Many women suffer from menstrual disorders of some
type. These disorders can vary widely in different women. However,
there are some general lifestyle changes that can help relieve a
number of symptoms common in those with menstrual problems. Many of
these changes, following, are tips to improve your overall health
and well-being.
Maintain a healthy weight
Make appropriate changes in your diet and exercise activity to
achieve a healthy weight. Problems with weight, both too much and
too little, can cause menstrual disorders. You may wish to consult
a registered dietitian for assistance with dietary changes.
Eat healthily
Incorporate a healthy diet into your life and reduce your intake of
saturated and trans fats, refined sugars, salt and caffeine. A healthy diet keeps
your body well stocked with the nutrients, vitamins and minerals it
needs for daily life, without the excess baggage or too much salt,
sugar and fat. Some women benefit from eating six small meals
during the day instead of three large ones.
Take vitamins
Taking vitamin B6, calcium and magnesium supplements may
help alleviate cramping and PMS symptoms.
Don't drink or smoke
Avoid excessive alcohol consumption and cigarette smoking. These
habits can be very bad for your health and may cause problems in
your menstrual cycle.
Exercise
Engaging in brisk walking, cycling, swimming or other
aerobic activity at least 30 to 60 minutes most days of the week is
recommended. Regular daily exercise can help improve overall health
and alleviate many symptoms. Yoga may be helpful for some women.
Exercising for at least 20 to 30 minutes three times a week can
reduce the pain associated with menstrual cramps.
Rest
Get plenty of rest. This can be done by sleeping consistent hours
and establishing a bedtime routine to help cue the body and mind
for sleeping. In addition, the body is less vulnerable to pain when
you are well rested. Remember that your body may have different
sleep requirements at different times during your menstrual
cycle.
Relax
Strive for a healthy balance in work, recreation and rest. Take the
time to just relax and enjoy yourself, even if you have to schedule
rest time throughout your day.
Don't stress
Too much stress can lead to a number of health problems, including
menstrual disorders. Assess areas of stress or conflict in your
life. Performing muscle relaxation or deep-breathing exercises may
help reduce symptoms such as headaches, anxiety and insomnia. You may also benefit
from scheduling potentially stressful events for the week after
your period. If necessary, contact a psychologist or psychiatrist
for help with dealing with stress.
Discuss medication options with your
doctor
When lifestyle changes are not enough to take care of your
menstrual disorder, you may have to take medication. Common
medications for menstrual problems include nonsteroidal
anti-inflammatory drugs (NSAIDs), birth control pills and hormone
replacement therapy, or HRT. There are several things to keep in
mind when taking any of these medications.
Nonsteroidal anti-inflammatory drugs. When
used properly over brief periods of time, NSAIDs rarely produce
serious side effects. When used for menstrual disorders, they
usually need only be used for a short time. However, longer usage
or larger doses of NSAIDs increase the potential risk. This may be
particularly pronounced if you regularly take NSAIDs for some
condition that is not related to menstruation as well as for a
menstrual problem. Among the most serious side effects of NSAIDs
are gastrointestinal complaints, including peptic ulcers.
The U.S. Food and Drug Administration estimates that 10,000 to
20,000 deaths occur each year as a result of NSAID-induced
gastrointestinal disorders, usually bleeding. NSAIDs are the number
one cause of drug-related hospitalizations.
Some side effects may occur when you first begin taking NSAIDs and
then diminish after you have been taking the medication for several
days. In addition, the severity of some side effects can be reduced
by taking the medication with food or by choosing specially coated
medications that do not release the NSAID into the bloodstream
until it has passed through the stomach. Lowering the dosage can
also be effective. In addition, you may lower the risk of
gastrointestinal side effects by taking over-the-counter
antacids.
Birth control pills. Women on birth control
pills will need to see their gynecologist once a year for a
physical examination. The exam should include a blood pressure
measurement, breast and pelvic exams, and a Pap test. Some women may
require more frequent follow-up visits.
Women should immediately stop taking birth control pills if they
become pregnant, or suspect they might be pregnant, to prevent
serious consequences for the unborn child. Women who recently
delivered a baby and who are not breastfeeding may resume taking
birth control pills two weeks after the birth. However, pills that
contain estrogen are not recommended while breastfeeding, because
they can decrease the amount or quality of breast milk, or even
pass through the milk into the feeding infant. Some doctors
prescribe progestin-only pills for breastfeeding mothers, but
recent research has suggested that this practice may increase
women's risk of diabetes if they had gestational diabetes during
their pregnancy. However, more studies are necessary to confirm
this link.
Hormone replacement therapy. Women who still
have their uterus while undergoing HRT have a greater risk of
developing endometrial cancer, or cancer of the uterine lining.
Adding progestin lowers this risk. In addition, not only does use
of HRT drugs raise the risk of breast cancer, but it also
makes tumors harder to detect, which can lead to dangerous delays
in diagnosis.
A follow-up study to the Women's Health Initiative found that the
combination of estrogen and progestin increases the risk of
dementia in women 65 and older while failing to prevent memory
loss.
Side effects of HRT can be reduced by taking the lowest possible
effective dose of the hormone for the shortest period of time
possible. In some cases, you may find relief from side effects by
switching to an alternative form of HRT.
Despite the potential risks, it should be emphasized that the
likelihood of adverse effects due to HRT remains low in most women.
The risks also gradually decrease in the years after a woman stops
HRT.