New colors

Yoga is increasingly losing its most esoteric connotation. Thus, many schools now offer courses in business. After work or at lunchtime, business people loosen their ties and workers break their routine. They gather around a teacher for their weekly session of yoga. It has also seen the emergence of new forms of yoga, as Bikram1, which is practiced in a room heated to over 40 ° C. Some purists see it as a dilution of the sanctity of the original practice. Others believe it is a gateway to an exciting discipline that can only do good.

For all

Although yoga enrolled at the base, in a spiritual practice, hatha yoga is not a religion and can be used by any individual, regardless of his beliefs as a tool for health and healing . In some contexts, such as health clinics, courses are completely devoid of religious references.

Westerners who say they yoga postures are much harder than Orientals, the master Iyengar always reply: "Is there a British cancer, cancer and cancer Indian Italian? The human suffering is the same whether one is Indian or Western. Diseases are common to all human beings, and yoga is given us to cure these diseases. "

The colors of yoga

Although conventional postures proven and remain the same for millennia, hatha yoga continues to evolve and has taken various forms, especially in the twentieth century. Each style of yoga combines postures, breathing exercises and meditation in a more or less energetic or gentle, lively or quiet. Here are the most common in the West.

Anusara: A new form of yoga founded in 1997 by John Friend. She quickly popularized and is now present in 70 countries. His basic philosophy is to celebrate the heart and see the good in everyone and everything.

Ashtanga: Characterized by synchronizing the breath with rapid sequences of postures increasingly demanding. This raises the metabolism and body temperature. Excellent for endurance. United States, we designed a particularly dynamic called Power Yoga.

Full: Designed in the United States in the 1960s, it offers a balanced integration of postures, breathing, meditation and relaxation. (Not to be confused with the spiritual approach of Sri Aurobindo, also called integral yoga.)

Iyengar: Disciplined and rigorous courses where the emphasis is on aligning members, and especially of the spine, very oriented toward health. No spiritual connotation, but the meditative aspect is present.

Kripalu: A dance of body, mind and energy, with an emphasis on breathing techniques. Promote particularly the cardiovascular, digestive and nervous systems.

Kundalini: Intended primarily to arouse the kundalini, the original energy healing. The approach works on the meditative consciousness through sequences of postures.

Sivananda or Vedanta: Classes are taught by the Sivananda organization in its own centers. It emphasizes positive thinking, meditation, breathing, relaxation and nutrition. This very spiritual aspect.

Sudarshan Kriya: This form of yoga was founded by Sri Sri Ravi Shankar in the early 1980s. Now present in over 140 countries, it relies heavily on breathing to rebalance the body and mind.

Viniyoga: Is characterized by the integration of movement with breathing and individualized instruction that adapts to each individual.

As for prenatal yoga, this course focused on the specific needs of pregnant women. The instructor then chooses some exercise (postural and breathing) to help them overcome difficulties related to pregnancy, facilitate the delivery processes and promote a return to balance body after birth. Instructors can be practiced in one or the other movements mentioned above.

Tibetan yoga also included, which is practiced using belts or straps to keep the body in postures that promote and particularly relaxation.

Yoga, what is it?

Yoga is relatively new in the Western landscape, but it is well established. It may take courses in recreation centers and health clinics, both in the metropolitan region - courses aimed at children, the elderly, people with stress, healthy, pregnant women, to Athletes ...

Is that yoga has several features that suit. The courses are usually in groups, in a safe and noncompetitive. Yoga requires no special skills. It makes almost instantly mental and muscular relaxation. In the medium term, it develops flexibility and helps treat many musculoskeletal problems. Regular practice can enable them to alleviate serious health problems and promote better overall health.

A part of a whole

Developed in India over many millennia, yoga (in its broadest sense) is a comprehensive method of personal development and a science of spiritual practice. It includes several dimensions, including the main ones are as follows.

* The devotion (bhakti yoga)
* The right action (karma yoga)
* Knowledge (jnana yoga)
* Health and concentration by lifestyle and postures (hatha yoga)

Yoga classes posted on bulletin boards and in newspapers more often relate to the latter dimension, hatha-yoga. His role in the traditional spiritual path, is to discipline the mind and keep the body in optimal health so that the person can think better and longer.

Tools of hatha yoga breathing exercises (a practice called pranayama) and over 1 000 postures (called asanas). The latter often carry evocative names - the tree, the plow, bow, cobra, etc.. - And their degree of difficulty is progressive. The famous lotus position (legs crossed) being adopted by many meditators from yoga.

Postures require stretching movements, bending and twisting that promote flexibility in the spine, solicit joints, nerves and muscles and exert an effect on all organs and glands. The digestive system is thereby stimulated, and blood circulation improved. In addition, maintaining a posture for a while causes the mind to develop perseverance and concentration, and it provides the benefits of meditation.

As for the breathing techniques, they ask, for example, be particularly attentive to inspire very slowly or jerkily, to alternate nostril, placing the language in certain ways, etc.. According to Ayurveda (Indian traditional medicine), the life of a human being is not measured in days, but the number of breaths ... The ultimate objective is to develop breathing techniques and control the prana, the "lifeblood".

Yoga states that a healthy body is vital for the mental and spiritual evolution. As the yogis say: "Health is wealth. Mental peace is happiness. Yoga shows the way. "

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Are the antidepressant pills are happy pills?

They are not happy pills, they do not create an artificial sense of happiness or well-being unrealistic. No medication can do that, except alcohol and some illegal drugs and their effects do not last. Neither antidepressants insulate you from life, you do not care about important things, or insensitive to pain or loss. Tranquilizers can do this for a while, but antidepressants can not. In addition, antidepressants are not addictive, nor their effect diminishes so you need to increase your dosage later.

