“Herbal medicines are those
with active ingredients made from plant parts,
such as leaves, roots or flowers”.1

Umbrella

What may the Herbs for Menopause Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Botanical Products
  • Botanicals
  • Chinese Medicine
  • Herbal Medicines/Products/Remedies/Supplements/Therapies/Treatments
  • Herbs
  • Medicinal Herbs
  • Phytomedicines
  • Phytotherapy
  • Traditional Chinese Medicine (TCM)

Botanical

What is a botanical?

DotS the definition of a botanical may vary. The (United States) Office of Dietary Supplement’s (ODS) definition is:

“A botanical is a plant or plant part valued for its medicinal or therapeutic properties, flavor, and/or scent”.2

Herbs

What are herbs?

DotS the definition of herbs may vary. In Botanical Dietary Supplements – Background Information: What Is A Botanical? the ODS’s definition is:

“Herbs are a subset of botanicals”.3

Different Herbs

What are some different herbs?

DotS different herbs may include:

  • Black Cohosh (Actaea Racemosa, Cimicifuga Racemosa)
  • Dong Quai (Angelica Sinensis)
  • Evening Primrose/Evening Primrose Oil (Oenothera biennis)
  • Flaxseed/Flaxseed Oil
  • Ginkgo Biloba
  • Ginseng (Panax Ginseng or Panax Quinquefolius)
  • Kava/Kava Kava (Piper Methysticum)
  • Red Clover (Trifolium Pratense)
  • Soy
  • St John’s Wort

Herbal Products

What are herbal products?

DotS the definition of herbal products may vary. The ODS’s definition is:

“Products made from botanicals that are used to maintain or improve health are sometimes called herbal products, botanical products, or phytomedicines”.4

Herbal Medicines

What are herbal medicines?

DotS the definition of herbal medicines may vary. In Traditional, Complementary and Integrative Medicine: Herbal Medicines the World Health Organization’s definition is:

“Herbal medicines include herbs, herbal materials, herbal preparations and finished herbal products, that contain as active ingredients parts of plants, or other plant materials, or combinations”.5

Traditional Chinese Medicine

What is traditional Chinese medicine (TCM)?

DotS the definition of TCM may vary. In Traditional Chinese Medicine: What You Need To Know – What Is Traditional Chinese Medicine? the (United States) National Center for Complementary and Integrative Health (NCCIH) explain:

“Traditional Chinese medicine (TCM) has evolved over thousands of years. TCM practitioners use various mind and body practices (such as acupuncture and tai chi) as well as herbal products to address health problems”.6

Hot Flushes and Night Sweats

Are herbs recommended for the treatment of hot flushes and night sweats or vasomotor symptoms (VMS)?

On page two in Nonhormone Treatments for Hot Flashes and Night Sweats: Nonhormone Treatment Options – Not Recommended, dated 2023, the North American Menopause Society (NAMS) explain:


Herbal Medicine“Treatments not recommended for VMS either because there is evidence showing that they do not reduce VMS or because there is not enough evidence showing that they are effective in reducing VMS include acupuncture, paced respirations, supplements/herbal remedies, cooling techniques, avoidance of triggers, dietary modification, exercise, yoga, mindfulness-based intervention, relaxation, suvorexant, cannabinoids, calibration of neural oscillations, chiropractic interventions, clonidine, and pregabalin.

There are many dietary supplements available over the counter and advertised as remedies for relief of hot flashes and night sweats. There are limited studies showing that these supplements are effective at relieving VMS, and there is a lack of government regulation ensuring their safety and purity, so none of these are recommended treatments for hot flashes and night sweats”.7

In The 2023 Practitioner’s Toolkit for Managing Menopause: Management – Non-hormonal Options With Evidence To Support Efficacy, published online 01 December 2023, the authors also note:

“Similarly, nutritional supplements and botanicals have not been found to be more effective than placebo for moderately to severely bothersome VMS in robust clinical trials”.8

In Menopause and Natural Therapies Herbs: Over the Counter Herbal Products the (Australian) Jean Hailes for Women’s Health (JH) elaborate on:

“We know that about 13% of Australian women use CAM therapies for managing hot flushes, and that the three most commonly used CAM therapies are phytoestrogens (plant-based female hormones), evening primrose oil and ginseng. We know that these are not necessarily the most effective remedies, and we also know that only about 25% of these women consult an expert for advice about these therapies. Therefore, many women may be making inappropriate – or indeed, ineffective – choices”.9

Safe or Not

Are herbs safe?

In FDA: 101: Dietary Supplements – What Are the Risk of Dietary Supplements? the (United States) Food and Drug Administration caution:

“Before buying or taking a dietary supplement, talk with a health care professional—such as your doctor, nurse, registered dietician, or pharmacist—about the benefits and risks.

Many supplements contain ingredients that can have strong effects in the body. Additionally, some supplements can interact with medications, interfere with lab tests, or have dangerous effects during surgery. Your health care professional can help you decide what supplement, if any, is right for you”.10

Health Care Provider

What if I choose to use herbs for menopause?

If you choose to use herbs for menopause it may also be in your best interest to choose to tell all your health care providers you are doing this.

In Menopause and Natural Therapies: Over the Counter Herbal Products the JH elaborate on:

“When buying herbal medicines over the counter, you need to consider some of these factors:

  • The quality and standard of herbal preparations, including those available over the counter and online, can vary considerably
  • Some herbal products can interact with other pharmaceutical therapies, but their labels might not necessarily carry a warning
  • The best way to use herbal remedies is under the guidance of a well-trained herbalist/naturopath”.11

In Herbal Medicines the (United Kingdom) NHS note:

“If you’re consulting your doctor or pharmacist about health matters, or are about to undergo surgery, always tell them about any herbal medicines you’re taking”.12

On page two in Nonhormone Treatments for Hot Flashes and Night Sweats: Nonhormone Treatment Options – Not Recommended the NAMS explain:

“Despite the lack of evidence supporting their use for VMS, if you plan to use dietary supplements, let your health care professional know so they can ensure they are safe for you, that they don’t interact with any of your medications, and so that they can be appropriately monitored”.13

