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Vaginal plug the attention of drug

     There are many gynecological diseases have taken the drug method of vaginal plugs, but there are a lot of people do not know how to use, although the time of dispensing doctors explain very clearly, but still some people in the evening when the medication,

Asked the doctor how the medication should be called or, worse, not their own medication, he made a special went to the hospital to allow doctors to help the drug.

Interpretation of your vaginal problem – and then unrestrained uninhibited women experiencing gynecological problems, there is often a taboo, especially for their most immediate concern “that part” There are many doubts, but I do not know where to ask. In your body’s organs, the genitalia are classified as probably the most shy with people talking about the site, being the case, then let your own to view the bar!

Please cherish our private channel – the fashion magazine has repeatedly emphasized that “breast self” importance, since most breast cancers are first found in the patient’s own vaginal health, too.

Self-examination is the best time to bath, you use a small hand mirror you can see the most hidden parts of lower body. In this area with your fingers to do a little “search.”

The experts say this gynecology: vaginal medication is very common, but how and efficacy of medication, or have a certain relationship.
First, the doctor’s time to seriously listen to the words of a doctor, do not understand do not understand where should promptly ask what;
Second, carefully read the description of drug use, if there is doubt, promptly contact your doctor;
Thirdly, the general medicine vaginal plugs are in the evening, so that drugs can sleep during the full decomposition, a direct effect on the local, if during the day to use, easy flow of drug through the vagina, both contaminated underwear not allow full access to the lesion of drugs ;

Fourth, we must adhere to treatment. If it is because of such factors as vaginitis or cervicitis Cypriot drugs, will have to fight for the complete cure, in the doctor’s advice to the hospital after treatment still have to review, can not alleviate the symptoms, they run out of steam, if not completely cured, it is easy to relapse, will make the bacteria resistant to impact efficacy.
Glossary:

Vaginitis – Candida vaginitis, formerly known as the fungal vaginitis, vaginitis is a common, more common in pregnant women, diabetes patients and those who receive a large number of estrogen therapy. In addition, long-term use of antibiotics to make dysbacteriosis ﹑ corticosteroids to reduce the body’s resistance to wear tight-fitting synthetic underwear.
Cervicitis – Cervicitis is a common gynecological disease while, but many female friends do not understand the disease, there are some misunderstanding. Kind of person that married women will have cervicitis, it will not affect the work without affecting the life, insignificant, treatment and no treatment are the same. Another kind of person that the cervicitis is a precancerous lesion to talk about cancer, discoloration, have a “fear of cancer” affecting the emotional and even everyday life.
Fifth, some patients do not understand why people do not do vaginal washing, while they do wash? In fact, for many patients leucorrhea, direct plug will affect the efficacy of drugs, so doctors will recommend a flush, so that after the plug drugs to reduce secretions.

This washing is best carried out in a hospital. Rinse the vagina and sometimes counterproductive – many women are misled by the dirty habits or after sexual intercourse, most selected merchandise washing the vagina, one to prevent pregnancy, and second, fear of infection for sexually transmitted diseases. Medical findings may be the contrary, the Indonesian doctors had 599 cases of analysis of women in antenatal clinics and found that frequent use of vaginal lavage washing products for women than for never used liquid rinse wash women, the risk of infection rates of sexually transmitted diseases, but增加.

Sixth, there are some suppositories with sliver of health, we must promptly removed, can not be too long.
Seventh, in the Cypriot medicine, it is necessary to keep the vulva clean ﹑ dry and wear breathable cotton underwear and change daily. If it is ﹑ fungal vaginitis, trichomonas vaginitis, etc. must not only husband and wife-wen, also note that underwear should be disinfected every day.
Eighth, the Cypriot drug during treatment is best not to have sex, menstruation to stop Serbian medicine.

Vaginal itching how medication should be?

     Candida vaginitis is the most common symptoms genital itching, burning, along with rubbish like leucorrhea; vaginal bacterial infections will make the vagina redness, fever, there are sticky and with a smell of the secretions;

As for the trichomoniasis infection, will produce a large number of foam-like yellow discharge … … Along with the popularization of medical knowledge, and now many women experiencing gynecological problems, increasingly prefer to make their own diagnosis, and even their own prescription to buy drugs.

