Low blood pressure, also known as hypotension, is usually considered a sign of good health and low risk for cardiovascular disease. However, there are times when persistently low blood pressure or a sudden drop can be a sign of an underlying health issue that needs medical attention. Knowing when low blood pressure becomes a problem can help ensure timely intervention and proper care.

Blood pressure readings consist of two numbers:

Systolic pressure (the top number) indicates the pressure in your arteries when your heart pumps blood. Diastolic pressure (the bottom number) reflects the pressure in your arteries while your heart is resting between beats.

The normal reading is usually 120/80 mmHg or less. Hypotension is clinically defined as having blood pressure readings less than 90/60 mmHg. In some patients, low blood pressure will have no adverse health consequences and therefore does not need to be treated. In extreme cases, however, it can limit the flow of oxygen and nutrients to vital organs, resulting in potentially life-threatening complications, such as shock.

Causes of Low Blood Pressure

Hypotension can result from many factors. Some of the factors that cause hypotension are as follows:

• Insufficient fluid intake or excessive fluid loss can lead to decreased blood volume and hence hypotension.
• An injury or internal bleeding may result in hypotension. This happens because blood pressure becomes significantly reduced.
• Some hormonal changes along with the increased blood requirement during pregnancy also causes hypotension.
• Issues like heart failure or arrhythmias can impair blood circulation and result in low blood pressure.
• Certain drugs, including diuretics, antidepressants, and blood-pressure-lowering medications, can induce hypotension.

Symptoms of Hypotension

While low blood pressure may not always cause symptoms, it can sometimes be associated with:

- Dizziness or fainting

- Fatigue and weakness

- Blurred vision

- Nausea

- Confusion or difficulty concentrating

- Shallow breathing

- Palpitations

If the person experiences these symptoms, with the recorded blood pressure reading, the medical services have to be consulted.

Types of Low Blood Pressure

1. Orthostatic Hypotension: This is a kind of hypotension that appears as a result of decreased blood pressure when a person is standing up from lying down or sitting position and primarily affects elderly people.

2. Postprandial Hypotension: This is a drop in blood pressure after eating, more common in older people.

3. Neurally Mediated Hypotension: It is triggered by standing for long periods. This type can affect younger people and is associated with miscommunication between the brain and heart.

When Is Low Blood Pressure Dangerous?

There is no such thing as a universal threshold for very low blood pressure, but a blood pressure reading below 90/60 mmHg can be dangerous and require prompt medical assessment if accompanied by symptoms of fainting, confusion, or shortness of breath. Sudden falls in blood pressure may point to potentially serious underlying causes, which can include:

• Internal bleeding
• Sepsis (severe infection)
• Allergic reactions

Management and Treatment

Treatment of hypotension depends on its cause:

• Hydration Drinking more water can help against dehydration-related hypotension.
• Compression Stockings: These can improve circulation and reduce blood pooling in the lower limbs.
• Dietary Changes: Increasing salt intake under supervision can help increase blood pressure
• Medication Changes: The physician may need to reduce dosages of some medications or replace prescriptions.

For more severe cases, physicians might also administer fludrocortisone or midodrine to increase blood pressure. Shock from hypotension should be treated promptly to ensure proper function of organs.

Can Hypotension Cause Fatigue?

Chronic fatigue syndrome has also been associated with low blood pressure. Prolonged tiredness, despite adequate rest, may require reassessment of blood pressure levels. Fatigue secondary to hypotension will impact functionality and thus requires assessment and treatment of the cause.

When to Seek Medical Care

If your blood pressure readings are low consistently and without symptoms, you probably have nothing to worry about. If you do have symptoms like dizziness, fainting, or confusion, you need to go to the doctor. Blood pressure checks are usually conducted regularly. Once you are aware of your own normal baseline, you will know right away when there is something wrong.

Lifestyle Tips That Support Normal Blood Pressure

1. Other than directly treating hypotension, a healthy lifestyle overall would promote balanced blood pressure levels.
2. Exercise regularly; it promotes cardiovascular health and can help regulate blood pressure.
3. Focus on nutrient-dense foods rich in iron, B vitamins, and electrolytes to support circulatory health.
4. Excessive alcohol consumption dehydrates the body and lowers blood pressure.
5. Practices like yoga and meditation can help maintain a healthy blood pressure range.

Considered to be a key symbol of fertility and reproductive years, a woman's menstrual cycles are an integral and natural part of her life. However, they are more than just a monthly event, but instead a reflection of their hormonal, metabolic and even emotional health.

Due to genetics and other lifestyle factors, every woman experiences their cycle differently, which leaves many second-guessing about their hormonal balance, thyroid function, metabolic health, stress levels and even sleep quality.