Health Topics A-Z

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Sources

  1. Herbal Medicines. Page Last Reviewed: 18 October 2022. NHS https://www.nhs.uk/conditions/herbal-medicines/ Accessed: 06 August 2024
  2. Botanical Dietary Supplements – Background Information: What Is A Botanical? Updated: 11 December 2020. Office of Dietary Supplements https://ods.od.nih.gov/factsheets/BotanicalBackground-Consumer/ Accessed: 06 August 2024
  3. Botanical Dietary Supplements – Background Information: What Is A Botanical? Updated: 11 December 2020. Office of Dietary Supplements https://ods.od.nih.gov/factsheets/BotanicalBackground-Consumer/ Accessed: 06 August 2024
  4. Botanical Dietary Supplements – Background Information: What Is A Botanical? Updated: 11 December 2020. Office of Dietary Supplements https://ods.od.nih.gov/factsheets/BotanicalBackground-Consumer/ Accessed: 06 August 2024
  5. Traditional, Complementary and Integrative Medicine: Herbal Medicines. World Health Organization https://www.who.int/health-topics/traditional-complementary-and-integrative-medicine#tab=tab_1 Accessed: 06 August 2024
  6. Traditional Chinese Medicine: What You Need To Know – What Is Traditional Chinese Medicine? Last Updated April 2019. National Center for Complementary and Integrative Health https://nccih.nih.gov/health/whatiscam/chinesemed.htm Accessed: 06 August 2024
  7. Nonhormone Treatments for Hot Flashes and Night Sweats: Nonhormone Treatment Options – Not Recommended. 2023:2. North American Menopause Society https://www.menopause.org/docs/default-source/default-document-library/nonhormone-treatment-menonote.pdf Accessed: 06 August 2024
  8. Davis, S. R., Taylor, S., Hemachandra, C., Magraith, K., Ebeling, P. R., Jane, F., and Islam, R. M. The 2023 Practitioner’s Toolkit for Managing Menopause: Management – Non-hormonal Options With Evidence To Support Efficacy Published Online: 01 December 2023 https://www.tandfonline.com/doi/full/10.1080/13697137.2023.2258783 Accessed: 06 August 2024
  9. Menopause and Natural Therapies: Over the Counter Herbal Products. Page Last Updated: 19 January 2024 | Topic Last Reviewed: 20 November 2018. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-herbs Accessed: 06 August 2024
  10. FDA 101: Dietary Supplements – What Are the Risks of Dietary Supplements. Content Current As of: 02 June 2022. Food and Drug Administration https://www.fda.gov/consumers/consumer-updates/fda-101-dietary-supplements Accessed: 06 August 2024
  11. Menopause and Natural Therapies: Over the Counter Herbal Products. Page Last Updated: 19 January 2024 | Topic Last Reviewed: 20 November 2018. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-herbs Accessed: 06 August 2024
  12. Herbal Medicines. Page Last Reviewed: 18 October 2022. NHS https://www.nhs.uk/conditions/herbal-medicines/ Accessed: 06 August 2024
  13. Nonhormone Treatments for Hot Flashes and Night Sweats: Nonhormone Treatment Options – Not Recommended. 2023:2. North American Menopause Society https://www.menopause.org/docs/default-source/default-document-library/nonhormone-treatment-menonote.pdf Accessed: 06 August 2024
Topic Last Updated: 26 September 2024 – Topic Last Reviewed: 06 August 2024

“Safer sex is not just about protection from
unplanned pregnancies and sexually transmitted infections
(STIs). It’s also about making sure everyone involved…”.1

Umbrella
What may the Safer Sex Umbrella include?

Depending on the Source (DotS) this umbrella may include:

  • Safe Sex
  • Safer Sex

Definition

What is safer sex?

DotS the definition of safer sex may vary. The (Australian) Jean Hailes for Women’s Health (JH) definition is:

“Safer sex is not just about protection from unplanned pregnancies and sexually transmitted infections (STIs). It’s also about making sure everyone involved feels safe and respected”.2

Tell or Not

Can you tell if a sexual partner has an STI?

In Safer Sex and Sexually Transmitted Infections (STIs): How To Have Safer Sex the JH explain:

“Practising safer sex can reduce your risk of getting an STI. Anyone can catch an STI. You can’t tell if a sexual partner has an STI. A strong and healthy person may still be infected. Some people may not even know they have an STI”.3

Oral Sex

Is oral sex, safer sex?

According to the JH:

“Note that oral sex doesn’t reduce the risk of getting an STI. Common STIs such as herpes, gonorrhoea and chlamydia can all be transmitted through unprotected oral sex”.4

Period

Is sex during your period, safer sex?

The JH explain:

“It’s important to practise safer sex, even when you have your period. If you have unprotected sex during your period and your partner has broken skin (an abrasion), infections such as HIV or hepatitis can be transmitted to your partner. If you know you have an infection, it’s best to use a condom or dam when having sex during your period”.5

Guidelines

What are safer sex guidelines for women?

In Safe Sex Rules Still Apply: Safer Sex Guidelines for Women of All Ages the North American Menopause Society’s (NAMS) include:

  • “Choose a partner carefully
  • Discuss sexual histories with your partner, and don’t let embarrassment compromise your health
  • Always insist that a male partner use a latex condom for genital, oral, and anal sex unless you are in a long-term, mutually monogamous relationship. Never use petroleum-based products like Vaseline or baby oil to lubricate condoms because they can cause condoms to break
  • Don’t let a male partner’s erection difficulties keep him from using a condom. Dream up some erotic or stimulating methods for putting on the condom to keep his erection going. If all else fails, get a female condom
  • Have an annual physical exam, including a Pap test and lab tests to identify STIs if you are at any risk
  • If you are exposed to an STI or have received a confirmed diagnosis, urge any partners to be tested and treated
  • Consider having both you and your partner checked for STIs before starting a sexual relationship”.6

Condoms

Is the use of condoms safer sex?

In Safer Sex and Sexually Transmitted Infections (STIs): How To Have Safer Sex – Condoms and Other Barrier Methods the JH elaborate on:

“he safest way to have sex is to use condoms (external or internal) or dental dams and water-based lubricant (lube).

It’s important to use a new condom or dam during sex if you change partners or change from vaginal to anal or oral sex. You should also use a new condom if you share sex toys.

Note, condoms or dams won’t protect against STIs if part of the body with infection is unprotected and there’s skin-to-skin contact. Also, some STIs such as herpes, genital warts and pubic lice may still be spread even if a condom is used”.7

Sex Between Women

What additional safer sex precautions may apply specifically to sex between women?

In Safe Sex Rules Still Apply: Safer Sex Guidelines for Women of All Ages the NAMS explain:

“Although lesbians have fewer STIs than heterosexual women, be aware that STIs can be passed from woman to woman. Some additional precautions apply specifically to sex between women:

  • Prevent transfer of any body fluids (including menstrual blood and vaginal fluids) into cuts, scrapes, or other openings
  • During oral or vulva-to-vulva sex, cover your partner’s vaginal area with a dental dam or similar latex barrier to avoid contact with secretions
  • Avoid sharing sex toys. Either clean them in hot, soapy water or use a new condom before switching users.

Keep in mind that oral sex with a partner who has a cold sore or fever blister can transfer the herpes virus to you if your mouth or genitals come into contact with the sore”.8

Older but New Relationship

When starting a new relationship after many years, what may we need to know about safer sex?

In Safer Sex and Sexually Transmitted Infections (STIs): Safer Sex After A Long-Term Relationship the JH note:

Safer Sex“If you’re starting a new relationship after many years, it’s important to discuss safer sex with new partners. To be even safer, you can both have a sexual health check before having sex. If any issues make it hard for you or your partner to use condoms, talk to your doctor”.9

Health Care Provider

What if I would like help with safer sex?

If you would like help with safer sex, it may be in your best interest to choose to talk to your health care provider about this. The NAMS reassure:

“If your provider asks about your sex life or sexual function, don’t miss the opportunity to be frank and look for help. More important, if your provider doesn’t ask specifically about your sexual function, don’t be afraid to bring up a distressing sexual problem yourself when you’re asked, “How are you feeling?” Most providers today are comfortable addressing such a problem; if your provider is not, consider looking for another.