However, experts said, leading to many reasons for women’s vaginal itching alone one or two symptoms that under their own prescriptions, it is possible to minor problems become larger, leading to delay and harm the illness.
     Get rid of annoying vaginal itching

Why is vaginal itching it is unfit for self-diagnosis?
Candida vaginitis pathogenic factors. Research shows that there is blood, urine sugar high, pregnancy, a large number of application of immunosuppressive agents and broad-spectrum antibiotics, yeast hyphae were gastrointestinal tract infections, obesity, too frequent sexual intercourse and other problems, the reduction in immunity cases, are likely to cause vaginal disease. The patients behind the problem of the vagina do not understand the real risk factors, if the blind self-medication, to contain the partial vaginal symptoms, the condition of other parts of the body is still difficult to diagnose.

Experts recommend: If you think they appeared in vaginal itching, abnormal vaginal discharge and other symptoms, be sure to go to hospital discharge examination. If the self-medication within 23 days after the symptoms had no significant mitigation, even accompanied by fever and pelvic pain, we must see a doctor as soon as possible.
So, in the end how to get rid of annoying vaginal itching it?
Some female genital itching so badly, so restless, very uncomfortable, but at another incurable, it is boring, so people called “nasty Yin itching.”
Why does it happen Yin itching? The most common reason is lack of attention to hygiene, infection caused by Trichomonas. Chinese medicine is considered to be due to hot and humid place bets.
You know what? Genital itching is probably due to suffering from vaginitis annoying!

  In addition to Yin itching of patients outside the yellow tape out of the vagina often and are upset, insomnia, Niaohuang and other symptoms. Treatment approach is Kiyotoshi hot and humid. In addition to the choice of Longdanxiegan films, two wonderful balls of proprietary Chinese medicines, but also can be Jianfu the following prescriptions:

1, gentian 10 grams, 10 grams gardenia, plantain 30 grams;
2, Sophora 10 grams, Treats 10 grams, 12 grams Plantago.
In the oral administration of drugs should be accompanied by the use of traditional Chinese medicine Jianshui Bath, the following remedies available:

1, Cnidium 30 grams, 15 grams of Qin leather, alum 10 grams;
2, Sophora 30 grams, 15 grams of Treats, realgar 10 grams, 10 grams alum, pepper 10 grams.

Some patients not only genital itching, but also in the genital mucosa, or mucous membrane of the skin occurs near the white plaques, gynecologists should be invited to further examination, if it is white spot disease vulva, while the white spots the area has very little, you can try the following methods:
1, Osthol, Millettia, white fresh skin, pseudolaric, wild chrysanthemum, Epimedium 30 grams each, Ze paint, Artemsia argyi, Sophora each 15 grams, pepper 12 grams, 1 gram of borneol, Jiantang , external washing regional;
2, with psoralen cream coated swab local; Shouwu 24 grams, Sichuan broken, Loranthaceae, each 12 grams medlar, Scrophulariaceae, Ophiopogon japonicus, paeonol, Digupi, raspberries all 9 grams, dodder seed, Motherwort The 30 grams, Jianshui, sub-3 second service.

If the white spot very large, there have been chapped and ulcers, or drug treatment fails who often require surgical excision of the governing law adopted.

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Dysmenorrhea a woman can eat?

     Women before and after passing through or menstruation, abdominal waist appear? Pain, severe abdominal pain, severe, pale, hands and feet cold, and even fainting, called “dysmenorrhea”, also known as “passing through pain.” Pain often continues for several hours or 1-2 days, usually after the smooth flow of blood, abdominal pain ease.
  This disease is more common in young women, is one of the common diseases of women.
Chinese medicine, dysmenorrhea usually caused by poor qi or blood deficiency caused by running. There Qi stagnation blood stasis common clinical, Hanning uterus, blood weakness, hot and humid place bets embolism. A good diet can play a preventive effect.

