Post-menopausal bleeding

Post-menopausal bleeding is not particularly uncommon although it does require examination and history taking to ascertain its cause. Typically the bleeding is temporary and benign, but occasionally it can be something more serious.

If your patient experienced their last menstrual cycle more than 12 months ago, and is now bleeding again, this is a cause for concern and should be investigated thoroughly. When detected early, most conditions that bring on post-menopausal bleeding (including cancer) can be treated successfully.

What causes bleeding after menopause?

Emphasise to your patient that in the vast majority of cases, bleeding post-menopause is not a cause for alarm. Oftentimes, the bleeding is so temporary that its origin is never discovered, and never needs to be. But of course, any unusual symptoms or extreme pain can be an emergency or require treatment quickly.

The most common reasons for post-menopausal bleeding are:

  • A thinning of the lining of the uterus
  • An inflammation and/or thinning of the lining of the vagina (known as atrophic vaginitis)
  • Growths in the uterus or cervix (polyps). Similar to fibroids, these are typically not cancerous
  • Abnormalities in the uterus or cervix
  • A thickened endometrium (referred to as endometrial hyperplasia). This can often be caused by hormone replacement therapy (HRT)

The above are fairly common and usually not serious. But again, we must highlight that a serious underlying cause will be present in around 10% of patients presenting with them. This includes cervical, ovarian and uterine cancers, where clearly time is of the essence. This is why it’s essential for nurses and other healthcare practitioners to be aware of the symptoms and causes of post-menopausal bleeding, and what treatments may be required.

Do you feel confident in understanding why a patient is experiencing post-menopausal bleeding? Do you know the types of questions to ask and how best to phrase them?

If you’re looking to brush up on your skills in this area, you may well find our course Gynae core skills for first contact practitioners particularly useful. Designed specifically for healthcare professionals including first contact nurses, nurse practitioners and practice nurses, it can help you develop the skills necessary to diagnose and advise on a range of gynaecological issues.

This one-day course – worth 7 hours of CPD – is held entirely online so is perfect for interactive learning at a distance. Two dates are currently available: 12th January 2021 and 27th April 2021. All course material, evaluations and certificate of attendance are included, however this course is one of our more popular ones so make sure you sign up early!

Tips for Keeping Your House Fire-Safe

Home fires are horrific: They are always frightening, potentially deadly and often costly. The best way to survive the experience is to prevent a fire from occurring in the first place. A lackadaisical approach to prevention is akin to fanning the flames of possibility. Every homeowner should take measures to fireproof a home, and every renter should light a fire under the landlord to take the initiative. Here is a lifesaving plan worth formulating.

Smoke Detectors

Sometime in your life, you may have asked yourself the following: How do I become a firefighter in Texas? If so, you likely are concerned about home-fire safety education, which is a firefighter priority. Most municipal fire companies promote smoke detector awareness, foremost, and for good reason: Placing working smoke detectors in every room is the single most effective life-saving fire-safety measure. Nearly 60% of fire deaths occur in homes without smoke alarms. Make sure your detectors are newer and your batteries are changed twice a year.

Electrical System

An outdated electrical system is a disaster-in-waiting. If your is decades old, and in particular if it is made up of knob and tube wiring, you need to replace it now. However, even newer layouts may be dangerously insufficient. If your circuit breaker continually trips, or if you have multiple electronics and appliances plugged into single outlets, you are overtaxing the wiring within the walls. The wires will get hot and can melt their surrounding sheathing, starting a fire within the insulation.

Sleeping Situations

Nighttime activities can create hazards if you do not take precautions. When you fall asleep, you will block out fire-causing conditions. A heating blanket that runs too hot can, for example, start a fire; you should set yours to turn off automatically. Smoking while relaxing in bed is particularly hazardous; it becomes too easy to become so relaxed that you fall asleep while the cigarette is still lit. Your best bet is to avoid taking a drag while in bed — or while sitting on a soft-stuffed chair, for that matter.

Cooking Calamities

The crowded kitchen offers many opportunities for quickly spreading flames to erupt; this is where grease and fire come into close proximity. Keep towels, curtains and plastic drying-racks far away from the stove, but store a fire extinguisher within reach of your cooking.

Firefighters join the ranks because they want to save lives when fires erupt. Rather than extinguishing a roaring blaze, they would prefer the fire did not start in the first place. You can do your part to put a blanket over potential fire causes by creating a prevention plan right away.

