5min readHealth 22 May 2019
Let me share with you a female doctor and CEO's life hack: if you are not trying to 'make' a baby, you do NOT have to bleed every month. As doctors, we have seared into women's minds: you must have a period every month (if you are not on any medications). However, we now have the technology to safely and effectively "turn off" periods.
The idea of #PeriodsOptional first came to me when I was trying to get pregnant with my first child. Each month the uterus builds a rich blood filled lining to accept an embryo. But without an embryo, that lining gets shed, and the whole process starts over again. Basically, the only reason that we (those with uteri) bleed each month is because we didn't get pregnant. An average woman will begin her period at 12 years old, have two children in her lifetime, and remain fertile until the age of 50. That's approximately 35 years of incessant menstruation for no good reason.
Each time you build up that lining (endometrium) and slough it, you risk endometrial cancer. And each time you pop out an egg for that lining, you risk ovarian cancer. The only way to prevent ovarian cancer that we currently know of (short of taking out your ovaries) is to turn off the monthly egg-popping using birth control. Women who used birth control pills for 5 or more years have about a 50% lower risk of developing ovarian cancer compared to women who never used oral contraceptives.
Dr. Beverly Strassman, who studied the Dogon tribe in Mali, found that it might be "more natural" to have fewer periods. In the old days, we had about 100 periods in our lifetimes. Now, we have 350-400. Historically, we'd start periods at 16 (we now start at 12 years old), we'd have eight babies (we now have two on average), and we'd breastfeed for 20 months (we now do zero to six months at best).
Since the creation of the birth control pill, doctors have known that the one week withdrawal bleed (aka "period") is optional. Dr. John Rock, one of three co-founders of the birth control pill, was the one that pushed for a bleed one week out of four. It was to see if he could get the method through the Catholic Church. He said it was just to make the periods regular and thus Catholics could better utilize the rhythm method. He also thought that women would be more likely to accept the method if it was consistent with what they were used to. Thus since the beginning the birth control pill, women have been forced to bleed one week out of four. Needless to say, if I were one of the co-founders, I would have pushed for #NoPeriods or #PeriodsOptional.
Let's explore other benefits of skipping your monthly bleed:
- You save money – we use 12,000 feminine hygiene products in our lives.
- You save the planet from landfill.
- You decrease your risk of certain medical conditions – ovarian cancer, endometrial cancer, and anemia
- Certain diseases do better on stable hormonal levels – acne, PCOS, diabetes, seizure disorder, depression/psychological conditions.
- Increased productivity – the number one cause of missed work/school in a woman under the age of 25? Her periods.
Using birth control to skip periods:
- You can use the hormonal IUD, the implant, the shot, the ring, the patch and the pill. Note: You cannot use the patch for longer than 12 weeks in a row, because too much estrogen will build up in the blood.
- You do not have to use "special pills" that come in 84 or 91 days packs. You can use any pill and just skip the last week (if it is a four week pack) or go straight into the next pack (if it is a three week pack). Though if you are paying cash, those are sometimes cheaper.
- If you get breakthrough bleeding and have taken at least three weeks of active pills in a row, then you can stop the active pills for five days, have a bleed during that time, then restart on day six whether or not you are bleeding. This "cleans out the uterus" and allows you to start fresh.
- There are 40 different formulations of the birth control pill. So if one doesn't work for you, there are at least six other progestins and two levels of estrogen to play with.
- To skip the bleed on the pill, you want a progestin with higher progestational activity. Go to this chart that I created to review the options.
As the only female founded/led reproductive health company in the birth control delivery space, Pandia Health set out to make women's lives easier by sharing cutting edge, evidence-based women's healthcare. We commissioned a study of 1000 women ages 20-35 in the US to see what they knew about the topic. We found that:
- 66% of women had never been informed by a doctor that they could skip their periods safely.
- 46% have missed school because of periods.
- 58% would turn of their periods if they knew it could be done safely.
So make your uterus a happy uterus. A happy uterus is one that is not "crying" unnecessary bloody tears.
3 Min Read
With a lack of certainty surrounding the future, being and feeling healthy may help bring the security that you need during these unpredictable times.
When it comes to your health, there is a direct relationship between nutrition and physical activity that play an enormous part in physical, mental, and social well-being. As COVID-19 continues to impact almost every aspect of our lives, the uncertainty of the future may seem looming. Sometimes improvisation is necessary, and understanding how to stay healthy and fit can significantly help you manage your well-being during these times.
Tip 1: Communicate with your current wellness providers and set a plan
Gyms, group fitness studios, trainers, and professionals can help you to lay out a plan that will either keep you on track through all of the changes and restrictions or help you to get back on the ball so that all of your health objectives are met.