There is absolutely no need to suffer (or let your relationship suffer) in silence”.10

Health Topics A-Z

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  1. Safer Sex and Sexually Transmitted Infections (STIs): Safer Sex. Last Updated: 03 June 2024 | Last Reviewed: 12 December 2023. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/sex-sexual-health/safer-sex-stis/ Accessed: 06 August 2024
  2. Safer Sex and Sexually Transmitted Infections (STIs): Safer Sex. Last Updated: 03 June 2024 | Last Reviewed: 12 December 2023. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/sex-sexual-health/safer-sex-stis/ Accessed: 06 August 2024
  3. Safer Sex and Sexually Transmitted Infections (STIs): How To Have Safer Sex. Last Updated: 03 June 2024 | Last Reviewed: 12 December 2023. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/sex-sexual-health/safer-sex-stis/ Accessed: 06 August 2024
  4. Safer Sex and Sexually Transmitted Infections (STIs): How To Have Safer Sex. Last Updated: 03 June 2024 | Last Reviewed: 12 December 2023. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/sex-sexual-health/safer-sex-stis/ Accessed: 06 August 2024
  5. Safer Sex and Sexually Transmitted Infections (STIs): How To Have Safer Sex – Sex During Your Period. Last Updated: 03 June 2024 | Last Reviewed: 12 December 2023. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/sex-sexual-health/safer-sex-stis/ Accessed: 06 August 2024
  6. Safe Sex Rules Still Apply: Safer Sex Guidelines for Women of All Ages. North American Menopause Society https://www.menopause.org/for-women/sexual-health-menopause-online/reminders-and-resources/safe-sex-rules-still-apply Accessed: 06 August 2024
  7. Safer Sex and Sexually Transmitted Infections (STIs): How To Have Safer Sex – Condoms and Other Barrier Methods. Last Updated: 03 June 2024 | Last Reviewed: 12 December 2023. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/sex-sexual-health/safer-sex-stis/ Accessed: 06 August 2024
  8. Safe Sex Rules Still Apply: Safer Sex Guidelines for Women of All Ages. North American Menopause Society https://www.menopause.org/for-women/sexual-health-menopause-online/reminders-and-resources/safe-sex-rules-still-apply Accessed: 06 August 2024
  9. Safer Sex and Sexually Transmitted Infections (STIs): Safer Sex After A Long-Term Relationship. Last Updated: 03 June 2024 | Last Reviewed: 12 December 2023. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/sex-sexual-health/safer-sex-stis/ Accessed: 06 August 2024
  10. Talking To Your Health Care Provider About Your Problem. North America Menopause Society https://www.menopause.org/for-women/sexual-health-menopause-online/effective-treatments-for-sexual-problems/talking-to-your-healthcare-provider-about-your-problem Accessed: 06 August 2024
Topic Last Updated: 06 August 2024 – Topic Last Reviewed: 06 August 2024

“Cancer prevention is action taken to lower the risk of getting cancer. This can include maintaining a healthy lifestyle, avoiding exposure to known cancer-causing…”.1

Umbrella

What may the Cancer Prevention Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Cancer Prevention
  • Cancer Risk
  • Cancer and Prevention
  • Ways To Reduce Cancer
  • Ways To Reduce Cancer Risk

Cancer Prevention

What is cancer prevention?

DotS the definition of cancer prevention may vary. In Causes and Prevention the (United States) National Cancer Institute’s (NCI) definition is:

“Cancer prevention is action taken to lower the risk of getting cancer. This can include maintaining a healthy lifestyle, avoiding exposure to known cancer-causing substances, and taking medicines or vaccines that can prevent cancer from developing”.2

Prevention

How may cancer be prevented?

In Cancer Prevention Recommendations the World Cancer Research Fund’s recommendations include:

Cancer Prevention“Our Cancer Prevention Recommendations are the conclusions of an independent panel of experts – they represent a package of healthy lifestyle choices which, together, can make an enormous impact on people’s likelihood of developing cancer and other non-communicable diseases over their lifetimes.

  • Be a healthy weight…
  • Be physically active…
  • Eat a better diet…
  • Limit “fast” foods
  • Limit red and processed meat…
  • Cut down on sugary drinks…
  • Limit alcohol consumption
  • Do not use supplements for cancer prevention…”.3

In Cancer Facts for Women: What Else You Can Do To Help Reduce Your Cancer Risk the American Cancer Society (ACS) explain:

“Almost half of all adult cancers might be prevented by things we can do or change.

  • “Stay away from tobacco
  • Be as physically active as you can
  • Eat more nutritious foods including fruits, vegetables, and whole grains. Avoid or limit processed foods, red meat,
  • sugary drinks, and refined grains
  • It’s best not to drink alcohol. If you do drink, have no more than 1 drink per day for women
  • Protect your skin from the sun
  • Know yourself, your family history, and your risks
  • Get regular checkups and recommended cancer screening tests”.4

Health Care Provider

What if I would like to lower my risk of cancer?

If you would like to lower your risk of cancer, it may be in your best interest to choose to talk to your health care provider about this. The NCI note:

“Avoiding cancer risk factors may help prevent certain cancers. Risk factors include smoking, being overweight, and not getting enough exercise. Increasing protective factors such as quitting smoking and exercising may also help prevent some cancers. Talk to your doctor or other health care professional about how you might lower your risk of cancer”.5

In Cancer Facts for Women the ACS explain:

“Some of the cancers that most often affect women are breast, colorectal, lung, cervical, endometrial, ovarian, and skin. Knowing about these cancers and what you can do to help prevent them or find them early (when they are small, haven’t spread, and might be easier to treat) may help save your life”.6

Health Topics A-Z

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  1. Causes and Prevention. National Cancer Institute https://www.cancer.gov/about-cancer/causes-prevention Accessed: 05 August 2024
  2. Causes and Prevention. National Cancer Institute https://www.cancer.gov/about-cancer/causes-prevention Accessed: 05 August 2024
  3. Cancer Prevention Recommendations. World Cancer Research Fund https://www.wcrf.org/diet-and-cancer/cancer-prevention-recommendations Accessed: 05 August 2024
  4. Cancer Facts for Women: What Else You Can Do To Help Reduce Your Cancer Risk. Last Revised: 31 October 2023. American Cancer Society https://www.cancer.org/healthy/findcancerearly/womenshealth/cancer-facts-for-women Accessed: 05 August 2024
  5. Skin Cancer Prevention–Patient Version (PDQ): Skin Cancer Prevention – Avoiding Risk Factors and Increasing Protective Factors May Help Prevent Cancer. Updated: 23 October 2023. National Cancer Institute https://www.cancer.gov/types/skin/patient/skin-prevention-pdq#section/_16 Accessed: 05 August 2024
  6. Cancer Facts for Women. Last Revised: 31 October 2023. American Cancer Society https://www.cancer.org/healthy/findcancerearly/womenshealth/cancer-facts-for-women Accessed: 05 August 2024
Topic Last Updated: 05 August 2024 – Topic Last Reviewed: 05 August 2024

“The best way to prevent stroke is by lowering your risk.
You’re at higher risk for stroke if you smoke,
have obesity or are physically inactive, or…”.1

Umbrella

What may the Stroke Prevention Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Stroke Prevention
  • Stroke Risk
  • Stroke Risk Factor Management

Women and Stroke

In women, how common is stroke?

In Women and Stroke the American Stroke Association (ASA) note:

“Stroke is the No. 3 cause of death in women and kills more women than men. In fact, one in five women will have a stroke”.2

Prevention

Can stroke be prevented?

In Stroke: Prevention the (United States) National Institute of Neurological Disorders and Stroke (NINDS) explain:

“Prevention is the number one way to disrupt stroke. The best way to prevent stroke is by lowering your risk. You’re at higher risk for stroke if you smoke, have obesity or are physically inactive, or have high blood pressure, high cholesterol, heart disease, or diabetes. Many of these risk factors can be controlled through medications and healthy lifestyle choices. The sooner you start taking steps to lower your risk, the better”.3

Risk Factors

What are stroke risk factors?

In Stroke: Causes and Risk Factors – What Are the Risk Factors? the (United States) National Heart, Lung and Blood Institute (NHLBI) elaborate on:

“There are many risk factors for stroke. You can treat or control some but not all of them.

Factors that you can control account for 82% to 90% of all strokes:

  • High Blood Pressure
  • Obesity
  • Physical inactivity
  • Poor diet
  • Smoking”.4

High Blood Pressure

What is the association between high blood pressure (HBP) and stroke?

