Guest guest Posted February 19, 2007 Report Share Posted February 19, 2007 Good Morning! Women's Health Week: Menstrual Issues/PMS The menstrual cycle is divided into three stages. The Follicular Stage begins with menstruation. The first shedding of blood is considered the menstrual period. Due to low levels of an estrogen called Estradiol, and the hormone progesterone, this allows for the shedding of the endometrium, the uterine wall lining. As days progress in the follicular stage, the follicle stimulating hormone (FSH) slightly begins to increase. This stimulates the development of several follicles, each containing an egg. At the same time, levels of estradiol, which are secreted by the ovaries, is increasing and stimulates the uterine wall lining, making it thicker. The Ovulatory Stage begins as a surge of lutenizing hormones (LH) and the follicle stimulating hormones (FSH) increase. Since only one follicle continues to develop, ovulation (egg release) often occurs 16-32 hours after the surge of hormones begins. Estradiol levels peak during the surge and progesterone levels start to increase. The Luteal Stage begins as levels of lutenizing hormones (LH) and the follicle stimulating hormones (FSH) decrease. The ruptured follicle closes after releasing the egg and forms the corpus luteum. The corpus luteum secretes progesterone and estradiol causing the uterine wall to continue to thicken. If the egg is not fertilized, the corpus luteum degenerates and no longer secretes progesterone. The estradiol levels decrease and a new menstrual cycle begins. Menstrual Problems/PMS: Menorrhagia, a fairly common disorder that is characterized by unusual heavy or prolonged period of menstrual flow. The average amount of blood loss during a normal menstrual period is about two ounces. With menorrhagia, a woman may lose three ounces or more. It rarely signifies a serious underlying disorder. Excessive menstrual flow, menstrual period lasts for more than 7 days, large clots of blood may pass, paleness and fatigue are some of the symptoms. The cause of menorrhagia could be imbalance of female hormones, such as estrogen and progesterone fibroids, pelvic infection, endometriosis disorder, intrauterine device (IUD), or hypothyroidism. Painful menstrual cramps, Dysmenorrhea, is a chemical problem. Each month, the lining of a woman's uterus produces chemicals calls prostaglandins, which help the uterine muscles contract and expel tissue and fluids during menstruation. High levels of prostaglandins cause uterine muscle contractions, or cramps. Not every woman suffers from cramps, but if you do, there are wonderful remedies that may provide relief. The most common type of irregular period is anovulation, or a cycle in which a woman does not release an egg (ovulates). This is often the cause of a missed period. Decreasing stress in your life can help many of these menstrual problems. No matter what you are dealing with, by reducing stress you are improving digestion, increasing circulation, improving blood flow, and balancing hormones through regulation. Improving nutrition helps you nourish your system in a way that allows the body to optimize what it takes in. Nutritional supplementation can provide a natural way to restore regular menstrual cycles by filling in the gaps that you may be missing due to poor nutrition. Additional supplements add back vitamins and trace minerals that escape us due to stress, poor dietary habits and environmental pollutants. This approach alone can improve your immunity, support natural hormonal balance, strengthen and regulate your monthly cycle and keep your health in optimum condition. Herbs and Supplements The herb Cramp Bark has traditionally been used to relieve menstrual pain. Herbs with possible anti-inflammatory properties that may be helpful as well, including Bromelain, Turmeric, and White Willow Bark. Other potentially helpful treatments include Black Cohosh, Dong Quai, Fish Oil and Mangnesium. Studies suggest that Magnesium supplementation may be helpful for dysmenorrhea. dosage is 250 to 600 mg daily throughout the cycle, or 500 to 1,000 mg for 3 to 5 days prior to the onset of cramps. Magnesium works best when combined with vitamin B6 which is often included in your daily multiple vitamin. It is believed that the omega-3 fatty acids in Fish Oil may help relieve dysmenorrhea by affecting the metabolism of prostaglandins and other factors involved in pain and inflammation. There are many different types of fish oil products available. A daily dose should supply about 1,800 mg of EPA and 900 mg of DHA. Cod liver oil is probably not the best choice due to the potential for excessive intake of vitamin A and vitamin D. Below is a list of vitamins and minerals according to dosage: -Multi-vitamin (B Complex requirements) B vitamins* 25-50 milligrams (mg) -Take this with 400 micrograms [mcg] of folic acid. -Vitamin E 400 international units (IU) The natural form of Vitamin E, d-alpha-tocopherol, is preferred. -Vitamin C (with rosehips) 2,000 - 4,000 mg (in divided doses) -Vitamin A (beta carotene) 5,000-10,000 IU -Calcium 1,500 mg (in divided doses, 1000mg in am, 500mg in pm) -Vitamin D 400 IU (divided doses with calcium and magnesium) -Magnesium 500 mg (divided doses with calcuim and Vitamin D, 250mg in am, 250mg in pm) -Iron 8 mg The recommendation for iron for women is 18 mg. -Iodine 150 mcg -Zinc 10-15 mg -Selenium 100-400 mcg -Copper 2 mg -Manganese 10 mg -Chromium 200 mcg -Molybdenum 25 mcg -Potassium 90 mg -Boron 50-100 mcg -Lycopene 5-10 mg -Lutein 25-50 mg Aromatherapy and Hydrotherapy Aromatherapy can help by minimizing cramps, regulating menstrual cycles, and