The Contemporary Woman

Category: Health

  • The Phases of the Menstrual Cycle, their Impacts on Women’s Moods and Emotions and How Best to Deal with them.

    May is the menstrual month and as we come to an end, I realize that while some people know about menstruation and the hygienic requirements as well as the pain that comes with it, there isn’t adequate information on the general cycle of menstruation. Did you know the menstrual cycle has four specific stages which are the highest determinants of your moods and general feeling throughout the month? You didn’t? Believe it or not, you are part of the majority.

     Oh, you did? That’s good, but I bet you could use a refresher, and deeper information on these stages while we educate those who did not. In this article, we delve into the four stages of the menstrual cycle and their impact on women’s moods and emotions. By understanding these physiological and psychological changes, women can gain insights into their emotional well-being throughout the month.

    The menstrual cycle is a complex and natural process that occurs in women of reproductive age. It typically lasts for about 28 days, although variations are common. While we are all taught this, we are just but told that during our periods, we will experience mood swings, or that a few days before your menses come, you may find yourself overly emotional and crying from the tiniest of things. But nobody every really explains the hormonal and psychological changes that result in these changes. Fortunately, we are getting more empowered, curious, and ready to remove discuss openly and widely the issues impacting women, including the four distinct phases of menstruation and the exact impact each has. This cycle encompasses four distinct phases, each characterized by unique hormonal fluctuations and physiological changes.

    RELATED POSTS: How Old were You When You When You got Your First Periods? (The Menstrual Month of May)

    1. Menstruation Phase (Day 1-5)

    The menstrual phase marks the beginning of the menstrual cycle. This is the most popular menstrual phase because of the flow which makes is hard to miss, literally.  During this stage, hormone levels, particularly estrogen and progesterone, are at their lowest. This dip in emotions is exactly why you (we) are moody, sad, irritably and or highly sensitive. Menstruation also comes with physical discomfort, such as cramps, bloating, and fatigue, and diarrhea which causes even more irritability.  

    2. Follicular Phase (Day 6-14)

    After the menstrual phase follows the follicular phase. During this phase, the pituitary gland releases follicle-stimulating hormone (FSH), which triggers the growth of follicles in the ovaries. These follicles produce estrogen, leading to the thickening of the uterine lining. As estrogen levels rise, women often experience a surge in energy, improved concentration, and an overall positive mood. This phase is commonly associated with a sense of renewed vitality and increased sociability. Needless to say, this is my favorite phase, and possibly every women’s favorite phase. Because not only do we have more estrogen levels which boost our moods, but we are also experiencing the joy and relief from the nightmare that is menstruation.

    3. Ovulation (Day 14)

    The third phase of the menstrual cycle, the ovulatory phase, occurs around the 14th of the menstrual cycle. However, this can vary depending with the length of a woman’s entire cycle. During this brief period a mature egg is released from the ovary and travels down the fallopian tube, making it available for fertilization. Estrogen levels reach their peak just before ovulation making women the most fertile during this stage. Additionally, some women may experience a surge in luteinizing hormone (LH) during this phase, making it the perfect to try for a baby for the woman who wants one. The best part about this stage is that due to the peak in estrogen levels, many women report being more emotionally stable and feeling more confident, attractive, and sexually aroused during this phase. The only down to this phase and the reason its not my favorite phase is because I belong to the group of women who experience mild ovulation pain.

    4. Luteal Phase (Day 15-28)

    After the high of ovulation, the luteal phase begins. During this phase, the ruptured follicle transforms into the corpus luteum, which produces progesterone. Progesterone prepares the uterus for potential pregnancy by thickening the uterine lining. However, if fertilization does not occur during the ovulation phase, hormone levels start to decline. This results in various physical symptoms in women ranging from breast tenderness, bloating, and fatigue. Moreover, the sudden drop in estrogen and progesterone levels results in the worst of mood swings, irritability, and even premenstrual syndrome (PMS) symptoms, such as anxiety and depression. As a result, this has to be the worst menstrual phase for most women because while it may not have as much physical pain as the menstrual phase, it has adverse emotional turmoil especially depression, anxiety, self-doubt.

