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Almost half of people who menstruate experience period pain that is ‘severe’ – and 51% feel their symptoms aren’t taken seriously by healthcare professionals, new research has found. The survey, commissioned by health charity Wellbeing of Women, asked 3,000 women and girls in the UK about their experience. A massive 86% of those surveyed said they have had mental health problems in relation to their period. Many said they had ‘debilitating pain’, bleeding for six weeks and some waited decades for a diagnosis of a health condition, in the survey of 16 to 40-year-olds across all regions, backgrounds and ethnicities. Women and girls have been “dismissed for far too long”, said Professor Dame Lesley Regan, chair of Wellbeing of Women. “It’s simply unacceptable that anyone is expected to suffer with period symptoms that disrupt their lives.” Painful, irregular and heavy periods can be symptomatic of serious gynaecological conditions. Signs of the chronic condition endometriosis – when the endometrial lining grows outside of the uterus – include debilitating period pain. Similarly, adenomyosis – a condition where the uterus lining starts growing into the muscle of the womb wall – is normally identifiable by painful periods and heavy bleeding. Painful periods may also be a sign of fibroids, non-cancerous growths that develop in or around the womb. Despite around two in three women developing at least one fibroid at some point in their life, according to the NHS, only 38% of those surveyed knew about the condition. Awareness for adenomyosis was even lower, at only 10%. The research found only 14% have tried medication to reduce heavy bleeding, despite treatments, like tranexamic acid which reduces blood loss significantly, being available. Caroline Nokes, Conservative MP and chair of the Women and Equalities Committee which is conducting an inquiry into reproductive and gynaecological health, said: “There is a terrible phrase, ‘Well, it’s just a period, why are you making a fuss about that? Can’t you just get on with it?’ “Yet many women and girls are experiencing horrendous period symptoms and gynaecological conditions. “These are impacting the health of women and girls, and preventing them from taking part in work, school, sport and everyday life. “Endometriosis alone affects 1.5 million women in the UK and costs the economy £8.2 billion – now is the time for change.” Wellbeing of Women have launched a new campaign called ‘Just A Period’ – aiming to address the normalisation of worrying period symptoms. NHS GP Dr Aziza Sesay said: “In my clinic, I see teenagers who are anaemic, who miss several days of school, and they don’t realise that this isn’t normal. They’ll literally use the words, ‘It’s just a period’. “It’s vital that we raise awareness and education on periods. We need to stop the narrative that heavy and painful periods are something we have to live with. “I want women and girls to have the knowledge to advocate for themselves, to push for more investigations, and to push for a diagnosis and treatment so that they don’t have to live with debilitating symptoms.” Clare Nasir, Channel 5 weather broadcaster and host of BBC Under the Weather broadcast, was diagnosed with fibroids and had an myomectomy – an operation to remove them. “With fibroids, there’s the physical pain but also the mental pain, I was struggling to conceive but looked about five months pregnant. People would write into the show asking why I hadn’t declared my pregnancy. It took a toll on my mental health. “When I eventually had my myomectomy, it was life changing. I’m passionate about raising awareness so that other women don’t feel alone and or suffer unnecessarily.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Cats given vegan diets ‘have better health outcomes’, study claims Groundbreaking migraine treatment offers ‘new hope’ for patients Taylor Swift and Shakira lead the charge in slit dresses at the 2023 MTV Video Music Awards

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School should be the best years of children’s lives – but, as the new term approaches, evidence suggests it’s actually the most worrying time for many kids. The children’s helpline Childline delivered 7,772 counselling sessions about school/education worries last year, with a big increase in calls in the run-up to the start of the new school year. “School is a huge part of a child’s life, so it’s important they feel happy and secure there,” says Childline director Shaun Friel. “We know some children can feel anxious and apprehensive about going back to school, particularly after spending a lot of time away from the classroom due to the summer break. “In fact, our Childline counsellors see a spike in the number of counselling sessions they deliver to children about school worries following the summer holiday season.” Friel says some children feel worried about making friends, getting lost, or the workload at a new school, while others may have concerns about returning to their current school due to friendship issues, fears about upcoming exams, or the recurrence of bullying. “However a child feels about returning to school, we want to remind them that these worries are normal and they aren’t alone,” he stresses. “If any child is feeling apprehensive about going back to school, our trained counsellors are here 24/7 over the phone and online.” As well as counselling, Friel says there are many things both parents and children can do to ease back-to-school anxieties. They include… 1. Writing feelings down Parents can get their child to write down everything they’re looking forward to at school, and everything they’re worried about. “Encourage them to show you the list so you can chat through their concerns, help them cope with their worries and also look at the positives,” suggests Friel. 