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MENSTRUATION AND DISORDERS CONNECTED WITH ITWhat is Menstruation?Menstruation is a periodic change occurring in human beings and higher apes, and consists chiefly in a flow of blood from the cavity of the womb, and is associated with various slight constitutional disturbances. It begins between the ages of thirteen and fifteen, though in warm climates and some races, it may begin earlier and in cold climates later. Secondary sex characteristics like the enlargement of the breasts, and characteristic hair distribution
also appear with the onset of menstruation. The duration of the menstrual period varies from two to eight days and is a regular process in the majority of cases. The interval between the two periods is
generally 28 or 30 days. Menstruation ceases between
the ages of 45 and 50. The final stoppage is known as menopause or the grand climacteric. AmenorrhoeaAmenorrhoea may be due to anaemia, bad feeding, want of fresh air and all causes which depress the system, and cause loss of flesh, tend to cause diminution and finally stoppage of the menses. Diseases like malaria, aggravated dyspepsia, tuberculosis and sudden fright, great grief may also produce scanty menses or totally stop them. Excessive bleeding during menses may be due to a certain extent to the same general conditions which precipitate scanty discharge of blood. It is well known that the effect of sudden shock or deep grief on women has been observed to result in miscarriages and copious discharge of blood during the monthly periods. In addition, the menstruation may start at an unscheduled time and may continue for longer periods than normal. DysmenorrhoeaDysmenorrhoea may vary from mere discomfort to an agonizing colic, accompanied by prostration and vomiting. Anaemia is sometimes a cause of painful menstruation as well as of stoppage of this function. Occasional pain, especially when it precedes the men¬strual period, is due to irritation in ovary, and in this case it is generally accompanied by pain in the groin. For this type of pain, careful regulation of the bowels, regular exercise and the application of heat may be of advantage. TreatmentThe breakfast of the patient should include milk and fruit and lunch and dinner should comprise of whole meal bread, boiled vegetables with a lot of roughage and at least 2 to 3 litres of water in the day. Condiments and seasonings should be totally given up since they tend to produce acidity and increase costiveness. ExercisesSome of the exercises described below will help relieve all problems connected with menstrua¬tion, whether it is pain, their scantiness or profusion or even irregularity:
This regimen should be continued along with the diet suggested above till the patient is relieved of the symptoms which plague her. |
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