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3. Nutritional Changes Are Key to Wellness During Perimenopause and Menopause. Yep, this isn’t like taking a Tylenol for a headache. A cluster of dietary upgrades, as well as mineral and vitamin ...
There are a few things that happen during menopause that can make weight management more difficult. “Women gain weight in this time of their life due to hormone shifts,” Dr. Shepherd says.
Antenatal perineal massage (APM) or Birth Canal Widening (BCW) is the massage of a pregnant woman's perineum – the skin and deep tissues around the opening to the vagina (or 'birth canal' – when a baby is in this passage), performed in the 4 to 6 weeks before childbirth, i.e., 34 weeks or sooner (Reference 7, as more births are occurring at around 28 weeks) and continued weekly until birth.
A Cochrane review found that routine use of episiotomy increased the incidence of severe perineal tears by 30%. [11] Several other techniques are used to reduce the risk of tearing, but with little evidence for efficacy. Antenatal digital perineal massage is often advocated, and may reduce the risk of trauma only in nulliparous women. [12]
[1] [2] Effects of menopause can include symptoms such as hot flashes, accelerated skin aging, vaginal dryness, decreased muscle mass, and complications such as osteoporosis (bone loss), sexual dysfunction, and vaginal atrophy. They are mostly caused by low levels of female sex hormones (e.g. estrogens) that occur during menopause. [1] [2]
No objective loss of sensation on clinical examination. Loss of superficial sensation in the perineal area is more indicative of a lesion at the root of the sacral nerves. [17] Pain significantly relieved by an anesthetic block of the pudendal nerve. [17] This is an essential, but not specific criterion.
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