Dr Archana Dhawan Bajaj, Gynaecologist and IVF Expert, Nurture exclusively tells Healthandme: "Knowing these patterns would guide people to understand when the changes are normal worry and when they are upheaval of a problem. Although the cycles vary among individuals, some features of such cycles are common between individuals, including the length of the cycle, flow, symptoms, as well as consistency, which are used to determine a normal state at various ages.

Here is what you should know and keep an eye out for during each phase:

The Early Years: Finding a Rhythm

Dr Maya PL Gade, Consultant, Gynaecology & Obstetrics at Kokilaben Hospital tells Healthandme: "In the first 2–3 years after menarche i.e. your first period, irregular cycles are common. Nearly 40–50 percent of adolescents do not ovulate consistently at first. The brain–ovarian hormonal axis is still maturing, so cycles may be longer than 35 days (than their typical 28 day monthly cycle) , bleeding may be heavy and cramps can feel intense.

Dr Rohan Palshetkar, Consultant IVF Specialist, Bloom IVF also warned that bleeding for more than 7–8 days continuously, soaking pads every 1–2 hours or going more than 90 days without a period may signal hormonal imbalance, clotting disorders, or conditions like PCOS.

He told Healthandme: "It is important to note that early teen cycles often happen without ovulation. For teenage girls, developing stable cycle will take some time due to ovaries adjusting to produce hormones. It is only in their late teens and early 20s that the girls will get the cycles more regular."

Normal Menstrual Cycle: According to Dr Bajaj, a normal cycle can be between 21 and 45 days. During bleeding, flow can be light, heavy, and cramps, mood swings, or even fatigue may accompany the adaptation of the organism to the hormonal changes.

Abnormal Menstrual Cycle: The expert explained: "Extensive bleeding, which needs the replacement of sanitary items every hour to two hours, long than seven or eight days, excruciating pain, or lack of periods in several months could be a sign of hormonal imbalance, thyroid complications, or polycystic ovarian syndrome."

20s and Early 30s: The Stable Phase

Talking about the post-teenager phase, Dr Gade said: "For many women, this is when cycles become more predictable, typically every 21–35 days, with 3–7 days of bleeding. Ovulation is more regular and PMS patterns are clearer. However, this is also the stage where lifestyle has a strong impact."

"Fertility is also at its peak in the 20s and early 30s, making it easy for women in this age group to become pregnant. With childbirth and breastfeeding, the chances of cycle alteration, its flow and length are high," Dr Palshetkar added.

Dr Gade also noted that high stress, poor sleep, intense exercise, crash dieting, thyroid disorders, or PCOS can disrupt ovulation and any sudden irregularity in this decade is often the body’s early warning system. A consistently painful period is also not “normal”, it may point to endometriosis or adenomyosis, both of which are frequently underdiagnosed,"

Keeping this in mind, it is essential for girls in their 20s and early 30s to track their period for regularity and flow, Dr Palshetkar advised.

Normal Menstrual Cycle: Dr Bajaj told this publication: "The average period to undergo a cycle is 21 to 35 days at an average of three to seven days with a moderate flow. The symptoms can be mild and include bloating, cramps or breast tenderness that can be easily treated."

Abnormal Menstrual Cycle: Talking about abnormal alterations, the gynaecologist said: "Excessive menstrual bleeding, cramps that impair normal life or inter-menstrual bleeding may be some of the early signs of endometriosis, fibroids, hormonal disruption or chronic stress."

Late 30s to 40s: The Hormonal Transition

Dr Gade explained: "Fertility begins to decline gradually after 35 due to reduced ovarian reserve. Cycles may shorten initially because ovulation happens slightly earlier. As women move into perimenopause, a transition that can last 4–8 years, hormone levels fluctuate unpredictably. Estrogen doesn’t simply drop; it rises and falls unevenly.

"This explains why many women notice heavier bleeding, clotting, worsening PMS, new-onset anxiety, sleep disturbances or cycles that skip months and then return. Studies suggest that up to 90 percent of women experience noticeable cycle changes during this phase.

"Importantly, very heavy bleeding at this stage should not be ignored. It can sometimes be linked to fibroids, endometrial thickening, or other structural changes in the uterus."

Moreover, Dr Palshetkar also warned: "For some, there is a noticeable and increasing gap between periods before menopause. Fertility decline is a reality in the age group, though it is not impossible to get pregnant.

Normal Menstrual Cycle: Dr Bajaj elaborated to Healthandme: "The hormonal shifts at this age may make the cycles a bit shorter or longer. Flow can either become thicker or thinner and premenstrual symptoms can be more pronounced as the body slowly transitions into perimenopause."