In Risk Factors Under Your Control: High Blood Pressure the ASA note:

“Nearly half of American adults have high blood pressure, or hypertension. High blood pressure is a leading cause of stroke and the most significant controllable risk factor. Optimal blood pressure is less than 120/80 mm Hg. Know your numbers and manage your blood pressure”.5

Women

What unique risk factors for stroke do women have?

In Stroke: About Women and Stroke – Risk Factors the (United States) Centers for Disease Control and Prevention note:

“Women also have unique risk factors for stroke, including:

  • Having high blood pressure during pregnancy
  • Using certain types of birth control medicines, especially if they also smoke. About 1 in 9 women smoke
  • Having higher rates of depression”.6

Prevention

How may a stroke be prevented?

In Risk Factors Under Your Control the ASA elaborate on:

  • “High Blood Pressure…
  • Smoking…Menopause
  • Diabetes…
  • Diet…
  • Physical Inactivity…
  • Obesity…
  • High Cholesterol…
  • Atrial Fibrillation (AFib)…
  • Sleep Apnea
  • Sickle Cell Disease (Sickle Cell Anemia)
  • Carotid Artery Disease…
  • Peripheral Artery Disease…
  • Other Heart Disease…”.7

WISEWOMAN Program

What is the (United States) WISEWOMAN program?

In WISEWOMAN: About WISEWOMAN – Overview the (United States) Centers for Disease Control and Prevention (CDC) elaborate on:

“The Well-Integrated Screening and Evaluation for WOMen Across the Nation (WISEWOMAN) program extends preventive health services to achieve optimal cardiovascular health for women aged 35-64 who participate in the CDC-funded National Breast and Cervical Cancer Early Detection Program (NBCCEDP). The program helps participants understand and reduce their risk of CVD and benefit”.8

WISEWOMAN Program Services

What services does the WISEWOMAN program provide?

In WISEWOMAN: WISEWOMAN Frequently Asked Questions (FAQs): What Services Does the WISEWOMAN Program Fund? the CDC explain:

“WISEWOMAN provides risk factor assessments, including blood pressure, diabetes, body mass index (BMI), and cholesterol screenings. The program also provides referrals to healthy behavior support services to reduce CVD risks through improved diet, physical activity, tobacco cessation, and medication adherence support. Local health departments, doctor’s offices, and community health centers provide these services”.9

Health Care Provider

What if I think I am at risk of stroke or I have a family history of cardiovascular disease (CVD)?

If you think you are at risk of stroke or you have a family history of CVD, it may be in your best interest to choose to talk to your health care provider about this.

On page seven in Prevention of Diseases After Menopause: Cardiovascular Diseases the authors note:

“Screening for CVD at regular intervals after menopause is extremely important. This includes measurement of blood pressure, lipids and perhaps inflammatory markers, BMI, and ascertainment of lifestyle factors such as activity level and smoking status. In addition, a family history of heart disease and stroke is important”.10

Health Topics A-Z

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  1. Stroke: Prevention. National Institute of Neurological Disorders and Stroke https://www.ninds.nih.gov/health-information/stroke/prevention Accessed: 05 August 2024
  2. Women and Stroke. American Stroke Association https://www.stroke.org/en/about-stroke/stroke-risk-factors/women-have-a-higher-risk-of-stroke Accessed: 05 August 2024
  3. Stroke: Prevention. National Institute of Neurological Disorders and Stroke https://www.ninds.nih.gov/health-information/stroke/prevention Accessed: 05 August 2024
  4. Stroke: Causes and Risk Factors – What Are the Risk Factors? Last Updated on 26 May 2023. National Heart, Lung, and Blood Institute https://www.nhlbi.nih.gov/health/stroke/causes Accessed: 05 August 2024
  5. Risk Factors Under Your Control: High Blood Pressure. Last Reviewed: 08 October 2023. American Stroke Association https://www.stroke.org/en/about-stroke/stroke-risk-factors/risk-factors-under-your-control Accessed: 05 August 2024
  6. Stroke: About Women and Stroke – Risk Factors. 15 May 2024. Centers for Disease Control and Prevention https://www.cdc.gov/stroke/about/women-and-stroke.html Accessed: 05 August 2024
  7. Risk Factors Under Your Control. Last Reviewed: 08 October 2023. American Stroke Association https://www.stroke.org/en/about-stroke/stroke-risk-factors/risk-factors-under-your-control Accessed: 05 August 2024
  8. WISEWOMAN: About WISEWOMAN – Overview. 15 May 2024. Centers for Disease Control and Prevention https://www.cdc.gov/wisewoman/php/about/index.html Accessed: 05 August 2024
  9. WISEWOMAN: WISEWOMAN Frequently Asked Questions (FAQs) – What Services Does the WISEWOMAN Program Fun? 15 May 2024. Centers for Disease Control and Prevention https://www.cdc.gov/wisewoman/php/faqs/ Accessed: 05 August 2024
  10. Lobo, R. A., Davis, S. R., De Villiers, T. J., Gompel, A., Henderson, V. W., Hodis, H. N., Lumsden, M. A., Mack, W. J., Shapiro, S. and Baber, R. J. Prevention of Diseases After Menopause: Cardiovascular Diseases. 2014:7 https://www.imsociety.org/wp-content/uploads/2020/07/wmd-2014-white-pages-english.pdf Accessed: 05 August 2024
Topic Last Updated: 05 August 2024 – Topic Last Reviewed: 05 August 2024

“Women, particularly during the menopause transition,
have higher rates of shingles than men, most likely due
to hormonal changes to their immune response”.1

Umbrella

What may the Shingles Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Herpes Zoster
  • Shingles
  • Zoster

Definition

What is shingles?

DotS the definition of shingles may vary. The (United States) Centers for Disease Control and Prevention’s (CDC) definition is:

“Shingles is a painful rash illness. People get shingles when the varicella-zoster virus (VZV), which causes chickenpox, reactivates in their bodies after they have already had chickenpox”.2

Chickenpox

What is the association between chickenpox and shingles?

In Shingles (Herpes Zoster): About Singles (Herpes Zoster) – Causes and Spread the CDC elaborate on:

“Shingles is caused by varicella-zoster virus (VZV), the same virus that causes chickenpox. Once a person has chickenpox, the virus stays in their body. The virus can reactivate later in life and cause shingles”.3

Spread or Not

Can you spread shingles to others?

In Shingles: Stay Away From Certain Groups of People If You Have Shingles the (United Kingdom) NHS note:

“You cannot spread shingles to others. But people could catch chickenpox from you if they have not had chickenpox before or have not had the chickenpox vaccine.

This is because shingles is caused by the chickenpox virus”.4

Catch or Not

Can you get shingles from someone with shingles or chickenpox?

In Shingles: Causes of Shingles the NHS explain:

“You cannot get shingles from someone with shingles or chickenpox.

But you can get chickenpox from someone with shingles if you have not had chickenpox before”.5

Common or Not

How common is shingles?

In Shingles (Herpes Zoster): About Shingles (Herpes Zoster) – Key Points, dated 10 May 2024, the CDC include:

  • “About 1 in every 3 people in the United States will have shingles (or herpes zoster) in their lifetime”.6

Menopause

Is there an association between menopause and shingles?

In Shingles: Everything You Never Thought To Ask (And How to Prevent It): Who Gets Shingles? the author elaborates on:

“Women, particularly during the menopause transition, have higher rates of shingles than men, most likely due to hormonal changes to their immune response. These changes at menopause can increase the rate of many immune-related diseases (such as heart disease, diabetes, arthritis, multiple sclerosis)”.7

Treatment

What antiviral medicines are available to treat shingles?

