogini squat! The pelvic floor consists of a network of muscles responsible for strengthening the uterus and keeping your reproductive system in working shape. If your uterus isn't in optimal form, it may impact your chances of getting pregnant with little effort and decrease your odds of recovering that strength after birth. Not only will doing a yogini squat strengthen these vital muscles, but it will boost circulation to your reproductive organs, making it easier for you to ovulate and conceive. 3. Inhale Warrior Pose If you’ve ever owned a yoga DVD, we’re betting the cover had at least one woman with a leg bent forward and her arms reaching up to the sky as she stood firm in a warrior pose — making you wish you could do the same posture, too. Not only does this position make you feel like a badass warrior, but it also is a great way to find a sense of inner strength during the first few minutes of your yoga workout, too. There’s nothing quite like getting in touch with your inner trooper to prepare you for the road of pregnancy that lies ahead. The inhale warrior is one of those yoga poses for ovulation that increases your endorphins and helps your blood flow with much more ease. If a hormonal imbalance or stress is disrupting your cycle, doing this pose on your deck in the morning can help get you back on your fertility track. 4. The Cat Pose Known by some as “Marjariasana,” the cat pose not only sounds like a fun way to delve into yoga, but it’s also a useful beginner-level pose for women looking to increase their fertility, too. Meow! Aside from stretching your shoulders and back, this trusted yoga pose also helps provide the proper blood flow to your pelvic area, increasing your chances of ovulating with success. The cat pose is so effective because the stimulated oxygen and blood in the uterus and ovaries help eggs reach the fallopian tubes, increasing your chances of getting pregnant. 5. The Bridge Pose You likely did the bridge pose as a kid while tumbling around on your living room floor, but it may be even more critical to get in this position during your childbearing years. It might not look pretty right away, but the future is all about the push. Get it? Yoga poses for ovulation should center on providing your reproductive organs with just the right circulation and energy. When you get in position for the bridge pose, blood flows more readily to the uterus and ovaries. This can provide you with the optimal benefits the yoga for regular ovulation offers! Best of all, you’ll feel a sense of relief once you let go of your pose. There’s no better feeling than being relaxed and at ease when trying to conceive. 6. Bee Breath Studies have linked stress to infertility, and, as you try to build a family, the last thing you want is your mental state to affect your ability to have children. Fortunately, many yogis swear by bee breaths — the focused respiration helps to banish anxiety, and the rest of the worries pent up inside of your mind. By releasing them, your body will fall out of the stressed state that could very well be preventing you from conceiving. The bee breath is a convenient way to diffuse stress, too — you can perform them anywhere. Quietly sit down, close your eyes and place your fingertips on the cartilage of your ears. Take a deep breath in and, as you breathe out, press lightly on your upper ears to push them forward. As you breathe, make a humming noise like the insect that inspired the name of this pose. Repeat six to seven times and see how much more relaxed you feel. 7. Paschimottanasana and Hastapadasana Paschimottanasana and Hastapadasana are extra-long ways of saying "seated forward bend" and "standing forward bend," respectively. Both moves prove invaluable to women trying to stoke ovulation and conceive a baby. In the seated forward bend — hands touching your feet, face and back as down and as flat as possible — your position will help to stimulate your ovaries. Plus, it will help stretch and strengthen the muscles in your hips, hamstrings and lower back. Any pregnant woman will tell you how important it is to have support in those areas as their babies grow. On your feet for the standing forward bend, you'll perform much the same motion. Because you're standing up, though, you will boost your blood flow to both your pelvic area and your nervous system. Hastapadasana also improves the flexibility of your spinal cord, which will only come in handy once you start carrying an unborn baby around. 8. Cobra Pose Lay on your stomach before pressing your upper body upward, the weight of the movement held firmly in your hands. This is the cobra pose, a simple stance that can get hormones pumping — great news if you're trying to get pregnant. It works for aspiring moms because it both strengthens the back and, at the same time, stokes the production of all the hormones you need before conception. In fact, the list of cobra pose-related benefits goes on to include improved mood, spine strength, digestion improvement and decreased lower-back stiffness. Having your body feel its best pre-baby will only make pregnancy better for both of you. 9. Shoulder Stand Standing on your hands can be a tough move for even the most seasoned yogi. But the shoulder stand allows you to balance on a much stabler section of the body, thus making it possible for less experienced stretchers to hit this pose — and reap its benefits. As you balance on your shoulders, back straight, legs in the air, you'll be stimulating the thyroid. This gland can affect a woman's fertility, so boosting it and keeping it healthy will only improve the chances you can conceive. To that end, you can hit a shoulder stand or even the legs-up-the-wall pose after sex to boost the chances of conception. By keeping your legs up, you keep sperm close to the uterus and increase the chances that it will attach to a mature egg, thus starting the pregnancy process. Yoga Poses for Ovulation — Vital Parts of the Workout Plan Whether you're pregnant, trying to conceive or merely want to keep your reproductive organs healthy for future childbearing, it's essential to remain healthy to look out for your current and future self. The idea of using yoga poses to get pregnant may seem odd, but evidence backs its benefits! So yoga for healthy reproductive system function is absolutely something you may want to work into your regular routine. When you set aside a few minutes each day to uplift your mind and improve your body, you may find you have an easier time achieving your goals — getting pregnant included!