    So how do we deal with these menstrual phases?

    First, it is vital to recognize and acknowledge that women’s moods and emotions are influenced not only by hormonal changes but also by various external factors and personal circumstances. However, these hormonal fluctuations during the menstrual cycle can impact neurotransmitters in the brain, such as serotonin and dopamine, which play a crucial role in regulating our general mood and emotions and it is out of our control. Therefore, the best we , you can do as a woman is being aware of these cyclical changes which can help you understand each stage or at least bear each stage gracefully knowing that even the deepest emotional pit that could come with the luteal phase will pass. Fortunately, the contemporary woman has this and more information to their disposal such that they (we) know that there is nothing wrong with us, but rather it is our nature. Even best is that we can get multiple support systems from other women and women-oriented communities which make it easier to bear these phases. Above everything else, Self-Care. Protect yourself, love yourself, and give yourself, your body and mind, exactly what it needs to bear each of these stages. This ranges from relaxation, comfort food, meditation, tough love and physical exercise.  

  • How Old were You When You When You got Your First Periods? (The Menstrual Month of May)

    How Old were You When You When You got Your First Periods? (The Menstrual Month of May)

    The Merry Merry month of May has finally come to an end and I hate to break it to you, but having entered June, we are at mid-year and officially headed towards the second half of the year. Shocking I know, I cannot believe it either. Now back to May, my favorite month if I haven’t made it obvious enough. Apart from being my birthday month and the month the world celebrates mothers, there are actually more reasons to love May. In fact, how about we just call it the month of women. Because it is also in May that we have the Global Menstrual Health Day on 28th May. I don’t know about you, but to me, this basically makes it the World’s Menstrual Health Awareness Month.

    Sometime back, probably towards the end of April I saw a post on a Facebook group “Newborns and Beyond,” where mothers, (Established Mothers) were discussing their experiences with their daughters starting their menstruation. Most of these mothers were hoping and praying that their daughters’ periods do not start until they were out of primary school. So that is until they were around 12 years. But, based on their experience, most of their daughters had had their first periods when they were as early as 8 years old!

    To be honest, I was in utter bewilderment! I mean, isn’t an 8-year-old a child anymore? I mean, my Leroy is turning 7 this year and I still consider him a child. Yet, it means that if he were a girl, he probably would be getting his periods next year. WTH! The magnitude of the situation heightens when I remember I got my first my periods when I was 12, and back then, I was considered a rather early maturer. And this was actually the case because most of my friends, who were older than me by a year or two were just having their first periods, while some had not. Still, based on what these ladies were hoping for, I consider my mother lucky because my periods came just when I was about to sit for my KCPE, (27th October 2008. How do I remember the actual date? Beats me too 😂). So, technically, I was already done with primary school.

    Sanitary Pads

    Now that their daughters were getting their periods when they were literally ‘babies,’ what these mothers were mostly concerned about was how they were going to educate their girls on how to deal with periods, what were they, and especially period hygiene, seeing that they were so young. Now this made me think, my mother never taught me any of that. Not that she was a bad mother, but it was just a rather difficult topic to address. And neither was it the norm for mothers to have that talk with their daughters, I mean, I’m certain she never had the talk with her mother either.  In fact, most of my friends who had the courage or any information about the topic while in primary school, apart from what we had learnt in reproduction, were much older and had older sisters. For the rest of us, when we were in class 8, ‘Always’ was still new in the market and in the quest to advertise their products and of course engage in CSR had come to our school, given us a short lesson on how to use their sanitary pads and given us a packet each. Of course, I gave it to my mother for safe keeping. Or was it to hide such that my brother never came across it. Yes, those were the times there was so much shame and embarrassment in menstruation and menstrual products.

