Menstruation

 Hadith

Narrated `Aisha:

Fatima bint Abi Hubaish used to have bleeding in between the periods, so she asked the Prophet about it . He replied, "The bleeding is from a blood vessel and not the menses. So give up the prayers when the (real) menses begin and when it has finished, take a bath and start praying

Narrated `Aisha:

Fatima bint Abi Hubaish said to Allah's Apostle, "O Allah's Apostle! I do not become clean (from bleeding). Shall I give up my prayers?" Allah's Apostle replied: "No, because it is from a blood vessel and not the menses. So when the real menses begins give up your prayers and when it (the period) has finished wash the blood off your body (take a bath) and offer your prayers

Narrated Al-Qasim:

`Aisha  said, "We set out with the sole intention of performing Hajj and when we reached Sarif, (a place six miles from Mecca) I got my menses. Allah's Apostle came to me while I was weeping. He said 'What is the matter with you? Have you got your menses?' I replied, 'Yes.' He said, 'This is a thing which Allah has ordained for the daughters of Adam. So do what all the pilgrims do with the exception of the Tawaf (Circumambulation) round the Ka`ba." `Aisha added, "Allah's Apostle sacrificed cows on behalf of his wives

Narrated Abu Huraira:

My friend (the Prophet) advised me to do three things and I shall not leave them till I die, these are: To fast three days ( three days : 13,14,15 ) every month, to offer the Duha prayer, and to offer witr before sleeping.

 

The Study

Hormones control the menstrual cycle in a woman. These hormones can also affect your blood glucose. Many women notice more fluctuations in blood glucose at certain times in their monthly cycle, such as an increase in blood glucose a few days prior to the beginning of their period and then a decrease once the period begins. This increase usually occurs after ovulation and before menstruation. Changes are due to two hormones, estrogen and progesterone. When these hormones are at their highest level just before your period, they interfere with another important hormone, insulin, which may cause blood glucose to rise. Some women find their blood glucose rises considerably, while others do not notice a difference. In some women, blood glucose levels are lower before and during their periods. Each woman needs to discover her own pattern.

Often it is the fasting blood glucose before breakfast that tends to fluctuate the most in women with type 1 diabetes during the time just before a period begins. Adjusting your insulin often helps. For example, adjusting the intermediate acting insulin, NPH or Lente, taken before dinner or bed can help reduce high morning readings. When your period begins and your blood glucose levels go down, readjust your insulin back to its former level.

If you have type 2 diabetes and do not take insulin, remember regular exercise can lower blood glucose, therefore it is important to maintain physical activity during this time of the month. Besides better blood glucose levels, you will likely have more energy and have fewer unpleasant side effects from menstruation if you can be active on a regular basis.

If you notice fluctuations in your blood glucose and are not sure if these are related to your menstrual cycle, it is easy to find out. In your blood glucose record book, indicate when you start your period each month and watch for a relationship between the two.

Some women suffer more from premenstrual syndrome (PMS) than other women. It does not seem to be related to the type of diabetes that you have nor is it more common in diabetes. Women commonly experience moodiness, bloating, water retention and food cravings at this time. Food cravings for carbohydrates and fats combined with a reduction in activity may contribute to fluctuations in blood glucose.

 

Heart symptoms related to menstruation

Young women with heart disease suffer worse symptoms at particular times during their monthly menstrual cycle, researchers have found.

The phenomenon of "menstrual angina" was uncovered by a team at St Thomas's Hospital, London.

Researchers examined nine women with arterial disease and symptoms of angina.

Angina is a cramp like pain from the heart associated with reduced blood flow to the heart muscle most usually due to atherosclerosis (hardening) of the coronary arteries.

The average age of the women was 38; four of them had already suffered a heart attack, and one had undergone bypass surgery.

The women took an exercise treadmill test at the same time of day each week for four consecutive weeks, and the researchers measured how long it took for the women to experience angina pains.

They also took blood samples to measure hormone levels.

It was discovered that the women performed most poorly, and suffered the quickest pain when exercise in the week during or immediately after their period.

Sex hormones

This is known as the early follicular phase, and is the time when levels of the sex hormones estrogen and progesterone are lowest.

The best performance and slowest time to angina pain occurred in mid-cycle, when estrogen concentrations peak.

The researchers believe that the sex hormones act to expand the blood vessels, increasing blood flow through the arteries, and reducing pressure on the heart.

These hormones are also thought to influence the perception of pain, and general mood.

Previous research shows the severity of several conditions, such as migraine and asthma, varies throughout the menstrual cycle.

Lead researcher Dr Guy Lloyd told BBC News Online that despite the findings it was important that even women with very severe angina continued to exercise.

He said: "Women with angina should not however exercise beyond the point where they experience pain and consequently may be able to exercise less at low estrogen times of the month."

A British Heart Foundation spokesman said: "Although this study is small it does raise some interesting questions about the effects of the sex hormones on the heart.

"We know that estrogens have a protective effect on the heart in pre-menopausal women so it does seem logical that when hormone levels are low this protection may diminish temporarily.

Comment :

During menstrual cycle

1-     before ovulation  the estrogen in highest level it in enhance the action of Growth hormone and these will lead to increase glucose blood level for these islam ask the women to keep fast in 13 - 14 - 15  in every menstrual cycle .

2-     its not true during  premenstrual cycle any change in glucose blood level  in premenstrual syndrome no specific laboratory findings

3-     during menses the estrogen and progesterone in the lowest level and glucose will be same in normal glucose level for these reason islam order woman to give up the prayers and fasting

4-     in haje the pilgrims make two things walking from safa to marrow seven times which nearly 3km and make tawaf ( circumambulation round the kaba which nearly ) 3km the distance maybe harmful to woman during menses for these reason islam excuse from circumambulation round the kaba for her safety