Young Women's Health & Wellness in Telugu | Dr Manjula Anagani | Podcast EP 07

 Young Women's Health & Wellness in Telugu | Dr Manjula Anagani | Podcast EP 07

https://youtu.be/Sa_7-c7diMU?si=XRfKFWc5W--cBqpn

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https://www.youtube.com/watch?v=Sa_7-c7diMU

Transcript:

They're still unmarried young youth. So sexual desires, how can we relate to our physical, you know, attributes [Music] different reasons. So we'll start very delighted. It's a privilege to be part of your show and mood imbalances. This is something that can happen because of this. So [Music] firstautions definely definitely sex education is the most important thing because such as that how to be comfortable with

themselves in their body system it's normal when we have pushas running at whatever age till 40 42 what they can still do it hi namaskar welcome to hospitals beyond medicine [Music] the very special Dr. Mangala Anaganu the Padmasi awardee and celebrated gynecologist. Welcome. Namaskarum. Namaste. So sweet. [Music] So [Music] see puberty, adolescence very words for everything that It's very difficult to take care of a

teenage So external physical characteristics breast development to pubic hair breaking puberty or adolescent ketchup grow. So important. So this is what is the puberty or adolescence where the need for the person is different for a doctor

gynecologist. [Music] So see adolescent 10 to 19 but actually the whole puberty age that might vary from 9 years to 14 to 16 Yes. Secondary sexual characteristics we should start evaluating at 14 years only. Okay. secondary sexual average 12 years 10. So early. So first

breast and pubic hair getting exposed to too much of hugging scenes and all those things on the movie. They also have an impact on [Music] stress everything will have an axis called HBO hypothalamut ovarian axis. So stimulation hormones hormones first breast development breast butt establishment pubic hair development one Seventh class, sixth class

within fourth class. So screen time is equal to our physical screen time makes a difference. So there are four things which are important. One is environment. Second is the stress. Third is the diet we eat. Fourth is not doing any exercises and physical activity. All four are equally important for early minarchy stress.

Okay. So first hospital and science. So kids nowadays are very intelligent. So they're understanding that is a very good point that they need to understand what are the changes their bodies can undergo. So when we were in nth class there was a girl who was going on crying. We didn't understand why she was crying.

 She thought it is cancer. Oh. So she start she started she started bleeding nobody told her that it was in nth class 9th class or eighth class I don't remember exactly. She decided she has cancer and she's going to die. Oh, sixth class they know what is menstrual cycle. That's a good thing that they have to know.

How to maintain menstrual hygiene important. So pads if they are giving then it has to be organic menstrual pad and schooling of the pubic everything goes into the menrology and that age vaccines. Okay. So vacural psychology. So there are types of

there is something called physiological dysmenoria. We want the water out. So we are pressing from one side the balloon and we want the water out because it is tied it cannot come out. So pressure. So that is what happens in some girls. And that usually settles off most of them once the sexual life starts or once the delivery happens.

Mhm. Endometriosis, fibroids, polip, infection, additions, majority it is physiological. Mhm. So but majority group it is spasmotic dysmenoria which can be treated with healthy lifestyle [Music] simple antispasmotic Okay. There is nothing like right or wrong. Different. So stop comparing with others

and sometimes we have to stop comparing with ourselves also. It can be delayed. So it varies then what is normal what is abnormal. You can have one day period it is also normal. You can have 7 days period that is also normal. Oh and the gap between so gap between two periods 45 it's okay. So abnormal. So blood clots that is abnormal menstrual blood do not clot.

We should get evaluated. Okay. 45 days you should meet the doctor and get yourself evaluated. 15 days two three times you should go and get yourself evaluated. So clots. Okay. For exampibroid most common reason

exam stress exam stress. So periods okay so bloating symptom premenal premenstrual syndrome PMS PMS PMS can be different different types it can be bloating weight gain or it can also be irritation shouting at People

depression usually it is because of the hormonal deficiencies or regular supplement deficiencies B6 deficiency. So firstments there are certain pills which we give which will make them lose [Music] severe diseases, premenstrual syndrome,

progesterone supplement system. So progesterone deficienc device like progesterone for express day 21 day2 progesterone levels if it's very less that that is when we decide that this is progesterone related. Oh, okay. So, different reasons. So, we'll start with

pesticides. Dioxins will cause endocrine disrupting chemicals they are called that. So thyroid hyproid [Music] what we eat, what we breathe, what we are doing. So important what we wear nearer to genital tract. So we have to be careful that no pop no plastics over privates release of the dioxins. So first chicken should be more heavier.

 M so they're filling them with steroids. They're feeding them with lot of medicines, hormones and so we are from externally taking all these things. Then when we put on weight that is one way of hormones when we put on weight fat. So extra estrogen in the body. So that also causes precautious puberty. And on the top of it, we have become couch potatoes. We not doing exercises.