Prepare a Romantic Picnic for Two

Packing a delicious picnic basket and spending time with your loved one in the park, at the beach, or on a rooftop is a wonderful idea that many couples enjoy. Before you choose the basket and blanket, however, you need to decide what to include on your menu.

Small Changes Improve the Menu

One great way to enjoy a romantic picnic is to skip the main course and pack snack foods instead. Rather than planning a sack lunch-type menu, think of a casual party with friends. Some of the best options are appetizers, easy to hold side dishes, and desserts. Focus on menu items that can be eaten by hand, and, for an extra romantic touch, find some foods that require both of you to prepare.

Inexpensive Ways To Create a Luxurious Meal

A challenge that many people face when preparing a picnic is the desire to invest in luxury foods. However, you can save a lot of money by focusing on some basic items and then swapping them up one step:

  • Replace apples and bananas with cherries, strawberries, or figs.
  • Rather than a veggie tray, slice your zucchini, cucumber, carrots, and other vegetables thin and long. Skip the salad dressing and use hummus instead.
  • Prepare a small charcuterie board with olives, cheese, meats, and honey.
  • Swap out potato chips for a sliced baguette and use a simple caprese spread.
  • Instead of packing water or soda, pair your food with spritzers, wine or sparkling wine.
  • Don’t settle for cookies, pick up some of the tasty pastries arlington heights has available.

You can also make your picnic look fancier by upgrading the packaging. Plastic bags are convenient, but brown paper, fabric, and twine create a much more beautiful presentation.

Think Beyond the Food

In addition to the food, make sure you pack items for comfort and convenience:

  • Cloth napkins
  • Utensils, including a corkscrew and serving spoons
  • Wine glasses
  • Sunscreen and bug spray
  • Wet clothes for handwashing
  • Flowers
  • Small chocolates

Think about sticking to a color scheme or other theme that’s meaningful to both of you.

A romantic picnic is a simple way to spend time with each other. This doesn’t mean, however, that the setting or the menu should be simple. Make small improvements to each to create a wonderful ambience and tasteful experience.

Parts of a Dental Implant

More patients than ever before are interested in teeth implants Lombard IL. They can be great restorations for people who are missing one or many teeth. Few people, though, are actually aware of the process of getting a dental implant. It can be a lengthy endeavor, and it is important that patients understand what to expect. There are three main parts of the dental implant: the implant, the abutment and the crown.


The implant is the screw that is placed inside the jawbone. The dentist uses a guide to create a space large enough to hold the implant. The implant, made of a strong titanium material, is then placed inside the bone and covered with gum tissue. The site is left undisturbed for several months so that the implant can fuse with the bone.


Once the implant has correctly fused with the bone, the top of the implant is uncovered. A metal piece known as an abutment is screwed onto the top of the implant. The abutment can be seen above the gums. It is what allows the dentist to attach a tooth to the dental implant.


Once the dental implant site has completely healed, it is ready for a crown to be attached to it. The crown can be made of metal or porcelain, and it is made to match the patient’s other teeth in size and color. Once the crown is placed, the patient can chew with it just like any other tooth.

Dental implants are wonderful restorations for those who are wishing to replace one or many teeth. To find out more information, speak with your dentist about whether you are a candidate for this type of procedure. Always ask what your best options are, and learn as much about each procedure as possible. In this way, you can make informed decisions about your care.

4 Tips For Waking Up Earlier

A lot of people find themselves at the end of the day, wishing they could have gotten more things done. Logic suggests that you may have been able to complete more tasks in your day if only you had woken up earlier.  The question then becomes, how do you wake up early when you don’t want to?

It can be difficult to find the motivation to get yourself out of bed when the only thing you want to do is rest under the warm and cozy covers.

The good news is that there are some great tips out there that are incredibly effective.  Take a look at some of the best pointers for waking up earlier and getting more done.

Set Your Alarm

This may seem logical to some people; however, you’d be surprised how many people don’t rely on an alarm. An alarm helps you wake up your brain when it’s still in a deep sleep. The key to waking up earlier is getting into the habit.

Setting an alarm even on weekends will help you force your body to start moving at an earlier time. As your body starts to become used to your wake-up time, you can start setting your alarm earlier and earlier. Before you know it, you’ll have eaten breakfast, shaved your face, and read the newspaper all before 7:00 o’clock in the morning!

Drink Coffee

Coffee is one of your best friends in the morning. A hot cup of java will help you get the day started on the right foot. While caffeine isn’t recommended in large doses, one or two cups every day can help put an extra pep in your step.

