Sunday, September 13, 2009

da SimpLe thiNg tat i av dOne

if you find life onE long, hard struggle, it cud be party bcoz u r a serial non takEr? hUrmZ am i?

LOok arOund yOu der r peOple reaDy tO help. YOu juz tO learN to takE wut they aV to give. bUt sumtimes i can staNd by mysElf. i can load thEm myself if i gOt any trOuble.i duN need heLp.,im nOt childiSh, buT even a littLe help make me feel lyke a baby.So hOw cud I be a matUre wOman??

sOmTimes i thiNk, hOw tO make smarter miStakes? im sO afraid of failing my takE da cOnservatIve rOute every stEp of dA way.

if ur noT making mistakes, ur not takIng risks and tat means ur not gOin anywhere.

i noE diz doesnt mean tO me shOuld adOpt a deviL-may -caRe attitude, n i neVer afraid to take risks anD learN from da consequeNces. i'll can handle by my self if av trOuble withOut woRry for anyone.

somtimes i thought, im not a gud woman. NobodY perfect rite?i waNna be a smarter n perfect woman in oTher sight.

,,urmz, deep in mY heaRt , der's kind burnIng.. i can sense tat luv is near.,,
anD One day, i gfOund sumoNe who chEer up my life. he really kinds and cares of me. he owEyz be der fOr me wen i gOT any trOuble...

nOw i realize tat, he gives me a new spirit n make me smile againn..sO wonderFuL Life, fullfill wut i've never get beforE.Learn me hOw tO be a gud sTudent. huiii,so funny huh wen hear tat.,. neVer give up.,,agaIn and again he tried to gimmE any ideas, moTivate,wit hOpe i'll succeed n get flyinG coloRs in my stdy.

he oweyz reminds me" dun fOrget study my dear!!! dun be lazy okay."

ill try' my best cnnot hurthis heart. juz wanna mke him epy . may God bless we alwitz,,. amin.

Dysfunctional uterine bleeding( DUB)

Dysfunctional Uterine Bleeding (DUB) is abnormal genital tract bleeding based in the uterus and found in the absence of demonstrable organic pathology, and is the most common cause of functional abnormal uterine bleeding. Diagnosis must be made by exclusion, since organic pathology must first be ruled out. It can be classified as ovulatory or anovulatory, depending on whether ovulation is occurring or not

Ovulatory DUB happens with the involvement of ovulation, and may represent a possible endocrine dysfunction, resulting in menorrhagia or metrorrhagia. Mid-cycle bleeding may indicate a transient estrogen decline, while late-cycle bleeding may indicate progesterone deficiency


Anovulatory cycle DUB happens without the involvement of ovulation. The etiology can be psychological stress, weight (obesity, anorexia, or a rapid change), exercise, endocrinopathy, neoplasm, drugs, or it may be otherwise idiopathic.

Assessment of anovulatory DUB should always start with a good medical history and physical examination. Laboratory assessment of hemoglobin, luteinizing hormone (LH), follicle stimulating hormone (FSH), prolactin, T4, thyroid stimulating hormone (TSH), pregnancy (by βhCG), and androgen profile should also happen. More extensive testing might include an ultrasound and endometrial sampling.


Management of dysfunctional uterine bleeding predominantly consists of reassurance, though mid-cycle estrogen and late-cycle progestin can be used for mid- and late-cycle bleeding respectively. Also, non-specific hormonal therapy such as combined estrogen and progestin can be given.

The goal of therapy should be to arrest bleeding, replace lost iron to avoid anemia, and prevent future bleeding.

Tuesday, September 8, 2009

menStRuatiOn ( a pEriOd)

Puberty and Periods

Menstruation (a period) is a major stage of puberty in girls; it's one of the many physical signs that a girl is turning into a woman. And like a lot of the other changes associated with puberty, menstruation can be confusing. Some girls can't wait to start their periods, whereas others may feel afraid or anxious. Many girls (and guys!) don't have a complete understanding of a woman's reproductive system or what actually happens during the menstrual cycle, making the process seem even more mysterious.

When girls begin to go through puberty (usually starting between the ages of 8 and 13), their bodies and minds change in many ways. The hormones in their bodies stimulate new physical development, such as growth and breast development. About 2 to 2½ years after a girl's breasts begin to develop, she usually gets her first menstrual period.

About 6 months or so before getting her first period, a girl might notice an increased amount of clear vaginal discharge. This discharge is common. There's no need for a girl to worry about discharge unless it has a strong odor or causes itchiness.

The start of periods is known as menarche. Menarche doesn't happen until all the parts of a girl's reproductive system have matured and are working together.

How Often Does a Girl Get Her Period?

Just as some girls begin puberty earlier or later than others, the same applies to periods. Some girls may start menstruating as early as age 10, but others may not get their first period until they are 15 years old.

The amount of time between a girl's periods is called her menstrual cycle (the cycle is counted from the start of one period to the start of the next). Some girls will find that their menstrual cycle lasts 28 days, whereas others might have a 24-day cycle, a 30-day cycle, or even longer. Following menarche, menstrual cycles last 21–45 days. After a couple of years, cycles shorten to an adult length of 21–34 days.

Irregular periods are common in girls who are just beginning to menstruate. It may take the body a while to sort out all the changes going on, so a girl may have a 28-day cycle for 2 months, then miss a month, for example. Usually, after a year or two, the menstrual cycle will become more regular. Some women continue to have irregular periods into adulthood, though.

As a girl gets older and her periods settle down — or she gets more used to her own unique cycle — she will probably find that she can predict when her period will come. In the meantime, it's a good idea to keep track of your menstrual cycle with a calendar.

How Long and How Much?

The amount of time that a girl has her period also can vary. Some girls have periods that last just 2 or 3 days. Other girls may have periods that last 7 days or longer. The menstrual flow — meaning how much blood comes out of the vagina — can vary widely from girl to girl, too.

Some girls may be concerned that they're losing too much blood. It can be a shock to see all that blood, but it's unlikely that a girl will lose too much, unless she has a medical condition like von Willebrand disease. Though it may look like a lot, the average amount of blood is only about 2 tablespoons (30 milliliters) for an entire period. Most teens will change pads 3 to 6 times a day, with more frequent changes when their period is heaviest, usually at the start of the period.

Especially when menstrual periods are new, you may be worried about your blood flow or whether your period is normal in other ways. Talk to a doctor or nurse if:

  • your period lasts longer than a week
  • you have to change your pad very often (soaking more than one pad every 1–2 hours)
  • you go longer than 3 months between periods
  • you have bleeding in between periods
  • you have an unusual amount of pain before or during your period
  • your periods were regular then became irregular
LaTe pEriOD???? ouWhh noO..

Being a woman can be quite complicated when you have to contend with fluctuating hormones and missed periods. It can be scary to discover you have an irregular, missed or absent period. There are so many different health factors that have an effect on your menstrual cycle that it can be hard for you or a doctor to determine the cause. Before you begin to worry, though, consider whether any of these situations might apply to you and learn what you can you do to bring back your period if they do.

First Things First

You must begin by asking yourself a series of questions:!!!!!
  • How long has it been since I missed my period?
  • Am I taking birth control?
  • Is there a possibility I might be pregnant?
  • Do I have bleeding between periods?
  • How often do I have heavy menstrual bleedING

Why is it Late?

There can be several explanations as to why you have had a late or missed period that depend on your unique health history and lifestyle. Among the more common reasons, late or missed periods can be caused by variety of factors including:
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