Dysmenorrhea in patients with menstrual cramps in the first 3? 5 days digestible diet should adopt a light-based. Should eat easily digested food, not eating fullness, in particular, should avoid eating cold food, cold food can stimulate a result of the uterus, fallopian tube contraction. And thus induce or aggravate dysmenorrhea.
Menstrual cramps have been even more should avoid all raw and non-digestible and irritating foods, such as pepper, raw onions, raw garlic, pepper, alcohol, etc.. Patients during this period may be appropriate to eat You Suanwei of foods such as sauerkraut, vinegar, etc. to ease pain in the role of sour foods. In addition, dysmenorrhea both by the former or later, should remain smooth stool. As much as eating honey,

Bananas, celery, sweet potatoes and so on. Because of constipation can be induced dysmenorrhea and increased pain. It was felt that patients with moderate dysmenorrhea drink some wine to pass through the vibrant, and dilation of blood vessels, so that smooth muscle relaxation, for the prevention and treatment of dysmenorrhea play a role. If after much blood may be more appropriate to drink wine, can relieve symptoms, to a certain extent, can also play a therapeutic effect. Wine Due to the presence of ethanol and the excitatory effect on the human body. Dysmenorrhea caused by emotional depression, appropriate, timely drink wine, be able to play a pleasant emotions and the role of Soothing relief of boredom, so that dispensers and profit.

     In addition, the wine Weixin Gan Xing Wen, Xin energy spread can do it on the cold dampness of dysmenorrhea stagnate disease, can be cold-dispelling dampness, activating blood and pass through; sweet warm can make up can be slow, dysmenorrhea caused the weakness of the qi and blood, but also can play a Onyang blood, priorities analgesic effect.

Dysmenorrhea in patients with normal diet should be diversified, non-partial eclipse, should always eat something with the role of qi and blood circulation fruits and vegetables, such as shepherd’s purse, Orchid root, coriander, carrot, orange, bergamot, ginger and so on. Poor health, lack of qi and blood are advised to eat qi, blood, liver and kidney supplement food such as chicken, duck, fish, eggs, milk, animal liver and kidney, fish, beans and so on.

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Dysmenorrhea diet to restore

Women before and after passing through or menstruation, there lower abdomen and lumbosacral pain, severe abdominal pain, severe, pale, hands and feet cold, and even fainting, called “dysmenorrhea”, also known as “passing through pain.” Pain often lasted several hours, or 1 ~ 2 days, usually after the smooth flow of blood, abdominal pain ease. This disease is more common in young women, is one of the common diseases of women.
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Chinese medicine, dysmenorrhea usually caused by poor qi or blood deficiency caused by running. There Qi stagnation blood stasis common clinical, Hanning uterus, blood weakness, hot and humid place bets embolism. A good diet can play a preventive effect. 

Dysmenorrhea in patients with menstrual cramps in the first 3 to 5 days digestible diet should adopt a light-based. Should eat easily digested food, not eating fullness, in particular, should avoid eating cold food, cold food can stimulate a result of the uterus, fallopian tube contraction.

And thus induce or aggravate dysmenorrhea. Menstrual cramps have been even more should avoid all raw and non-digestible and irritating foods, such as pepper, raw onions, raw garlic, pepper, alcohol, etc.. Patients during this period may be appropriate to eat You Suanwei of foods such as sauerkraut, vinegar, etc. to ease pain in the role of sour foods. In addition, dysmenorrhea both by the former or later, should remain smooth stool. As much as eating honey, bananas, celery, sweet potatoes and so on. Because of constipation can be induced dysmenorrhea and increased pain.

It was felt that patients with moderate dysmenorrhea drink some wine to pass through the vibrant, and dilation of blood vessels, so that smooth muscle relaxation, for the prevention and treatment of dysmenorrhea play a role. If after much blood may be more appropriate to drink wine, can relieve symptoms, to a certain extent, can also play a therapeutic effect. Wine Due to the presence of ethanol and the excitatory effect on the human body. Dysmenorrhea caused by emotional depression, appropriate, timely drink wine, be able to play a pleasant emotions and the role of Soothing relief of boredom, so that dispensers and profit.

In addition, the wine Weixin Gan Xing Wen, Xin energy spread can do it on the cold dampness of dysmenorrhea stagnate disease, can be cold-dispelling dampness, activating blood and pass through; sweet warm can make up can be slow, dysmenorrhea caused the weakness of the qi and blood, but also can play a Onyang blood, priorities analgesic effect.

Dysmenorrhea in patients with normal diet should be diversified, non-partial eclipse, should always eat something with the role of qi and blood circulation fruits and vegetables, such as shepherd’s purse, Orchid root, coriander, carrot, orange, bergamot, ginger and so on. Poor health, lack of qi and blood are advised to eat qi, blood, liver and kidney supplement food such as chicken, duck, fish, eggs, milk, animal liver and kidney, fish, beans and so on.