In Shingles (Herpes Zoster): About Shingles (Herpes Zoster) – Treatment and Recovery the CDC explain:

“Several antiviral medicines are available to treat shingles:

  • Acyclovir (ay-sah-EE-kluh-veer)
  • Valacyclovir (va-luh-sah-EE-kluh-veer)
  • Famciclovir (fam-sah-EE-kluh-veer)

These medicines shorten the length and severity of the illness. They work best when you take them as soon as the rash appears. If you think you have shingles, contact your doctor as soon as possible to talk about treatment”.8

Shingrix Vaccine

What is the Shingrix vaccine?

In Shingles (Herpes Zoster): About Shingles (Herpes Zoster) – Prevention the CDC elaborate on:

“Protect yourself with the vaccine. CDC recommends 2 doses of recombinant zoster vaccine (RZV, Shingrix) to prevent shingles and related complications in adults 50 years and older. Shingrix is also recommended for adults 19 years and older who have weakened immune systems because of disease or therapy”.9

Health Care Provider

What if I think I have shingles?

If you think you have shingles, it may be in your best interest to choose to talk to your health care provider about this.

In Shingles: Symptoms & Causes – Symptoms: When To See A Doctor the (United States) Mayo Clinic explain:

“Contact your health care provider as soon as possible if you suspect shingles, especially in the following situations:

  • The pain and rash occur near an eye. If left untreated, this infection may lead to permanent eye damage.
  • You’re 60 or older. Age increases your risk of complications.
  • You or someone in your family has a weakened immune system. This may be due to cancer, medications or chronic illness.
  • The rash is widespread and painful”.10

Health Topics A-Z

Where may I find Health Topics A-Z related to Shingles?

In Health Topics A-Z you may find:

Links

Where may I find Links related to Shingles?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Saunders, K. M. Shingles: Everything You Never Thought To Ask (And How to Prevent It): Who Gets Shingles? https://www.menopause.org/for-women/menopauseflashes/women’s-health-and-menopause/shingles-everything-you-never-thought-to-ask-(and-how-to-prevent-it) Accessed: 05 August 2024
  2. Shingles (Herpes Zoster): About Shingles (Herpes Zoster) – What It Is. 10 May 2024. Centers for Disease Control and Prevention https://www.cdc.gov/shingles/about/index.html Accessed: 05 August 2024
  3. Shingles (Herpes Zoster): About Shingles (Herpes Zoster) – Causes and Spread. 10 May 2024. Centers for Disease Control and Prevention https://www.cdc.gov/shingles/about/index.html Accessed: 05 August 2024
  4. Shingles: Stay Away From Certain Groups of People. Page Last Reviewed: 23 November 2023. NHS https://www.nhs.uk/conditions/shingles/#shingles-and-chickenpox Accessed: 05 August 2024
  5. Shingles: Causes of Shingles. Page Last Reviewed: 23 November 2023. NHS https://www.nhs.uk/conditions/shingles/#shingles-and-chickenpox Accessed: 05 August 2024
  6. Shingles (Herpes Zoster): About Shingles (Herpes Zoster) – Key Points. 10 May 2024. Centers for Disease Control and Prevention https://www.cdc.gov/shingles/about/index.html Accessed: 05 August 2024
  7. Saunders, K. M. Shingles: Everything You Never Thought To Ask (And How to Prevent It): Who Gets Shingles? https://www.menopause.org/for-women/menopauseflashes/women’s-health-and-menopause/shingles-everything-you-never-thought-to-ask-(and-how-to-prevent-it) Accessed: 05 August 2024
  8. Shingles (Herpes Zoster): About Singles – Treatment and Recovery. 10 May 2023. Centers for Disease Control and Prevention https://www.cdc.gov/shingles/about/index.html Accessed: 05 August 2024
  9. Shingles (Herpes Zoster): About Singles – Prevention. 10 May 2023. Centers for Disease Control and Prevention https://www.cdc.gov/shingles/about/index.html Accessed: 05 August 2024
  10. Shingles: Symptoms & Causes – Symptoms: When To See A Doctor. 20 August 2022. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/shingles/symptoms-causes/syc-20353054 Accessed: 05 August 2024
Topic Last Updated: 05 August 2024 – Topic Last Reviewed: 05 August 2024

“If you are worried about the smell, or have
symptoms such as itching, burning, irritation, soreness,
painful sex or pain when you wee, see your doctor”.1

Umbrella

What may the Vagina Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Vagina
  • Vulvovaginal
  • “Down Below/There”
  • “Lady Parts”
  • “Private Parts”
  • “Privates”
  • “Things That Go Wrong Down There”
  • “Women’s Bits”

Definition

What is the vagina?

DotS the definition of the vagina may vary. The (United States) MedlinePlus’ definition is:

“The vagina is the female body part that connects the womb (uterus) and cervix to the outside of the body”.2

In Vagina: Information the MedlinePlus also explain:

“The vagina is a muscular tube lined with mucous membranes. Its opening is between the urethra (where urine leaves the body) and the anus (where stool leaves the body).

Menstrual blood leaves the body through the vagina. The vagina also allows for sexual intercourse, and it is the passageway a baby goes through when it is born”.3

Diagram

Where may I find a diagram of the vagina?

Your Country’s Women’s Health website may include a topic similar to the (Australian) Jean Hailes for Women’s Health (JH) topic which includes a diagram:

Vaginitis

What is vaginitis?

DotS the definition of vaginitis may vary. MedlinePlus’ definition is:

“Inflammation of the vagina is known as vaginitis”.4

Menopause Symptoms

What vaginal symptoms can menopause cause?

In Symptoms of Menopause: Bladder, Vaginal and Vulval Problems the JH explain:

“As you move into perimenopause and menopause, low oestrogen levels can change your vulval, vaginal and bladder tissues. These changes may affect up to half of postmenopausal women”.5

In Symptoms of Menopause: Bladder, Vaginal and Vulval Problems – Vulvovaginal Atrophy the JH also elaborate on:

Vagina“Declining oestrogen levels causes bladder and vaginal tissue to become thin. This can affect areas such as your:

  • Vaginal lining
  • Vulval skin
  • Bladder
  • Urethra (tube that leads from the bladder to the outside of the body)
  • Pelvic floor muscles.

These changes are commonly known as vulvovaginal atrophy”.6

Vulvovaginal Atrophy

What are vulvovaginal atrophy symptoms?

In Vulvovaginal Atrophy the European Menopause and Andropause Society note:

“Symptoms include:

  • Irritation
  • Burning
  • Itching
  • Chafing
  • Discomfort
  • Uncomfortable or even painful intercourse
  • Passing urine more frequently
  • More frequent urinary tract infections
  • Greater discomfort with cervical smear tests”.7

Odour

After menopause may vaginal odour change?

In Vulva and Vagina: What’s Normal? Smell [+ Image] the JH elaborate on:

“It’s normal for your vulva and vagina to smell different at different times in your menstrual cycle and after menopause”.8

Vaginal Health

What can women do to keep their vagina healthy?

In Vagina: What’s Typical, What’s Not – What Can I Do To Keep My Vagina Healthy? the (United States) Mayo Clinic elaborate on:

“You can take steps to protect your vaginal health and overall health. For example:

  • Be sexually responsible…
  • Get vaccinated…
  • Do Kegel exercises…
  • Know your medications…
  • Limit the amount of alcohol you drink and don’t smoke…”.9

Health Care Provider

What if I am unsure about what is going on down there?

If you are unsure about what is going on down there, it may be in your best interest to choose to talk to your health care provider about this.

