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Home / Lifestyle

Five health red flags women should never ignore

By Dr Francesca Jackson-Spence
Daily Telegraph UK·
8 Apr, 2024 09:30 PM3 mins to read

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Addressing taboo women’s health symptoms can lead to early detection and peace of mind. Photo / 123rf

Addressing taboo women’s health symptoms can lead to early detection and peace of mind. Photo / 123rf

From period cramps to intimate dryness – a woman’s health niggles are seemingly endless, but when should we worry?

The average woman outlives her male counterpart when it comes to longevity, but no one claims we have it easy when it comes to our health.

From having to deal with periods and childbirth to the heartbreak of infertility and the inconvenience of menopause symptoms, much of our intimate health is sensitive to discuss, if not downright taboo. But we shouldn’t let fear of embarrassment or judgment stop us seeking help.

Here are five symptoms you shouldn’t ignore. And don’t worry, your GP will have seen them all before . . .

Abnormal vaginal bleeding

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Any bleeding between periods, following sex, or after menopause needs checking out. Various things can cause irregular bleeding – ranging from hormonal contraception-related issues, gynaecological conditions such as polycystic ovary syndrome (PCOS), sexually transmitted infections, ovarian cysts, benign lumps and bumps, to some cancers of the cervix or womb. Sometimes there’s a simple explanation which is easy to solve, but it’s important to rule out anything more serious. Post-menopausal bleeding always needs reviewing by a doctor.

PCOS can lead to irregular periods and fertility issues but is often manageable with the right care. Photo / 123rf
PCOS can lead to irregular periods and fertility issues but is often manageable with the right care. Photo / 123rf

Deep pelvic pain or painful sex

Pelvic pain is common (about one in six women in Britain report it), yet it doesn’t mean it should be tolerated without investigation. Deep pelvic pain during sex could indicate conditions such as endometriosis, or pelvic inflammatory disease (Pid). Appropriate management is available, so don’t feel embarrassed talking to your GP.

Abnormal vaginal discharge

Vaginal discharge is physiologically normal: Most women experience it but don’t like talking about it. A thin, watery discharge keeps the vagina moist and protected from infections. But if a change is noticed in the consistency, colour, smell or texture, you might have a common infection such as thrush or bacterial vaginosis. Sexually transmitted infections (STIs) – if untreated – can develop into Pid and/or affect fertility, so a diagnosis from a doctor will lead to the best treatment.

Cervical cancer is rarer, but can also present with a change in vaginal discharge, so it’s best to be vigilant.

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Any new lumps or bumps

Know what’s normal for you. This way you will know if any new lumps, bumps or ulcers you find will need to be checked. Vulval cancers often present as new lumps or ulcers on the skin, which might be noticed as an unusual sensation when using the loo, walking and/or sitting. Vaginal prolapses – which feel like a lump or dragging sensation down below – become more common with age. New lumps in the tummy area should also spark attention. Any persistent lump (which doesn’t go away after one or two weeks) needs to be checked.

Vulval cancers can present as new lumps or ulcers. Photo / 123rf
Vulval cancers can present as new lumps or ulcers. Photo / 123rf

Persistent abdominal bloating

Bloating is common, particularly after a big or fibre-rich meal, and if it’s happening consistently can be a sign of irritable bowel syndrome. However, if there’s persistent bloating beyond two weeks – especially in women over 50 years – and in combination with other symptoms such as reduced appetite, feeling quickly full after eating, unintentional weight loss, change in bowel habits, urinary urgency/frequency, then it should be investigated. Ovarian cancer often presents with vague, non-specific symptoms which can be masked with digestive issues.

It can feel daunting talking about these personal topics, but getting peace of mind that it’s nothing serious, or timely management if it is, is always the best option.

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