Periods aren’t the most pleasant surprise. They cause cramping, moodiness and bloating. But it can be reassuring to know that your period arrives just one time every month. For some women, though, missed periods are not unusual. In fact, there’s a name for consistently missed menstrual cycles — amenorrhea. There are a few things women should know about their first period after amenorrhea. If you’ve had the misfortune of dealing with amenorrhea, you know that having your period for the first time after several months becomes a cause for celebration. But once you get that much-anticipated first period after amenorrhea, how do you brace yourself for your future irregular and unexpected menstrual cycles that wait ahead? What to Expect from Your First Period After Amenorrhea When you have amenorrhea, you know that having a period on time is just about as possible as catching a shooting star. But alas, Aunt Flo finally decided to pay a visit, and your wish finally came true. But now what can you expect? They say that starting your menstrual cycle every 28 days is normal, but this rule of thumb doesn’t apply to women experiencing amenorrhea. Aunt Flo threw out that rule book long ago — she one-ups Baddiewinkle. While various factors cause amenorrhea to occur, most women have one frustrating symptom in common — not knowing when to anticipate their next period cycle. While your first period after amenorrhea may seem like a blessing, don't get too excited about normalized menstrual cycles just yet. The joy of the moment might lead you to believe you can sit back and relax. While you are on your way to a healthy reproductive system, it's crucial to monitor your regained hormonal state. As you watch for your second and third periods after amenorrhea, understand that you are still recovering. After undergoing this condition, your body has changed, so your period can have unfamiliar characteristics for a while. If you're following a specific diet, exercise regime or lifestyle change that you've introduced into your life with the hopes of finding period regulation, maintain these initiatives when your period finally does arrive, too. When another part of your body, say your heart, is damaged, you make the necessary tweaks in your routine until it can fully function. Waiting to adjust your lifestyle after amenorrhea takes just as much sensitivity and patience. When the standard discomfort of periods returns, you can have a mix of thoughts. It's no wonder you don't want to welcome some aspects of menstruation back, but an underlying sense of gratitude toward your achiness and lower back pain isn't unheard of. Managing Stress and Embracing Rest When you have a billion responsibilities to juggle, it's normal to feel frazzled. Serious stress does a lot more than cause wrinkles, though. It can put your period on pause, especially with short-term amenorrhea. Although not everyone's loss of period is due to stress, it's a leading cause and can put further reproductive improvement on hold. During your recuperation, you're battling the wait and the symptoms, but don't let added stress hurt your progress. Even overexertion can put a different kind of strain on you. Taking a break or reducing physical exercise is a positive form of bodily care. Allow yourself downtime and continue to replenish what your body is missing. Pay attention to yourself and become familiar with your physical and mental limits. In the same way that you should delay any lifestyle changes, provide yourself enough room to deal with stressors even after your amenorrhea dissipates. Practice calming activities and regulate your stress levels on an ongoing basis. Getting Pregnant Can Be More Confusing Your first period after amenorrhea can also be especially annoying for women trying to conceive. You might be excited when Mother Nature doesn't bestow you with your monthly gift. And when your period finally does arrive three months later, disappointment doesn't even begin to summarize the emotions you feel. Unfortunately, having a period so late can be an unwanted sign. In fact, amenorrhea is one of the most common problems of the female reproductive system that signals an underlying fertility issue at play. Expect to feel many different emotions. While it's exciting to finally have your period arrive after waiting for several months, it can leave you feeling uncertain about how to tackle your future plans for pregnancy, too. Overcoming Sexual and Emotional Difficulties In a research study that examined the effects of amenorrhea on patients, women possessed higher rates of sexual problems, along with anxiety and depression, when compared to those with regular menstrual cycles. If you have amenorrhea and find it difficult to feel comfortable or satisfied in the bedroom, you're not alone. Many types of sexual dysfunction can interfere with your ability to find pleasure or arousal — and not having a period is undoubtedly one of them. The connection between emotions and sex can lead to plenty of trouble, and it's only heightened with reproductive issues. Anxiousness and stress can inhibit the body's main sex hormone, GnRH, plus another important player, GnIH, shutting down usual sexual ability. Starting in the brain, the initiating elements of sexual activity can reflect the disruption in your menstrual cycle and confidence. Though it sounds counter-intuitive, many women with irregular periods don't feel free to get their sexy-time on — it can be hard to feel good when you're worried about something like this. Many people enjoy knowing they can count on their period to reassure them that they're not pregnant. Women with amenorrhea don't have the luxury of counting their days for possible conception. When an irregular