Lately, I've seen something strangely consistent in my circle of girlfriends, the sudden need to open a glass of wine, and not any day, but just when our periods are about to come. We'd tease about it, "Is it PMS or Pinot?" but beneath the joke, there was a common reality, we were all grabbing a drink with more frequency during that pre-period stage. It seemed emotional, reckless, and oddly ritualistic.

At first, I attributed it to stress or coincidence. But one by one, the same pattern repeated among my friends: irritability, cravings for food, and yes, for even more potent-than-usual alcohol cravings several days prior to menstruation. It wasn't about being tipsy — it was about calming something deeper.

And now, science has finally caught up with what we’ve been quietly experiencing for years. A recent study confirms that our hormones — especially that cocktail of high estrogen and low progesterone before ovulation may actually heighten our alcohol cravings. It’s not all in our heads after all. It’s biology.

Reading that was a moment of truth. It was satisfying to understand that what we felt wasn't weakness or insufficient willpower, but a true, hormonal change influencing our brain's reward system. This study has opened the door to knowing our bodies better and to finally showing ourselves a little grace rather than guilt.

Because if our hormones are manning the bar, maybe it's high time we spoke with our biology before we beat up on ourselves for that second glass of wine.

For most women, the pre-period days bring a familiar mix of symptoms—bloating, moodiness, exhaustion, and cravings. But with chocolate or chips, have you ever caught yourself grabbing for a glass of wine or wanting a cocktail more than you usually do? Science may now have an explanation.

A pilot study recently shown at the Research Society on Alcohol's annual conference in New Orleans has shed new light on the relationship between the menstrual cycle and alcohol craving. The researchers discovered that shifts in hormones at some points during the cycle, when estrogen is high and progesterone is low, might raise the risk of alcohol craving and even binge drinking.

The research, conducted under the leadership of Layne Robinson, doctoral student in clinical psychology at the University of Kentucky, involved 61 women between the ages of 21 and 35 who drank alcohol two or more times a week. Participants completed daily self-reports of alcohol consumption and craving, as well as saliva and urine samples to monitor hormone levels and ovulation.

Research indicated that women tended to crave alcohol when they were in their late follicular phase, which is right before ovulation. When this happens, levels of estrogen (estradiol, in particular) increase while progesterone is low.

"We do know that rises in estradiol, the most potent of the estrogens, can modify the activity of dopamine in the brain," Robinson stated. "These modifications to dopamine neurotransmission increase sensitivity to reward, which is one of the main mechanisms of substance craving and use."

This implies that women might be more biologically susceptible to cravings and impulsive behaviors—such as drinking—during this stage of their menstrual cycle.

Can Drinking During Your Period Make PMS Worse?

While a glass of wine may be the ideal remedy for period stress, it may be causing more harm than good. Alcohol can affect hormone levels by stimulating estrogen and testosterone release. These spikes can make PMS symptoms worse, such as mood swings, anxiety, and irritability.

Alcohol also impacts the balance of prostaglandins—hormone-like substances that control inflammation and pain. In its disturbed state, they can heighten menstrual cramps. Indeed, alcohol is a diuretic, which causes more urination and may lead to dehydration—a primary cause of cramping and bloating.

Heavy or chronic drinking may even disrupt your cycle completely. Alcohol, when used regularly, upsets the delicate estrogen-progesterone balance required for ovulation and menstruation. This may result in abnormal periods or even amenorrhea (no menstruation). When couples are trying to conceive, the effect of alcohol on hormone balance can increase the chances against conception.

Alcohol also affects how your body handles menstrual blood. When you drink and become dehydrated, blood and mucus can thicken, which may make periods more painful.

Why You Need Alcohol During Menstruation?

One of the strongest theories from Robinson's research is about dopamine—the brain's pleasure neurotransmitter. Estradiol is said to enhance dopamine activity, making the brain's reward response more heightened.

