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Women’s Health

Infertility Awareness

By Family Planning & Parenting, Women's Health

Sometimes even well-meaning strangers can ask, “When are you having a baby?”  For some people, it’s more than just uncomfortable – it’s heartbreaking. Infertility is not something we often discuss in polite conversation, but it needs to be. One in six families is affected by infertility, and the issue should be discussed so we can all better understand the factors surrounding a private struggle that many people face.

Infertility is common.

Infertility is defined as the inability to conceive a child after more than 12 months of unprotected sex. One in six families are affected by either male or female infertility, or a combination of both. The World Health Organisation has predicted infertility to be the third most serious health condition in the 21st century, after cancer and cardiovascular disease.

Infertility affects both genders.

Males make up just under half of reported cases of infertility. One in 25 men is thought to have a low sperm count, and females over the age of 35 have a one in three chance of having issues with their infertility.

IVF is not always the solution.

There are many, many reasons that a family might struggle with infertility. Some causes are able to be addresses by looking at lifestyle, such as;

  • Frequency and timing of sex. There is a small window every month where conception is possible, and some couples can seek education as to the best way to monitor their chances of conceiving.
  • It’s not well known that many STIs, especially including chlamydia and gonorrhoea, can cause infertility issues. Once an STI has been diagnosed, the doctor can discuss where to go from there.
  • After the age of about 33, conception becomes more difficult. Consultation with a doctor can give you some options.
  • Some genetic factors negatively influence fertility.
  • Lifestyle choices. Alcohol, smoking and caffeine are all known to impact fertility. For some people, giving up these substances helps them fight infertility.
  • Weight and exercise. Being overweight and not exercising makes it much harder for the body to conceive. A healthy body can increase chances of conception.
  • Having all the vitamins and minerals the body needs is vital to healthy conception, especially if someone has a deficiency.

Approach the fertility discussion with sensitivity.

While it’s absolutely vital that fertility is spoken about, remember that issues around sex and conception are often private matters. Some people feel like they’ve “failed” if they can’t conceive naturally within a “normal” timeframe. It’s almost always better to focus on listening and supporting, rather than giving advice.

If you are struggling with fertility, or find yourself wondering if what your family is experiencing is “normal” – talk to someone. Almost every person who finally seeks advice about their fertility wishes they had started sooner. Your trusted GP is a great place to start, and they can refer you on if necessary.

Click here to book a GP to discuss infertility –>

Keeping Abreast of all Things Breastfeeding – 7 Facts You May Not Know

By Children's Health, Family Planning & Parenting, Nutrition, Women's Health

It’s World Breastfeeding Week, and the theme this year is “sustaining breastfeeding together”. Breastfeeding is actually a team effort – the research shows that mothers breastfeed more effectively and for longer when they feel supported. So, let’s get together and look at 7 interesting facts you might not know about breastfeeding.

Breastfeeding benefits mothers

It’s not just baby that benefits – exclusively breastfeeding can have a natural birth control effect for the first six months – but while it’s 98% effective, it’s not 100% failsafe! Breastfeeding also reduces the risk of breast and ovarian cancer, helps most mothers to lose baby weight, and reduces the risk of type II diabetes and postnatal depression.

Breastfeeding helps the budget

Breastfeeding can save a family hundreds of dollars a year. Even without the cost of formula, breastfeeding mothers avoid the cost of bottles, bottle warmers, sterilisers, and specialised equipment. Even mothers who pump their breast milk will not normally require as much additional cost.

Breast milk adapts to baby’s needs

Breast milk changes its nutritional profile as your baby’s needs change. Breast milk for a 1 month old is different to the milk a mother produces for a 6 month old. It can even be different from one day to the next – for example, the body will automatically add more water during hot weather to help baby stay hydrated.

Big breasts don’t mean better breastfeeding

Breast size has very little to do with how much milk is produced and stored. Breast size is usually determined by fat deposits, but it is the mammary glands in breasts that produce milk.

Breastfeeding helps with bonding

Babies are born with limited eyesight – in fact, they can only see 20 – 30 cm. That happens to be the perfect distance to see their mum’s face while breastfeeding. Breastfeeding also gives skin-to-skin contact, which is perfect for bonding with a new baby.

Don’t put the brakes on breastfeeding

Mums can still breastfeed during most sicknesses – in fact, it’s often better for baby. By the time you have symptoms, you have probably already passed on the infection, so it’s best to keep breastfeeding so your baby gets the benefits of your antibodies to help fight the sickness. You also don’t need to avoid a glass or two of alcohol – just wait at least 2 hours after each drink before feeding again.

Breastfeeding knowledge is built up over time

While many people think breastfeeding comes naturally, it can actually take some women time and effort to learn. It’s normal to need help. That’s why one of the major factors that determine whether a mother sticks with breastfeeding is how much support she has.

Not everyone can breastfeed exclusively, but the vast majority of women are able to when given support.  If you have any concerns or questions about breastfeeding or your baby, your GP can help or point you towards free specialist services.

