What are the main health concerns in the early twenties?
WOMEN’S HEALTH:- Obesity insulin resistance, acne, lack of physical activity and menstrual irregularities due to polycystic ovaries could be the main concern. Regular exercises, a balanced diet, and a stress limited life is suggested. Obsession for junk food and binge eating should be avoided. If there is a family history of diabetes, hypertension or premature coronary artery disease blood pressure, diabetes and cholesterol check-up are suggest ed. Maintaining a positive attitude and normal weight is advisable
What are the main concerns in the thirties?
Problems related to pregnancy are known to increase in pregnancies after 30 years. Miscarriage and fertility issues are likely to increase in this period. Be active physically and avoid weight gain. A balance between education, career goals, and family life need to be looked into. A newly married woman will need extra strength to adjust to the new family including the mother-in-law and vice-versa. Yearly blood pressure, diabetes and cholesterol estimation is suggested. Discussion on contraception if required should be initiated with your doctor: In the case of a history of breast cancer or cervical cancer in the family, necessary exam nation including mammogram or pap smear is suggested. Thyroid disorders need to be assessed.
What about decreased metabolism and weight gain in the early forties?
WOMEN’S HEALTH:- Lack of physical activity and increased calorie intake and declining estrogen levels play an important role. Raising children, health concerns of elders irregular working hours of husband adds stress to a woman’s life in this period. Many men tend to smoke, chew nicotine or drink alcohol in excess and face problems related to hypertension, diabetes or cardiovascular illness during this period. Women have to bear the brunt of their husband’s follies. Regular walks proper low-calorie nutrition and an annual medical and gynaecological checkup is suggested.
What about breast cancer?
Self-examination of the breast every week after 30 years of age is suggested. If there is a family history of breast cancer, say in mother sister daughter or on father’s side in women with breast cancer or having a blood related male relative with breast cancer increases the risk Early menstrual period before age 12 and starting menopause after 55 years also increases the risk of breast cancer. These women are exposed to hormones for a longer period and thus the risk increases.
What are the risk factors that you can change to prevent breast cancer?
Women who are physically inactive have a higher incident of breast cancer. Being overweight or obese after menopause increases the risk of breast cancer. Taking oestrogen and progesterone for longer than 5 years increases the risk. Having the first baby after 30 years, not breastfeeding and never having a full-term pregnancy increases the risk of breast cancer. Excess intake of alcohol also increases the breast cancer risk
What about menopause in women?
Lack of oestrogen in menopause can cause exhaustion, masala hot flushes, irritability and weight gain. This may be associated with decreased sexual drive. Depression, mood changes and insomnia are common. Lack of Oestrogen, Vitamin D and Calcium can lead to the weakening of bones and osteoporosis and fractures. Menopause increases the possibility of coronary artery disease as well as Exercises exposure to sunlight, supplements of Vitamin D and Calcium are indicated. A detailed evaluation of cardiovascular diseases is indicated every year after menopause. A girl or women’s health is a great challenge to her and her doctor in almost every decade of her life. The problems are related to changing hormonal patterns in her Health issues change every decade in her life. Violence and ill-treatment of women should be totally banned. After all, there is no better person than a mother, daughter wife or sister. They deserve the best.
Author: Dr Jay Deshmukh
Dr Jay Deshmukh is Chief Physician and Director, Sunflower Hospital, Nagpur Honorary Physician to Honorable Governor of Maharashtra and PondicherryCentral. Dr Jay Deshmukh is an M.B.B.S., M.C.P.S., F.C.P.S., M.N.A.M.S., MD From Internal Medicine – Bombay and New Delhi.