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Women are the most common diseases – through the pain

     Menstrual pain is one of the most common diseases of women, in their periods prior to or lower abdominal cramps or back pain symptoms, and sometimes the symptoms of pain will spread to the thigh, usually the symptoms will last two days to three days.

The pain is also often accompanied with other symptoms such as nausea, vomiting, headache or fatigue. According to statistics, about 30-60% of women of childbearing age will have been the phenomenon of pain, of which 7-15% is very serious, therefore, the Government has also provided for female employees one day a month could be invited to the physiological false.

     The pain, the reasons for its occurrence can be divided into two types:
     ◎ Primary Dysmenorrhea: At present, its occurrence is still not fully aware of the reason may be, and come through the period of excessive secretion of prostaglandins, uterine muscle contraction led to severe intermittent ischemia on uterine muscle.
     ◎ sub-onset menstrual pain: from pelvic lesions caused by pain,

Causes include endometriosis, uterine gland fibroids, pelvic adhesions occur or. Usually in the 20s when it appeared the symptoms of menstrual pain, and symptoms become increasingly severe with age, the pain usually more than 2-3 days.
     To treat menstrual pain, you must first find out the reasons for menstrual pain. Primary dysmenorrhea can be pain medication or birth control pills to improve the symptoms of menstrual pain can usually get good results, acupuncture or transcutaneous electrical nerve stimulator (TENS)

For the effect of primary dysmenorrhea is not bad. Some herbal products can be used to deal with primary dysmenorrhea, such as black cohosh, or valerian.
     Sub-onset menstrual pain must be a potential cause of treatment,

For example, endometriosis in need of special drugs or surgical treatment, pelvic inflammatory disease must be treated with antibiotics.
     Many women have menstrual pain symptoms, would be the same as Xiao Yun taking their pain medications to buy,

Ignore the possible underlying causes of menstrual pain, although the symptoms can be temporary relief, but delay the treatment time. Therefore, it is through the pain symptoms, women should first call gynecologist check later decided the approach of treatment in order to protect their health.

Why does dysmenorrhea

Menstrual period or menstrual period before and after the lower abdominal pain which affects work, study and health shall be known as dysmenorrhea.

Dysmenorrhea can be divided into a primary, that is, from menarche occurred dysmenorrhea; have secondary dysmenorrhea, that is, when menarche without dysmenorrhea and dysmenorrhea occurs in the future. Primary dysmenorrhea is due to multi-uterine dysplasia, cervical stenosis,

Uterine over-flexion or membrane-like menstruation, that is, a large hypertrophic endometrium or endometrium-tube, when discharged from the uterus caused by severe contraction due. As the pots more than secondary dysmenorrhea
Cavity inflammation, endometriosis, cancer and other genital lesions caused by.

In addition, dysmenorrhea and excessive anxiety, tension and fear or other psychological factors as well as anemia, chronic diseases, such as poor physical fitness are also related. Dysmenorrhea mostly in 1 to 2 days before menstruation, or menstrual cramps, often for the next paroxysmal abdominal cramps, and sometimes radiation to the vagina, anus and waist, can be accompanied by nausea, vomiting, frequent urination, constipation, or diarrhea and other symptoms. Pain sustainable long time,

Even up to 1 ~ 2 days, the pain disappears when the blood discharged unobstructed. Severe pain can occur when the pale, hands and feet cold, a cold sweat, and even fainting. Membranous dysmenorrhea patients, usually in the first menstrual pain 3 to 4 days the most intense pain disappeared after membrane discharge.

Patients with severe pain, dysmenorrhea, when atropine 0.5 mg intramuscular injection, or taking aspirin and other pain medications. Or the two drugs in combination. In addition, it should address the causes of dysmenorrhea caused by the treatment. Such as pelvic inflammatory disease, cancer caused by dysmenorrhea, treatment, well these primary disease, von may be followed by stopped. The use of hormone therapy, such as oral norethisterone 2.5 ~ 5.0 mg, or megestrol acetate 4 ~ 8 mg,