On page two in Vaginal Dryness: Treatment Options the NAMS explain:

“Notes: Vaginal and vulvar symptoms not related to menopause include yeast infections, allergic reactions, and certain skin conditions, so consult your healthcare professional if symptoms do not improve with treatment”.10

The JH also note:

“If you are worried about the smell, or have symptoms such as itching, burning, irritation, soreness, painful sex or pain when you wee, see your doctor”.11

The Mayo Clinic explain:

“Consult your health care provider if you notice:

  • A change in the color, odor or amount of vaginal discharge
  • Vaginal redness or itching
  • Vaginal bleeding between periods, after sex or after menopause
  • A mass or bulge in the vagina
  • Pain during intercourse”.12

The Mayo Clinic also note:

“While not all vaginal problems can be prevented, regular checkups can help ensure that problems affecting the vagina are diagnosed as soon as possible. Don’t let embarrassment prevent you from talking to your health care provider about concerns you have about vaginal health”.13

Health Topics A-Z

Where may I find Health Topics A-Z related to Vagina?

In Health Topics A-Z you may find:

Links

Where may I find Links related to Vagina?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Vulva and Vagina: What’s Normal? Smell. Last Updated: 10 April  2024 | Last Reviewed: 26 April 2023. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulva-and-vagina Accessed: 04 August 2024
  2. Vagina. Review Date: 01 November 2023. MedlinePlus https://www.nlm.nih.gov/medlineplus/ency/article/002342.htm Accessed: 04 August 2024
  3. Vagina: Information. Review Date: 01 November 2023. MedlinePlus https://www.nlm.nih.gov/medlineplus/ency/article/002342.htm Accessed: 04 August 2024
  4. Vagina: Information. Review Date: 01 November 2023. MedlinePlus https://www.nlm.nih.gov/medlineplus/ency/article/002342.htm Accessed: 04 August 2024
  5. Symptoms of Menopause: Bladder, Vaginal and Vulval Problems. Last Updated: 21 April 2024 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-symptoms Accessed: 04 August 2024
  6. Symptoms of Menopause: Bladder, Vaginal and Vulval Problems – Vulvovaginal Atrophy. Last Updated: 21 April 2024  | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/menopause-symptoms Accessed: 04 August 2024
  7. Vulvovaginal Atrophy. 2022. European Menopause and Andropause Society https://emas-online.org/wp-content/uploads/2022/07/Vulvovaginal-atrophy.pdf Accessed: 04 August 2024
  8. Vulva and Vagina: What’s Normal? Smell. Last Updated: 10 April 2024 | Last Reviewed: 26 April 2023. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulva-and-vagina Accessed: 04 August 2024
  9. Vagina: What’s Typical, What’s Not – What Can I Do To Keep My Vagina Healthy? 06 December 2022. Mayo Clinic https://www.mayoclinic.org/healthy-lifestyle/womens-health/in-depth/vagina/art-20046562 Accessed: 04 August 2024
  10. Vaginal Dryness: Treatment Options. 2022:2. North America Menopause Society https://www.menopause.org/docs/default-source/for-women/mn-vaginal-dryness.pdf Accessed: 04 August 2024
  11. Vulva and Vagina: What’s Normal? Smell. Last Updated: 10 April 2024 | Last Reviewed: 26 April 2023. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulva-and-vagina Accessed: 04 August 2024
  12. Vagina: What’s Typical, What’s Not – What Are Signs or Symptoms of Vaginal Problems? 06 December 2022. Mayo Clinic https://www.mayoclinic.org/healthy-lifestyle/womens-health/in-depth/vagina/art-20046562 Accessed: 04 August 2024
  13. Vagina: What’s Typical, What’s Not – What Can I Do To Keep My Vagina Healthy? 06 December 2022. Mayo Clinic https://www.mayoclinic.org/healthy-lifestyle/womens-health/in-depth/vagina/art-20046562 Accessed: 04 August 2024
Topic Last Updated: 19 September 2024 – Topic Last Reviewed: 04 August 2024

“A sleep diary allows you to record
when you went to bed, woke during the night,
and woke in the morning”.1

Umbrella

What may the Sleep Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Sleep Diary/Journal/Log
  • Sleep Pattern
  • Sleep Routine

Look for A Pattern

How may I Look for A Pattern with my sleep?Sleep Pattern

In Sleep Diary the American Academy of Sleep Medicine’s (AASM) Sleep Education website, the AASM elaborate on:

“A sleep diary is a useful way to track your sleep at home. A typical sleep diary covers a two-week period. It is most effective when you complete it daily.

A sleep diary allows you to record when you went to bed, woke during the night, and woke in the morning. This will help you understand your sleep pattern and how much sleep you’re getting. It also will show how often you have disrupted sleep.

A sleep diary also will help you note certain activities that can affect your sleep. You will track the time of day when you exercise, nap, or take a medication. You also will record the time when you have caffeine or alcohol.

This information will give your health care provider an overview of your sleep schedule. It also may reveal other factors that are causing a sleep problem. Examples include drinking caffeine or taking naps late in the day”.2

In Sleep: About Sleep – What To Do: the (United States] Centers for Disease Control and Prevention explain:

“Better sleep habits can help you get a good night’s sleep. Habits that can improve your sleep include:

    Going to bed and getting up at the same time every day

  • Keeping your bedroom quiet, relaxing, and at a cool temperature
  • Turning off electronic devices at least 30 minutes before bedtime
  • Avoiding large meals and alcohol before bedtime
  • Avoiding caffeine in the afternoon or evening
  • Exercising regularly and maintaining a healthy diet”.3

Triggers

What triggers may result in insufficient sleep?

In Sleep Problems and Menopause: What Can I Do? Getting A Good Night’s Sleep During the Menopausal Transition the (United States) National Institute on Aging elaborate on:

Sleep Pattern

Sleep Pattern Sleep Pattern Sleep Pattern Sleep Pattern

 

 

 

  • “Exercise at regular times each day but not close to bedtime
  • Avoid eating large meals close to bedtime
  • Stay away from caffeine (found in many coffees, teas, and chocolate) late in the day
  • Remember, alcohol won’t help you sleep. Even small amounts make it harder to stay asleep”.4

Health Care Provider

What if I would like help to look for a pattern with my sleep?

If you would like help to look for a pattern with your sleep, it may be in your best interest to choose to talk to your health care provider about this. Together you can identify any patterns, discuss your options and if required, agree on who may be the most appropriate health care provider to help you.

Health Topics A-Z

Where may I find Health Topics A-Z related to Sleep Pattern?

In Health Topics A-Z you may find:

Links

Where may I find Links related to Sleep Pattern?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Sleep Diary. Updated March 2021. American Academy of Sleep Medicine https://sleepeducation.org/resources/sleep-diary/ Accessed: 04 August 2024
  2. Sleep Diary. Updated: March 2021. American Academy of Sleep Medicine https://sleepeducation.org/resources/sleep-diary/ Accessed: 04 August 2024
  3. Sleep: About Sleep – What To Do. 15 May 2024. Centers for Disease Control and Prevention https://www.cdc.gov/sleep/about/ Accessed: 04 August 2024
  4. Sleep Problems and Menopause: What Can I Do? Getting A Good Night’s Sleep During the Menopausal Transition. Content Reviewed: 30 September 2021. National Institute on Aging https://www.nia.nih.gov/health/sleep-problems-and-menopause-what-can-i-do Accessed: 04 August 2024
Topic Last Updated: 04 August 2024 – Topic Last Reviewed: 04 August 2024

“You will need different health checks throughout your life,
depending on your age, risk factors,
medical background and family history”.1

Umbrella

What may the Women’s Health Checkups Checklist Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Women’s Health Checkups
  • Women’s Health Checkups Checklist

Checklist

What checkups may a women’s health checkups checklist include?