We are not more estrogen. More estrogen, more problems. So it is not one thing like I said four things addictions to it with adults addictions. I'm not putting it as one thing but otherwise four in those five in the adults. stress, environment, what we eat and the amount of exercise which we are not doing plus the addictions which we are getting used to.

 It can be screen time addiction. It can be what you eat, what we drink alcohol. So obesity obesity usually like I said more estrogen but saying that if PCOS is causing obesity there are other reasons why the periods will be delayed it's like you know one side Correct. Eggs are not getting released. PCOS. There won't be one good egg forming.

 So, it is not released. Because it is not released, everything is delayed. And local testosterone hormones become more masculine, more acne, more hair. Then local insulin resistance insulin resistance. So they put on weight. Oh they will have it insulin resistance. So insulin socology they put on weight hormonal imbalance they put on weight.

 Okay, that is one one spectrum. Whereas the other end is obesity where Okay. So definitely some amount of fat is very important for hormonal balance. Correct. Correct. So many reasons. Okay. So secondary sexual developer probably she's a boy genetically

phenotypically she might be a girl or it can be something like Turner syndrome X so genetic problem second problem which we we usually see is hormonal imbalance central level or sometimes thyroid problem. So problems. Third would be Hormones. Genetics. Genetics. Third one. End uterus.

breast syndrome abnormalities. So malfformation issues. So check to 14 to 16. Okay. So hygiene important. So

almost pads cups menural cups cups they're economical and economical economical. So eco-friendly and so pads which are very popular because we want to difficult to put in the brain. We are the ones we have. First thing is 12 to 17 years. It's silicon inert. It will not cause any side effects. That is enough. Whereas when you're using pads, please

be careful that you do not use plastic pads. All these most of So please go for only organic sanitary napkins and even tampons if you are using organic tampons or you nowadays you also have period panties. Correct. So you can use period panties, you can use cloth which can be reused or even you can use organic sanitary pads or you can use um tampons organic or menstrual cups.

 The safest best is always menstrual cup because they get decomposed and decomposed whereas plastics can never be decomposed. That is the reason again dioxins are being released and again that leads to so much of damage to the environment and for the human being. Correct. So when we use menstrual cups that is eco-friendly we are using it for so many years.

 We are not putting in dust bin and it is not just throw them off nothing will happen. It will not cause any damage to us or to the environment and the most cost effective. Correct. Always no pop, no plastics over privates. Okay. So, okay. So is there any information how social media is so much into it and we get lots of website which teach us how to use it is very simple it is so easy to maintain that once they are used to it they're like it's just like

you just have to put it inside and it unfolds itself and latches to the lateral walls of the vagina. Correct. So it's very simple. It's not at all difficult. It is very very easy. And you can go online in anything and see for the YouTube video of how to insert a menstrual cup sizes will vary. Unmarried young girls small size then married without children medium size absolutely safe and many good social media videos will be available how to use it.

 So very very convenient and comfortable. You will not feel it as if foreign body is inside. So okay. So uh because young children mental stress periodsffect what all kinds of mental stress exams age group. So first thing is parents pressure also important. There are two ways. One is the external world putting pressure on you or you yourself are putting pressure on yourself.

 And don't I? So age first external first starts with parents and their expectations on you. Second your friends and the peer pressure on you to be cool to be second. So important. So stress that affects the pub and that stress will affect the adal glands and fight or flight responses. So that is the one which will start off the whole body steroids androgens that is the response which comes from it. So that will stimulate the brain.

 M so everything starts from there. So what sort of a thing we are giving to the child important while I know killer instinct is important I know parents want the best from them that's good there is always something called as positive stress there's something called as negative stress positive stress is some all of us need that positive stress to push us beneath stress negative stress that is positive stress system.

Okay. So, it's okay not to be okay. It's okay not to get 99%. It's okay. You can try out experiment. You don't like this subject, it's okay to change your subject, right? acceptance parents accept even the child should accept. Okay. So young children 18 to 21 or 21 plus they're still unmarried young youth kind of hormones they want to know more because of exposure.

So sexual desires. So dan gurini is it how can we relate to our physical uh you know attributes see this is an age group where there's lot of energy in them okay so unless we channelize them in the right way then they can go emok soap so that they don't get diverted into other things but today's generation knows so much they want to know more because of hormones and that is the age where you they're exposed to people around peer pressure again and the screen which is there. Okay.

 So it is okay to know but it's also to they have to understand the limitations of social life plus what is good for them what is not good for them. So physically what are the changes whenever they have this hormonal resurges which come for a girl in that age group there's lot of discharge which comes from vagina they come anything which comes we call it as discharge we need to understand that urine motion vaginal secretions are a norm there something called physiological unless there's a sexual life which is started you your your discharges never get

infected. So around oation time that is thick and all that is a normal white discharge just before periods also it can come. Another time which can happen in this age group is whenever there is sexual urges. It's like definitely secretions will be more physical changes that you know everything rest changes can come the thoughts can come but do you act on the thoughts is what is important those are all there that's where your brain comes into play that's where they should also be equally exposed to what can happen if

onward accident happens The importance of contraception, importance of understanding the correct knowledge, it's very important. Sex education is the most important thing because I really don't know but that is even more dangerous. We are not telling them to work on it. We're not telling them to use it.

