- Playing Down Heavy Periods
Girlfriends may have warned that your periods could
become heavier as you get older — but that’s not always true. “As menopause
approaches, your periods may come closer together or farther apart, but they
shouldn’t necessarily be heavier,” says Suzanne Kavic, MD, associate professor
of obstetrics and gynecology at Loyola University Chicago Stritch School of
Medicine. If your periods do become heavier, or if they’re coming way more
often (like every two weeks), or you’re bleeding in between periods or after
sex, let your doctor know. Heavy
bleeding can be a sign of fibroids (benign uterine tumors), anemia, a
hormonal issue like polycystic ovarian syndrome, or more rarely, cervical,
uterine, or ovarian cancer.
- Treating the Wrong Infection
“As soon as they experience any itching and discharge,
most women assume it’s a yeast
infection and apply an over-the-counter anti-fungal cream, but that’s
not always the cause,” says Mary Peterson, MD, director of the Midlife Health
Center at the University of Pittsburgh Medical Center’s Magee-Women’s Hospital.
Although yeast infections are common — nearly 75 percent of women have at least
one in their lifetime — they are only one of three common vaginal infections.
Bacterial vaginosis (BV), caused by an overgrowth of the bacteria in the
vagina, and trichomoniasis (trich),
a sexually transmitted infection, are the other two. Both vaginosis and trich
can cause symptoms similar to those of yeast infections, which is why it’s so
important to make sure it’s really a yeast infection. If left untreated, BV can
cause pelvic inflammatory disease, and both BV and trich can make you more
susceptible to sexually transmitted diseases. “If you’ve had lots of yeast
infections and this seems to be exactly the same, you can probably get away
with treating yourself,” Dr. Peterson says. However, if symptoms are slightly
different or you’re just not sure, check with your doctor. Yeast infections,
vaginosis, and trich are all easily treated. An over-the-counter or
prescription anti-fungal cream or prescription pill will treat yeast;
prescription antibiotics are needed for BV or trich.
Patting on talcum
powder (or any powders, including some baby powders, that list talc
among their ingredients) to feel fresher isn’t just a harmless hygiene measure.
The habit can raise your risk of invasive ovarian cancer by about 30 percent,
according to new research presented at the 2011 annual meeting of the American
Association for Cancer Research. Frequent, long-term use doubled or even
tripled the risk. The study authors speculate that the powder could spread to
the genital tract and create an inflammatory reaction. Peterson’s advice: Don’t
use it. “There are other ways to keep dry,” she says. If you’re prone to
sweating down there, Peterson recommends wearing cotton underwear and changing
them often, avoiding tight-fitting pants, and going commando at night (to give
the area a chance to breathe).
- Forgetting About Kegel Exercises
Maybe you attempted Kegel exercises during or after pregnancy to tighten things up,
but not doing them regularly can set you up for urinary incontinence later in
life. If you had incontinence then, it’s more likely to strike again when you’re
older, says Peterson. According to a University of Washington survey, urinary
incontinence affects more than 40 percent of women in their forties and almost
half of all women over age 50. The problem occurs when the muscles in the
pelvic area become weaker (due to such issues as pregnancy, childbirth,
menopause, or excessive weight), which can lead to urine leaks when you
exercise, cough, or laugh. Kegels strengthen those weak muscles and prevent or
improve symptoms. Need a refresher? Imagine you’re going to the bathroom, then
squeeze as though you’re trying to stop the flow. Aim to do three sets of 12 to
15 a day.
If you’ve skipped a period or two and have what seem to
be hot flashes, you may think you can no longer get pregnant because you’re
starting to enter menopause. But you’re wrong. “As long as you’re having
periods of any kind, no matter how irregular they are, there is always a chance
of becoming pregnant,” Peterson says. In fact, an analysis by the Pew Research
Center found that in 2008, 14 percent of births were to women age 35 and older
(compared to 10 percent of births to teen moms). More than half of all
pregnancies in women over age 40 are unintended, according to the Guttmacher
Institute, a sexual and reproductive health research organization. So don’t
toss out birth control unless
you’re okay with getting pregnant. “You’re not safe until it’s been at least a
year since your last menstrual period,” says Peterson.
- Skipping Barrier Contraceptives
Adults over age 40 are less likely to use condoms than
younger people, according to the National Survey of Sexual Health and Behavior
(NSSHB), which evaluated sexual health information collected from almost 6,000
people between the ages of 14 and 94 — and the unsafe habit is affecting their
health. In 2009, people between age 50 and 64 accounted for 15 percent of all
new HIV diagnoses. Diseases such as chlamydia and syphilis are also on the rise
among people over 40, according to the latest U.S. government data. Even if you
use hormonal birth control, or you’re past menopause and have no chance of
getting pregnant, it’s still a good idea to use condoms every time you have sex “unless you’re in a mutually
monogamous relationship and you and your partner have both been tested for
sexually transmitted infections,” says Peterson.
- Putting Sex on the Back Burner
According to data published last year in the Journal
of Sexual Medicine, 30 percent of women in their forties and 50 percent of
women in their fifties say they hadn't had vaginal sexual intercourse in the
previous year. And — surprisingly — such a dry spell could affect their health
down there. “When estrogen levels drop after menopause, the tissues of the
vagina tend to flatten and become thinner, which can cause painful sex, as well
as itching, dryness, burning, and discomfort,” says Machelle Seibel, MD,
professor of obstetrics and gynecology at the University of Massachusetts
Medical School in Worcester. But having
sex regularly can help prevent symptoms by keeping the vagina
moisturized and improving elasticity. If you experience vaginal dryness during
intercourse, a good lubricant can make things more comfortable. For women who
aren’t sexually active, consider self-stimulation with a vibrator and
non-hormonal vaginal moisturizers, like Replens, or vaginal estrogen creams,
rings, or pills.
- Wearing a Panty Liner Too Often
If your periods are irregular or you’re dealing with
incontinence, you may wear a panty liner frequently to avoid embarrassing
situations. But this can set you up for infections and irritation. “The plastic
backing on the panty liner prevents air from flowing through and retains heat
and sweat, and wearing the same one for too long can lead to bacterial or
fungal infections,” Peterson says. Plus, the constant rubbing may cause vulvar
irritation. Having a change of underwear, keeping tampons or pads on hand for
unexpected periods, and managing
incontinence with Kegels, lifestyle changes, or medication may reduce
your reliance on panty liners. When you do use them, change your panty liner at
least every four hours.
- Not Seeing Your Doctor Enough
According to the most recent guidelines from the American
College of Obstetricians and Gynecologists, women 30 and older who have had three consecutive, negative
(meaning normal) Pap tests need only get Paps every three years. But that
doesn’t mean you can skip your annual checkup. Your gynecologist still needs to
see you once a year — and the clinical breast exam and bimanual pelvic exam
she’ll perform can help detect serious health issues like cancer, ovarian
cysts, and fibroids. It’s also a great opportunity to get advice on anything
from hot flashes to birth control to your sex drive.
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Original and full article: everyday health.com