All antidepressant medications work by influencing the activity of neurotransmitters in the brain. Neurotransmitters are chemicals that cross the space between a brain cell (neuron) and next to allow communication between them. Common neurotransmitters are serotonin, norepinepherine, and dopamine. During an episode of depression, brain levels of these neurotransmitters are lower than usual. Antidepressant medications work by slowing degradation of neurotransmitters and increase the sensitivity of receptors on the receiving neurons.

Side effects of antidepressant drug

Side effects of antidepressants may vary based on the type of antidepressant you are taking.

As with all drugs, some do not respond well to antidepressants, whereas the side effects can seem quite mild in others. The irony here of course is that, while useful as antidepressants can be for some a few times, these side effects may very sink into themselves.

The conclusion of the right antidepressant and the right dosage is very important, and you will work with your doctor on this. The newer antidepressants have different types of side effects.

Some common side effects of antidepressants include:

* Nausea
* Sweating
* Drowsiness or sleep problems
* Vomiting
* Dry mouth
* Diarrhea or constipation
* Irritability / anxiety
* Difficulty passing urine
* Sexual problems
* Disturbance / diarrhea Gastrointestinal
* Dizziness or lightheadedness
* Weight changes
* Abdominal pain

Some of the more serious side effects of antidepressants include:

* Changes in body temperature
* Difficulty in breathing
* Increased heart beat

If you experience any unusual symptoms or are concerned about side effects in anyway, it is important that you discuss this with your doctor or consult a pharmacist for advice. Usually this will not be something to worry about, but better be safe.

Taking an antidepressant

Antidepressants relieve symptoms of depression, which makes it easier to deal with your problems and take appropriate action. Many people find they can work more productively in psychotherapy when they are free of depressive symptoms. If you face the loss of a loved one, using an antidepressant will not interfere with the grieving process.

Many believe there is a better way. However, it is not easy to manage depression - with or without the aid of medication for depression. Depression is a complex disorder with various aspects involving the mind and body.

A medication for depression can be helpful. Nevertheless, drugs should be used with caution. Such an approach should include diet, exercise, psychotherapy, lifestyle, skills of healthy stress management support and develop reports.

Care should be taken to ensure that the medication for depression is not used in too high a dose or not continued for too long. The medication for depression should only be used with other ways to treat depression....

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Information on antidepressant

There are several classes of antidepressants, which seem to work to increase levels of certain neurotransmitters in the brain. What are antidepressant medication, is to stop us somehow to slide down the chute into the darkest depths of depression when something bad happens. After taking the antidepressant medicines, we can still feel bad, do suffer, but we worry that they feel like normal people without depression.

It is important that you consult your doctor about all medications and antidepressants do know of any developments in the treatment, including side effects. Your doctor will prescribe treatment based on the model of your depression, its severity, persistence of symptoms and history.

The doctor will also consider whether the patient has other psychiatric conditions such as anxiety disorder or other medical problems such as heart problems. The doctor will consider how likely it is that the patient will follow directions such as staying on a restricted diet when a drug can interact with the other food.


As with any serious illness, coping with depression takes great personal strength. However, you may be exposed to negative attitudes about antidepressant medications, which vary among individuals and cultures. Many students have found it useful to take the perspective that the drug is a form of treatment for depression, just as the drug can be used to prepare asthma, allergies, infections, or diabetes.

Antidepressant

Antidepressant drugs are effective in treating acute depression. Antidepressant medications are often the first treatment option prescribed by health professionals.

Antidepressant medications can make psychotherapy more effective for some. In placebo on the greatest effects are seen in patients with major depression whose symptoms are at least moderate severity. Response rates in short-term controlled trials are approximately 60% of patients on active treatment and approximately 30% for those on placebo. In terms of effectiveness there is little to choose between the various antidepressants, although some are better in certain defined situations.

Antidepressants work by normalizing the activity levels of certain chemicals in the brain. They are not addictive! To maximize their effectiveness you should take them exactly as prescribed. Please do not stop taking the medicine or change your dosage without talking to your doctor first. In conclusion, remember not to give up on your medication too soon! It can take six weeks to work properly.

The value of antidepressant drugs in depressive disorders such as softer minor depression and anxiety-depression mixed is not established. It is generally believed that the tricyclics are relatively ineffective in these disorders, but whether this applies to SSRIs is not clear.

Happy thought for the day - inspired thought

Our thought is the most important and most influential in depressive illness. It's a way to think about what happens to one. Since people with depressive personality, may have the habit of negative thinking and looking at the dark side, they may find it difficult to overcome depression.

Another factor that take root depression is low self-esteem - people with low esteem are more prone and susceptible to depression. A person with low esteem tends to think that their wishes and feelings are less important than the people around them. He lost the ability to put first due to various reasons, had they ever. He has no idea how they feel or act if left to their own devices, because their lives are almost completely made for the needs of others.

In short it is the feeling that we deserve nothing, that one is not as important as others. It is felt by those who have always been encouraged or expected to put others first.

Mothers of young children and careers of elderly or disabled are often victims of low esteem. The problem arises only when they are faced with a choice between what they suddenly discover that they really want and their "duty". They feel guilty that they want to discover which can only be achieved at some cost to those they are worried.

There is certainly a relationship between our mind and body. The relationship between the way one thinks that effects how a person's body reacts. That may be the most important aspect of any psychological, and probably the medical, health, yet most people ignore it completely.

We should now begin to recognize that the way we think, we have the expressions on our faces, and perhaps even the ways in which we move, can, in turn, actually change the chemicals that are released to the within us, and especially in our brain where our emotions are controlled.

The victim is in an emotional prison. It is the most difficult of all to break out - but not impossible. Developing the habit of testing positive affirmation. You can learn these techniques in our section - power of positive thinking. And also try some techniques to develop your resourcefulness self-esteem. Finally and most importantly, "believe in yourself."

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In practice

The irregularity of the cycle disturbs the life of the girl who needs cues from its life as a woman debutante. It should be understood that the disorder is transient and does not affect the life of mother and wife.