"Estradiol and alcohol consumption have been shown to rise when estradiol levels are high and progesterone levels are low," Robinson explained. As dopamine levels surge, our brain is more sensitive to rewards—and alcohol, a substance that releases dopamine, is particularly enticing.

This link may be why, on the eve of ovulation, you might catch yourself suddenly craving not only sweets or salty treats, but a glass of wine or a cocktail.

Should You Totally Avoid Alcohol Before Your Period?

While the occasional drink is usually fine, women need to understand how the cycle can impact drinking. If you realize that you're going to want to drink more in a specific phase, you can make better-informed decisions to limit risk.

Robinson points out that knowledge of "risky" times for alcohol craving may assist women in taking preventive measures, i.e., keeping away from places where alcohol is easily found, or scheduling other activities such as physical exercise or social gathering without alcohol.

Medications that stabilize hormones could also someday be used as part of treatment for alcohol use disorders in women, but more studies need to be conducted before these therapies become the norm.

Managing Period Cravings the Healthy Way

If you are attempting to reduce alcohol intake—particularly while you're on your time—it's beneficial to control cravings with food and lifestyle habits:

Lean protein: Regulates blood sugar and makes you feel full longer

Complex carbs: Whole grains, lentils, and legumes can leave you feeling full and curb sugar cravings

Hydration: Increased water intake can curb cramps and decrease bloating

Food high in nutrients: Dairy, leafy greens, and fortified foods can restore important nutrients such as calcium, magnesium, and iron

Vitamins: B vitamins, Vitamin D, and Vitamin E have been shown to assist with mood and cravings in PMS

Exercise: Routine physical activity increases endorphins and lessens tension, allowing you to better cope with hormonal changes

Robinson's work fills a crucial part of our knowledge about women's health: cravings and drug use patterns might not be all about behavior—they're also physiological. Although more research is required to understand the connection between estrogen, dopamine, and drinking, initial findings indicate that understanding your body's hormonal cycles can guide you to make better, healthier decisions.

The next time you crave a Pinot just before your period, take a moment to ask yourself- is it really you, or are your hormones speaking?

Heart attacks are more common than people realize, according to the Heart Organization, every 40 seconds in United States someone has an attack. This happens when the blood flow is restricted or completely cut off, unable to reach the heart muscle. This happens when there is a buildup of fat or cholesterol blocking the arteries. Even though it is the number one cause of death in women, they often chalk it up to acid reflux, the flu, or just symptoms of normal aging.

However, mistakes like this are not uncommon and sometimes, these misleading symptoms can significantly delay treatment. The National Health Service (NHS) notes that this serious condition can show up in various ways, including chest pain, dizziness, sweating, and breathlessness.

Dr. Chris Kelly, Chair of Cardiology at UNC Rex Hospital, highlighted three key indicators that require immediate medical attention at an emergency room. He specifically pointed out that one of these signs is less common and often mistaken for other illnesses.

A Primary Warning

Dr. Kelly says the most common sign of a heart attack is chest pain. People might describe it as pressure, tightness, fullness, or just an ache in the chest. If you feel any chest discomfort that doesn't get better after a few minutes, especially if it spreads to your shoulders, arms, or jaw, it's a very serious sign. If this happens, you need to get to an emergency room right away.

Sudden Shortness of Breath

Another important sign Dr. Kelly mentioned is a sudden feeling of being short of breath. He explained that if you're not doing anything active but feel like you've just run a long distance, it could mean your heart is struggling. This can cause fluid to build up in your lungs. If you suddenly feel this way, go straight to an emergency room to get checked out.

Unexpected Abdominal Pain and Nausea

A less common, but still serious, sign of a heart attack can be sudden belly pain along with nausea. Many things can cause these symptoms. However, Dr. Kelly advises being extra careful if you are over 50, have risks for heart disease, and suddenly feel belly pain and nausea, especially if you also just "don't feel right." This particular symptom is more common in women. If you experience this and it doesn't get better in a few minutes, head to the emergency room immediately.