    Fast forward to 2022, and I must say I am loving the progress we have made on menstrual health. This May especially, I was awed by the number of organizations, influential persons and the average persons who engaged in activities to spread word on Menstrual Health. The amazing Janet Mbugua even started a podcast, “My First Time Stories” which gives women a space to share their first period experience in a quest to end the stigma on menstruation and spread awareness on the same. While I may not have been able to do much, maybe the least I could do is acknowledge and thank every woman who took part in spreading awareness in menstruation or helping out a girl in need. Creating change doesn’t have to be huge. You can always start by helping your neighbor, a girl in need and while it might just be one person, it has impact. And it creates a ripple effect where women go on helping others and that way we will slowly transform into a fully empowered nation and world in matters regarding menstrual health. And the beauty (and disadvantage) of menstruation is that it never ends, whichever the season, or whatever fire the world is in. Women within the reproductive age still get their periods. Thus, it is never late to help a girl who needs it and make an impact. Also, I feel that with the continuous education, Contemporary Mothers will be empowered enough to have both the knowledge and confidence of having these conversations with their young girls. And for those unfortunate girls who might not have mothers or sisters to hold their hands in the journey, there will be multiple platforms where they can access the information such that they too are not alone.

    ❤❤❤❤

    Nyambura Macharia

  • My Mother’s Story Part Two: Getting Help

    My Mother’s Story Part Two: Getting Help

    We had quite a smooth trip after which we arrived at the hospital  around 10:30 a.m. I remember thinking, we are only thirty minutes late, that’s got to be some kind of record I’ve made(I’m always late, which makes everyone late) However, just as we were about to get in the hospital, we got the shock of a lifetime. We had left behind the most important documents of all. Well, not literal documents–the CT and MRI scans. This is what would have been referred to as a classic Joyce move, had I been the one given the responsibility to carry the images. I still don’t understand how the images were left behind. But in hindsight, I believe that it was really God’s way of showing us that–like my mother had said before–everything was happening just as He had planned.

    December, 2022

    Despite our disappointment, we really had to think fast, and organized for the images to be sent through a matatu. This would take 3 hours for us to get them but what choice did we have? Also, coincidentally that day, Dr. F.Koech, the one my mother had an appointment with, was running late. Now this was a blessing in disguise, and part of God’s plan, because we could not see him without the scans. Three hours past and the driver said he was still on his way. Apparently, there was a lot of traffic jam as the road was under construction. At this point we had started to panic because doctor F.Koech had arrived. But who is God? Turned out he first had to go round the wards checking on the other patients and possibly discharging those he deemed fit. I must say that, the wait had become too long that we had started to get sceptical about the efficiency of the hospital. But it’s just because we were anxious and scared of history repeating itself–shame on us for doubting them.

    In an hour’s time, we already had the images and we were carefully directed to the waiting room–just me and my mother. There were quite a number of people waiting which was sad because they all had the big CT and MRI scans. It was sad because I realized just how many people are dealing with health issues everyday, and just how far some travel to find medical help. Seeing my mom, the nurse who took her blood pressure was so sympathetic. She pulled me to the side and told me, “I really wish you could see the doctor first, but it will be unfair since the others have also waited, seeing that he was late today.” However, she told me that after the first five patients went in, she would squeeze us in. And to her word, she did. That meant that in less than 30 minutes after the scans arrived, it was our turn to see the doctor. 😊

    Finally, he sighed, looked at my mother and asked, “Mama you mean all this time you have not been helped?” “naona umesumbuka na umezunguka sana,” he added. He then finished with, “Lakini usijali, umefika.”

    At this point I really had to ask whether he could help her just to be sure, and he said yes. Again he rechecked the images (which I loved, because it showed he really was being meticulous in his work). The interesting thing was that he never even once examined my mom. Nothing, he just carefully analyzed the images. After around 15 minutes, he now started explaining to us, her exact condition and what really needed to be done to treat her. He told us that as a neurosurgeon he would be the main surgeon, but her tumour covered other areas. Thus, he needed a team of surgeons; an eye surgeon, an ENT surgeon, and a beautician (I intentionally avoided using their professional names since this isn’t a medical blog). My mother was shook when he heard this because she had heard it before in her previous hospital and it had taken a year. But to our surprise, Dr. Koech started making the phone calls immediately. My mother and I were in total bewilderment when he said that she could even have the surgery that night! I mean literally, “tulikua tumefika.”