Most facilities and providers are setting plans to provide for their clients and customers to accommodate the unpredictable future. The key to remaining consistent is to have solid plans in place. This means setting a plan A, plan B, and perhaps even a plan C. An enormous amount is on the table for this coming fall and winter; if your gym closes again, what is your plan? If outdoor exercising is not an option due to the weather, what is your plan? Leaving things to chance will significantly increase your chances of falling off of your regimen and will make consistency a big problem.
The key to remaining consistent is to have solid plans in place. This means setting a plan A, plan B, and perhaps even a plan C.
Tip 2: Stay active for both mental and physical health benefits
The rise of stress and anxiety as a result of the uncertainty around COVID-19 has affected everyone in some way. Staying active by exercising helps alleviate stress by releasing chemicals like serotonin and endorphins in your brain. In turn, these released chemicals can help improve your mood and even reduce risk of depression and cognitive decline. Additionally, physical activity can help boost your immune system and provide long term health benefits.
With the new work-from-home norm, it can be easy to bypass how much time you are spending sedentary. Be aware of your sitting time and balance it with activity. Struggling to find ways to stay active? Start simple with activities like going for a walk outside, doing a few reps in exchange for extra Netflix time, or even setting an alarm to move during your workday.
Tip 3: Start slow and strong
If you, like many others during the pandemic shift, have taken some time off of your normal fitness routine, don't push yourself to dive in head first, as this may lead to burnout, injury, and soreness. Plan to start at 50 percent of the volume and intensity of prior workouts when you return to the gym. Inactivity eats away at muscle mass, so rather than focusing on cardio, head to the weights or resistance bands and work on rebuilding your strength.
Be aware of your sitting time and balance it with activity.
Tip 4: If your gym is open, prepare to sanitize
In a study published earlier this year, researchers found drug-resistant bacteria, the flu virus, and other pathogens on about 25 percent of the surfaces they tested in multiple athletic training facilities. Even with heightened gym cleaning procedures in place for many facilities, if you are returning to the gym, ensuring that you disinfect any surfaces before and after using them is key.
When spraying disinfectant, wait a few minutes to kill the germs before wiping down the equipment. Also, don't forget to wash your hands frequently. In an enclosed space where many people are breathing heavier than usual, this can allow for a possible increase in virus droplets, so make sure to wear a mask and practice social distancing. Staying in the know and preparing for new gym policies will make it easy to return to these types of facilities as protocols and mutual respect can be agreed upon.
Tip 5: Have a good routine that extends outside of just your fitness
From work to working out, many routines have faltered during the COVID pandemic. If getting back into the routine seems daunting, investing in a new exercise machine, trainer, or small gadget can help to motivate you. Whether it's a larger investment such as a Peloton, a smaller device such as a Fitbit, or simply a great trainer, something new and fresh is always a great stimulus and motivator.
Make sure that when you do wake up well-rested, you are getting out of your pajamas and starting your day with a morning routine.
Just because you are working from home with a computer available 24/7 doesn't mean you have to sacrifice your entire day to work. Setting work hours, just as you would in the office, can help you to stay focused and productive.
A good night's sleep is also integral to obtaining and maintaining a healthy and effective routine. Adults need seven or more hours of sleep per night for their best health and wellbeing, so prioritizing your sleep schedule can drastically improve your day and is an important factor to staying healthy. Make sure that when you do wake up well-rested, you are getting out of your pajamas and starting your day with a morning routine. This can help the rest of your day feel normal while the uncertainty of working from home continues.
Tip 6: Focus on food and nutrition
In addition to having a well-rounded daily routine, eating at scheduled times throughout the day can help decrease poor food choices and unhealthy cravings. Understanding the nutrients that your body needs to stay healthy can help you stay more alert, but they do vary from person to person. If you are unsure of your suggested nutritional intake, check out a nutrition calculator.
If you are someone that prefers smaller meals and more snacks throughout the day, make sure you have plenty of healthy options, like fruits, vegetables and lean proteins available (an apple a day keeps the hospital away). While you may spend most of your time from home, meal prepping and planning can make your day flow easier without having to take a break to make an entire meal in the middle of your work day. Most importantly, stay hydrated by drinking plenty of water.
Tip 7: Don't forget about your mental health
While focusing on daily habits and routines to improve your physical health is important, it is also a great time to turn inward and check in with yourself. Perhaps your anxiety has increased and it's impacting your work or day-to-day life. Determining the cause and taking proactive steps toward mitigating these occurrences are important.
For example, with the increase in handwashing, this can also be a great time to practice mini meditation sessions by focusing on taking deep breaths. This can reduce anxiety and even lower your blood pressure. Keeping a journal and writing out your daily thoughts or worries can also help manage stress during unpredictable times, too.
While the future of COVI9-19 and our lives may be unpredictable, you can manage your personal uncertainties by focusing on improving the lifestyle factors you can control—from staying active to having a routine and focusing on your mental health—to make sure that you emerge from this pandemic as your same old self or maybe even better.