Depending on the Source (DotS) these may include (in something resembling alphabetical order):

  • Blood Pressure Test
  • Blood Sugar Levels
  • Blood Test
  • Bone Density Test
  • Bowel Cancer Screening Test
  • Breast Cancer Screening Test
  • Breast Examination
  • Cervical Cancer Screening Test
  • Cholesterol Test
  • Dental Check
  • Diabetes Test
  • Heart Check
  • Kidney (Renal) Function Check
  • Mammogram
  • Medication Review
  • Pap Test
  • Pelvic Examination
  • Skin Cancer Check

Other Checkups

What other checkups may a women’s health checkups checklists include?

DotS these may include (in something resembling alphabetical order):

  • Depression
  • Eye Test
  • Hearing Test
  • Hepatitis C Virus (HCV)
  • Human Immunodeficiency Virus (HIV)
  • Immunizations
  • Sexually Transmitted Infections (STIs)
  • Weight

Checkups

What health checkups may women require?

In Health Checks Throughout Your Life the (Australian) Jean Hailes for Women’s Health explain:

Women’s Health Checkups Checklist“You will need different health checks throughout your life, depending on your age, risk factors, medical background and family history.

It’s recommended you have certain checks, regardless of your age. For example:

  • Have a skin check every year
  • Have an eye test every two years, or as needed
  • Have a hearing test if you notice any hearing loss
  • Have a dental check and clean every year (some dentists recommend every six months)”.2

Health Care Provider

What if I would like to find out what health checkups I require?

If you would like to find out what health checkups you require, it may be in your best interest to choose to talk to your health care provider about this.

Health Topics A-Z

Where may I find Health Topics A-Z related to Women’s Health Checkups Checklist?

In Health Topics A-Z you may find:

Links

Where may I find Links related to Women’s Health Checkups Checklist?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources at:

Sources

  1. Health Checks Throughout Your Life. Last Updated: 19 March 2024 | Last Reviewed: 13 January 2024. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/health-checks/health-checks-throughout-your-life Accessed: 03 August 2024
  2. Health Checks Throughout Your Life. Last Updated: 19 March 2024 | Last Reviewed: 13 January 2024. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/health-checks/health-checks-throughout-your-life Accessed: 03 August 2024
Topic Last Updated: 03 August 2024 – Topic Last Reviewed: 03 August 2024

“In general, the golden rule is: vaginal discharge is normal
if the colour is clear, white or yellow, it is not smelly, and
is not associated with vulval discomfort or tummy pain”.1

Umbrella

What may the Vaginal Discharge Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Leukorrhea
  • Vaginal Discharge
  • Vaginal Infection
  • Vaginal Inflammation

Definition

What is vaginal discharge?

DotS the definition of vaginal discharge may vary. In Vaginal Discharge Color: What’s Normal and What Isn’t – What Is Vaginal Discharge? the (United States) Cleveland Clinic’s definition is:

“Vaginal discharge is fluid that comes from your vagina. It’s produced by your uterus, cervix or your vagina itself when they discard fluid and old cells.

If you’ve ever heard someone say that “your vagina is a self-cleaning oven,” this is, in part, what that means. When your reproductive system is functioning properly, it naturally clears out the old stuff to make room for the new”.2

Normal

What is normal vaginal discharge?

In Vulva and Vagina: What’s Normal? Smell the (Australian) Jean Hailes for Women’s Health (JH) explain:

“It’s normal for your vulva and vagina to smell different at different times in your menstrual cycle and after menopause.

There are many fluids and secretions associated with the vulva that can affect the smell. For example, urine, sweat, menstrual blood, skin oils and vaginal and gland secretions”.3

In What’s Normal: Discharge – Normal Discharge the (Australian) Caredownthere elaborate on:

“In general, the golden rule is: vaginal discharge is normal if the colour is clear, white or yellow, it is not smelly, and is not associated with vulval discomfort or tummy pain”.4

In Vaginal Discharge: Check If Your Vaginal Discharge Is Normal the (United Kingdom) NHS note:

“Vaginal discharge is not usually anything to worry about if it:

  • Does not have a strong or unpleasant smell
  • Is clear or white
  • Is thick and sticky
  • Is slippery and wet”.5

Abnormal

What is abnormal vaginal discharge?

In Vulva and Vagina: What’s Normal? Smell the JH explain:

“If the smell is unpleasant, yeasty or fishy smelling, this may be a sign of an infection. An unpleasant smell may also be due to a sexually transmitted infection (STI), a tampon that needs to be changed, or not wiping thoroughly after going to the toilet”.6

Causes

What causes abnormal vaginal discharge?

In Vaginal Discharge: Basics – Causes the Mayo Clinic note:

Causes Related To Infection or Inflammation

Possible causes of unusual vaginal discharge linked to infections or inflammation include:

  • Bacterial vaginosis
  • Cervicitis
  • Chlamydia trachomatis
  • Gonorrhea
  • Forgotten, also called retained, tampon
  • Pelvic inflammatory disease (PID)
  • Trichomoniasis
  • Vaginitis
  • Yeast infection (vaginal)

Other causes

Other causes of unusual vaginal discharge include:

  • Certain hygiene practices, such as douching or using scented sprays or soap
  • Cervical cancer
  • Pregnancy
  • Vaginal atrophy, also called genitourinary syndrome of menopause
  • Vaginal cancer
  • Vaginal fistula

It’s rare for changes to vaginal discharge to be a sign of cancer”.7

Menopause

After menopause, how may vaginal discharge change?

Caredownthere note:


Vaginal Discharge“After the menopause the vaginal discharge gradually stops, but will return if the woman starts hormone replacement therapy”.8

The JH explain:

“After menopause, the smell may be different to when you were having periods because the bacteria in your vagina changes at this time”.9

In Is This Normal? Q. Are there other problems that can arise during menopause that can cause changes in discharge? the (United States) Harvard Health note:

“In menopause, the lack of estrogen often leads to thin, dry skin in the vulva and vagina and a vaginal environment that prevents “good” bacteria from flourishing. In such a situation, other bacteria can grow, sometimes resulting in increased or bothersome vaginal discharge that is not necessarily dangerous but can affect quality of life”.10

Douching or Not

Should women douche?

No. In Douching: What Is Douching? the Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov explain:

“The word “douche” means to wash or soak. Douching is washing or cleaning out the inside of the vagina with water or other mixtures of fluids. Most douches are sold in stores as prepackaged mixes of water and vinegar, baking soda, or iodine. The mixtures usually come in a bottle or bag. You squirt the douche upward through a tube or nozzle into your vagina. The water mixture then comes back out through your vagina.

Douching is different from washing the outside of your vagina during a bath or shower. Rinsing the outside of your vagina with warm water will not harm your vagina. But, douching can lead to many different health problems.

Most doctors recommend that women do not douche”.11

Clean

How can vaginas be kept clean?

In Vaginal Discharge: Care and Treatment – How Do You Keep Your Vagina Clean and Smelling Good? the (United States) Cleveland Clinic elaborate on:

“Using mild soap and water to gently clean your vulvar area once daily should be enough to keep your vagina clean. Your vagina naturally keeps itself clean with the help of certain healthy bacteria. These bacteria keep your vagina acidic, which prevents microorganisms and fungus from growing out of control.