1 day, 5 days at the beginning menstruation, and even serving 22 withdrawal. Taking three consecutive cycles; can also use the progestogen-only 10 to 20 mg, intramuscular injection, daily one time, in the first 7 menstrual cramps began, used in conjunction on the 5th; from 6 menstrual cycle began, daily oral estrogen has been en – Phenol 0.5 ~ 1.0 mg qd for 20 days. Efficacy of traditional Chinese medicine is relatively good, but according to the disease syndrome differentiation, Qi stagnation blood stasis type: through a small abdominal pain before or during menstruation, and rejected by, or pass through less impeded by color Zihei a blood clot, often accompanied by two threatening premenstrual breast pain or swelling, dark purple tongue, pulse, Shen astringent, available Tongyu fried, Angelica 9 grams, 9 grams of Lindera aggregata, safflower 4.5 grams, Cyperus rotundus 6 grams, 6 grams Qingpi, costas 3 grams, the Health Hawthorn 12 grams,

Alismataceae 9 grams a day 1, day clothes twice, and continued for 3 to 4 weeks. Alpine stagnate type: The lower abdomen before or during menstruation Leng Tong, heat pain was reduced, by less, pale with pieces such as black Douzhi, line and unhappy, and chills will be pond, the tongue side of purple, moss Bai, or greasy, pulse Shen tight, can be warm through the soup, Codonopsis nine grams, 4.5 grams Chuanxiong, Angelica 9 grams, 9 grams of peony, Guixin 3 grams, 9 grams Zedoary, paeonol 6 grams, 6 grams of licorice, Achyranthes 9 grams,

Or, Ai Nuangong Pill 6 grams, 2 times a day. Weak blood type: lower abdomen during menstruation or after the endless Zuo Tong, and there is a sense of falling, according to the pain reduced, pale Shenpi weakness, through the less, pale thin, pale tongue with Indented edges, moss thin, vein virtual small, can take more soup or San Ba Zhen Tang. Dysmenorrhea caused by cervical spinal stenosis cervical dilator can be slow to expand to 8, so that blood discharged unobstructed, you can reduce the non-occurrence of dysmenorrhea or dysmenorrhea.

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Dysmenorrhea patients should bogey What food?

1, not eat cold foods cold: Women in peacetime or during menstruation, such as eat cold food cold blood as the Hanning, resulting in disruption of blood-line, non-General pain can cause dysmenorrhea; addition of food that these foods are too easily hurt Pi Yang, so that is not of alpine injured in the next coke, off in the cell in the blood have been Hanning-induced dysmenorrhea.

Therefore, ferrite gas yang persons, or a woman comes before and after menstruation or menstrual period, should not eat raw and cold foods. Such foods include: all kinds of cold drinks, all kinds of frozen drinks, iced wine, raw mix dish, crab, snail, Freshwater Mussel, Hiruko, pear, persimmon, watermelon, cucumber, water chestnuts, grapefruit, oranges and so on.

2 and cut out Suanse food: acidic food or acidic taste cold, with Guse convergence effect, so that vasoconstriction, blood Shibuya stagnation is not conducive to navigate and discharges of blood, so dysmenorrhea not eat such food.

Acidic foods include vinegar, hot and sour vegetables, pickled vegetables, pomegranates, green plum, bayberry, strawberry, star fruit, cherry, wild jujube, mango, apricots, plums, lemon, etc.;

3, not eat spicy food: There is a part of dysmenorrhea patients, is due to hot and humid due to Accumulation uterus. This group of patients who re-warm the spicy food goods, will increase pelvic congestion, inflammation, or cause excessive uterine muscle contraction, leaving increased dysmenorrhea.

The items now have a spicy hot pepper, pepper, garlic, onions, ginger, leek, tobacco, alcohol, and spicy condiments, etc. dysmenorrhea patients should try to eat or not eat.

Nine dietary principles, so that a good woman at ease

Regardless of whether you are being troubled by menstrual problems, nutritionists Yi-fang, the principle of the nine restaurants, sustained 4-6 weeks, all the discomfort will gradually improve.

1. Do not deliberately eat sweets. Such as beverages, cake, brown sugar, candy. To prevent the blood glucose instability, to avoid adding to a variety of MC does not apply.

2. Eat high-fiber foods. Fruits and vegetables whole-wheat bread, whole grain foods such as oats, brown rice contains more fiber, can promote estrogen discharge, increasing the blood levels of magnesium, to adjust the role of menstruation and calmed the nerves.

