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Every woman has unique, complex health needs. But women often pose similar questions to their doctors throughout their lifetimes. Here are the answers to some common questions women ask, from fertility to menopause, with a lot in between. For a day cycle, with ovulation on day 14, the five fertile days are three days before ovulation, the day of ovulation and the day after. But the ovulated egg will die within 24 hours. Most people are going to hit one of their fertile days. Of course, many people do not have that average day cycle, so figuring out ovulation — which happens about 14 days before the start of a menstrual cycle — can get a little trickier, especially if cycle length varies from month to month.

Ovulation tests are available over the counter to measure the surge in luteinizing hormone that occurs 12 to 24 hours before ovulation. Dickes said. Women could also chart their daily basal body temperature. A temperature rise occurs after ovulation and might help predict future ovulation dates, she said. Changes in cervical mucus also can indicate ovulation. It becomes stringy and stretchy during the most fertile period. If women do have irregular cycles and have trouble conceiving, Dr. Dickes urges them to talk with their doctor. A series of testing can help determine the cause of irregular periods, including polycystic ovarian syndrome.

Many miscarriages occur because of chromosomal issues, where the fetus develops abnormally. Dickes reassures patients that they did nothing to cause the loss of the pregnancy. To reduce the chances for a miscarriage with a healthy fetus, Dr. Dickes outlines some precautions women can take before and during pregnancy. Nynas said. Women may experience anxiety or depression. They may struggle with their perception of themselves as a woman capable of reproducing.

Most of the time, Dr. Nynas said, the symptoms will get better over time. However, women should talk with their primary care provider or OB-GYN if symptoms persist or get worse. Other red flags that warrant a visit would be if the pregnancy loss affects relationships at home or at work; if it changes sleeping or eating habits, leading to weight gain or loss; or if it diminishes interest or pleasure in once-enjoyable activities.

Anxiety can also show up during a new pregnancy, too, Dr. Nynas said, as a woman may become hypervigilant for any s of another miscarriage. Pregnancy and menopause can increase frequency and urgency. So can pelvic organ prolapse, or bladder prolapse. An irritation of the urethra from a vaginal infection can produce symptoms similar to a UTI; so can a chlamydia infection.

Vaginal atrophy in postmenopausal women or women who have had their ovaries removed can cause symptoms, too. Klemin said. A UTI requires treatment with antibiotics. Other issues may call for other types of treatment, so a course of antibiotics may do nothing for symptoms in those cases. Klemin recommends seeking treatment within three to four days of experiencing symptoms of a UTI, although anyone with issues involving the kidney or bladder could be at risk for more severe issues and should seek help sooner.

When women ask Dr. Nynas about odor or discharge, she explains that the vagina has populations of healthy bacteria that prefer a balanced environment. Throwing off that balance can result in an infection or changes in odor. Some circumstances that might cause a noticeably different odor include swimming in the pool and sitting around in a wet swimsuit, or continuing to wear exercise clothing after a workout and retaining sweat. Also, Dr. Nynas said, thongs, nylon and satin underwear, leggings and tight pantyhose can reduce ventilation and result in odor. Yeast infections can occur in women of any age.

They may be more common with hormonal changes such as the use of birth control or during pregnancy, as well as after the use of antibiotics. Antibiotics can change the flora of the vagina, Dr. Eating yogurt or taking a probiotic can help some women keep the flora of the vagina in balance, Dr. Avoid wearing wet or sweaty clothing for long periods, in the hot tub or in the gym. Wear loose-fitting cotton clothing. Klemin attributes a lot of constipation, as well as bloating, to dietary habits that lack fiber, fruits and vegetables. Obesity can decrease intestinal movement as well.

So he spends some time talking with patients about diet choices that could improve chronic constipation, along with stool softeners and fiber supplements. And he has seen patients whose painful abdominal bloating was actually caused by endometriosis instead. So she recommends that women take a once-a-day multivitamin. Roark said. Her best advice for choosing a multivitamin is to find one you can tolerate. Drinking enough water in a day can be a tall order for some women, especially if their work situation prevents them from sipping constantly. Two groups of patients could use even more water, though.

Roark encourages pregnant women to drink as much as possible. That can help keep vague symptoms like dizziness and lightheadedness away. And to women who are trying to lose weight, Dr. Roark recommends they drink half of their body weight in ounces of water. Jean Marie McGowan , an internal medicine physician in Fargo, North Dakota , who is certified in menopause management, hears questions about menopause when women start wondering if their symptoms could be related to hormones.

While the age of menopause can vary, the average age in the U. McGowan said. The most common symptoms are hot flashes and vaginal dryness, Dr. Issues can include discomfort during intercourse, urinary urgency and pelvic floor weakness. Other changes may involve weight, hair, skin, mood and sleep. Smoking makes symptoms worse. Weight loss can help make them better. McGowan also recommends limiting alcohol. Spicy food and hot beverages can worsen hot flashes, while dressing in layers and using cooling sheets and cooling pillows can help. She recommends using hormone therapy in the smallest dose for the shortest time needed, which is usually about five years.

In addition to addressing menopause symptoms, hormone therapy may also protect the heart and protect against bone loss. McGowan cautions women to be sure to use FDA-regulated hormone therapies, which have gone through extensive testing and contain the dosage they say they do. Klemin said women are conscious of their breast cancer and cervical cancer risks, and many diligently screen for those.

But they may be overlooking their risks related to heart disease and hypertension. So screening and prevention measures targeting those are important, too, along with awareness of symptoms women should watch for, which can differ from those for men. Sexually transmitted diseases can give women different symptoms than men as well, or no symptoms at all. Klemin, including hospitalization and possibly surgery, as well as fertility problems and chronic pain.

So incorporating weight-bearing exercises as well as calcium and vitamin D can help women retain bone density. For all age groups, Dr. McGowan considers these elements key to living the best life: eating, sleeping, moving and loving. Eight hours of sleep is crucial, too. Written by Jane Thaden Lawson. March 6, Comments the Conversation. If you have a women's health question, chances are Dr. Photo by Sanford Health. Stay up to date with news from Sanford Health. Up. Stay Connected. All rights reserved.

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