You can click here to book in with a GP –>

Don’t Hold It In – Continence Issues and Why You Should Talk to Someone.

By Elderly and ageing, Family Planning & Parenting, Men's Health, Women's Health

Continence issues are not a popular topic, but if there is no serious discussion, people who suffer in this area often feel alone and helpless.  The theme of this year’s Continence Week is “No laughing matter” – focusing on people’s tendency to laugh off continence issues as a joke, or to treat it as an inevitable part of ageing or childbirth. The truth is, continence is a specialist health issue with a range of treatments and management strategies. Let’s look at bladder and bowel control issues, and why we should be discussing them.

What is incontinence?

Incontinence is the word used for problems with bladder or bowel control. This could mean that a person accidentally loses urine from their bladder, or has accidental loss from their bowels – including faeces or passing wind. Problems can range from small, infrequent leakages to complete loss of control over the bladder or bowel. Over 4.8 million Australians have some loss of control over their bladder or bowel.

Who is at risk?

Bladder and bowel control problems affect one in four people. It is more common as people age, but these problems are not only limited to older people – many young people also have bladder or bowel control issues. Childbirth can also cause complications that lead to bladder and bowel control problems. Many people with poor bowel control also have poor bladder control.

Isn’t it just something that happens sometimes?

People like to make light-hearted jokes about incontinence, but the truth is that bladder and bowel control problems are a health issue.  It’s not a natural part of getting older or giving birth, and it will not get better on its own. Incontinence is an issue that needs medical help to manage, control or fix symptoms.

How can you treat or manage your continence issues?

People with bowel or bladder control issues can feel embarrassed to bring them up, but it is important to discuss them with someone who can help. Bladder and bowel control problems can be treated, managed or cured – you won’t know how much improvement you can make until you ask.

You can work on creating healthy habits to improve your bowel and bladder health by eating healthy food, drinking lots of water, exercising regularly, toning and exercising your pelvic floor, and by reviewing and improving your toileting habits.

Where can you go for help?

Your GP can help you manage and treat your bladder or bowel control issues, and can advise you on what steps you can take to improve your condition.

If you are uncomfortable talking about your bladder or bowel control issues in person, you can phone 1800 33 00 66 for confidential advice, or you can go to www.continence.org.au to find information, connect and share your experience.

Don’t live with incontinence issues – click here for an appointment today.

The weird, wacky and wonderful world of pregnancy – 6 changes to expect when you fall pregnant

By Family Planning & Parenting, Women's Health

Pregnancy causes major changes to your body – some you might be prepared for, and others that are completely unexpected. Here are six of the most common (and strange) symptoms to look out for when pregnant.

1 Shortness of breath

Your organs actually move around to accommodate a growing baby. That means pressure on your diaphragm, which is the band of muscle under your lungs that controls your breathing. If you can’t quite catch your breath, take it as a sign to slow down and put your feet up!

2 Bizarre dreams

High levels of hormones, intense emotion, and lack of solid sleep means that many expectant mums have vivid, memorable dreams. It’s hardly surprising – you’ve got a lot on your mind! Talk about your dreams with a trusted person if they’re bothering you, but remember that dreams are your brain’s way of processing this exciting new stage.

3 Need to urinate

Your bladder gets hit with a two-punch combo, with increased blood volume putting extra burden on the kidneys as well as downward pressure from a growing baby drastically reducing the storage space. Get ready to map out the public bathrooms whenever you leave the house.

4 Increased sense of smell

While perhaps not the most impressive of super powers, your sense of smell is likely to become noticeably improved! This sensory experience will allow you to smell a fast food restaurant before you see it, but might also be a leading contributor to the nausea and vomiting associated with morning sickness. You could try using a fresh-smelling scent such as citrus or mint, and then wait it out – most women are back to normal in the second trimester.

5 Clumsiness

Many women feel clumsy during pregnancy, and it’s not just the sudden change in size and shape. A pregnant body produces hormones that loosen ligaments and joints, which combines with the added bulk in front to confuse your sense of balance and coordination. Protect yourself with sensible shoes and extra mindfulness when moving around.

6 Cravings

Many expectant mothers crave foods (or food combinations) that they won’t touch once the baby comes. Some women even crave non-food substances, such as clay or charcoal – a condition called pica, which should be discussed with your GP. As long as your diet is healthy and well-balanced, it won’t hurt to indulge in the odd pickle-and-ice-cream sandwich, and it becomes a fun story to tell!

If you are concerned about any of your symptoms, remember to discuss them with your GP – you can click here to make an appointment »

Everything you need to know about PCOS

By Chronic Disease, Women's Health

What is PCOS?