In case of delay of rules, one must first and foremost think of a pregnancy and to test the slightest doubt.

Treatment, if necessary, is based on the pill or other hormonal regulating the cycle. This is a functional and non-curative treatment.

Gynecologic consultation is necessary in order not to disregard an organic cause.


You are between 20 and 40 years ...

The production of hormones (estrogen and progesterone) is under the control of two brain areas (hypothalamus and pituitary gland), whose role is to stimulate hormone production. Insufficient stimulation may be responsible at this time, irregular periods. The progesterone deficiency is common: the temperature curve is so flat or shows a second phase of the cycle too short. Ovulation does not always happen: Infertility and anarchy rules may be associated.

Destroy Techniques

These techniques destroy the uterine lining can also be used in the absence of infection and if you do not want any more children (the conservation of the entire uterus is essential for the development of embryo). Finally, some processes require to dilate the cervix to allow passage of instruments or prior administration of hormonal drugs.

Moreover, none of the methods guarantees a 100% success (recurrence of bleeding after a period of improvement). If that fails, a secondary ablation of the uterus by traditional surgery is required. These techniques can also remove completely the rules.

Many techniques are possible but the key used in France are curettage, surgical resection and destruction by heat to the balloon.

Curettage and surgical resection: The process most classic and most often used in France is to perform a curettage with a curette. However, "if this technique is very simple to use, its failure rate is not negligible,"

Also, to overcome this problem, surgeons often prefer to remove the uterine lining in more depth, for example by performing successive coagulation with a small instrument which delivers heat and electricity (Roller Ball). This method is currently the reference technique for removing uterine bleeding rebels and the success rate exceeds 80% at two years. However, this surgical method creates the risk of uterine perforation and bleeding occurred.

Resection of the endometrium is generally done under local anesthesia or general and requires a hospital stay of 24 to 48 hours. Returning to work is generally possible after 2 to 3 days.

Migraine: still a matter of hormones?

Six to seven million French people suffer from migraine, and among them were three times more women than men. Why the headaches they reproduce at each cycle in some women? Two teams try to answer by exploring ways quite different.

Faced with migraines, female vulnerability appears to be related to hormonal changes. In the dock, the secretion of estrogen, which varies during the cycle. The best evidence is the frequency of migraine called "catamenial" that occur during menstruation or within two days that precede them.

Why give estrogen migraine
Hormones and Migraine affects 5-8% of women, these periodic headaches coincide with the sudden drop in estrogen that triggers the rules. They can be prevented by percutaneous application of estrogen.

Other evidence argue for the involvement of hormonal fluctuations. Migraine and women almost always benefit from an improvement of

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The Experiment Says ...

Headaches during pregnancy and migraine tends to become less common after menopause.

Mechanism by which these hormones can they influence the occurrence of migraines? In an attempt to unravel this mystery, researchers at the University of Kansas artificially reproduced in mice vascular phenomena causing migraine auras, that is to say that visual signs sometimes precede migraine pain. They just present their findings at the Congress of the American Academy of Neurology.

More than a thousand genes studied

The experiment was conducted on three groups of mice:

* Male mice.
* Female mice without ovaries (thus lacking estrogen).
* Female mice without ovaries, but treated with estrogen.

Potassium chloride was administered into the brains of these animals to produce the electrical phenomena characteristic auras. The researchers then analyzed the expression of over a thousand genes. They have seen and, in males as in females without ovaries, some genes were activated and others inhibited, to mitigate the adverse effects of electrical alterations.

Migraine and Rules

A real headache!

The link between headaches and female hormones are well known. Catamenial migraines, occurring regularly during menstruation, are the most convincing illustration. Faced with these regular crises, are there any solutions? We spoke with Dr. Valade, head of consulting at the hospital Lariboisière headache.

About one in ten women suffer migraine crisis during her period and only during this period of the cycle. These migraines that occur during menstruation or within two days that precede them are called "catamenial. They coincide with the sharp drop in estrogen that cause menstruation, but the exact mechanism remains mysterious.
Hormone treatments inconsistently effective

Migraine and rules: a real headache! Response to these crises back to specific dates, it is tempting to want to prevent them, especially by avoiding the drop by the estrogen hormone therapy. To do this, there are gels (Oestrogel) or patches (Estraderm), it is recommended that beginning two days before the expected rules and continuing for seven days. However, the interest of such treatment remains controversial, since no studies have unequivocally demonstrated their effectiveness.

"There are no golden rules" says Dr. Dominique Valade, head of consulting headache Lariboisière hospital, which receives 24 hours of 24, without an appointment, persons suffering from headaches. "It is possible to try hormone therapy, but we must know that the result is unpredictable. It's completely random."

Breast Pain

Mastodynia ( breast pain )

What is it?

There is pain in the breast.

The signs of the disease

Symptoms may be throbbing, burning, cramping, painful balls, a feeling of breast tenderness, painful sensation of the nipple.

Sometimes the woman does not tolerate the slightest touch, the weight of the sheet or the bra. The superficial veins may be particularly visible.

Breast pain is usually punctuated by the cycle, increase in the second part of the cycle (luteal phase) and decrease or disappear in the days after the onset of the rules.

Differential Diagnosis

A number of pain actually have their origin outside of the breast: intercostal neuralgia, back pain, sternal, slipping rib syndrome (post-traumatic subluxation of the 8th, 9th and 10th ribs, with precise point of pain), etc..

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Breast Pain : Causes and risk factors

Mastodynia hormone are by far the most common causes and are part of premenstrual syndrome that is quite commonplace.

Indeed, from ovulation, breasts increase in size.

Premenstrual tension is not a sign of hormonal imbalance but an indicator of the cyclical operation of women and simultaneous changes of the internal structure of the breast.