Importance of Prompt Treatment

Dr. Kelly stressed that getting medical help as soon as possible is crucial for your heart. As heart doctors often say, "time is muscle." This means the faster you get to the emergency room, the better the chance your heart has to recover and work properly in the long run. He emphasized that it's always "better to be safe than sorry" and to seek help quickly.

The NHS also mentions that while chest pain is the most common heart attack symptom (and can sometimes feel like indigestion), other symptoms can happen without chest pain. These include shortness of breath, feeling or being sick, and pain in the back or jaw. If you think someone is having a heart attack, it's vital to call emergency services immediately, as quick action greatly improves their chances.

Select individuals in northeast England have reportedly developed a rare, life-threatening condition—iatrogenic botulism—after undergoing Botox cosmetic treatments. The cases, confirmed by the UK Health Security Agency (UKHSA), are provoking acute questioning of the safety of cosmetic treatments and regulation in the aesthetic business.

Botulism is a serious disease caused by botulinum toxin, a bacterium neurotoxin manufactured by the Clostridium botulinum bacterium. Botox, on the other hand, uses this toxin in highly diluted concentrations for cosmetic and therapeutic treatments, but overdosing or misadministrations lead to iatrogenic botulism. "Iatrogenic" literally means a complication caused by medical treatment, here improperly administered Botox.

In these newer incidents, patients suffered symptoms such as droopy eyelids, double vision, slurred speech, difficulty swallowing, and intense fatigue. As much as the UKHSA has seen no evidence that the Botox product itself was contaminated, the symptoms developed anywhere from a few days to four weeks after injection making early diagnosis especially difficult.

The authorities are also probing allegations of illicit Botox sales in the North-East of England. Botulinum toxin has been deemed a prescription-only drug by Dr. Alison Cave of the UK's Medicines and Healthcare products Regulatory Agency (MHRA). It was to be strictly controlled and delivered by authorized experts.

Experts point out that their enforcement division is currently identifying and prosecuting the people responsible for illegal Botox-like drug sales. Abuse of such highly toxic neurotoxins can have disastrous health implications and highlights the imperative need for tighter regulation and public education.

How Botox Works?

Botox temporarily paralyzes muscles to iron out wrinkles or cure medical disorders like migraines and excessive sweating. In cosmetic procedures, the toxin is applied in minute doses, precisely measured by trained experts. But when botulinum toxin is injected incorrectly or with too high a dose, it travels outside the area of injection, interfering with nerve impulses and producing systemic symptoms.

Though such cases are uncommon, their consequences are severe. The National Health Service (NHS) in the UK estimates that botulism is fatal in 5% to 10% of patients. If left untreated, the toxin can transfer to muscles of the respiratory system, leading to breathing problems and even fatalities.

10 other cases of iatrogenic botulism were reported in Massachusetts, USA, earlier this month, all of which were linked to a single spa that was giving cosmetic injections. This emphasizes that the problem is not limited to the UK. The youth-preserving procedures, most of which are done in non-medical environments, are causing more people to be at risk globally.

Consumers tend to downplay the risk, believing widely-accessible Botox procedures to be safe everywhere. Yet medical professionals are now advocating stricter patient education and practitioner certification to reduce such risks.

What Are the Signs of Botulism?

Botulism symptoms differ depending on how the toxin enters the body. In iatrogenic botulism, patients may not even notice the early signs to be of concern. But if left untreated, the condition can advance very quickly. Symptoms usually involve:

• Difficulty speaking or swallowing
• Weakness of the facial muscles and sagging eyelids
• Double or blurred vision
• Paralysis of the muscles and nausea

In foodborne illness, poor canning and storage are typically to blame. Infant botulism occurs when spores colonize a baby's intestines. Wound botulism, which has become more common in users of illicit drugs, happens when spores infect open wounds. But iatrogenic botulism results from medical errors—a sobering consideration for those who want cosmetic improvements.

Can You Recover From Botulism?