If possible, program a coffee machine so that after your alarm goes off, you have a hot cup of coffee ready to go. One of the hardest parts of waking up early is having to stumble into the kitchen and make coffee half asleep. By programming coffee ahead of time, you’ve already won half the battle.

Take a Shower

A lot of people want to skip a shower in the morning since that means they can sleep longer. However, taking a shower is one of the best ways to give your body a blast of energy.

Not only does the temperature boost your immune system, but you also feel fresher for the rest of the day. There’s something about knowing you’ve taken a shower that gives you extra confidence. Feeling smelly or less than fresh won’t do you any favors at work.

Listen To Music

Music is a great way to motivate yourself in the mornings. Set up a playlist that you enjoy every morning to help boost your mood. Music has the power to energize your body and mind at the same time.


4 Ways to Make Your Everyday Life Easier

Everyday life is full of the unexpected. From family, work, and home issues to events happening in your community and beyond, you never know when you might need to deal with something you weren’t anticipating. For better or worse, it’s part of living. How to cope? The answer varies depending on the event, but there are some foundational things you can do regularly that will help make life simpler and strengthen you when unexpected times come. Here are a few. 

1. Get On a Schedule

As best you can, work out a flexible schedule that leaves plenty of time for work, recreation, relationships, and self-care. You’ll find that you get more done without having to think about it as much, and also gain more free time to spend any way you wish. 

2. Get Sharpened

Everyday items like knives, razors, and scissors need to be sharp to work effectively. Think about how much more enjoyable cooking would be if your knives sliced through food with no effort. Do a quick search of shear sharpening Hilton Head Island to find a service that can do the task quickly and easily. 

3. Get Upkeep

Be sure your automobile is in great working order at all times. Even if you don’t use it often, it’s imperative to have it running well for errands, the occasional trip, and any emergencies that come up. 

4. Get Seen

Don’t skimp on your regular health checkups. Your practitioners can do maintenance care, spot any issues before they become serious, and help you maintain your vitality. Then, when unanticipated things happen (and they will), you’ll be operating from a healthier baseline. Don’t forget mental health, too — break the stigma and get support as you need it. 

Maintenance always makes good sense. Consider these practical tips to get started! 

4 Ways To Get Yourself Out of an Emotional Rut

At any given time, anyone can find themselves stuck in an emotional rut. Whether it’s due to your job, school or a relationship, feeling cemented in place hinders your ability to move forward. If you’ve found yourself in this situation, here are four ways to pry yourself free and continue on with your life.

Start Working Out

People often don’t give exercise the credit it deserves. Not only does a good workout get you in good physical shape, it’s also good for the mind. When you’re unable to move on with a certain aspect of your life, exercise can get you out and moving and also get those creative thought processes going.

Visit a Medium

Visiting a medium is an excellent way to see yourself in a brand new light. When you enlist the help of a clairvoyant medium Temecula, they often see things you can’t see about yourself. These fresh, new viewpoints lead to replacing negative vibes with positive thoughts about your true life purpose.

Reassess Your Goals

When you’re stuck in place, that’s life’s way of telling you something needs to change. Sit down and make a list of your goals, then realistically assess whether you’re on the right path. You may discover you only need a slight adjustment to get yourself back on track.


Another way to free your thoughts is to meditate. Meditation keeps you focused on the present instead of regretting the past, or fearing the future. The inner peace meditation creates allows you to feel more alive in the moment and eliminate whatever is holding you back.

Take a Breather

Just as there are times when things progress rapidly, there are times it feels you’re achieving nothing. When this happens, take a breather and try meditation, get an opinion from a medium and reassess your goals. You’ll more than likely find the rut wasn’t as deep as you thought.

4 Unique Careers in Nursing to Consider

Nurses are often viewed as the cornerstone of healthcare. This is because they work day in and day out to provide direct patient care under the guidance of skilled physicians and specialists. Because nurses work directly with patients as well as with physicians, they are given a certain perspective into both sides of healthcare. They often serve as advocates for patients as well as the facilitators of quality healthcare.

Furthermore, there are a great many career options available to nurses that range in specialty and levels of responsibility. While many nurses choose to practice as registered nurses (RN) for the duration of their careers working in more traditional nursing roles, others opt to go different routes with their careers.

If you are interested in the field of nurses and would like to explore the many options that are available to nurses today, here are four unique career options that you can consider.

1. Family Nurse Practitioner

There is no denying the fact that there currently exists a shortage of qualified physicians in the world of medicine today. Because of this shortage, there are many areas of the country that are underserved and in need of quality healthcare. For this reason, the powers that be have seen fit to allow nurses a certain level to practice very much in the same way as a physician would in the family practice setting.