Mastodynia are not isolated but then included in a table with ovarian dysfunction hyperestrogenism: disturbed cycles (too long or too short), menorrhagia (blood loss outside the menstrual period), rapid weight gain, disorders mood disorders, pelvic pain ...

In this context of hormone-fibrocystic, pelvic examination shows abundant mucus and sometimes a functional ovarian cyst confirmed by ultrasonography.

The mammogram showed no abnormal opacity and reveals dense mammary glands,
confirming the diagnosis.

The breast ultrasound can find a breast cyst.

Some medications can also cause these hormonal mastodynia.

Sometimes mastodynia is linked to organ damage, which explains the need for careful examinations clinical and laboratory.

Some psychological problems (stress, emotional factors) can also cause mastodynia.

Treatment

Treatment is not always necessary.

Mastodynia lasting, returning every month, however, require regular therapy with progesterone by local or general.

The veinotonics, anti-inflammatory drugs can also relieve the patient.

Cyctutus

Cranberry or antibiotics to prevent cystitis?

Obsessive desire to urinate, burning, pain in abdomen ... By dint of recurrence, cystitis can really ruin your life. To better prevent, what is the best alternative: antibiotics or cranberry?

Four to 5 cystitis on average per year, that's about one per quarter only1 ... it has been over 10 years that it lasts, and then I saturate "admits xiaoyu49 on our forum dedicated to urinary problems. Like them, many women no longer know where to turn ... Our advice.

Faced with urinary tract infections, cranberry sees red

Cranberry antibiotiques Quelle or woman does not know if these characteristics discomfort of urinary tract infections? It is estimated that two women will experience during its life. This is not a reason to trivialize the pain they create ... and this, especially since they may have a strong tendency to recur.

We can distinguish recurrent bladder (less than 4 times per year) and recurrent cystitis (more than 3 times per year). Depending on their frequency, cystitis these can really affect the quality of life. For these women, several measures can be beneficial:

Lifestyle and dietary habits :

* Drinking enough (1.5 l of water per day), urinate every three hours during the day, wear loose clothing, underwear made of cotton rather than nylon, reducing constipation problems promoting a diet rich in fiber

* Limited aggravating factors: constipation, excessive or careless hygiene, use of spermicidal ...

Beyond these measures, taking cranberry juice (cranberry French) is recommended for main meals. Its regular use provides good protection against bacteria resistant to antibiotics. Property recognized in 2004 by the French Agency for Food Safety (AFSSA) 1. Indeed, the cranberries contain flavonoids, anthocyanins and proanthocyanidins, which are capable of binding to certain bacteria Escherichia coli cystitis. These organisms would then be unable to adhere to cells of the bladder and cause infection. Without an anchor, they are naturally removed by natural means. But in terms of prevention.

Antibiotic vs cranberry face cystitis

cranberries are also effective as antibiotics?

Several studies 2 have to say that cranberries reduce the frequency of cystitis in women 30 to 40 years but beyond that, there was no evidence so far that little red fruit retains its virtues. For more information, a team écossaise compared its efficacy to standard treatment with antibiotics in small doses over the long term preventative. A total of 137 women over 45 years, with at least 2 UTIs in the previous year, took 6 months or 500 mg of cranberry extract, 100 mg trométhoprine, an antibiotic effective against germs concerned these infections.

During the study, 39 women were victims of cystitis (25 in the cranberry group and 14 in another), with periods of recurrence substantially similar (respectively 84.5 and 91 days). More women in the study antibiotics were discontinued (11 against 6 in the cranberry group). In both groups, the offending bacteria were mainly E. coli, according to the authors, therefore antibiotics have a slight advantage in terms of effectiveness of cranberry extract, but have more side effects.

These results will provide women victims of cystitis frequently to assess their physician's interest to choose between these two alternatives preventive. Also note that in addition to its natural character and its low cost, the cranberry has the advantage of reducing the risk of the emergence of bacteria resistant to antibiotics. Finally, taking cranberry does not expose the dangerous or embarrassing side effects of chronic administration of an antibiotic, such as intestinal or vaginal fungal superinfection (thrush) or the rare but dreaded pseudomembranous colitis caused by a germ to growth promoted by the antibiotic.

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There are no Golden Rules

It preventive hormonal therapy is more likely to be effective in women with catamenial migraines pure, with attacks occurring exclusively during menstruation. This case is rather rare, compared to those who have other triggers. Moreover, he can not speak to women with very regular cycles and can thus predict crises.

Pill unpredictable effects

The same uncertainty applies to oral contraception. "There are many women who see their symptoms fade worse with pills," said Dr. Valade. If oral contraception is desired, it is better to choose a combination pill, low dose ethinyl estradiol.

The cons-usual indications of oral estrogen-progestin should be respected. Among these are migraines with aura (neurological symptoms announcing the start of a migraine). Moreover, the pill is incompatible with taking derivatives of ergot, a standard treatment of migraine.

Premenstrual Syndrome: The Cycle

Common disorder, premenstrual syndrome may actually affect the quality of life for some women. Besides the physical symptoms (headache, bloating, tension in breasts ...), mental disorders can be the source of marital difficulties, friendly and professional.

PMS and extremely psychology variables, symptoms of premenstrual syndrome (PMS) range from simple headache, pain in the breast through the mood disorders. These are mental disorders, which are generally the most frequent and most troublesome. They are manifested by irritability, mood swings, fits of tears and sadness. This state of arousal is often associated with a feeling of tiredness, poor concentration and difficulty in performing daily tasks. These manifestations of PMS appear in the second part of the cycle, most often in the week preceding the onset of the rules. They then disappear from the earliest days of menstruation.

Impact on the relational

This particular state led willingly to overreact to small annoyances which, at another time, would have seemed insignificant. This can result in major difficulties in relationships, whether in married life or professional life.

In severe cases, this state of psychological tension may promote acting out. Criminal behavior and suicide attempts are more frequent and premenstrual period. Premenstrual syndrome has even been invoked to plead irresponsibility in a murder case in Britain.