3. In between meals to eat some walnuts, cashew nuts, dry beans and other foods rich in vitamin B group.

4. Adequate intake of protein. Lunch and dinner to eat meat, eggs, tofu, soy and other protein-rich foods to supplement the menstrual flow of nutrients and minerals.

5. Can avoid elevated blood sugar about, what to reduce, reduce heart rate, dizziness, fatigue, emotional instability does not apply.

6. To avoid the consumption of beverages containing caffeine. Coffee, tea and other beverages will increase the anxiety and unrest; can be to drink barley tea, mint tea.
7. Avoid eating too hot, too much ice temperature of food.

8. Large blood loss cases of women, should be more intake of spinach, candied dates, and red vegetables (vegetable soup is red), raisins and other high-fiber quality food to the blood.

9. Imminent menopause, women should be more intake of milk, dried fish and other calcium-rich foods.

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Dysmenorrhea is not always caused by cold water

Ms. Wang: I am 22 years old, married, severe dysmenorrhea. Every time I come a time when the first day of holidays so painful that powerful, serious enough to not work properly work, stomach feels very cool. A hot bath after the symptoms would have abated. This situation continued for about 1 more than a year time. Before 2089 do not have symptoms of dysmenorrhea. Last year, less attention to when you eat through the cool water.
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        Now very aware that each time it failed to eat cold. Dysmenorrhea, when not used drugs. How much is this dysmenorrhea What are the possible reasons?

Induced dysmenorrhea reasons to eat cold food should not be caused. Your situation should be an infection caused by endometritis or endometriosis, the disease caused. Induced dysmenorrhea due to complex reasons, it is suggested you to the gynecological examination. In normal life, we recommend that you should pay attention to a menstrual hygiene, and second, avoid contact with menstrual cool things, including cold food.

The impact of menstruation on a woman

     Scholars familiar with classics, usually not forget to quote the classics to speak on, hanging book bags hanging. However, since time immemorial, every family has one of the “women’s menstruation,” but long neglected, is also given to “unclean” concept. Do not say men do not understand it, and even the women themselves are also a smattering of knowledge.

     Synonymous with the ancients said that a lot of menstruation, such as “red tide”, “Peach Blossom Kwai water”, “into the month” and so on. Court in the palace, for fear of a number of Princess Bin乱搞男女关系, then strict record of every concubine of Yueshian time. Modern women also like to use the pronoun: If the “good friend”, “Great Aunt”, ” ‘that’ to the” and so on.
     Now children are nutritionally adequate, universal time cramps early menarche, primary four, fifth-grade girls have menstruation, on the one hand the same year, the children do not understand its physiological changes, but with an incorrect attitude to ridicule students,

On the other hand, may themselves is not clear how the matter in the end menstruation? There was a little on the patients with sustained bleeding for two months, also did not tell her mother until her mother discovered that only comes from out-patient treatment.
     What is the normal menstruation? According to Novaks gynecology is defined as: cyclical endometrium peeling, vaginal discharge of blood through the material. About 21-40 days as a cycle, menstrual period is usually 3-7 days automatically end.

Therefore, if you care about menstrual bleeding more than 10 days or more continuous, or delays in the future, were considered abnormal menstruation. Cause of abnormal menstrual hub from the brain to the pituitary gland, ovary, uterus, can happen to any one area.

In addition, if the pressure is large or excessive movement, will result in lower brain, sex hormones, causing amenorrhea or anovulatory bleeding. Pituitary gland tumors may also be problems with the performance of menstruation. Uterus, ovary disease, abnormal bleeding is common culprit.
     The impact of menstruation on women include “after the group of premenstrual syndrome” (PMS),

Criminologists found that women in their periods before the crime, violent tendencies will increase, so the criminal can be regarded as PMS some degree of mental disorder to be commuted. “After pains” for many women, the more like “original sin”, a month to remind the Ni, “the pain of being born a woman.”
     The emergence of menstruation, on behalf of a woman’s fertility start

Want to eat red beans with rice in Japan to celebrate the little girl had grown up. Of menstruation, we are grateful and happy mood in the holding, because it reminds Ni has the exclusive right to life can be nurtured.
     Therefore proposed that Ni, from now on, for their own Yueshian recorded to observe their own body, mood changes, if there are any exceptions, as soon as possible to find doctors check to make a responsible for their own who are proficient in menstrual woman!