    Sadly, the ENT specialist was not available  as he was scheduled for another surgery later that night. However, he promised to be fully available the following day. By this time, it was around 5 p.m. so we really did not mind waiting until the following day. I mean, my mother had waited a whole year! Plus, actually it was for the better, so that we’d all have settled in and rested from the journey. We thanked Dr. Koech and headed to the admission desk where he directed us.

    The following day, February 19th, we were told by the hospital that my mother would need at least 12 pints of blood for her surgery. This meant that we had to find donors so that the world blood bank would provide the paints of blood. Remember my brother and I had never once, set foot in Eldoret. Luckily, Leroy’s dad had, and his cousin-brother was fortunately in Eldoret. We then called my cousin who called some of her friends to come donate–she had schooled in Eldoret  and pretty much grown up there. God was seriously overseeing everything for us because when we could not find enough people to donate—some of us were deemed ineligible to donate–we were given an exception.

    Finally, around 3 p.m, my mother was wheeled into the theatre room, and we did not see her until the following day. Get this, my brother and I were the signatories to her surgery. I know I’m a mother, but that has to be the  most  “adult” responsibility ever. During the surgery, my brother and I stayed outside the hospital, trying as much as we could to avoid that discussion–I honestly think distraction is the best way to handle tough situations. Still, it was hard to avoid the many calls which kept coming in, especially on mom’s phone.

    At around 9 p.m, one nurse came and told me that my mother was out of surgery and had been wheeled to the I.C.U and we could see her the following morning (I was the only one allowed to sleep in the hospital, as the caretaker)  She said it with a smile so even though she didn’t tell me, I knew the surgery was a success. I called everyone who had contacted me, informed them and finally I could sleep.

    The following morning my brother was at the hospital by 6:30 a.m. and fifteen minutes later we went to see her. Miraculously, she was already awake, and the swelling, was gone! We could barely acknowledge the bandage on her head, nor the discomfort she must have been in from excitement. She was back to her “old self.’’ Believe me, it was almost unreal! The good thing was that she was not in pain as the stitched part was still numb, and she was under heavy pain medication.

    The third day, she was stable and she was transferred to the ward. At least there, I’d keep her company so she wouldn’t get bored. We stayed at the hospital for ten days through which we were treated with uttermost professionalism, hospitality and kindness. By the time we were discharged, my mother might not have been fully healed, but her improvement was nothing short of a miracle. And for that, we’ll forever be grateful to God, and the entire Tophill hospital fraternity. Because that is where we got help.

    One year later, my mother is doing so much better and resuming her normal life 😊

    ❤❤❤❤

    Nyambura Macharia

  • My Mother’s Story Part One: Finding Help

    My Mother’s Story Part One: Finding Help

    This past Saturday, 19th February 2022, marked exactly one year since my mother got her life-changing surgery. Over the past year, I have mentioned in several of my stories about taking her to the hospital but I have never really written about it in detail. I have intentionally avoided writing about it because of various reasons. 

    First, I didn’t want to attach her before pictures to the story, because they just break my heart. Second, part of me felt (still feels) like by writing about it, I would be trying to use her illness to popularize my blog which would be the last thing I would want to do. Finally, I don’t know. I just wasn’t (still isn’t fully) comfortable writing about it.

    So why I’m I writing about it today? Because my mother—God Bless her Soul—insists that the story could help someone.

    “You know you’re scared of posting the before pictures because of how bad you think they are. But those are the ones that need to be seen the most. There could be someone in the same or worse situation and once they – or their friends and family see them – they would know where to turn to.” Her actual words.

    She had been going to KNH for almost a year following a twisted web of appointments that led nowhere. Her condition got exceptionally worse and turned into our worst nightmare. Of course, she’s right. Nobody should go what she had to when there was another way out.

    So now more than ever, the story needs to be heard.

