Sanitary pads are directly related to genital and reproductive health – Dr. Balakrishna Shah

Use sanitary pads or traditional cloth? This is a matter of debate. However, doctors say that no matter what pad you use, you should pay attention to its cleanliness. Often the pad needs to be dry, soft and clean. So even when using traditional cloth pads, its cleanliness is the main thing.

Of course, there are different types of pads available in the market. There is also diversity in its price and quality. However, these pads are not accessible to everyone. On the one hand, pads are not readily available everywhere and its price is determined arbitrarily. So not everyone uses the sanitary pads available in the market.

An alternative is a cloth pad. However, while using such pads, it is said that the correct method should be known. This is because the pads used during menstruation are directly linked to genital and reproductive health. In this regard, the online news, obstetrician and gynecologist Dr. He has talked to Valakrishna Shah.

What are the problems in the genitals due to negligence in hygiene during menstruation?

Lack of hygiene can lead to genital infections. Infections can have immediate and long-term effects. The immediate effects are white water, lower abdominal pain, and back pain. Long-term effects can also come. This can lead to infertility, problems with the genitals, ectopic pregnancy without a baby in the uterus, and tubal blockage. Menstrual irregularities can lead to long-term problems.

In such a situation, what should we pay more attention to?

During menstruation, you should pay more attention to hygiene and food. Some people need to rest.

It is normal for someone to have more pain during menstruation. What makes it so?

We call dysmenorrhea the most painful. It usually happens during menstruation. But the important thing is whether he can bear the pain or not. Someone’s ability to bear the pain is also reduced. During menstruation, the lining of the uterus ruptures and a kind of chemical substance is produced and the uterus contracts, causing pain.

If it is tolerable, it should be considered normal. If it is unbearable, it should be checked if it has affected the daily work. Examination reveals the cause in many cases. When the cause is found, dysmenorrhea is cured after treatment. In some cases it may not be detected. If we keep some medicine for some time in case of not feeling well, it will get better after going back. But if the cause is not found, it is delayed. It is also caused by an infection. Lack of hygiene during menstruation and infection can lead to dysmenorrhea.

How much sanitary pad is mandatory during menstruation?

This is a matter of debate. Whether to use sanitary pads or traditional cloth is a matter of debate. She is in her place.

When talking scientifically, you should use a clean, dry and absorbent pad rather than which pad to use. The infection should not spread. That doesn’t mean you have to have a sanitary pad. Homemade fabrics can also be made.

Care should be taken while using. Home pads can also be used if you want to change the wetness and dry in the setting sun. Do not wash clean, cover with another cloth and dry. Commercial pads are easy to use, but expensive. Throwing is not easy everywhere. So this is not to say that it should be used. Use what is within your reach. The pad used should be clean, dry and absorbent.

How often should the pad be changed once menstruation?

Sophisticated, commercialized pads are now available in the market. Companies have set their own targets. Or they are producing pads that can be used for 6 to 8 hours and have the ability to absorb a lot of blood.

It is better to change such quality pads in 6 to 8 hours according to office hours. Home-made pads need to be replaced a little faster. Because the clothes do not have the ability to absorb so much blood. After getting wet, it should be returned. Do not keep the same pad for more than 8 hours even if it is not wet.

What are the risks of using the same pad for long periods of time?

The problem with menstruation is the same. During menstruation, the cervix opens, and bacteria enter the vagina. Because of the good growth of bacteria in the blood, the increased bacteria can travel to the uterus or even to the internal organs beyond the uterus.

That is what causes infection. Everything else that happens is the cause of the infection. This is what happens when the pad is used for a long time and this is what happens when the hygiene is not good.

The quality and company of the pads are different, does the low cost or cheap pads have any effect?

Of course it does. Depending on the quality, how much time can be taken, or how much blood is sucked, the infection will not spread. We use pads not only to hide blood but also to prevent infection. Poor quality pads don’t do that.

The Government of Nepal has also set the criteria. It has been specified that the pad should be of centimeters and thickness. On the same basis, companies are selling it for a long time, for a short time.

Someone has a lot of bleeding during menstruation, what is the reason?

Menstruation also occurs in different ways depending on the person. Some have it in 22 days, some in 28 days, some in 35 days. Similarly, blood also flows according to the person. Some have only two days, some have seven days, some have to appear.

But it is normal to be between 21 to 35 days. If you go above 35 days, you should not be afraid, but if you go beyond 21 days, you should check.

Similarly, it is normal for someone to have two days, two days or even seven days at that time. If it is more than 80 ml, if it is more than 40 gm, then it should be treated. It is important to seek the advice of a health worker. As more blood from the body can be a problem. Regular but less frequent problems.

Dr. Balakrishna Shah, Obstetrician and Gynecologist, Morang Cooperative Hospital, Biratnagar

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