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More research is needed to better understand the effects of red clover on osteoporosis. Avoid sodium phosphate enemas with congenital or abnormalities of the intestine. Blood calcium levels in women who take bisphosphonates during pregnancy are usually monitored. Preliminary research suggests that peony may have hormonal effects. When taken in recommended doses, chasteberry appears to be well tolerated with few side effects.

Hysterectomies involve a cut in the abdomen (abdominal hysterectomy) or the vagina (vaginal hysterectomy). Sometimes an instrument called a laparoscope is used to help see inside the abdomen during vaginal hysterectomy. Endometriosis, another possible cause of secondary dysmenorrhea, can lead to impaired fertility. Side effects include slow heart rate, low blood pressure, fatigue, dizziness, headache, constipation, nausea, vomiting, diarrhea, insomnia, or a dry mouth.
Primary dysmenorrheal is severe and frequent menstrual cramping caused by severe and abnormal uterine contractions in women. More clinical studies are required to better determine effectiveness. Vitamin B6: There is some evidence that taking vitamin B6 orally may improve symptoms of premenstrual syndrome (PMS) such as breast pain or tenderness (mastalgia) and PMS-related depression or anxiety in some patients. And another 30-40% of individuals suffering from PMS have symptoms severe enough to disrupt their lives. Certain types of HRT have a higher risk, and each woman’s own risks can vary depending upon her health history and lifestyle. Irritant vaginitis can also be caused by hot tubs, abrasion, tissue, tampons, or topical medications.

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