    After my mother had been in Kenyatta for a while, we started looking for options. That’s when I learnt about Top Hill hospital. I mean I had heard about the hospital before, but it so happened that Leroy’s father had recently taken a friend of his to the hospital and he had received the help he deserved. What amazed me, was the convenience with which he went and got his treatment (which happened to be a surgery).

    So one day I was telling him (Leroy’s dad) about how my mother had not yet received help, and she kept on getting worse. Her face was literally swelling by the day. That’s when he suggested that we try taking her to Top Hill. I had thought about it, but it was just one of those thoughts that you did not fully have because you brushed it off too fast. Somehow, I did not find it feasible to ask my mother to travel all the way from Thika to Eldoret to get treatment. I myself had never even been there. Also, you know the typical thing is for a patient to travel from Eldoret to Nairobi to get treatment. I also didn’t think that the thought would even be embraced by my mother herself, leave alone the rest of the family.

    Either way, I googled Top Hill, trying to get their contacts, and I did. You know what even seemed more unbelievable to me, as soon as I texted via WhatsApp, I got instant feedback. And not, it wasn’t the WhatsApp autoreply messages. The hospital actually had a functional customer care service desk and helpline.

    I told my brother about it and he told me to pursue the enquiry before I could ask mom about it. However, ” the guy I was talking to” through the helpline number asked me for my mother’s medical history. You see, he wasn’t a doctor, he was just the receptionist, so for him to confirm whether the hospital could help my mother, he needed her medical history to confirm with an actual doctor. I had told him that my mother was in Murang’a at the time, so it would really be a bother to have her travel all the way when she had no assurance that she could get the help she needed. And honestly, he really got me.

    However, this also meant that I had to call my mom to ask for images of her medical records, and so I had to tell her about “my plan”, ready to do a lot of convincing if I had to. But contrary to my expectations, I didn’t have to. She was ready to try anywhere else. With the excruciating headaches she was having, she said was ready to try anywhere. “Handū ha ndūre ngirītīte Kīnyata,” as she put it–Kikuyu to mean instead of always trying to pursue help from Kenyatta Hospital.

    After my mother sent images of her medical history, everything moved really fast from then on. I forwarded the images to the guy and within two hours or so, he confirmed that my mother could get help. He further advised that it was best for her to meet the hospital’s main surgeon, who is also the founder of the Hospital, Dr. F. Koech. Now the tricky part was that he was only available on Tuesday and Thursday from 10 a.m. When I received this information, it was on a Tuesday evening. That meant that if my mother was to make it to see him that Thursday at 10 (the much-desired outcome), she had to travel the following day. So we had to act fast, and I wasn’t sure such a long journey could be planned in such a short time.  Either way, I called my brother and according to him, Thursday was the only option. (He had taken mom to KNH the previous day, and according to him, her state was an emergency).

    So that evening he went home and together with my dad they made the necessary arrangements and my brother was to travel with my mom the following day. The plan was for them to come and spend the night at my place, Kaplong, which is a reasonably close distance to Eldoret. Either way, we still needed to wake up early the following day since it was still a 3-4 hour drive to Eldoret. I had not seen my mother for a while so when I saw her, I understood why my brother thought it was an emergency.  Her eye and entire left face were so swollen that she looked nothing like my mother😞💔.

    19/2/2021: the day she was to receive treatment

    I couldn’t even get myself to look at her. I felt bad that she had been going to KNH from the time it was just a minor swelling up to the point where her face was literally deformed. What broke my heart the most was that all they had done on her last visit was tell her they would call. As if they hadn’t told her that before.  And I felt I had failed her terribly for not seeing her often enough to know she needed a way out. But, she kept on saying not to worry because everything was happening as God had planned and I just could not fathom the faith in that woman. It was admirable, palpable even. And as we later found out throughout her treatment process, she was right again, it was all in God’s timing.

    So on the 18th, Leroy’s dad, my brother, and I took my mother to the hospital…(to be continued in part two)

    ❤❤❤❤

    Nyambura Macharia