Article: The spotting or bleeding can be normal, but it may also be a warning sign of complications with the pregnancy, such as a miscarriage or an ectopic pregnancy. Additional feelings of pain, fatigue, or dizziness warrant further evaluation by your doctor. Heavy bleeding between your periods, and even during your period, can be an indicator of complications, many of which are easily managed. Contacting your gynecologist is the first step in determining the cause of the heavy bleeding and discovering possible treatment options. Whether you are taking continuous hormone therapy, cyclic hormone therapy, or not taking hormone therapy at all, episodes of unexpected bleeding are not normal. Contact a doctor if unexpected bleeding occurs. The risk of cancer increases by about 10% in postmenopausal women that experience vaginal bleeding. If you go as long as 90 days without having your period, then contact your doctor. Stop using tampons and contact your doctor immediately if you develop a fever, muscle aches, diarrhea or vomiting, dizziness or fainting, an unexplained sunburn-like rash, sore throat, or notice redness in your eyes. Spotting can be caused by conditions or illnesses both unrelated and related to women’s health issues. Either way, your doctor can help to rule out other conditions or illnesses.  The use of certain medications like corticosteroids, blood thinners, and even antidepressants have been linked to episodes of spotting. Thyroid disease and diabetes are also possible contributors to spotting between your periods. Women’s health conditions that may be causing the abnormal bleeding episodes can include uterine fibroids, uterine polyps, polycystic ovarian syndrome, endometriosis, bladder or vaginal infections, and cancer. Abnormal pap tests and infections like gonorrhea and chlamydia can also cause abnormal spotting. Seek medical attention as soon as possible if you continue to have abnormal bleeding or spotting.
Question: What is a summary of what this article is about?
Contact your doctor immediately if you are pregnant and bleeding. Seek medical attention if you experience abnormal bleeding accompanied by other symptoms. Watch for episodes of heavy bleeding. See your gynecologist as soon as possible if you are postmenopausal and bleeding. See your doctor if you stop having a period. Contact your doctor if you use tampons and develop symptoms. Consider other illnesses.
Article: Show your respect to Brazilian culture by learning at least basic Portuguese. True, English is spoken in many of the larger cities, but because Brazil as a whole is so diverse, Portuguese is the go-to as most people understand it. There are a number of apps, YouTube videos, and websites (wikiHow included) that can facilitate your language acquisition – without the hefty fees of a CD program, like Rosetta Stone. Do a few quick searches online and start teaching yourself if shoving out a chunk of change isn't your style. To fit in, it’s imperative to know how to greet people. The “air kiss” is stereotypical: one in some contexts, two in others. It's more of a cheek bounce than anything, though. Don't try to lip-lock a local!  Word of warning: Paulistanos (those from São Paulo) kiss-greet only on the right cheek. Cariocas (those from Rio de Janeiro) do their greeting with two kisses (beijos), one on each cheek. If you don’t know how many to give, pause after the first kiss. The other person then will or won’t initiate the second. Many foreigners come to Brazil and are shocked by how late they eat – 8 PM is pretty normal for the start of a long, casual dinner. Taking a siesta or spending hours to eat are totally accepted, normal, and, in fact, important to life in Brazil. This is mirrored in all of life in Brazil. They naturally take everything easy and go at a slower rate. At first it will seem strange, but after getting used to it, you'll never want to go to the harried pace that's overtaken the West. "Feijoada" (black beans and pork stew) and "Churrasco" (all you can eat barbecue) are sure bets. In the state of Minas Gerais, try dozens of kinds of cheese with doce-de-leite (custard-like paste) and homemade jams.  Craving a taste of the West? Ordered a pizza? While the pizza in Brazil is very, very good, it’s also different. It will come with olive oil drizzled on top, and mayo and ketchup for dipping. It can also be hard to find traditional Western toppings, such as pepperoni. However, this is a good chance to try more unusual toppings. Do not always buy snacks at the beach because there's a possibility of food poisoning. On the other hand, drinking in public on the beaches is perfectly normal and allowed. In Rio, you’ll likely see fabulous colors donned by both men and women (though women in particular). But in the south and in the interior of the country, people tend to be a bit more conservative.  If you’re in a business setting, wear a full suit if you’re a man or a women (for women, skirts are acceptable). This is true even if it’s a whopping 43°C (110°F). And in church or government buildings, don’t wear shorts, tank tops, flip-flops, or a miniskirt – you won’t be allowed in. But everywhere else, just about everything goes. Let your body acclimate. Don’t always turn the air conditioning on (if you have it). The more your body experiences the heat, the easier it will be to take. The extreme heat and humidity can tire a person very quickly. Allowing your body to adjust to the different weather is important for thriving in Brazil. Pedestrians do not have the right of way, especially in larger cities. Those crosswalks and signs you’re seeing? Most of those are considered as decorations to the drivers. Always be on the lookout – you may not necessarily be stopped for.  Avoid the commuter hours if you can, whether you're on foot, in a car, or using public transit. Imagine LA or New York at 5 pm, and that’s Brazil more often than not. If you need to get somewhere by a specific time, allow a lot of extra time for traffic. This also means you’ll be dealing with loads and loads of pollution, at least in the big cities. Plan rural escapes to get away and literally get a breath of fresh air when you need it.
Question: What is a summary of what this article is about?
Learn basic Portuguese. Learn the appropriate greetings. Get in sync with their schedule. Try the food! Get the dress right. Don’t cross the street just yet!