Such a nurse is called a family nurse practitioner (FNP). An FNP is a nurse who has opted to earn an advanced degree in either the form of a master’s degree or a doctorate. Equipped with such education as well as the experience that an RN obtains on the job, FNPs are more than prepared to administer healthcare in an independent fashion.

Not all states permit FNPs to practice completely independently of physician supervision. For this reason, if you wish to practice in this manner in your own career, you should first research the state in which you reside. You might very well be able to own and run your very own practice.

2. Nurse Midwife

Another role in the world of nursing that requires additional education in the form of a master’s degree is that of a nurse midwife. In this role, a nurse works with expectant mothers in order to provide healthcare throughout pregnancy. They also assist with labor and delivery either independently or in conjunction with an OB-GYN. Nurse midwifes also administer healthcare in the months following the delivery of a child.

There was once a time when the overwhelming majority of expectant mothers would only receive the healthcare they need at the hands of a physician. However, many women today seek a more holistic and natural approach to pregnancy, labor, and delivery that is administered by a fully qualified healthcare professional. This is where the nurse midwife has become a more popular choice for this incredibly personal, and at times, volatile period in a woman’s life.

3. Flight Nurse

One job in the field of nursing that is both unique and rather exciting is that of a flight nurse. These are RNs who have gained specific experience working in an intensive care unit or emergency room who then decide to work specifically in patient transport. However, the method in which such patients are transported is by air.

Flight nurses accompany patients during transport by aircraft. Patients who are critically ill or who are being rescued with a severe injury need such nurses by their side in order to ensure that the transport goes smoothly. These nurses must be ready for anything and will work directly with paramedics and other healthcare professionals in order to ensure the safe transport of their patients.

4. Health Policy Nurse

If you are interested in a career in nursing that doesn’t involve direct patient care, you might consider a career as a health policy nurse. These are nurses who wish to take their experience and knowledge directly to those who create and implement healthcare policy. Because nurses have experience working with patients directly as well as with physicians and specialists on the other side of healthcare, their opinions and views are incredibly valuable in such roles.

Health policy nurses can work in a variety of settings. They might work in the realm of politics, as all too often healthcare and politics are intertwined. They might also choose to work on the research side of policy striving to develop the best policies for the world of medicine.


What is clenbuterol drug used for?

Clenbuterol is a substance that has been known for more than 50 years. It is used to treat asthma and has been used in the past to treat horses that have inhaled dirt during races, which other horses have blown up in front of them, clogging their airways and causing inflammation. Many studies and observations have even been performed on horses, proving, for example, that the first week clenbuterol helped them breathe better, but after two weeks the effect reversed and caused them problems. Over time, the use of clenbuterol in racehorses has been banned.

Clenbuterol has sometimes been used to improve the quality of beef. In animals, in addition to fat-burning effects, clenbuterol also has anabolic effects. As a result, the animals wore more quality meat and less fat, which increased their price on the market. This is also banned today because the metabolite of this substance remained in the body of animals even after death and caused food poisoning.

Clenbuterol (or also Clenbuterol) is not a steroid, as is sometimes incorrectly stated, but it is a stimulant of the central nervous system, the so-called beta-2 agonist – a substance that stimulates the autonomic nervous system (specifically the sympathetic nervous system). It is used as a bronchodilator to widen the bronchi and thereby relieve asthma symptoms.

Use of clenbuterol in bodybuilding:

Once clenbuterol reports that it has the ability to build muscle and break down fat, it was a matter of time before the first athletes tried it. As with most sports-enhancing substances, the use of clenbuterol in bodybuilding can be divided into many categories. on the one hand, we have individuals who use this substance purely because others do it. And on the other hand, there are a number of athletes who consider clenbuterol to be the best anabolic of all time – even more effective than steroids. But for the most part, people use clenbuterol because it is a substance that affects performance. Bodybuilders are fascinated by clenbuterol because it has the ability to protect muscle mass during a strict diet and also further reduces the amount of fat – which are the two primary goals of pre-competition training. And because clenbuterol is less detectable than anabolic steroids, it has become popular, especially among athletes at risk of doping control. But this was especially true in the early 1990s, when use was just beginning. In many cases, the clenbuterol test was not performed because most sports federations had no idea about its widespread use. Although, of course, generalize, you can usually take clenbuterol up to 48 hours before the competition, and the test will not be positive (its effectiveness is about 50 hours). However, the tests are getting better and better (in 1992, two Olympic athletes tested positive for clenbuterol), so competitors must be much more careful if they do not want their sports federation to ban them. based on the available information, we know that athletes prefer tablets to sprays, and their standard dosage is about twice the recommended therapeutic dose. This corresponds to an amount of 50 to 100 micrograms per day. According to other sources, it is clear that the use of clenbuterol can also be cycled and then completely stopped for three weeks. Even during the application cycle, the mentioned amount is always used for two days, followed by a two-day break. Although the reason is not fully known, it seems that athletes do pay attention to the results of studies that show the possibility of reduced effectiveness of clenbuterol in the case of long-term use. Researchers speculate that this is due to either a reduction in receptors or their reduced sensitivity. The last mention already tells us about the paradoxical situation – namely that the anabolic effect of clenbuterol is very short-lived. Even long-term use of clenbuterol reduces its effectiveness. Thus, they appear to be substances ideal for short-term pre-competitive preparation, but their properties prevent long-term use.

