The menopause is that period in a woman’s life when her periods stop permanently. It’s a natural process that marks the end of a females reproductive years and the average age at which this happens is 51, although it varies from woman to woman. The menopause actually takes place when there aren’t any more eggs in the ovaries. It is these eggs that stimulate the production of estrogen, but when the levels of this hormone drop in the blood, the menstrual cycle is disrupted.

Menopause

The menopause normally takes place gradually and for a few years prior to it a woman’s periods may become more irregular; occurring every couple of weeks or every few months. Bleeding may be a bit heavier during this time as well.

Some women do not suffer any symptoms on the onset of the menopause, but approximately eight out of ten women do. These symptoms can include hot flashes, night sweats, mood swings, palpitations, insomnia, dry skin, thinning hair, brittle nails, aches and pains, loss of libido, headaches, weight gain, and vaginal and urinary changes.

The lower levels of hormones brought on by the menopause can also increase the risks associated with other health issues in the long term, including osteoporosis, heart disease, stroke, weight gain and weakness of the pelvis and pelvic floor.

Physical exercise and changes in diet can help in the treatments of the menopause, as does hormone replacement therapy (HRT), which is designed to replace some of the hormones after the menopause occurs.

Kidney stones are described as stone-like lumps which can form in either one, or both kidneys. They are quite common, but to understand what they are, we have to discuss the function of the kidneys.

First of all, the kidneys are approximately four inches long and are shaped like a bean. There are two of them in the body and they are located near the back of the abdomen area, one on each side of the spine. The job of a kidney is to remove waste products from our blood and then pass this waste into the bladder along with excess fluids to be disposed of in the urine.

Kidney stones can be categorized into four main types. Calcium stones which are made up of calcium and phosphate or oxalate; struvite stones which are made of ammonia and magnesium (these ones can often be quite large); uric acid stones (the smallest and softest type of kidney stone); and cystine stones which are normally yellowish in color and look like crystals as opposed to stones. All kidney stones can come in different shapes, colors and sizes – from the size of a grain of sand to (in some extreme cases) the size of a golf ball.

Kidney Stones

Kidney stones are formed when the waste products collected by the kidney do not dissolve properly in the fluid that will make up the urine, which then forms little crystal-like substances that can accumulate in the kidney. Over time these can form a hard lump that looks like a stone – the kidney stone.

When kidney stones are formed, they will very often try to leave the body via the urinary system, which can create problems, especially if they become blocked.

The testicles are found within the scrotum which is a loose sac of skin hanging down behind the penis.  The function of the testicles is to produce sperm and the male sex hormone testosterone.  Most of the time any lumps or swelling within the testicles are benign but it is natural for people to worry when they have found a lump.

Testicular torsion results in swelling of the testicles if the testicle has become twisted.  This interrupts blood flow and causes a large tender distension.  It often happens in developing boys who are experiencing puberty but has also been know to happen in men in their 20’s although it is quite rare.  Testicular torsion is a medical emergency due to the fact that it needs to be rectified by surgery within 6 hours or there is a risk that the testicle will be lost.

Symptoms of testicular torsion include nausea; vomiting; swelling of the scrotum; fever; abdominal pain; the need to urinate often; and, excruciating pain in one testicle.  The cause of testicular torsion results from a spermatic cord that is too long.  The spermatic cord is where the testicles hang from and in some boys this cord is too long leading to increased movement of the testicle which means the cord becoming twisted.  If it twists too much it will cut off the blood supply and the testicle will die.  Testicular torsion can sometimes just happen for no reason at all or it can be the result of strenuous exercise or other physical activity.

An ultrasound scan can be done to confirm suspicion of testicular torsion. Surgery needs to take place almost immediately to save the testicle.  The surgeon will have to cut the scrotum and untwist the cord.  He will then sew the cord to the scrotum to prevent this happening again.

Testicular Torsion