Early treatment is paramount. Antitoxins can prevent the disease from advancing but cannot undo damage that has already been incurred. Mechanical ventilation, as well as prolonged rehabilitation to regain muscle function and control, might be needed for patients. The silver lining? Most patients do recover if treated promptly with medicine.

UKHSA's Simon Howard assured the public that the practitioners who made the services mentioned in the reported cases are no longer providing the same services, and new reports of cases seem to be decreasing. There may still be additional cases emerging because the onset of symptoms is delayed.

Labiaplasty, Botox, and the Pressure to Look Perfect

This trend also contributes to wider ethical concerns surrounding the beauty industry. Treatments such as labiaplasty, breast enlargement, and Botox are becoming more heavily sold to teenagers and young adults on social media platforms, usually with no clear explanation of the risks involved. As aesthetic treatments become more socially accepted, the distinction between medical treatment and cosmetic modification erodes.

While autonomy over one's own body and expression of self are essential, they need to be based on accurate, science-driven health education. The risks, as shown in these cases, are too great.

This cluster of iatrogenic botulism infections is more than an anomaly. It's an alarm call. Patients need to ask the right questions, check and confirm practitioner credentials, and register suspicious activity with regulatory bodies.

Cosmetic procedures may promise quick beauty fixes, but they come with very real risks. In a world increasingly obsessed with aesthetic perfection, safety and health literacy must come first.

As a teenager, I was caught completely off guard the day I discovered blood in my underwear. My first thought wasn’t, “I’ve started my period,” but rather, “Did I somehow injure myself?” I remember feeling a wave of confusion and embarrassment, unsure whether to tell anyone or just hope it would stop. No one had ever explained to me what a period would look or feel like, or even when to expect it. I didn’t know that this moment, so bewildering and private, was a universal milestone for half the population. Only later did I realize how common my confusion was—and how much it reflected a broader lack of education about our own bodies.

Today, many teenage girls are still left equally confused. A growing body of research reveals a startling truth: teenage girls often can’t tell the difference between their vulva and vagina, nor do they fully understand their menstrual cycles. This gap in knowledge isn’t just awkward or inconvenient—it can have serious implications for their physical, emotional, and reproductive health.

Understanding the menstrual cycle and the anatomy of the female genitalia is not just about biology—it’s a foundation for lifelong health. For girls, women, and all people who menstruate, knowing how ovulation and periods work is essential. The menstrual cycle serves as a key indicator of overall health, and problems such as pain, heavy bleeding, or mood swings are not only common, but can lead to missed school, avoidance of sports, and even mental health challenges.

Anatomy 101: Vulva vs. Vagina

One of the most comoon misunderstandings is the confusion between the vulva and the vagina. The vulva refers to the external genitalia—the mons pubis, labia majora and minora, clitoris, urethral opening, and vaginal opening—while the vagina is the internal muscular tube that connects the vulva to the cervix. Despite this, “vagina” is often used as a catch-all term, even though most people are actually referring to the vulva.

This confusion isn’t trivial, many girls and women have little awareness of their vulval anatomy, which can lead to unnecessary anxiety about what’s “normal.” The labia, for example, can vary dramatically in size, shape, and color, especially during puberty. The clitoris, a highly sensitive organ essential for sexual arousal, is often overlooked or misunderstood. Even the hymen, still shrouded in myths about virginity, can take many forms—and its appearance says nothing about sexual activity.

Sadly, this confusion is compounded by the lack of proper anatomical education in schools and an overwhelming culture of silence or shame around female genitalia. Even digital period trackers have failed to bridge the knowledge gap. Research shows girls using period tracking apps are no more likely to know how their menstrual cycle works than those who don’t.

Despite its importance, vulval anatomy remains widely misunderstood—even among those who live with it. The vulva, the external part of female genitalia, is often incorrectly called the vagina. The vagina is in fact the internal canal leading to the cervix. The clitoris, urethral opening, labia majora and minora, and vaginal opening are all parts of the vulva, each with distinct roles and physiological importance. These structures also undergo changes during puberty that most girls are never taught to observe or understand.

