With a significant number of women belonging to the status of menopause and beyond, it is imperative to plan a comprehensive health program for them, including lifestyle modifications. Exercise is an integral part of the strategy. The benefits are many, most important being maintenance of muscle mass and thereby the bone mass and strength. The exercise program for postmenopausal women should include the endurance exercise (aerobic), strength exercise and balance exercise; it should aim for two hours and 30 minutes of moderate aerobic activity each week. Every woman should be aware of her target heart rate range and should track the intensity of exercise employing the talk test. Other deep breathing, yoga and stretching exercises can help to manage the stress of life and menopause-related symptoms. Exercises for women with osteoporosis should not include high impact aerobics or activities in which a fall is likely. The women and the treating medical practitioner should also be aware of the warning symptoms and contraindications regarding exercise prescription in women beyond menopause. The role of exercise in hot flashes, however, remains inconclusive. Overall, exercising beyond menopause is the only noncontroversial and beneficial aspect of lifestyle modification and must be opted by all.

Context: Menopause is a crucial phase of the women fraternity which marks the end of reproductive age. Mostly it is physiological; however, certain conditions may lead to premature menopause. Menopause has an extensive spectrum of symptoms which are extremely bothersome. An effective, empathetic, and rational treatment strategy is necessary. Aim: The present study was carried out to appraise the treatment strategies to tackle menopausal problems in Acharya Vinoba Bhave Rural Hospital, Sawangi (Meghe), Wardha – a tertiary care hospital in rural Vidarbha. Materials and Methods: This monocentric hospital-based qualitative study was carried out on 330 menopausal women. Data were collected from in-depth interview of the health-care professionals of obstetrics and gynecology department and patients. Results: Of 330 participants, the incidence of natural menopause was 90.96% (2016) and 85.36% (2017); surgical menopause was 09.03% (2016) and 14.63% (2017). There was no incidence of chemotherapy-induced and pelvic radiation-induced menopause during the study. Pharmacotherapy (85.45%) and surgery (19.09%) were the mainstay treatments. The most common route of drug administration was oral (92.20%), followed by intravaginal (15.60%), topical (09.57%), and injectables (0.35%). Pharmacotherapy was categorized into core therapy (84.75%), supportive therapy (47.52%), and alternative therapy (03.19%). Conclusion: The present study concludes that there is a decline in the use of hormone replacement therapy for the management of menopausal complaints. There is lack of awareness of the complexity of menopausal symptoms and available treatment strategies in this rural population, and therefore, it is recommended to organize various awareness camps, so that a prompt and most suitable treatment can be provided.

Menopause transition is experienced by 1.5 million women each year and often involves troublesome symptoms including vasomotor symptoms, vaginal dryness, fatigue, and joint pain. Menopausal hormone therapy has been available for over half a century to provide relief from vasomotor symptoms, osteoporosis and symptoms of urogenital atrophy. Recently there has been an interest in a class of compounds known as the selective estrogen receptor modulators (SERMs)  that have been found to be effective in treating postmenopausal symptoms. Hence, the present study was aimed to find out the role of SERMs in menopause. This hospital based analytical study was carried out between 1st  January 2016  to 31st  March 2018  in OBGY Department of A.V.B. Rural Hospital on 332 women of menopausal age group belonging to rural vidarbha region. The data were collected from in-depth interview of unit heads,professors,associate professors,assistant professors, Junior residents as well as patients in A.V.B. Rural Hospital, Wardha. Menopausal women were categorised in Group I (6th Decade :50 - 59 Years), Group II (7th Decade :60 - 69  Years) and Group III (8th Decade: 70 - 79 Years).The presenting complaints were bone and joint pain(56.01%,26.08%, 19.07% in grade I,II, III), burning micturition( 24.17%,23.60%,16.66% in grade I,II, III, hot flashes( 67.06%,31.00%,26.37 in grade I,II, III), vaginal dryness (21.02%,38.16%,39.11% in grade I,II, III) and uterine prolapse(11.54%,14.16%,16.66% in grade I,II, III). Drug therapy in the form of symptomatic treatment (OCPs) and surgical treatment was given to the patients. SERMs were not given to any patient due to difficulty in keeping follow up and SERMs associated severe adverse effects. Also these patients belong to rural area and for them it is not possible to bear high cost of this drugs. Further investigations and studies are required  to help  clarify the  relative benefits/risks of novel SERMs in development within specific indications and in patient‐specific management in the field of postmenopausal health.

Camphor addiction is common problem in India and it causes neurological symptoms of addiction and withdrawal, which affects the person's activity of daily living. In present paper we have analyzed, 1233 patients addicted to camphorated oil over more than 5 years duration. Headache, Insomnia, vertigo, depression, Visual blurring (118 patients) were the common clinical presentation in patients with camphorated oil addiction and 12 of the patients had Intracerebral bleed at time of presentation. Neuroimaging showed brain atrophy in 22 patients. 42% of these patients had re-addiction in follow up, due to firm belief about its medicinal use and withdrawal symptoms. It was concluded that, high end advertisements, lack of restriction of availability, misinformation printed on leaflets, persistent symptoms were the primary cause of chronic use leading to addiction.

A lot of ancient literature including Samhitas, texts etc. modern science literature and published material in various journals, magazines has been studied. For this clinical study, randomly total 50 cases of Ardhavabhedaka (Migraine) were selected based on presenting complaints as described in Ayurveda, from Neurology Medicine OPD. These 50 cases were divided in two subgroups; control and intervention consisting 25 cases in each. In control, sub-group no medication was advised but in intervention subgroup, initially light medication of 1 st order was given. Yogic practices were done regularly twice a day (twenty minutes in morning and in evening time) for 3 months by the cases of both groups. Evaluation of symptoms and anxiety rating scale was done monthly for three months (three follow-up) in all cases of both groups. Paired and unpaired Friedman's test, chi 2 test and Wilcoxon Signed Rank's Test were applied to assess changes in the quantitative variables from base line to different sequences of follow up. In this study, most of the symptoms of Ardhavabhedaka improved in both subgroups significantly (p<0.001) but better results were observed in intervention subgroup. Yoga practices (Nadi Shodhana Pranayama (NSP), Dhyana/meditation) affecting positively to Agya Chakra (hypothalamocerebral system) improves quality of life in Ardhavabhedaka patients by improving symptoms.