2. Listening to their concerns If your child has concerns about going back to school, take time to listen to what they’re saying before you jump in to give advice or your opinion, Friel advises: “You could try repeating back what they’ve shared to check you’ve understood their feelings correctly – this will help them to feel really heard.” 3. Discussing practical solutions Once your child has shared any concerns or anxieties about going back to school, you could try talking through some practical solutions, suggest Friel. So, for example, if they’re worried about the amount of homework they’ll have, you could discuss how to break this down each evening and what they could do if they start to feel overwhelmed, like talking to their teacher or you. “You could start by asking them what they think might help them feel better about the situations that worry them,” says Friel. “This can encourage them to learn to think for themselves and feel in more control of the situation.” 4. Reminding them to take their time Remind your child it can take time to adjust to being back at school, and it’s okay if it doesn’t feel comfortable at first, says Friel. “Being back at school will mean a totally different routine, and it’s important to remember that this can take some getting used to,” he stresses. 5. Doing things they enjoy When kids are back at school, making time every day to do something they enjoy can really help to ease anxiety, says Friel. “Whether it’s time in their evening with friends, reading a book or hanging out with their siblings, it’s important to take time out,” he advises. 6. Talking to a trusted adult It’s important children are aware they can and should talk to a safe adult – perhaps a parent, carer, teacher, sibling over the age of 18 or a Childline counsellor – about anything. “No matter what the reason, if a young person is struggling ahead of going back to school, it’s vital they’re encouraged to talk to a safe adult about it,” stresses Friel. “Sharing their feelings with someone they trust will help them feel less alone with their worries, and that adult will be able to support them with this moving forward.” 7. Distracting themselves If children or young people make an effort to keep busy doing something they enjoy, such as playing football or listening to music, this could distract them from their worries, at least for a little while, says Friel. Staying connected with friends and family, whether that be online or in person, or doing some physical activity like going for a walk or taking part in a sport, can also be a good distraction technique. Young people can contact Childline, which is run by the NSPCC and supported by the People’s Postcode Lottery, on 0800 1111 or via 1-2-1 chat on Childline.org.uk Read More How to save money on your summer barbecue – as prices jump up from last year How to pick the best facial according to your age range What is the ‘carnivore diet’ trend and is it actually good for you?

With record levels of gonorrhoea and syphilis cases reported by the UK Health Security Agency, it’s important to take sexual health seriously – and not just for young people. In fact, the number of common sexually transmitted infections (STIs) among over-65s increased by 20% from 2017 to 2019, according to the Local Government Association. This is why if you are sexually active, regular testing is necessary whatever your age – even if you don’t have any symptoms. “Sexual health check-ups are important because STIs can be silent but can also have significant health implications,” says Dr Priyanka Patel, consultant ambulatory gynaecologist at London Gynaecology. “STIs such as chlamydia can affect female fertility, and STIs such as HIV weaken the immune system.” To mark Sexual Health Week (September 11-17), Dr Patel talks through some key points about STI screening… How often should you have an STI check? “You need to have an STI check whenever you have a new partner, especially if you’re not using condoms, or think you were exposed to an STI,” says Patel. “Everyone should have an STI screen, including an HIV test, every year if having sex without condoms with new or casual partners.” Testing is also advised for anyone who develops possible symptoms. These may include unusual discharge from the vagina, penis or anus; pain when peeing; blisters, sores, lumps or skin growths on the genitals or anus; itching or a rash. What will you be asked at a check-up? You can find your nearest sexual health clinic via the NHS to book an appointment. Many sexual health services now offer free self-sampling kits to order online for people who don’t have any symptoms and want to do a check-up at home. “Men may have to hold their urine before testing, but women do not need to do anything in particular to prepare,” Patel says. “You will be asked about your sexual history, partners, contraceptive use and general health. You will be asked for details about your recent sexual partners and types of sex you have.” These questions may feel personal or intrusive but are important to ensure the correct tests are done. Remember, taking care of your sexual health is about being safe and empowered and healthcare professionals are there to help. What tests are done? “The testing will depend on the answers you give about the types of sex you have,” says Patel. “Vaginal, throat and anal swabs may be done – these will be used to test for