state of mind interferes with your sex life, it can take a serious toll on your mental health, too. Psychological factors can wear on you, and consulting a specialist to handle these effects can ease feelings of distress you may have. Appreciation for Resilience Maybe you know you're incredible, but the doubt from amenorrhea put your personal self-perception in jeopardy. Your reproductive system is a highly remarkable and complex mechanism, though. When your body sensed risk, it demonstrated the emergency through skipping periods. Reacting to this threat shows its biological imperative to protect itself. Getting your cycle back on track can end the deficiency in menstrual well-being. While amenorrhea can feel like a roller coaster, it can also produce a new perspective on your body. From the strength of surviving physical impacts to the ability to bounce back, many women report finding new gratitude for themselves. Schedule a Visit with a Doctor Hate to admit it, but a regular period is a blessing in disguise. Typical menstrual cycles reassure you that your reproductive organs are functioning correctly and increase your chances of ovulating — and getting pregnant — with ease. Sometimes, a missed period occurs because of stress. For others, the absence of a menstrual cycle can be chocked up to an unknown pregnancy. But when your period is consistently late, it’s crucial to know what’s happening in your body. Look out for amenorrhea guideposts because those aren't red herrings, at least. Common symptoms and side effects of amenorrhea — besides the obvious — to be on the lookout for include: Acne Hair loss Pelvic pain Altered vision Headaches or migraines Interestingly, the absence of menstrual periods can be the only symptom a woman with amenorrhea experiences. Everybody differs. If you’re not too sure whether you have this condition, reach out to a gynecologist or licensed physician who can determine the cause of your symptoms, especially if you’ve experienced more than three missed periods. Irregular Periods Don't Have to Be Your Norm We decry periods and vow that we'd be better off without them. But at the same time, there's a sense of comfort in knowing you can count on your period to show up every month. If you're currently experiencing the thrill of getting that much-anticipated first period after amenorrhea, don't forget to continue to take the initiatives necessary to help get your periods back on track. Work it out and eat right. Remember to find a sense of balance in your life that helps keep you in optimal mental and physical shape. A woman’s health is important — which means paying even more attention to those pesky yet necessary periods, too. Aunt Flo might just surprise you in a good way.

You might have heard that you shouldn’t wear white pants while on your period, but did you know that according to one of the many superstitious beliefs about menstruation, you shouldn’t paint your nails or dye your hair either? For thousands of years, superstitious beliefs about menstruation have been passed down amongst the generations and still often act as a source of guidance for how a woman should act — and shouldn't act — when she's on her period in present day. Praise be. If you’re rolling your eyes at the thought of irrational period-related myths, you’d be surprised to know that millions of people across the world not only believe these superstitions but use them to impose behavioral restrictions and boundaries on women, too. You know that having a period is simply a part of being a woman. Yet that doesn’t mean this natural act is exempt from cultural taboos, since even being a woman is taboo in some areas of the world. Here’s a look at some of the most common superstitious beliefs about menstruation in different cultures scattered throughout the world. Belief #1: You’ll Contaminate Things via GIPHY You might use your period cramps as an excuse not to go to the gym from time to time, but can you imagine staying away from your church on the grounds that your period will negatively impact your spirituality? Unfortunately, many women in India are shunned from entering religious temples for this very reason. Superstitious Hindu beliefs lead some to believe that menstruation is a form of impurity that has no place in a clean place where God(s) are worshiped. Unfortunately, this means that many adolescents entering puberty are lead to view their period as a shameful event rather than the natural, life-giving process that it is. Belief #2: You Can’t Have Sex on Your Period via GIPHY Imagine that your partner sets up a romantic evening for the both of you. You thought the stove was hot, but your eyes feast on each other — steam's not the only thing rising. Time for some Moscato and sexy-time, but first you need to see if Aunt Flo made an impromptu visit. You quickly head to the bathroom only to realize Flo's checked you into the Red Roof Inn, putting a damper on your plans. Fortunately, the faux pas of not having period sex is just a superstitious way society seeks to make you feel the wrong kind of dirty. In fact, if you’re wondering how to regulate your period naturally, a bit of action under the sheets may just do the trick — and calm the demon cramps in your gut. A research study examining the impact of sex on a woman’s cycle found that women experienced stabilized luteinizing hormones — or the hormones responsible for regulating the menstrual cycle — after getting busy. SCIENCE! While things may be a bit messier, that shouldn't stop you from having sex on your period if you and your partner are both comfortable with it. Belief #3: Everything You Touch Dies! via GIPHY Yup, you’re Typhoid from “Elektra,” decaying everything around you. But at least you