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Archive for April 28th, 2009

Many people who get furiously angry find that this mood gives them masses of energy. One way of dealing with the anger is to use up the energy. If you can choose some really useful violent activity, like digging the garden, scrubbing floors, washing the paintwork, making bread, or jogging, then you’re making a conscious effort to channel this energy practically and tackling your problem in a most positive way.

It certainly seems better to release your energy than to try to repress it. But even if you dig and scrub and bake like mad, there will still be times when your anger catches you out and you find yourself in the middle of a growing row. The old advice to count to ten before you say anything is precious little help at a time like this, but if you can remember to breathe in second gear you might find that this will give you the pause you need. And if you can then start relaxing those tense muscles in your face and fists you just might be able to stop the whole thing and get it under control. Breathing in second gear is doubly helpful when you’re in a temper, because as well as slowing you down and making you feel less angry it also gives you something else to concentrate on instead of whatever it is that’s making you furious. It won’t always work of course, because the pressure of your emotions at this time is so very strong. But it’s worth a try. If you do succeed, you’ll have every reason to feel very pleased with yourself.

This irrational anger is the symptom of the miseries you are most likely to know about, whether you suffer from it or not, and that’s because it’s been in the news recently. It’s far and away the most dramatic of all the symptoms and that makes it newsworthy. Journalists, like doctors, call it pre-menstrual tension, or pmt for short. Many of their articles, particularly the ones in the women’s magazines, are helpful and sympathetic. But I have also read stories in the popular press about mothers who battered their babies, wives who attacked their husbands, and even a girl who was sent to prison because she set fire to her parents’ home, and the journalists have asked us to believe that the only thing that was wrong with them was that they were suffering from pmt. Although I’m sure they were all suffering from the aching miseries, I’m equally sure there were lots of other problems in their lives too. We are all too complicated, and so are our lives, for such a very simple solution.

We ought to be glad that the subject is at least being aired. But over-simplification can be a nuisance and it’s one we ought all to guard against, because it can affect us all. If we’re not careful, pmt could become a sort of public scapegoat, so that any woman who is angry about anything could safely be ignored, dismissed or patronized. ‘Oh well, of course she can’t help it, poor thing. It’s that time of the month!’ Nudge, nudge; wink, wink! We need to hold on to our knowledge that a lot of anger is both necessary and justified if we and our children are to survive in what is, for so many of us, a cut-throat world. The acid test is to ask ourselves what a man would have said and done in the same circumstances. If a man’s anger is justified, then so is a woman’s.

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Signs and symptoms

Vaginal discharge that occurs during puberty and is not irritating or foul-smelling is normal. Vaginal discharge that is puslike, irritating, foul-smelling, or bloody is not normal. The cause of the problem usually must be determined by your doctor.

Home care

Some of the simple causes of abnormal vaginal discharge can be prevented. Have your daughter avoid using vaginal sprays or chemicals in bath water, wear cotton rather than synthetic underpants, and wipe herself from front to back after going to the bathroom. Look for signs of threadworms or urinary tract infections. Taking sitz baths in a tub of water to which a cup of vinegar has been added may be helpful.

Precaution

Girls whose mothers received the drug diethylstilbesterol (DES) while pregnant may have a deformity of the vagina (adenosis) that causes vaginal discharge. Such girls should be examined by a gynecologist at the beginning of puberty whether or not they have vaginal discharge. Although the medical profession originally overestimated the chances of a girl whose mother took DES getting cancer, the possibility does exist. Any girl with adenosis of the vagina should be carefully monitored.

Medical treatment

Your doctor will take a detailed health history and conduct a physical (including rectal) examination. The doctor may require a culture of the discharge, and sometimes an X ray of the pelvis. Your doctor may also order urine tests.

Treatment depends upon the cause of the problem, but it may involve the use of antibiotics, worm medicine, fungicides, medicated suppositories, or hormone ointments.

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