The average female life expectancy is increasing, and women can expect to spend about 30 years of their lifetime in the menopause. Studies estimate about a third of the total living women population are in the menopause. If not well managed, menopausal symptoms often lead to a poor quality of life.
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Menopause is defined as the end of natural reproductive ovarian cycles. Any bleeding whilst in the menopause years is considered abnormal. Attempts must be made to work out why the bleeding has occurred. For the majority, the cause of the bleeding will be innocent. For others, the bleeding might be caused by some disease conditions in the reproductive system that would warrant treatment.
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Effective contraception after delivery should be initiated as soon as possible. This prevents the likelihood of an unplanned pregnancy, and allows adequate spacing prior to subsequent pregnancies. There are many disadvantages of conceiving shortly after a recent pregnancy, with poor health implications for you and your newborn.
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A recurring reason for Gynecology visits is a decreased sex drive. Libido is the medical word used to describe sexual desire. Human sexual response is very complex and ill-understood, thus decreased libido cannot be addressed in a simplistic manner.
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Many pregnancies are unplanned, and most couples do not seek pre-pregnancy advice. In an ideal situation, all pregnancies should be planned, with pre-conceptual advice being part of routine care.
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