look good. Sometimes when women get their period, they see it as a sign of good luck if they’re not trying to get pregnant. But for others, superstitious beliefs about menstruation say they can't even touch a blooming flower for fear that they'll destroy it. In countries such as Nepal, menstruating women are not supposed to consume vegetables or fruit because social stigmas promote the idea that menstruation will ruin the food. For other women, the fear of the contamination caused by periods means they sometimes go days without seeing their family, too. In fact, what your period says about your fertility means you give life — not stop it. After you complete a healthy menstrual cycle, your body prepares itself for potential childbearing within the next two weeks. Behold your fertility! That sounds like a woman's capacity to menstruate means she's full of life rather than sterility, wouldn't you say? Belief #4: Periods Should Never be Discussed via GIPHY For millions of girls across the globe, any topic surrounding periods seems to ignite flushed cheeks and a sense of despair, especially for those entering puberty. I'm sure you know that feeling all too well of flushing the toilet or letting out a loud cough as you tried to open the pad wrapper as silently as possible in the bathroom stall. Yeah, yeah. Men have the whole, “pee one stall over and never look” bro code — women have... this. Never let it crinkle! But a period is about the most natural act there is. After all, you wouldn’t be here to read this article if your mother didn’t have a healthy reproductive system where periods allowed her to ovulate — leading her ultimately into having you. Unfortunately, social stigmas and misogynistic mindsets have led women to believe that so much of their body — whether it be breastmilk, hair on various body parts or menstrual blood, is impure and something to shame. Even though women in different cultures throughout the world go through many obstacles to hide who they are, it only serves to further feed the social stigma surrounding women’s bodies and menstruation. Belief #5: Periods Must Cause Agony via GIPHY Yes, some women do suffer dysmenorrhea, or painful periods. However, many other females experience few, if any symptoms. I'm one of them, and have the pants drawer to prove it. Most women find that, if anything, over-the-counter painkillers dull the worst of the bite of this menstrual superstition. A few mild cramps need raise no worry, but severe lower abdominal pain during menstruation can indicate a more serious medical condition. Those suffering pain enough to miss work once a month benefit from a visit to the gynecologist. While many causes of extreme pain with menstruation clear up with treatment, letting them continue un-examined may result in fertility issues. It's also not true that all women suffer PMS before they bleed. Many do, and those with premenstrual dysphoric disorder may experience hallucinations, severe depression and anxiety one or two weeks out of each month. Young women reaching menarche and those in perimenopause may suffer more emotional disturbances before their period than those in their 20s and 30s. Belief #6: Stay Outta the Water! via GIPHY Women on their periods need to keep away from the pool or the beach, right? Not necessarily. While taking a swim in the ocean while bleeding can increase the risk of shark attack in certain waters, there's no reason for women to avoid boating on the lake or swimming laps at the Y. Unlike some kookier menstrual superstitions, this one made a certain degree of sense back in the day before tampons become widely available. No one wants a red trail following them around while they backstroke. Thanks to the miracle of Tampax, women who swim for exercise or recreation can safely make some waves. Belief #7: You'll Boil the Holy Water via GIPHY Do you fear heading to church while bleeding will make the holy water sizzle the way it did when Robert De Niro stepped into St. Patrick's Cathedral in "The Devil's Advocate?" While many religious belief systems require women to follow specific traditions when menstruating, the chances of getting struck by lightning from approaching the altar are slim indeed. After all, if traditions proved truth, even adults would expect a visit from Santa once a year. Most Christian denominations find nothing inherently evil or sacred about menstruation, although some, like Eastern Orthodox followers, suggest women refrain from communion while bleeding. In the Islamic faith, women may attend religious services and participate in pilgrimages, although they may not circle the Kaaba during their period. Some Eastern religious traditions, such as Hinduism, likewise have established rules for menstruating women. Others, such as most forms of Buddhism, attach no special significance to the occasion. Still, devout women who do not wish to violate the tenets of their faith while bleeding won't suffer from temporary restraints on their worship. Belief #8: You Can't Get Preggers via GIPHY Although less likely, women can and do become pregnant while menstruating. Women who follow the rhythm method of contraception benefit from this awareness and may wish to use devices such as ovulation predictors to decrease chances of getting in the family way before they're ready. Women not wishing to risk pregnancy should continue their present method throughout menstruation. Pill takers know they have a special week of tablets to swallow, but those using diaphragms, contraceptive sponges or condoms best keep on inserting their method or continuing to wrap that soldier. If your method of choice becomes tubal ligation, you're off the hook. Once you finish childbearing, the freedom the procedure can