PMS A survey

A survey in Britain by the Women's Nutritional Advisory Service1, among 400 women with PMS, stated that:

* 57% of them had already had suicidal thoughts;

* 97% had unstable mood;

* 94% felt anxious;

* 84% said they were violent and aggressive.

Of underlying psychological disorders?

As in the case of heavy legs, the hormonal changes of the end of the cycle only exacerbates existing trends, rather revealing the underlying vulnerability. One study indicates as well as psychological disorders, with obsessive traits, often preexist in women suffering from mood disorders prémenstruels2. Two thirds of the patients studied had suffered from postpartum depression ("baby blues").

Finally, the risk of major depression is increased in cases of mood disorders prémentruel3. In many cases, the distinction between PMS and depressive illness may also be blurred. It is likely that many PMS are true depressions.

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Mood Swings, Depression and Rules

Women are often accused of susceptibility and irritability when their rules. These mood swings can they be linked to the menstrual cycle? Lets see an evolving scientific history.

In 1900, the Moebius scholar wrote that: "The woman was present during most of his life as a being abnormal ..., while not a real disease, menstruation and pregnancy deeply disturbed mental balance and undermine the ability of discernment and in the legal sense. " For years people thought that there was therefore "an evil female, related to the nature of woman, and whose hysteria would be the most complete form"

A story full of prejudice ... not very feminist

Despite the contempt with which this issue is addressed, the discussions between psychiatrists are passionate and are much written in the late 19th century. Charcot seeks the main causes of the side of the brain. For its part, Icard then claims that the menstrual cycle is a major cause of mood disorders in women. Today, if the brain has been recognized as a regulator of biological cycles, we also know that the role of sex hormones and emotional experiences are crucial.

Psychological Problems for some Women Found

Before the rules: psychological problems for some women found

Premenstrual symptoms or mood disorders in women just before their rules are now found.

But point out that only 3-5% of women have severe manifestations say - disabling, and 20 and 50% of women could suffer without meeting all the criteria. Although the definitions of the syndrome still vary, the most recognized, that the American Psychiatric Association may be summarized as follows: a few days before menstruation, are triggered markedly at least one or more of these symptoms: depressed mood, anxiety, anger or irritability.

Difficulty concentrating, insomnia, physical symptoms such as weight gain, swollen breasts, etc.. can also be added. Finally, these disorders significantly disrupt social activities, academic or relational and always come back.

Solutions and processes as diverse as it is uncertain

Many therapies can be envisaged, if the mood becomes disabling. Vitamin regime in operation through antidepressants, hormone treatments, and cognitive-behavioral therapies, are multiple ways ... But the placebo treatments are also seeing a remarkable success rate (30%). Do not neglect the non-drug ways: reduce stress, eat healthy, explain the problem to the environment. Not to mention seeing a gynecologist who can help solve this problem.

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Poorly Understood Disorder Cyclic

Premenstrual syndrome: A poorly understood disorder cyclic

Between 30 and 40 years many women know in their approach to a rules change in their mood and significant signs of fatigue. Resurgence of an old cliché macho? Premenstrual syndrome actually exists, however, and can severely hamper women when it fires. What are the causes and symptoms, how to react? Dr. Alain Tamborini, a gynecologist who specializes in hormone problems, answers.

Given the extreme diversity of symptoms, can not we criticize the term "premenstrual syndrome" to encompass situations too eclectic?

PMS - CycleDr Alain Tamborini: Some women deny the existence of premenstrual syndrome (PMS) in denouncing man's influence among psychiatrists who seek and establish a scientific biological weak women. However, many studies are carried out by researchers, the argument is not convincing. When you ask women asking them "Do you feel any changes in approach to the rules",

90% answered positively even if that concept is vague at this level. 30 to 40% reported experiencing psychological discomfort and / or physical, a concept that is still very subjective. However, it is estimated that 5 to 10% suffer from severe PMS according to the methodology used. The border between annoyance and the MPS is that the alteration of the quality of relationships with peers.

150 Different Symptoms

More than 150 different symptoms attributed to PMS, what kind are they?

Premenstrual syndrome (PMS) is characterized by great variability of symptoms by women and often they also vary in nature, duration or even more important from one cycle to another in the same woman . You could say "to each his premenstrual syndrome" because in reality it often functions as a sounding board to the personality of each woman.

Two major groups of symptoms can be broadly distinguished. On the one hand, the physical signs, then women evoke the feeling of "making water retention, for having breasts strained, which increase in size, the abdomen and lower abdomen swollen or painful still have muscle and joint pain, headaches, skin symptoms (allergies, herpes, acne, seborrhea) and digestive (nausea, constipation or diarrhea). On the other hand, the psychological evidence that can be expressed in different ways: irritability, aggressiveness, depression, anxiety, nervousness, hypersensitivity, crying spells. In contrast, there may be a certain weariness, fatigue, desire to stay at home, in his corner. Dark thoughts and even suicide are not uncommon. Intolerance to various forms of stress such as noise, is common.

The causes are multifactorial, but they are all well identified or are we still in a phase of observation?

The pathophysiology of premenstrual syndrome (PMS) is complex and still imperfectly understood. There are a multitude of causes, physical, hormonal, psychological, nutritional and sociocultural. The role of neurotransmitters in the brain, responsible for transmitting messages in the brain, is well established. The excessive release of endorphins trigger a cascade of neuroendocrine changes and premenstrual symptoms. It remains difficult to distinguish between a long-term depression with an exacerbation of symptoms during the pre-menstrual or menstrual and premenstrual syndrome that is expressed by a depressive episode.

Painful Menstruation: Watch out for Stress!

Painful periods are among the most common gynecological disorders. Far from trivial, they can significantly spoil the lives of women who are victims. If the origin of this problem remains a mystery, high levels of stress can double the risk of their occurrence.