easing emotions. It can also help relieve the symptoms of PMS. With Aromatherapy, the trick is to use essential oils in the bath BEFORE you anticipate your period. Muscle cramps and spasms can benefit from Essential oils such as Basil, Chamomile, Clary Sage, Cypress, Fennel, Ginger, Juniper, Peppermint, Rose, Ylang Ylang. Hydrotherapy is the use of water in any form, in the treatment of dis-ease. Hydrotherapy was used by the ancient Greek physicians. The use of baths for such purposes as well as for religious purification, personal cleanliness, and private or social relaxation dates from at least the time of ancient Greece. A German, Vincenz Priessnitz, popularized the use of spas in Germany and elsewhere in Europe, where they are still popular today. Hydrotherapy has a number of uses. Warm water will relax spasm; therefore, hydrotherapy has been useful in treating such conditions as muscular strains and sprains, muscular fatigue, and backache. Heat is often used in conjunction with massage or other manipulative or stimulative treatments, such as the whirlpool bath. Sitz baths (sitting in hot water) are effective in the treatment of many disorders. Water is also useful in physical therapy because patients who exercise in a buoyant medium can move weak parts of their bodies without contending with the strong force of gravity. Take a warm bath. Fill the bath tub with warm water. As the tub fills with water add 2 spoons of Sea Salts and 1 cup of baking soda to the bath water. Soak for 15-20 minutes. Consider a relaxing bath with the calming, anti-spasmodic effects of Rose and Ylang Ylang essential oils. These wonderful oils are for relaxing cramps and creating a soothing, calm, relaxed feel. Helps with anxiety, stress, resentment and fear. (Safe for all skin types). Many woman experience emotional, mental, and physical discomfort each month. Essential oil blends can help reduce bloating, puffiness, emotional upset, and relieve many physical and emotional symptoms. PMS Bath Blend 2 drops chamomile oil 2 drops geranium oil 2 drops juniper oil 2 drops marjoram oil 2 drops ylang ylang oil Disperse the oil blend in a bath tub filled with warm water. Soak for 20-30 minutes. You can prepare this at home. Bath daily, one-two weeks before your period begins. Homeopathy This medical system uses infinitesimal doses of natural substances to stimulate a person's immune system and body's natural defenses. Homeopathic remedies are named for the plant or animal ingredients they are made from. Homeopathy not only offers relief from temporary disorders but, can provide long term healing of a person due to its individual and " wholistic " approach. This often leads to a complete recovery from the dis-ease, as well as, providing an improved understanding of the patient's situation. This type of healing makes it easier and possible to avoid recurrence or relapses in the future and, homeopathy stimulates the body's natural defense system by reestablishing normal immune system and cell functioning. PMS: Sepia 30c for symptoms of menstrual pain accompanied by a feeling of weight or heaviness in the pelvis or lower back. Also when you experience weepiness, irritablilty or depression. Pulsatilla 30c if symptoms occur such as substantial weight fluctuations, bloating, water retention, craving for sweets or creamy foods, mood swings or a strong sense of lonliness. Cimicifuga 6c if symptoms occur such as irregular or painful periods always with cramp like pain in the pelvic region. Also associated with backache or headaches. Nutrition Water is an essential element that should be drank each and every day. 6-8 8 ounce glasses a day. Contrary to beliefs, this will not add to bloating but will help to reduce! Consuming excessive amounts of sweets and salty foods Should be avoided. Although, eating a healthier diet won't cure cramps, it can do mprove your overall sense of well-being. Cut out salty and sweet junk foods, which can make you feel bloated and sluggish. Instead, eat more vegetables, fruit, chicken, and fish, and try to space them out into 4 -5 small meals throughout the day rather than having three large meals. Take vitamins. Many women report fewer problems with cramps when they're getting a daily dose of vitamins and minerals. Take a multiple vitamin and mineral supplement, preferably one that contains calcium and one that comes in small doses that you can take in divided doses a couple of times a day after meals. The minerals calcium, potassium, and magnesium can also play a part in relief. Women taking calcium suffer less pain from cramps then those who do not. Magnesium is important because it helps your body absorb calcium more efficiently. Increase calcium and magnesium intake before and during your period. Cut out caffeine. The caffeine in coffee, tea, cola, and chocolate can contribute to menstrual pain and cramps by stimulating your nervous system. The oils in coffee also may irritate your intestines. Avoid alcohol. If you tend to retain water during your period, alcohol will only add to your problems. Many women think diuretics are great for reducing menstrual bloating. Diuretics have the ability to take important minerals from the body along with the water. Instead, reduce your intake of water-retentive substances like salt and alcohol. Warmth will increase your blood flow and relax your muscles. This is especially helpful with cramps and a congested pelvic area. Drink plenty of hot herbal tea or hot lemonade. A heating pad or hot-water bottle on your abdomen for a few minutes at a time can bring great relief. Andrew Pacholyk, MS, L.Ac. 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