 We are not telling we are not telling them you should have. No, but we should were telling them what are the pros and cons if you have. Correct. That is what is sex education. Exeducation is not somebody pushing them to have. That is the wrong thing which people should not understand. Should understand that if something like that happens, you can have vaginal tract infection which can have detrimental effect on your future pregnancy.

 M if you're not careful and you have not used condoms there don't use contraception pregnancy and abortion is real abortion can also lead to problems that future Pregnancy [Music] They will not do any wrong thing because they know what can happen. If they do, ignorance is bliss. They will think it is normal. No. are the important.

 So education only doctor has to go and tell parents have to tell it has to it has to become the front room conversation. So start mother should tell the daughter if they are comfortable father should tell the son if they are comfortable and equally important. Father should tell the boy what why it is important. Obesity problems, iron deficiency.

size again important. Everything has an effect because some amount of fat is very essential to have menstrual cycles. There is something called as female syndrome. So breast development breast development. So we need to have some amount of fat and

it's a psychological condition body dysmorphism which is very important for the body. Again premenstrual syndrome some amount of deficiencies can so when the deficiencies are there hormones can become like this we need to have estrogen progesterone important first so whether it is malnutrition because of what they are not eating or because of their fat fats of diets or iron deficiency because of what they are not eating or because of equa bleeding everything has an effect on the cycles.

Fantastic. and nutrition. So because in this modern world it's their choice what sort of iron they want to take that is bum is the most important important source of iron. So it is not just oxygen what we take that goes into blood the hem the hemoglobin is the one which carries the RBC Correct. So we'll become very weak lethargy.

deficiency is detrimental for anything and anemia is the common cause for so many we are susceptible for so many diseases when we are because we start bleeding and every month around 30 cc to 80 cc's of blood will be lost regular How are you taking whether it is kajurala that you have to decide you decide you want medicine or you want a food sure and d vitamin deficiency Definely definitely not only periods it is now seen to be affecting in PCOS pelvic floor

strength and everything. So delivery timeffect there are so many other things which we can we can have sunburns we can have sun allergy melanin content also will prevent it from happening. M so what is happening in the recent times deficiency but vitamin D is the most essential thing in pregnancy during regular growing periods.

Vitamin D is the mineral for which makes the bone strength what it is. growing age. Okay. Vitamin D deficiency short calcium and vitamin D and calcium. It's demand and supply. When there's a demand for calcium and vitamin D and we don't give it, they'll not become taller. In pregnancy, another baby is growing inside.

 You need your calcium and vitamin D. Lactation when you're giving baby. So again, one more baby is feeding on you. You need your vitamin D and calcium bank. That is one culprit which we are seeing correlated a lot with PCOS, a lot with infertility, a lot with the pelvic floor, urinary incontinence. Okay.

 So all deficiency B12, B12, vitamin D, iron important. Mhm. Soium calcium good important important a time correct sunlight see people have so many some people say two to three some people will say 10 to 11 I feel especially with then comes to this take supplements if it is deficient if it's not deficient you don't have to take that is important vitamin D or deficiency it leads to toxic icity AD EK these are the fats soluble vitamins we should never overdo them okay and mood imbalances this is something that can happen because of this because of hormones

because PMS it can be posted delivery postpartum psychosis young girls young girls low young girls most of the time deficiencies deficient hormonal imbalance that also second is hormones but first is definitely deficiencies Second is the growing time hormones and plus premenstrual progesterone deficiency also.

Okay. Okay. So towards the end and just understand at the same time first thing is it's called it's a body consciousness they have started getting conscious of their body but first they have to be educated that it's okay that's your body you should be comfortable with your body so first important so never suppress most of the people in that age will start tying very tight braers and cloth around the breast not to show that's not the way we should never do that so first educate the child to be that thing sports

how to be comfortable with themselves in their body it's okay to play sports in that And the whole system when we get this new norm only people will understand that consciousness but how to do they can continue doing their exercises gyming during periods also. So that girl should feel free that it's a norm to have when we have pityas running at whatever age till 40 42 they can still do it and we should just make them aware how are they comfortable how to maintain it how to do what they want to do in a way which is comfortable for her and the

people around. Okay. and body shaming different basically. So a body understanding they should accept it. That's what I'm saying. Being comfortable in their own body and understanding it's a norm. Everything is a norm. Being thin is also a norm. Everything comes in different different sizes. Five fingers are different.

 That is what I keep telling. And stop comparing with yourself with others. Aren't they? And it is a norm. Everybody is beautiful. God makes people in different shapes and sizes and all of them are beautiful. We just have to understand that you are special. Be yourself and believe in yourself. Absolutely. Thank you.

 Thank you so much. Pleasure talking to you. Thank you so much. Thank you. Namaste. [Music]