Other tips for keeping your vagina clean include:

  • Avoid using perfumed soaps, gels, wipes or other feminine products.
  • Don’t douche or wash inside your vagina.
  • Avoid wearing tight underwear, leotards, bathing suits or sweaty clothes for long periods of time.
  • Wipe your vagina from front to back. This prevents bacteria from your rectum from getting into your vagina”.12

Health Care Provider

What if I think I have abnormal vaginal discharge?

If you think you have abnormal vaginal discharge, it may be in your best interest to choose to talk to your health care provider about this. Caredownthere explain:

“Your health professional is the best person to give you the right advice for your situation”.13

The JH note:

“If you are worried about the smell, or have symptoms such as itching, burning, irritation, soreness, painful sex or pain when you wee, see your doctor”.14

In Vaginal Discharge: Basics – When To See A Doctor the Mayo Clinic also note:

“Schedule a visit with your health care provider if you have:

  • Greenish, yellowish, thick or cheesy vaginal discharge
  • Strong vaginal odor
  • Itching, burning or irritation of your vagina or of the area of skin that surrounds the vagina and urethra, also called the vulva. You might notice a change in color to these tissues. They may be a shade of red, purple or brown depending on your skin color
  • Bleeding or spotting outside of your period”.15

Health Topics A-Z

Where may I find Health Topics A-Z related to Vaginal Discharge?

In Health Topics A-Z you may find:

Links

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Sources

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Sources

  1. What’s Normal: Discharge – Normal Discharge. Caredownthere https://www.caredownthere.com.au/_pages/normal_discharge.html Accessed: 03 August 2024
  2. Vaginal Discharge Color: What’s Normal and What Isn’t – What Is Vaginal Discharge? 29 July 2022. Cleveland Clinic https://health.clevelandclinic.org/vaginal-discharge-mean/ Accessed: 03 August 2024
  3. Vulva and Vagina: What’s Normal? Smell. Last Updated: 10 April 2024 | Last Reviewed: 26 April 2023. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulva-and-vagina#whats-normal Accessed: 03 August 2024
  4. What’s Normal: Discharge – Normal Discharge. Caredownthere https://www.caredownthere.com.au/_pages/normal_discharge.html Accessed: 03 August 2024
  5. Vaginal Discharge: Check If Your Discharge Is Normal. Page Last Reviewed: 15 February 2024. NHS https://www.nhs.uk/conditions/vaginal-discharge/#normal-vaginal-discharge Accessed: 03 August 2024
  6. Vulva and Vagina: What’s Normal? Smell. Last Updated: 10 April 2024 | Last Reviewed: 26 April 2023. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulva-and-vagina#whats-normal Accessed: 03 August 2024
  7. Vaginal Discharge: Basics – Causes. 25 April 2023. Mayo Clinic https://www.mayoclinic.org/symptoms/vaginal-discharge/basics/causes/sym-20050825 Accessed: 03 August 2024
  8. What’s Normal: Discharge – Normal Discharge. Caredownthere https://www.caredownthere.com.au/_pages/normal_discharge.html Accessed: 03 August 2024
  9. Vulva and Vagina: What’s Normal? Smell. Last Updated: 10 April 2024 | Last Reviewed: 26 April 2023. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulva-and-vagina#whats-normal Accessed: 03 August 2024
  10. Is This Normal? Q. Are there other problems that can arise during menopause that can cause changes in discharge? 19 April 2021. Harvard Health https://www.health.harvard.edu/womens-health/is-this-normal Accessed: 03 August 2024
  11. Douching: What Is Douching? Page Last Updated: 29 December 2022. Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov https://www.womenshealth.gov/a-z-topics/douching Accessed: 03 August 2024
  12. Vaginal Discharge: Care and Treatment – How Do You Keep Your Vagina Clean and Smelling Good? Last Reviewed: 22 July 2022. Cleveland Clinic https://my.clevelandclinic.org/health/symptoms/4719-vaginal-discharge Accessed: 03 August 2024
  13. What’s Normal: Discharge – Abnormal Discharge. Caredownthere https://www.caredownthere.com.au/_pages/normal_discharge.html Accessed: 03 August 2024
  14. Vulva and Vagina: What’s Normal? Smell. Last Updated: 10 April 2024 | Last Reviewed: 26 April 2023. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/vulva-vagina/vulva-and-vagina#whats-normal Accessed: 03 August 2024
  15. Vaginal Discharge: Basics – When To See A Doctor. 25 April 2023. Mayo Clinic https://www.mayoclinic.org/symptoms/vaginal-discharge/basics/when-to-see-doctor/sym-20050825 Accessed: 03 August 2024
Topic Last Updated: 03 August 2024 – Topic Last Reviewed: 03 August 2024

“Having regular health checks is an important way
to look after yourself. Health checks can
identify risks or early signs of a health problem”.1

Umbrella

What may the Women’s Health Checkups Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Annual Check/Checkup/Exam/Examination/Maintenance/Test/Visit
  • Annual Physical Check/Checkup/Exam/Examination/Maintenance/Test/Visit
  • Clinical Check/Checkup/Exam/Examination/Maintenance/Test/Visit
  • Health Check/Checkup/Exam/Examination/Maintenance/Test/Visit
  • Health Screening
  • Medical Check/Checkup/Exam/Examination/Maintenance/Test/Visit
  • Physical Check/Checkup/Exam/Examination/Maintenance/Test/Visit
  • Routine Check/Checkup/Exam/Examination/Maintenance/Test/Visit
  • Women’s Health Check/Checkup/Exam/Examination/Maintenance/Test/Visit
  • Yearly Check/Checkup/Exam/Examination/Maintenance/Test/Visit

Importance

How important is having regular health checks?

In Health Checks the (Australian) Jean Hailes for Women’s Health (JH) explain:

“Having regular health checks is an important way to look after yourself. Health checks can identify risks or early signs of a health problem. They can also help you monitor existing health issues. If you find health problems early, you have a better chance of treating and managing them”.2

Checkups

What health checkups may women require?

In Health Checks Throughout Your Life the JH note:

“You will need different health checks throughout your life, depending on your age, risk factors, medical background and family history.

It’s recommended you have certain checks, regardless of your age. For example:

  • Have a skin check every year
  • Have an eye test every two years, or as needed
  • Have a hearing test if you notice any hearing loss
  • Have a dental check and clean every year (some dentists recommend every six months)”.3

Health Care Provider

Even if I feel fine, do I still need to see my health care provider for regular checkups?

Even if you feel fine, it may be in your best interest to choose to see your health care provider for regular checkups.

In Health Screenings for Women Ages 40 To 64: Information the (United States) MedlinePlus elaborate on:

“Even if you feel fine, you should still see your provider for regular checkups. These visits can help you avoid problems in the future. For example, the only way to find out if you have high blood pressure is to have it checked regularly. High blood sugar and high cholesterol levels also may not have any symptoms in the early stages. A simple blood test can check for these conditions”.4

Health Topics A-Z

Where may I find Health Topics A-Z related to Women’s Health Checkups?

In Health Topics A-Z you may find:

Links

Where may I find Links related to Women’s Health Checkups?

Your Country may have Links similar to:

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Health Checks. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/health-checks Accessed: 01 August 2024
  2. Health Checks. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/health-checks Accessed: 01 August 2024
  3. Health Checks Throughout Your Life. Last Updated: 19 March 2024 | Last Reviewed: 13 January 2024. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/health-checks/health-checks-throughout-your-life Accessed: 01 August 2024
  4. Health Screenings for Women Ages 40 To 64: Information. Review Date: 21 May 2024. MedlinePlus https://www.nlm.nih.gov/medlineplus/ency/article/007467.htm Accessed: 01 August 2024
Topic Last Updated: 01 August 2024 – Topic Last Reviewed: 01 August 2024