Puberty brings dramatic changes to the vulva, most of which happen quietly, overshadowed by more visible developments like breast growth or height. Under the influence of hormones like estrogen, the skin of the vulva thickens and becomes more elastic, pubic hair develops, and the labia minora may grow quickly—sometimes unevenly, causing concern for girls and their parents.

It’s important to know that these changes are normal. The labia minora, for instance, may be long or short, pink or brown, smooth or wrinkled. There is no single “right” way for vulvas to look. Unfortunately, the rise of social media and online pornography has fueled unrealistic beauty standards, leading some teenagers to seek labiaplasty (surgical alteration of the labia) for purely cosmetic reasons. Medical experts strongly advise against such procedures in teenagers, as the labia are still developing and surgery can interfere with sexual function and self-acceptance.

In recent years, rising rates of labiaplasty—a cosmetic surgery that alters the labia minora—among teenagers are raising concern. The trend is largely driven by unrealistic beauty standards, social media filters, and exposure to pornography. In 2019 alone, 165,000 procedures were performed globally. Medical organizations now strongly advise against such surgeries in minors, noting the risks to sexual function, complications, and the natural changes still ongoing during puberty.

What Is Menstrual Cycle?

Menstruation, commonly known as having a period, is much more than monthly bleeding. It’s the body’s way of preparing for pregnancy: ovulating (releasing an egg) and building up the uterine lining. If pregnancy doesn’t occur, the lining is shed as menstrual blood.

The average age for a first period is around 12, but it can happen earlier or later. Early periods are often irregular, with cycles ranging from three to eight days of bleeding and intervals that may not settle into a predictable pattern for several years. Over time, most people’s cycles become more regular, averaging about 28 days from the first day of one period to the next.

Signs Your Period Is Coming

Puberty brings a series of changes that signal a period is on the way: breast development, pubic and underarm hair, white vaginal discharge, and sometimes cramping or bloating. Genetics play a role, so the age your mother or older sister started menstruating can be a clue.

When your first period arrives, it’s important to have supplies—pads or tampons—on hand. Many start with pads and switch to tampons when they feel more comfortable. Changing these regularly is crucial for hygiene and comfort. Since first periods can be unpredictable, carrying a spare pad or change of clothes can help prevent embarrassment at school or in public.

Breast tenderness, pubic hair growth, white vaginal discharge, and abdominal cramping are typical signs that menstruation is around the corner. But unless someone is told these are normal, they’re more likely to feel anxiety than assurance.

The average age of menarche (the first period) is around 12, but it can range from 9 to 15. Once menstruation begins, it might be irregular for the first few years. Eventually, cycles settle into a pattern averaging 28 days.

Preparing for the First Period

Equipping girls with pads or tampons ahead of time, teaching them how to use these products, and offering supportive, non-judgmental information can make all the difference. When the first period arrives, it should be met with understanding, not fear.

Mothers, teachers, and healthcare providers need to actively dismantle taboos and create space for open, factual conversation. Young girls deserve more than whispered warnings—they need clarity, confidence, and care.

Given how central menstrual health is to half the population for decades of their lives, it seems obvious that schools would prioritize this education. Yet, research shows this is not the case. Many girls report poor menstrual health literacy, regardless of whether they attend single-sex or co-ed schools, or even schools with religious affiliations that emphasize fertility awareness.

When girls don’t understand their bodies, they may dismiss severe pain or heavy bleeding as “normal,” avoid seeking medical advice, or struggle to answer basic questions from healthcare providers. This can delay diagnoses of conditions like endometriosis or polycystic ovary syndrome, and perpetuate shame and secrecy around menstruation.

For parents, teachers, and healthcare providers, the message is clear: open, honest conversations about anatomy and the menstrual cycle are essential. By normalizing these discussions and providing accurate information, we can ensure that no girl feels lost, ashamed, or afraid when her period begins—or when she looks in the mirror and wonders if her body is “normal.”