Extremely widespread pain accompanying rules are often viewed by women as a cruel fate. But for the first time, a study suggests that better control of stress has an effect préventif1.

A very common disorder

Painful menstruation PMS pain cycle after menstrual two or three days of pain in the abdominal area and / or lower back during menstruation, it is called dysmenorrhea. Among the female gynecological disorders, period pains are extremely common. The proportion of women affected is between 43% and 90% according to studies 2, 3. Approximately 10 to 15% suffer from severe and disabling dysmenorrhea, which may lead to work stoppages, school absenteeism and reduced quality learning.

Meanwhile, evidence is accumulating about the detrimental role of stress in the occurrence of gynecologic problems of pregnancy, such as births prematurely6. But despite a suspicion of increasingly serious, the links between stress and menstrual pain were not identified. Previous studies have faced the difficulty of linking exactly when these two conditions based only on ex post subjective statements of women.

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The Bulk Stress Doubles The Risk

The bulk stress doubles the risk of painful periods

Desiring to clarify the situation, U.S. and Chinese researchers have recruited hundreds of women aged 20 to 34 years, having taken any contraception after having obtained permission to have their first baby .. birth control made in China must! After excluding women suspected of gynecological organic, each participant completed a questionnaire indicating the daily stress level, the onset of illness, medication, the pace of intercourse and of course, that the characteristics of their cycle including the occurrence of pain. This follow-up lasted 12 months or until the onset of pregnancy. A total of 1160 cycles of 388 women were studied.

The results highlight the influence of stress. The incidence of dysmenorrhea increased with the degree of stress: from 21.9% to a low stress to 43.9% for a high level. Compared to a "peaceful cycle, the risk of experiencing these gynecological problems was more than doubled (2.4) for large stress. The researchers also showed that the influence of stress is greater during the two weeks preceding ovulation (luteal phase) than during the two weeks (luteal phase).

Currently, the biological mechanisms at work remain unclear although the most likely hypothesis is based on a cascade of events that would cause impaired secretion of certain hormones. Despite the mystery, identifying risk factors is especially important that this disorder hampers the lives of millions of women. According to the authors, "Prevention (by better management of stress) could be a safer approach than pharmacological treatment, especially among women desiring a child in whom the pain medications are often indicated-cons". So to not let these problems ruin your intimate life, please visit our "Stop the stress!

What Treatments for PMS?

In the days before the rules, almost 70% of women complain of various symptoms, both of psychic irritability, stress, lack of energy ... that physical tension breasts, weight gain, headaches ... How to avoid these days do not turn to hell?

Before resorting to medication, seek to limit the stress and relaxation will be favored during this period a little difficult.
Better manage their emotions and diet

Firstly, watch your diet. Make sure to avoid very salty dishes that promote water retention and limit your intake of coffee and tea, which can increase the response of irritability. Sweets and soft drinks will also be excluded.

What treatments for PMS?
Finally, the various stimulants such as tobacco and alcohol are discouraged. Because they can cause a feeling of calm at first, then they may increase the emotional dysfunctions. Finally, a time for adequate sleep and regular exercise will help you avoid many inconveniences. Better management of emotions can possibly go through practices like psychotherapy or cognitive behavioral or relaxation techniques that will help reduce the symptoms of anxiety or depression.

PMS : Doctors Believe

Some doctors believe a diet rich in calcium, magnesium and manganese have also proved effective. Other experts recommend increasing the intake of zinc and vitamin B6 and increase intakes of unsaturated fatty acids such as those contained in evening primrose oil.

When drugs come into play

PMS is certainly annoying, but does not reflect critical illness. Prescription drugs will therefore proposed that when these simple rules of healthy living have not been enough to make it tolerable.

A pill is often given for his action blocks ovulation. It contains the progestin can reduce some problems associated with premenstrual syndrome such as abdominal swelling and can encourage drowsiness.

Other drugs (anxiolytics or antidepressants) work on mental disorders associated with premenstrual syndrome. They can be administered in small doses for a few days per month during the second part of the cycle.

We will also strive to fight against the occurrence of constipation in the days before the rules and, in case of pain, we can prescribe drugs for pain relief or anti-inflammatory.

Diuretics can help limit the occurrence of edema of the legs and can be associated with wearing tights.

Finally, alternative medicine such as herbal medicine, homeopathy or acupuncture have their followers to treat certain aspects of this syndrome, whose origin remains incompletely understood

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A PMS Pill Cons

Every month some women have more or less severe symptoms before the onset of the rules. Various treatments have been tried to prevent these premenstrual syndrome. Among the latest drugs available, a new estrogen / progestin pill.

Is usually estimated that three in four women have at one time or another, experience a premenstrual syndrome. The latter is characterized by the appearance of symptoms the most diverse in the days preceding the onset of the rules. These may include headaches, tired legs, diarrhea, irritability, tension breasts.

But the most severe form of premenstrual syndrome is manifested by mood disorders, often depressive tendency. Between 2 and 9% of women suffer from these disorders of mood ring. Appraissent symptoms usually one week before menstruation and totally surrender their arrival.

Effective antidepressants

Often, fortunately, the symptoms are very intense and the women do not even need to talk to their doctor. But sometimes the discomfort is significant and may prevent work and social life. Drugs directed against the main symptoms may provide some relief. In the case of mood disorders, several studies have clearly shown the effectiveness of some selective inhibitors of the reuptake of serotonin (a family of antidepressants whose leader is Prozac). However such treatment can only speak to severe syndromes.

A new pill being tested

Contraceptive pill, being tested in the United States could prevent premenstrual syndrome. This has in itself surprising. Indeed, although its effectiveness is not fully proven, oral contraception has been available since long in the treatment of these disorders that affect, to varying degrees, many women.

