Journey of young girl to old woman

21 Nov, 2022

Time to start periods

  • 1—2 years irregular periods can be normal as body response after excluding any reason by doctor
  • Girls improve diet [calcium, vitamin D , magnesium to get strength in bones, to prepare for future life
  • Girls should take HPV vaccine in teen ages preferably before start marital life
  • Life style modification [healthy diet, exercise , weight reduction]1st step to treat PCOD before taking any medication
  • 1mg folic acid is enough outside or during pregnancy if no risk factor otherwise can be 5 mg as advised by doctor
  • Anyone with low hemoglobin not getting better with diet and iron medication , should check for thalassemia and sickle cell anemia
  • Girls with bariatric surgery for weight reduction, multivitamin especially folic acid , vitamin
  • B12, iron and fat-soluble vitamins should take.

During pregnancy

  • 1st trimester [7-9 weeks ] scan ,very important to locate pregnancy to avoid emergency situation for ectopic pregnancy
  • Folic acid 1 mg or 5mg depends upon doctor advised is enough till 12 weeks of pregnancy
  • Vitamin D supplement very important for prevent of high blood pressure and in high risk patient
  • Walk , healthy diet and antenatal class to get strength and prepare body for delivery
  • Always follow advise of doctor ,optimize any of health condition to prevent harm to you and your baby


  • Vaginal delivery ideal suggested mode of delivery
  • Safety of mother and baby is 1st priority
  • Don’t go for operative delivery until unless indicated by doctor with valid reason
  • Don’t take herbals without knowing side effects, it can harm your baby heart
  • If you have fear of pain during delivery , don’t make it reason for operation , very effective painkiller are available.

After delivery

  • Hydration , mobilization : very important to resume your body back to normal
  • This will avoid risk of embolism in legs , lungs and brain


  • For IQ of baby
  • Prevent infections
  • Prevents allergy
  • Provide immunity
  • Best bonding of mother and baby
  • For mother
  • Prevent risk of breast cancers and ovarian cancers in future life
  • Breastfeeding mother should take supplements especially calcium

Birth spacing

  • At least 1-2 years according to couple choice
  • Gap is more beneficial for women having cesarean section to prevent risk of uterine rapture
  • By this women can have taken trial of normal delivery according to doctor advise

Premenopausal / menopausal

  • Age of menopause is around 51 years
  • If periods stopped earlier , should take advice from doctor
  • Walk , healthy diet ,multivitamins[calcium, vitamin D ] exercise
  • By this prevent risk of heart problem , bones problems and embolic events
  • This age low estrogen is problematic , diet rich in estrogen should take [olives, soya milk/soya products, dry fruits, fruits , vegetables]
  • By this women also can avoid hot flushes
  • Any type of irregular vaginal bleeding, early recourse to seek doctor advice to prevent risk of cervical /uterine problems