give you to have sex without fear makes the experience much, much better. Superstitious Beliefs About Menstruation Hold No Truth If you think any of superstitious beliefs about menstruation are silly, that’s because they often hold no truth in reality. But even in a place that boasts as diverse of a population as the US, women still often tend to feel voiceless about much of what goes on with their bodies. Although some of these myths can seem entertaining, it's vital to take them seriously because of their effect on women who are living among them every day. We need better sexual health education worldwide so that women throughout the world do not have to feel shame for simply being female. When people educate themselves on the reality of this life-producing cycle, they’re much more likely to replace superstitious beliefs with thoughtful insight that allows women to feel power, not shame. In Aunt Flo, we trust — Under Her flow. Praise be the period.

Scene: You head into the office and prepare yourself for the long day of work ahead. But the second you walk through the front door, your heartbeat fancies itself a dangerous djembe drum beat. You rub your hands against the front of your pants to wipe off the pooling sweat. When you finally sit down at your desk, overwhelming anxiety confuses you — why now? Then, you look over at the tampon sticking out of your purse and remember — oh, yeah. Ugh. Periods tend to bring women their own unique set of symptoms that range from headaches to uncontrollable cramping. But one side effect you might not have known about is that the menstrual cycle has a way of producing anxiety spikes, too. And while unexpected feelings of panic set off alarm bells, anxiety is a common side effect that simply has become a part of our monthly gifts. How generous of Mother Nature, right? But don’t panic — literally. Here’s a look at quick and easy ways you can avoid panic attacks during periods, no stress necessary. Give Your Mind Some Extra TLC Breathe in to a count of three. Now breathe out. No, those guided meditations aren't silly. Quite the contrary, taking a breather may be all it takes to calm your mind down. Research studies show that yoga does an excellent job of reducing your stress response, making it easier for your body to relax and unwind. As an added bonus, the deep breaths slow down your fast-beating heart and give you a second to regroup your thoughts. You can sort of freeze time for a second, and sometimes, that’s all it takes In fact, there are yoga poses specially crafted to help you ease your anxiety. And you don’t have to be a pro or incredibly flexible, either. Simply set aside a few minutes to stop panic attacks during your period in their track and give your emotions the added attention they need. Keep at it — practice may kick your body into an automatic coping routine. Seek Out Herbal Remedies If you’re hesitant to try anti-depressants to control panic attacks during periods, you’ll be happy to know that relief isn’t always found in the form of a prescription bottle. In fact, many people enjoy positive results when seeking out herbal and natural remedies instead. Nature is full of plants and flowers that boast many health benefits with no catch included. Herbs make up a significant percentage of modern medicines, and natural working remedies really live in your back yard — or you can use your green thumb to plant some. Several herbs that effectively treat anxiety include chamomile, lavender, lemon balm and kava. When panic seems imminent, brew up a fresh pot of tea with herbs. With your delicious and relaxing cup of tea in one hand and a guilty-pleasure book in the other, you can help your mind successfully unwind. Keep a Journal of Mood Changes You may have tossed your diary under your bed years ago in high school — you never liked stupid Bobby Jr. and his stupid face, anyhow — but now it's time to take it out of the dark. Leave your childhood crushes there, though. But you don't have to gush over your daily routine or dreams in this journal — you merely have to take note of your menstrual cycle symptoms and irregularities instead. When you start a mood journal, you can process your emotions easier while tracking when you can expect your feelings to take an unusual dip. Plus, it’s always great to write your feelings down on paper — regardless of whether you’re on your period or not. Journaling can help you experience more clarity about your emotions that help you regain your sense of power and strength. Hit the Gym Feeling panic in the middle of your period? Grab your favorite pair of yoga pants and take a drive over to your nearest gym. If you've heard any superstitious beliefs about menstruation, you're all too familiar with the mentality that a woman on her period shouldn't overdo herself. Lying around with Netflix and a big old bucket of ice cream sounds like heaven, but your butt and mood suffer. Being on your period is actually no different than any other day — so why put your exercise regime on pause? When your body is under stress, it’s lacking those “feel-good” chemicals responsible for keeping you content and at ease. Because exercise releases endorphins and other positive chemicals, it reduces your likelihood of experiencing panic attacks during your period. In fact, a bit of exercise can help you effectively reduce cramping, too. Who likes feeling punched in the gut while freaking out? No one. A positive mood and less pain? Count us in! While your menstrual cycle can cause psychological effects that leave you stressed out and on edge, that doesn’t mean you have to suffer through this anxious cycle without relief. Flow with Aunt Flo and avoid panic attacks during periods with these crucial tips.