Clenbuterol Sopharma

Why is it so popular among bodybuilders?

Clenbuterol is widespread due to its positive effects on fat burning. It is not only professional bodybuilders, but also ordinary exercisers, and even people who do not play sports at all and do not have a reduction diet. The only thing they care about is that they take a miracle pill that will lose weight for them. Of course, it just doesn’t work that way.

Clenbuterol binds to beta-2-adrenergic receptors. These are also found in fat cells, where they activate the enzyme lipase, which breaks down fat into free fatty acids. These are then disconnected from the fat cell and the body uses them as a source of energy. As a result, body fat is lost. In addition, it causes a decrease in appetite in many people, which also has an indirect effect on weight loss.

If someone tells you that it pays to take clenbuterol for its anabolic effects, they are right. Why? Although the anabolic effects have been shown in animals, you would have to take such large doses of this substance to make it happen in humans that it would probably kill you.

Side effects of clenbuterol:

Clenbuterol increases heart rate and stimulates heart function. Elevated body temperature is also directly associated with this. This side effect may or may not occur. Although the increase is slight, by a maximum of 0.5 ° C, even this small temperature fluctuation is noticeable. Along with the increase in body temperature, there is also associated hand tremors and general physical restlessness. Excessive sweating is often added to this. Many of its users also cause severe insomnia and muscle cramps.

Convulsions are common, especially if the user of clenbuterol does not replenish potassium during the treatment. The member causes it to break down from the body. In addition to potassium, taurine is also broken down, so it is advisable to supplement both of these substances either from natural sources or directly from supplements throughout the treatment.

The most common side effects of clenbuterol include:

  • palpitations and fast heartbeat,
  • headaches
  • tremor (especially hand tremor)
  • muscle cramps
  • irritability
  • insomnia
  • excessive sweating
  • nausea and loss of appetite
  • high blood pressure.


What to Look for in a Personal Trainer

If you have decided to make a commitment to improving your physical health, you may have also decided to seek the help of a local fitness trainer, such as a Mississauga fitness trainer. However, do you know what to look for in an effective trainer?

Reputation versus Credentials

You absolutely want a personal trainer with a good reputation. Online reviews can be deceiving because anyone can leave them, including personal trainers themselves. Therefore, do not value hype over certifications. You need a certified trainer with ACE, NSCA or NASM accreditation. Your trainer’s certification ensure they are professional and competent and know general exercise physiology, nutrition, anatomy and proper exercise actions.


You want a trainer that listens to you and understands your needs. Your trainer should ask you what you expect, go over your goals and work out a plan that fits. Be sure to discuss accountability and motivation tactics. You should have open, clear communication with your trainer. These professionals need to know what works for you and what doesn’t, so don’t be shy about telling them and find someone open to listening.

You also want to feel comfortable with your trainer. Therefore, find someone who will develop a plan that is enjoyable. For example, if you like to be outdoors, your plan may include outdoor rather than gym workouts. Also, find a trainer who specializes in meeting your goals, such as running a 5K, weight loss or endurance training.

Patience and Adaptability

Let’s face it, if you are new to exercising regularly, you may be prone to complaints or leisurely working out. Your trainer needs to be able to motivate you without losing patience. However, avoid taking their patience for granted and disrespecting their time and effort. Together, you will find a pace and program that works for you.

In addition, the exercises that work for other clients may not work for you. Your trainer needs to be flexible with your workouts and not frustrated when something doesn’t work.

Whether you are new to exercise or need a more challenging program, consider working with a fitness trainer.