What is new, however, is that the laboratory experiments that this pill is considering filing an application for approval to the Food and Drug Administration to market it specifically for this indication, unlike other pills, which are officially intended contraception.

Further studies are needed

Premenstrual syndrome seems related to ovulation and sparing pregnant or menopausal, treatment inhibiting ovulation course have been tried, and, primarily, estrogen and progestin pills. However, if the initial surveys were encouraging and highlighted the fact that women on the pill had, in general, fewer premenstrual symptoms, controlled trials for their part showed little difference compared to placebo.

What about the new pill Estrogen, named Yasmine, developed by Berlex Laboratories? The first study, presented at the annual convention of the American College of Obstetricians and Gynecologists supports: 258 women taking the pill for six months reported a marked improvement in their symptoms. There is no evidence, however, that the results will be as successful as the pill will be compared to a place.

PMS: Towards New Treatments

While the causes of PMS are still mysterious, recent research has focused on mitigating the events. Headaches, bloating, breast pain ... the diversity of symptoms that partly explains the miracle antidote yet to find.

Dietary advice to drug treatment, experts have in turn recommended vitamins, minerals or progestins. A quick tour of recent discoveries.
The truth about vitamin B6 and progestins

SPM: New traitementsL'efficacité of vitamin B6 in the treatment of premenstrual syndrome (PMS) is challenged by some studies. To try to see things more clearly, an analysis of previous work was conducted in 1999. A total of 9 work on 940 people have been screened by researchers at the University of Keele (Great Britain).

Results: After emphasizing the relative mediocrity of most previous studies, researchers agree, however, that a daily dose of 100 mg of vitamin B6 appear to reduce symptoms of PMS and premenstrual depression. Vitamin B6 occurs naturally in some fruits and vegetables including bananas, lentils, bran cereals, fish, etc..

Similarly, the use of progestins has long been indicated for the treatment of PMS, but not necessarily be a true consensus. An analysis of all work2 on the subject is able to conclude its inefficiency.

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Natural remedies

For several years, the use of tranquilizers and anti depressants seem to respond to mood disorders.

Some researchers believe that a lack of prostaglandin E1 could explain the occurrence of PMS. This substance can be synthesized by the body only from the GLA. This fatty acid is contained in evening primrose oil. Thus some studies have been conducted to assess its effectiveness. Reviewed the results of studies on the subject appear to say the least controversial and incertains.

An excerpt from the nail girofle Norvogen developed by the laboratory appears to reduce menstrual pain in the breast. The study took place over 5 months included 18 women aged 25 to 40 years. "The cyclical pain in the breast is a common problem very difficult to treat," said Dr. David Ingram, director of the Breast Center at the hospital in Perth Australia. The origin of this experiment, the researchers found that this symptom is particularly common among Western women.

Meanwhile, the diet of Western populations contain 1-5 mg of isoflavones against 35 to 200 mg for eastern populations. These compounds are known to mimic female estrogen hormone activities Isoflavones are found in certain plants, particularly cloves. Funded by the laboratory, the study concludes that 40 mg of this extract called Promensil ® reduced by 44% the pain in the breasts.

Premenstrual Syndrome: Nutrition think !

Headaches, nausea, breast tension, irritability: these problems come back every month a few days before menstruation. They cover 70% of French women who suffer from premenstrual syndrome famous. And if the choice of certain foods could effectively limit these symptoms? Update on recent discoveries in nutrition ...

Before menstruation, physical and psychological disorders can be treated without medication. Calcium, magnesium, essential fatty acids and vitamins come to the aid of premenstrual syndrome (PMS)!

Calcium and magnesium: an ideal combination

PMS evidence is made: consume 1200 mg of calcium per day reduces the physical and psychological symptoms of PMS by nearly 50%! On a daily basis, this represents four dairy products per day (milk, yogurt, cottage cheese, cheese) associated with water rich in calcium. In addition, one study estimated that 200 mg of magnesium per day decreased fluid retention and swelling of 40%. Magnesium also has a calming effect acting in muscle, to limit the PMS cramps, and nervous about the plan, to reduce mood swings.

Salt and Swelling

PMS is often characterized by a breast enlargement and an effect associated with heavy leg swelling. To control these problems, simply reduce the consumption of sodium (table salt and salty foods) because it promotes water retention in tissues. Drinking enough (1.5 l per day) and eat foods rich in potassium (bananas, dried fruit, almonds, walnuts, peanuts) also compensate for this phenomenon.
Fatty acids to hormones...

Omega 6 and Omega 3 (polyunsaturated fatty acids) are converted in the body into prostaglandins. These substances regulate hormone action. But the deficit could be the cause of mood disorders characteristic of PMS. Indeed, analysis of different dietary surveys show that women consume too little omega 3 suffer from more severe PMS than those who eat enough.

In practice, the supply of food in Omega 6 is usually sufficient. By-cons, Omega 3 are rare, and few women cover their needs properly. We can then recommend fatty fish 2 times a week and a tablespoon of canola oil, nuts or soy every day on vegetables.

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Bleeding During Pregnancy

Bleeding during pregnancy: we must see!

Being pregnant is always a delight! And a lot of anguish! Bleeding during pregnancy are very afraid of women, 25% of them will have to face during the first weeks of pregnancy. Is it always bad? How to act? To answer these questions, a friend of mine had met Dr. Noelle Thaler, obstetric gynecologist at the hospital Longjumeau. It reveals the possible causes of these disorders.

Bleeding during pregnancy frighten pregnant women. What might be the causes?

Dr: Bleeding cause real anguish, especially when it is a first pregnancy ... and so much more! They can be a sign of very serious problems. This fear they cause is often a lifesaver because it encourages women to talk to their advice.

Fortunately, there are a host of benign conditions causing loss of blood. For example, throughout pregnancy, the cervix is weakened. It may bleed after sex for example.

During the first two months, it also happens that bleeding occurs anniversary dates of the rules. This phenomenon is quite rare, and is not dangerous is not really rules.