Periods can leave you feeling bloated, exhausted and all-around uncomfortable. So when the symptoms of your menstrual cycle kick in with full-blown force, the first thing on your mind may be to reach for one of your favorite comfort foods to ease those pesky side effects. But did you know that eating the wrong types of food can do your body more harm than good? Sure, that plate of extra-cheesy French fries may taste good going down. But the cramping and discomfort they cause a few minutes later will cancel out all of the benefits of those initial flavorsome bites. While your period shouldn't stop you from carrying on with your typical daily routine, that doesn't mean you can't switch up your diet to provide you with some much-needed comfort during these dreaded days, either. Chemicals such as prostaglandins already go out of their way to provoke contractions and cramping in your uterus — which means you have to do your own part to counteract these adverse effects. That doesn’t mean you have to put a lock on your cupboard full of feel-good snacks during your menstrual cycle, either. Not sure which dishes or ingredients to avoid? Here’s a look at 4 foods that make cramps worse and that you may want to consider saving for a non-period day. Dairy Products We all want to dig into our favorite flavor of Ben & Jerrys whenever Mother Nature pays her monthly visit, but you may want to think twice before you bite into too much dairy the next time you have your period. Your body is already doing a great job at producing cramping on its own during your menstrual cycle, wouldn't you say? That's why it's vital that you avoid foods known for causing discomfort, too. Dairy products contain arachidonic acid, which is known to provoke inflammatory reactions that can produce cramping. Foods that make cramps worse should never be a part of your menstrual cycle treatment plan, so be sure to swap that out for a better alternative. If you're already experiencing a lot of discomfort during your period, consider opting for a dairy-free bowl of ice-cream instead. Caffeine You might consider coffee your trusted ally that provides you with the daily dose of energy necessary to go about your day with ease. But when you're on your period, caffeine may not be the friend you need. In fact, a diet rich in caffeine may put you at a higher chance of experiencing PMS — stimulating even more bloating as a result. Not only does PMS create more discomfort, but it can lead to symptoms like mood swings and bloating, too. If you’re looking for a way to retain your energy while reducing the risk for cramping, reach for a handful of walnuts instead. These trusted nuts are known for fighting off inflammation while giving your body an energy boost as well. Processed Foods You’re not in the mood to cook, so popping a TV dinner into the microwave seems like an effective way to combat your hunger, right? Unfortunately, delving into a meal full of processed foods isn’t always the best choice — especially when you’re hoping to reduce cramping. Processed foods are notorious for their high content levels of salt — a mineral that causes the body to hold onto water and induce bloating and cramping. While these foods may seem convenient and readily available, it’s best to cook up a fresh meal to ensure your body can effectively control cramping while providing you with the nutritional value required to counteract those pesky period symptoms, too. Food can be a source of comfort, so you never expect your favorite snacks or dishes to betray you by provoking even more cramping while on your period. While several foods make cramps worse, there are healthier alternatives that can keep you energetic, happy and pain-free. So put that bowl of ice cream and your favorite TV dinner back into the freezer and save them for a future date. When you swap out foods that make cramps worse for better dietary options, you may find that periods don’t necessarily have to be as synonymous with pain and discomfort as you thought.