chlamydia and gonorrhoea.” To do this, the clinician rubs a cotton bud inside the area for a few seconds. A blood sample will be taken to test for syphilis and HIV. Patel continues: “If you have symptoms, then the clinician will usually carry out a speculum examination to look at the health of the vagina and cervix.” How do you get STI test results? The way your results are delivered varies between clinics, and they will advise when you should expect to hear back. “Most will send results via a text message or give you a number to call for results,” says Patel, while some have a ‘no news is good news’ policy, meaning if you don’t hear anything then you’ve got the all-clear. For home testing kits, you’ll get a notification to say your samples were received and results are usually sent via text message. “If you test positive for an STI, they will arrange for treatment and offer support,” Patel explains – which goes for both clinic and self-sampling. She adds: “It’s important to notify partners of any positive results and the sexual health clinic can also assist in anonymous partner notification.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live 9 arthritis myths we all need to stop believing Prince Harry spotted at Windsor Castle on anniversary of Queen’s death How the weather can change the way you dream

ADHD awareness is on the rise – yet it can still sometimes be tricky for parents and carers to know whether their child is affected or not. It’s estimated that 5% of children in the UK have ADHD, according to the charity ADHD UK. And while the condition has previously been stereotypically associated with ‘disruptive’ and ‘naughty’ behaviour, particularly in young boys, it is now understood to be far more complex and nuanced than that. “Attention deficit hyperactivity disorder, or ADHD, is a neurodevelopmental condition that impacts someone’s attention, their levels of hyperactivity and impulsivity,” explains Dr Seb Thompson, consultant clinical psychologist at Cygnet Health Care. “Typically when someone has ADHD, they tend to struggle with their attention, with hyperactivity and with impulsivity – although it is possible to just struggle with symptoms from one of those,” Thompson adds. Of course, no child has ‘perfect’ concentration all the time, and many kids can have impulsive moments or bouts of being a bit hyperactive. So, how do you know if they’re actually showing signs of ADHD? To mark October’s ADHD Awareness Month, we talked to some experts… ADHD does not always look the same There are some common patterns that crop up with ADHD, however it can also affect individuals very differently. So, if another child has similar behavioural traits to yours and has had a diagnosis, that does not necessarily mean your child has ADHD too. At the same time, children could have very different behavioural traits, yet both have ADHD. “Every child with ADHD will probably struggle with a unique set of difficulties,” explains Georgia Chronaki, senior lecturer in developmental neuroscience at University of Central Lancashire. “[For example] One child might struggle with paying attention in class, another may struggle with managing their emotions.” They find being still and quiet really hard It may be a stereotype, but uncontrollable fidgeting could be an indicator of possible ADHD. Thompson explains: “The hyperactivity and impulsivity difficulties associated with ADHD could include being unable to sit still without fidgeting, excessive restlessness, finding the quiet to be uncomfortable, difficulty engaging in tasks quietly, difficulties in turn-taking, impulsively saying or doing things without thinking through consequences, as well as a tendency not to consider the risks of behaviour.”Your child is often forgetful and loses things easilyThompson says if they are “frequently misplacing or losing items, being easily distracted, appearing to be daydreaming, and having difficulties remembering to do tasks and difficulties following through with instructions”, it may be linked with ADHD. You can tell your child is struggling If your child seems to be finding things a struggle, this could be a big indicator. “Imagine really wanting to pay attention to a conversation that is happening but your brain is not letting you,” says Thompson. “Imagine really wanting to focus on your homework, but your brain is not letting you. Imagine really wanting to sit and watch a TV programme, or sit and eat a meal, or sit and relax and your brain is not letting you. “The world can be a very frustrating place for young people with ADHD, particularly if they do not understand why their brain works in the way it does.” They seem down or depressed Thompson adds that kids with ADHD “can often suffer with low self-esteem, depression and anxiety”. He explains: “Young people who get frustrated by their difficulties may stop trying at school, or lose interest in their hobbies because they can’t sustain the attention to take part.” Seeking advice If any of these things are impacting your child’s wellbeing and making things seem hard for them, or if you are concerned they may have ADHD, then it may be worth seeking professional support. Diagnoses are typically given by specialist ADHD assessment teams, and referrals tend to be made via schools or Child and Adolescent Mental Health Services (CAMHS). Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Naomi Campbell on the catwalk at Sarah Burton’s final Alexander McQueen show This is how your make-up needs change as you age Victorian dahlia show recreated at Stonehenge with thousands of flowers

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