Besides these examples, some problems are characteristic of early pregnancy and other rather recent months, that is why we speak of bleeding the first and last quarter.

We do not bleed for the same reasons at the beginning and end of pregnancy?

During the first months, the physician must first ensure that it is not a miscarriage or an ectopic pregnancy.

The placenta may also be slightly off and cause blood loss, but it generally does not affect the course of pregnancy.

Exceptionally, the bleeding can be caused by a "molar pregnancy". This is an uncontrolled proliferation of cells in the placenta, which must be treated promptly by a doctor on pain of serious complications. It is relatively rare in developed countries (1 / 2000 pregnancies).

The pregnant patient

questions about bleeding after childbirth

After delivery, the body is recovering from this great experience! Some bleeding is expected. Why? How important? They mean the resumption of the menstrual cycle? This blog shows an update on all these practical issues besetting young mothers!

1. Is it normal to bleed after childbirth?

Yes, it's quite normal! Although childbirth is a natural process, it is traumatic for the body. It leaves minor wounds in the vagina and uterus that may seep some time. Bleeding becomes worrisome when accompanied by pain and fever. They may reflect an infection. Your journey to motherhood allows doctors to monitor days of the baby but also your puerperium.

2. When should I expect to have its new rules?

The rules come in about six weeks after childbirth. This period extends to the duration of breastfeeding and its intensity. Then they mark the end of the post-partum. The return of rules - or return of menses - marks the resumption of menstrual cycle and may be preceded by ovulation fortnight earlier.

3. What is lochia?

This delivery bleeding is bleeding from the early postpartum period following childbirth. It will last a fortnight before they dry up. Also known as vulvar discharge. The lochia are composed of blood clots, debris placental membrane and oozing sores of the vagina and cervix. During the first three or four days, the bleeding will probably be of comparable importance to the rules and have a bright red color. They then become less abundant, lighter and can continue for another month. The lochia usually disappear more quickly in women who are breastfeeding.

The Pregnant Patient II

What is the small return of diapers?

While the lochia are not completed, sometimes bleeding to intensify the twelfth day. We are talking about small back layer. It may take three or four days. The small menses has nothing to do with rules or with the resumption of menstrual cycle.

The return of rules announces he is always a resumption of the ovarian cycle?

After delivery, the body recovers lost pace in nine months. Often it takes a few weeks before everything returns to normal. In addition, breastfeeding disrupts the cycle and can block ovulation. This is why doctors do not always wait for the return of layers to prescribe contraception. Attention, sometimes women fall pregnant a month after childbirth, so do not take lightly this time!

Breastfeeding delays the arrival there of the back layer?

Mostly, yes. The deadline for the return of layer will be more repulsed that breastfeeding will be intensive. When the baby sucks, hormones that prevent the smooth running of the ovarian cycle and the return rules are released. The use of breastfeeding as a contraceptive method returns the mode (LAM), but that means strictly follow certain rules, your gynecologist will be able to explain. Keep in mind that the mere fact of giving breastfeeding her baby does not protect a new pregnancy.

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Safeguards, When Bleeding.

What safeguards do you use when bleeding after pregnancy?

To protect the linen from bleeding after childbirth, motherhood generally provides sanitary napkins made of cellulose. Copies are available on the shelves of supermarkets childcare or pharmacy. The followers of the buffer must be resolved for some time to use towels as these protections are generally better supported in the first weeks after birth.

Does it bleed more if you underwent a Caesarean or an episiotomy?

Normally, no. Caesarean section or episiotomy is the surgery. They are no longer bleeding after childbirth. However, like all mothers, the interested bleed, but it will simply lochia.

What complications should be suspected in cases of abnormal bleeding?
Although it is normal to bleed after childbirth, some bleeding betray the presence of a pathology. Sometimes the placenta is not fully expelled during delivery. These "leftovers" can still prevent a uterus to regain its normal size and cause bleeding. Treatment is usually surgical (suction curettage) but can also make use of new drugs that cause contractions to expel the placenta finish. If retained placenta is not detected early enough, it can cause an infection in the uterus (endometritis) and fallopian tubes (salpingitis). Infection results in fever and pain and will be treated with antibiotics.

To whom should I report disturbing bleeding?

If the bleeding is accompanied by pain and fever do not hesitate to contact your doctor immediately. Six to eight weeks after delivery, the last mandatory consultation should allow the gynecologist to take stock of your health. You will have the opportunity to ask any questions that torment you. If you need advice or start to use contraception, this consultation is also made for!

You Said "Menses"?

You return from maternity and dread the famous "menses" ... But what does this phrase exactly? How to manage the return to normal? To help you find your woman's body, gives his advice ends a few ideas ...

Many women returning from maternity, famous fear the return of menses. Some details remain to serene face a natural step.

When hormones get involved!

The layer woman is pregnant, the levels of some hormones increase its body: the case of prolactin. This same hormone after birth, which triggers lactation: more sucking of the child, the greater the level of prolactin increases, the secretion of milk is great. After feeding, other hormones (follicle and progesterone) offset the impact of prolactin: the milk dries up temporarily until the next feeding. Prolactin is the hormone that interrupts the reproductive cycle. Thus, during lactation, when prolactin levels are high, women can not theoretically conceive. The return to normal hormone results in recurrence rules: the famous return of menses.

Back layer: when is it?

After childbirth, women have brownish discharge, the lochia. This flow can last several weeks, however, about the twelfth day after birth, the losses are often more abundant, without being followed by a resumption of the menstrual cycle: it is called the "little menses.

What we call real "return of layers," it is the first period after childbirth and are generally longer and more abundant than the normal rules. If not breastfeeding, the return of menses occurs six to eight weeks after the birth of his child. When breastfeeding, the return of layers is later: either it occurs after the end of breastfeeding, or if it extends about 3 months after childbirth.