PCOS, or Polycystic Ovary Syndrome, is a complex hormonal disorder, that can be difficult to diagnose. The reason it is so complex, is that there are a number of symptoms, and you don’t need all of them to be diagnosed with PCOS. In fact, different women with PCOS may have different symptoms. Further, the name is slightly misleading, because ‘polycystic’ suggests there may be multiple ‘cysts’ on the ovaries. However, not everyone with PCOS has ‘cysts’ and not everyone with ‘cysts’ will have PCOS. Not only that, but using the word ‘cysts’ isn’t completely accurate either, because what is being referred to are actually partially formed follicles which contain an egg. Phew!

So now that we have gotten that out of the way, you probably want to know a bit more about the symptoms of PCOS and why the symptoms occur in the first place.

 

What are the symptoms?

The symptoms of PCOS can include the following:

  • Excess hair on the face and body
  • Hair loss
  • Acne
  • Weight gain
  • Difficulties with fertility
  • Increased anxiety and depression
  • Symptoms associated with periods – such as irregular or no periods, or heavier or lighter bleeding during periods.

Why do the symptoms occur?

The main culprit causing many of the symptoms of PCOS is having high levels of androgens in the body. Androgens are a group of hormones, including testosterone. Under normal conditions, all women produce some androgens from the ovaries and adrenal gland. However, in PCOS, higher levels of androgens are prevalent, which can prevent ovulation and also disrupt the monthly menstrual cycle. The actual cause of PCOS is unknown, but there appears to be some connection with family history, insulin resistance and lifestyle.

 

The weight/insulin/PCOS cycle

For some women, being overweight and suffering from PCOS can go hand in hand, as being overweight can make insulin resistance and PCOS symptoms worse. This is because the more abdominal fat in the body, the more likely that insulin resistance will be present, causing the pancreas to potentially release more insulin. The more insulin released, the more the ovary is likely to produce excess androgens. This may all sound a bit overwhelming, but the important take home point, is that through lifestyle modifications you may be able to make a real impact on your PCOS symptoms. This is because insulin resistance is often partly caused by lifestyle factors, such as being over weight, having a diet high in sugar and fat or being physically inactive.

What can be done to treat my PCOS symptoms?

There are many different options for treatment of PCOS and PCOS symptoms. One of the main strategies likely to be discussed between you and your doctor will be a healthy diet and physical activity. Your GP may also discuss options of various medications with you, such as the oral contraceptive pill, or medications for insulin sensitivity or to lower testosterone levels. Each patient will be different and there won’t be a one size fits all, so it’s important to have these detailed discussions and come up with a tailored action plan for you.

Click here if you need to speak with a GP about PCOS –>

8 questions about Perinatal Depression and Anxiety

By Family Planning & Parenting, Mental Health, Women's Health

Are you a new or expecting parent? Have you had feelings of depression or anxiety? If so, you’re not alone.

 

What are the stats?

1 in 10 expecting mothers and 1 in 20 expecting dads struggle with antenatal (before child birth) depression. Additionally, 1 in 7 new mums and 1 in 10 new dads are diagnosed with postnatal (after child birth) depression each year.

 

And what about anxiety?

Unfortunately, even more new and expecting parents suffer from anxiety.

 

So what does this mean for me?

Adjusting to having a new baby is something that all parents should expect and prepare for. It’s usually a temporary adjustment, and might include some feelings of ‘baby blues’ for the first few days. So if you feel teary, anxious or moody during this time it’s not something to be overly alarmed by. But when these feelings last beyond the first few days and worsen, it could be time to reach out for help.

 

What should I be looking out for?

Keep an eye out for some of the common signs of postnatal depression such as:

  • Feeling like you’ve failed or are inadequate as a parent
  • Having a sense of hopelessness about the future
  • Having a very low mood that continues for long periods of time
  • Worrying excessively about your baby
  • Feeling scared of being alone or scared of going out
  • Feeling guilty, ashamed, worthless,
  • Feeling exhausted, empty sad and teary
  • Having trouble sleeping, sleeping for too long or having nightmares

 

What if I’m experiencing things that are scaring me?

In some situations you might experience thoughts that are confronting to you, such as leaving your family, or worrying that your partner will leave you. If you have these thoughts, or thoughts about self-harm or harming your baby or partner, please seek professional help right away.

 

Who can I reach out to?

Your family and friends.

Your GP – the independent GPs who consult at HealthMint are particularly good at helping people through depression and anxiety. They take the time to listen and work through things with you to put you on a path to feeling better.

Phone services:

 

What help is available?

Family and friends are the obvious go-to, but in some situations, just having a friendly face to speak to outside of your family can be a big help. So you may find that having regular visits with a good GP helps to alleviate your symptoms and make you feel relaxed and in control of your health. A GP can also keep an eye on your symptoms, and help you to determine whether what you’re experiencing needs further help. Together with your doctor you could explore things like:

  • Counselling
  • Group treatment
  • Medications such as anti-depressants
  • Developing support strategies
  • Diet and exercise
  • Yoga and mindfulness

So what’s the take home message?

You are absolutely not alone. There are people both within your immediate support network, as well as professionals that are ready and willing to help you. If this article encourages you to take the first step, then you are already a step closer to feeling better.

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