Your Daily Genital Hygiene

We take care of ourselves so much yet end up neglecting one important aspect of us- Our personal genital hygiene- Some due to carelessness and some due to ignorance. What we don’t realize is that by following some small measures we can prevent a lot of troubles later on. Most of the infections down there are due to poor hygiene. So here I am listing you out all the latest guidelines recommended by Middle east and Central Asia relating to genital hygiene which covers up all aspects mostly:


  • Use of bar soaps with alkaline pH should be avoided.
  • Use of liquid soaps with lactic acid is known to maintain the skin pH and aid in effective development and maintenance of the skin cells- Use restricted to external use, not for vaginal douching.
  • Tissue and wipes can also be considered for cleansing.
  • Women may use odor controlling products like feminine deodorant sprays, body splashes, fragrances and feminine suppositories.
  • Talcum powder for odor control can be used.


  • Inserting a device inside vagina for flushing liquids inside is known as vaginal douching.
  • Not recommended!


  • Cotton undergarments only- breathable and renders circulation of air around external genitalia.
  • Change undergarments regularly.
  • Scented and colored toilet paper not recommended.


Vaginal pH turns alkaline due to menstruation which causes heavy growth of non lactobacillus during day 1-5 of menstrual cycle.
Your vaginal flora gets instable due to this bacterial growth.

  • Tampons (tubes inserted in vagina), sanitary napkins and menstrual cups can be used.
  • Tampons and napkins shouldn’t be used for more than 6 hours.
  • Menstrual cups can be kept in place for 24 hours.


Sexual intercourse can lead to transmission of bacteria, discharge, sweat, menses, urine and fecal waste into female genitals

  • Prior to intercourse, clean external genitalia- vulva, folds of labia, clitoris.
  • Dry the area properly.
  • Avoid unnecessary cleaning and use of perfumes directly on skin.


  • Pass urine.
  • Clean the secretions.
  • Dry the external genitalia.
  • Wear comfortable undergarments.


  • Shaving, trimming, clipping, depilation, waxing, electrolysis and laser technology.
  • Trimming and clipping causes some adverse effects.
  • Shaving may cause bumps on skin.
  • Use of depilatories on regions outside bikini line can cause irritation.
  • Waxing can uproot hair- results persist for a longer duration.
  • Electrolysis- destroys hair root with electric current- pain, swelling, scarring and alterations in skin color may be seen.
  • Laser technology- light passes through skin and is absorbed by melanin in hair follicles. Heat generated by laser breaks the follicle and hair falls out. Adverse effect included- increased sensitivity, occasional peeling, blistering and burning of skin.


Pregnant  women are reported to be more prone to genital infections that may place both mother and fetus at risk

  • Rinse external genital organs 2-3 times a day using warm water and cleansers containing lactic acid.


  • Use of ice, ultrasonic therapy and leg elevation recommended after pregnancy.
  • Regular cleansing, drying and using pads whenever required.
  • Maintain dryness over the suture.
  • DO NOT use creams over the suture.


  • Good hygiene practice.
  • Regular doctor visits
  • Whole body wash with water at room temperature.
  • Heat baths (35-37 C).
  • Staying in open air.
  • Daily intimate washing with warm water.

Follow these simple things and stay clean and protected!

Smoking – Risking Two Lives

Smoking – Risking Two Lives

When it comes to drug or substance abuse among pregnant women, SMOKING is the most common one pointed out. This condition of smoking during the pregnancy period is very common in the west but it has been noticed that the incidence of smoking in pregnancy is increasing at a very rapid pace in India too.

Woman who smokes during the pregnancy have higher rate of miscarriage. Placental malfunction is the most common form of problems that occurs among the women who smoke as placenta plays an essential part during pregnancy and help in oxygen and nutrition flow. Placental Abruption which causes premature separation of placenta from the uterus. Placental Insufficiency may lead to cause improper supply of blood, oxygen and nutrition to the developing fetus (baby). Under-weight born babies can also be the result of smoking. Cot death is a syndrome which causes an unexplained sudden death of the newborn is very common among the women who smoke during the pregnancy.

Passive Smoking is also something which is worth mentioning in this discussion. Even though a woman is not smoking but if the environment surrounding her contains the the nicotine and carbon monoxide smoke which usually comes from cigarette, can cause almost the same effect on pregnancy.

Due to the above mentioned risks of smoking during pregnancy, its is our duty to persuade women to refrain from smoking. It can really be difficult for anyone to overcome this addiction, but it can never be difficult for a MOTHER.


Menstrual cramps – All about it!

Menstrual cramps – All about it!

Bringing on board one of the most common problem faced by all the ladies at one point of time or another.

    • So, is it really that common ?
    • Is there a need to know if the pain is usual or to be alarmed about ?
    • And what can you do resort to for the relief of pain ?

So here, let’s tackle all of them one by one.

Menstrual pains occur is about 70% teenagers and 30-50% menstruating women.
They can be of 2 types :

      • One that is begins a few hours before or just after onset of menstrual periods and last for 48-72 hrs
      • Second type where pain begins several days before menstrual flow and persists until a few days after stopping of bleeding – this is the type you need to be alarmed about.

This could be due to causes like :

      • Pelvic inflammatory disease
      • Fibroids
      • Polyps
      • Cervical stenosis
      • Congenital malformation of uterus
      • IUCD ( intrauterine contraceptive device)
      • Endometriosis
      • Adenomyosis

Why the pain?

Basically, in a normal cycle, the uterus lining thickens in preparation for pregnancy incase it occurs.
If you get pregnant, this lining remains and supports pregnancy.
If not, after your ovulation time when the ovum or eggs are not fertilized, this uterus lining sheds off and releases a substance called prostaglandin which makes your uterus contract.
This contraction inturn constrict the blood supply to tissues in uterus and thereby uterus squeezes out the dead uterus lining of uterus with each contraction.
This is what you experience as painful cramps during your periods.

When to seek help?

      • painful periods > 3months causing absenteeism from school/work/ hindrance in daily work
      • cramping pain with nausea
      • pain without periods
      • fever, headache, diarrhea

Home treatments-

      • heating pad on abdomen or back
      • massaging abdomen
      • warm bath
      • light nutritious meals
      • reduce intake of salt, alcohol, caffeine
      • Vit E 200mg 1-0-1  ( starting 2 days prior and 3 days during periods)


      • Analgesics- paracetamol 500mg 1-1-1
      • Antispasmodics- hyoscine( buscopan)1-1-1
      • Drotaverine (drotin) 1-1-1
      • NSAIDs- mefenamic acid 250-500mg 1-1-1-1 provides relief in 80-90%
      • Indomethacin  25mg 3-6 times a day- relief 70% cases
      • Ketoprofen 50mg 1-1-1 successful 90% cases

In case you want contraception along with relief of your menstrual cramps,
several options are available on advice of your doctor depending on what might suit you best :

      • Like oral contraceptive pills ( regularizes periods+ contraception+ reduces bleeding)
      • Progesterone containing IUCD (Mirena/Progestasert- relieves pain + contraception)

If not relieved with medical options, evaluation is needed to find the pathology causing it.

Surgical options-

      • Diagnostic hysteroscopy
      • Diagnostic laparoscopy and treatment of causative factors
      • Hysterectomy in elder women- as last resort
      • Transcutaneous electrical nerve stimulation- effective in 45% cases

So, hopefully this helps you to tackle your menstrual cramps better now.

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