Here are questions from readers that were addressed by leading obstetrician and gynaecologist Dr Mini Salunkhe. The identities of the solution-seekers have been withheld to protect their privacy.
Doctor, I have read online that one of the causes of UTI is taking birth control pills. Is this true? And if yes, then how do we know which pills would be safe to take and canwe prevent these infections?
Birth control pills can disrupt hormonal levels in a woman’s body. Consequently, the drop in oestrogen levels may cause increased vaginal dryness and thus irritation. This may also lead to Urethral dryness. Women who take birth control pills over a long period of time may suffer from chronic UTI (Urinary Tract Infections) and Yeast infections. The only prevention/ treatment option is to refrain from using the pills for a few weeks and concomitant treatment of the symptoms. All Oral Contraceptive pills would more or less have the same side effect. If you think you have a UTI, it’s recommended you visit a urologist like the ones from Advanced Urology to find treatment options before it worsens.
Dear doctor, thank you for giving us this chance to interact with you. This column is really helpful for us to understand a lot of the issues with women’s health. I wanted to take your advice on my current problem; I have a white discharge coming from my vagina. Is it an infection? Please guide me, Madam.
Thank you for your kind words. I am more than happy to guide readers through their concerns on women’s health. Coming back to your question; Most of the times white discharge from the vagina is perfectly normal. The quantum and the odour can vary depending on the time of your menstrual cycle. Vaginal discharge will be more during ovulation time and before and after menstruation.In case the vaginal discharge is itchy, presenting in clumps, malodorous or of a different colour, it is advisable to have it examined by a gynaecologist.
Is it safe for me to wax my bikini region? Is it even necessary for me to get rid of my pubic hair? Does it really help in anyway?
While it is safe to wax in the pubic region, it should be carried out with reasonable caution. If you’re not sure what you’re doing, look for some advice on websites like nacach.com to learn more about the correct way to wax and the products that you should be using. The pubic area is one of the most sensitive areas of the body and special attention must be paid to avoid any irritation. Ideally, a patch test must be done. There may be an increased risk of Folliculitis(inflammation of the hair follicle). While it is considered good for personal hygiene, waxing of the pubic region is often done only for aesthetic or cosmetic reasons.
I just started menstruating. How often should I change my pad? Is there some ideal schedule/thumb rule to be borne in mind for health/hygiene reasons?
The standard time to change a sanitary pad is once in 5-6 hours but you have to customise the changing schedule according to your individual needs. Check your pad every 3-4 hours during the day to see if it needs changing. You should change it before it becomes completely soaked or there is an odour.The frequency of changing would also depend upon your menstrual flow. In case of heavy flow, you might have to change pads more often. Be sure to clean the labial area frequently during menses and before changing into a new pad.
Thank you, readers for your queries. I hope I have been able to answer them and clarify your doubts. I would be more than happy to take time off to answer all your questions week after week. You can reach me via editorial@pune365.com
Dr Mini Salunkhe is a senior gynaecologist practising in Pune for over a decade. Apart from being a private practitioner, she is a consulting obstetrician and gynaecologist at Inamdar Hospital.
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