From a distance, everything looks normal: neat rows of peach trees, their green leaves fluttering in the wind, near a...

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Women are being invited to share their experiences of periods, pregnancy and the menopause to shape the future of healthcare for females in England. The Women’s Reproductive Health Survey will help the Government better understand reproductive health and ensure services meet their needs. It forms part of the Women’s Health Strategy, which was launched in 2022. The 10-year blueprint will aim to tackle disparities in women’s health and ensure services “listen to women’s voices”. Women’s health ambassador Professor Dame Lesley Regan said: “We need to make healthcare work for women and girls – and for it to fit around their lives. “There’s no point bolstering services if they can’t be accessed, or the support available doesn’t work for them and meet their needs.” Women have previously described difficulties accessing reproductive health services. Often health services are not ‘joined up’, leading to multiple visits and appointment delays Dr Rebecca French Questions included in the Women’s Reproductive Health Survey will centre on period pains, how women prefer to access contraceptive services and the levels of support received for menopausal symptoms. It is open to women aged 16 to 55 in England and will run for six weeks from September 7. Dr Rebecca French, an associate professor of sexual and reproductive health research at the London School of Hygiene & Tropical Medicine, said women should be able to “make informed decisions about their own reproductive health and wellbeing”. “For most women, it can be nearly 40 years from their first period to menopause. “Women have previously described difficulties accessing reproductive health services, for example, to get contraceptive supplies, to access fertility treatment or to obtain an appointment with a gynaecologist. Often health services are not ‘joined up’, leading to multiple visits and appointment delays. “We know that poor reproductive health not only has a negative effect on health in general but can also impact women’s mental health, relationships and finances. “Further research is needed to better understand inequalities across England so that women and people described as female at birth are able to make the choices they need for their own reproductive health and wellbeing.” Maria Caulfield, the minister for the Women’s Health Strategy, added: “Women and girls deserve the best healthcare at every stage of their lives, but we simply can’t deliver that without listening to their lived experiences and concerns. “Women should always have a say in their own healthcare, whether that’s in managing pregnancy and fertility or dealing with the challenges of the menopause in the workplace. “I would encourage every woman to complete the survey on reproductive health as soon as they’re able and ensure their voice is heard.” Other measures included in the Women’s Health Strategy are funding to set up women’s health hubs across England and a new online tool on gov.uk for people to access easily information about IVF in their local areas. Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live 4 key activewear trends for autumn workouts How to style your home like a professional One in 10 ‘spending beyond their means’ – try these 7 cutbacks guaranteed to save families money

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Sleep matters at the best of times, but when you’re growing new life, getting a good night’s rest is incredibly important. But, pregnancy and sleep do not often go hand in hand. “Many people experience changes in their sleep patterns and quality during pregnancy,” says Dr Chun Tang, medical director and GP at Pall Mall Medical in Manchester. “Hormonal fluctuations, physical discomfort, frequent urination and anxiety can contribute to sleep disturbances. Some people may find it more challenging to fall asleep or stay asleep throughout the night, leading to altered sleep-wake cycles and a disrupted circadian rhythm.” Your circadian rhythm will change “During pregnancy, the circadian rhythm, which is the internal biological clock that regulates various physiological processes, undergoes certain changes,” says Tang. “Things like hormonal changes, sleep disruptions, changes in activity and energy levels and increased sensitivity to light, can affect your circadian rhythm.” Warmer body temperature “During pregnancy, basal body temperature (the body’s resting temperature) tends to be slightly elevated, due to hormonal changes, particularly increased levels of progesterone,” he explains. “This can result in a feeling of warmth or increased body heat. Higher basal body temperature can make it uncomfortable to sleep, especially in combination with external factors, like warm weather or a warm sleeping environment.” Some people may also experience night sweats, particularly during the later stages of pregnancy, Tang notes. “Night sweats are episodes of excessive sweating during sleep, which can lead to discomfort, disrupted sleep, and difficulty falling back asleep. Hormonal fluctuations and increased blood flow during pregnancy can contribute to these. “Hormonal changes during pregnancy can also trigger hot flushes, sudden feelings of intense heat and sweating that typically affect the face, neck, and chest. Hot flushes can occur during the day or at night, affecting sleep. But if you have a persistent fever or feel unwell, you should consult your GP,” he says. Vivid dreams “There have been numerous reports of people having more vivid dreams during pregnancy. Hormones, increased emotional sensitivity, and changes in sleep patterns can contribute to the intensity and frequency of dreams,” says Tang. “Pregnancy often brings about a range of emotional and psychological changes. Heightened emotions, anxiety, excitement, and anticipation can influence the content and intensity of dreams. Dreams may reflect the concerns, hopes, and fears associated with pregnancy and impending motherhood. “If vivid dreams are causing distress or affecting sleep quality, practising good sleep hygiene and relaxation techniques before bed may help promote better sleep. Maintaining a comfortable sleep environment, establishing a regular sleep routine, managing stress levels, and seeking support from healthcare providers can also be beneficial,” he adds. Physical discomfort Getting bigger may not be comfortable, particularly in the later months. As the pregnancy progresses, physical discomfort and increased fatigue may affect activity levels. Some people may experience increased daytime sleepiness, while others may find it harder to engage in physical activities, due to the changes associated with pregnancy. “The third trimester can present more pronounced sleep challenges, due to the changes and preparation for labour. Some common sleep difficulties during this trimester include discomfort and difficulty finding a comfortable position, frequent urination, heartburn or reflux, and restless leg syndrome,” Tang says. What can help? Yoga can be beneficial, suggests Tang: “Prenatal yoga is specifically designed to support the physical and emotional wellbeing of expectant mothers throughout their pregnancy. It involves gentle stretching, deep breathing exercises, mindfulness practices and relaxation techniques tailored to the needs and safety considerations of pregnancy. “These practices can be valuable for managing anxiety, promoting better sleep, and fostering a sense of calm and balance during pregnancy.”

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