Abnormal Menstrual Cycle: Additionally, she said: "Very heavy bleeding, very prolonged intervals between the periods, bleeding following intercourse or sudden spotting between menstruation may be considered an issue, as these can be indicators of hormonal disorders, the presence of fibroids, or other gynecological problems."

Menopause: A New Baseline

Ultimately, Dr Gade detailed: "Menopause is diagnosed after 12 consecutive months without a period, with the average age globally around 50–51 years. Hormone levels stabilize at lower levels, and while periods stop, symptoms like hot flashes, vaginal dryness, bone density changes, and metabolic shifts may appear."

"Post-menopause, a woman’s reproductive health sees a significant decline of estrogen levels, fertility, and inability to produce any eggs. However, it still sees noticeable hormonal fluctuations and resultant health troubles.

"Facing PMS-like symptoms like mood swings and irritability is not uncommon. Medical attention is required when women notice severe pain or very heavy bleeding at

any age after menopause.

"The changes and evolution in the menstrual cycles are proof of her complete health during the course of the life she lives. And it impacts the way she lives or can live through her lifetime," Dr Palshetkar added.

Normal Menstrual Cycle: Lastly, Dr Bajaj said: "Prior to menopause, the cycles can become irregular since of the hormonal fluctuations and some symptoms like hot flushes, sleeping problems or mood swings can appear."

Abnormal Menstrual Cycle: While she noted that slight spotting is possible post-menopause due to fluctuations in estrogen and progesterone levels, the expert advised: "Post-menopausal vaginal bleeding is regarded as abnormal and needs to be medically examined because it may be due to underlying health conditions that must be addressed."

Hailey Bieber recently opened up about a mini stroke or Transient Ischemic Attack (TIA) she experienced when she was just 25. In an episode of the SHE MD podcast, hosted by Mary Alice Haney and Dr. Aliabadi, Hailey discussed how the mini stroke actually led her to find out an even bigger issue in her heart.

Dr. Aliabadi, a world-renowned OBGYN based in Los Angeles, who is also Hailey’s doctor, explained that this ordeal led Hailey’s medical team to discover a PFO, also known as a hole in her heart

In the interview, the founder of Rhode Beauty detailed how she had the classic stroke symptoms and said: “[My] whole right side of my arm went numb. I couldn't speak. Like my words were coming out all jumbled. The right side of my face was drooping. It was like a classic stroke symptom”

She explained that the reason why her team called it a mini stroke is because it ended within 31 minutes. By the time she reached the hospital, she didn’t need any clot busting medicine or procedure.

What Caused Hailey Bieber’s Mini Stroke?

Dr. Aliabadi explained that Patent Foramen Ovale (PFO) is extremely common phenomenon and a majority of people go through life never knowing they have it.

The Cleveland Clinic explains that the PFO is a small flap or opening between the upper chambers of your heart that everyone has. However, it usually closes up before the age of three. Most of the time, a PFO doesn’t cause symptoms and would not need treatment; however, in rare cases, it could lead to a stroke and or a TIA.

How Was Hailey’s Heart Condition Diagnosed

Hailey explained that her heart is slightly tilted in her chest and standard echocardiogram couldn't see the opening at first which led ER doctors to be unable to detect it.

As a result, she had to see a specialist for a Transcranial Doppler test. Doctors listened to the sound of blood "shunting" (moving the wrong way) through her heart to finally confirm the hole was there, which was much larger than they expected.

Also Read: Women Heart Symptoms Could Differ From Men, Explains Expert

What Is Transcranial Doppler Test?

According to the Cleveland Clinic, it is an ultrasound test that uses sound waves to detect conditions that affect blood flow to and within your brain. It can detect strokes caused by blood clots, narrowed sections of blood vessels, and numerous other heart-related issues.

How Did They Fix Hailey Bieber’s Heart?

Instead of an open-heart surgery, doctors performed a modern, minimally invasive procedure on Hailey's heart. She detailed the procedure where the doctors reached her heart through a vein in her groin. They threaded a tiny "button" made of metal and Teflon up to her heart and used it to securely plug the hole.

Hailey also learned she has some genetic factors that put her at a higher risk for blood clots and inflammation. Despite suffering a life-altering stroke, she views it as a "blessing in disguise" as it led her to find these issues early.

Now, she manages her health through a clean lifestyle, focusing on sleep, exercise and keeping her heart inflammation low.

Reducing mother-to-child HIV transmission, also called vertical transmission, to zero is crucial to achieve the end AIDS target by 2030 in India, in line with the UN Sustainable Development Goals, said experts.

At the 17th National Conference of the AIDS Society of India (ASICON 2026), health officials and experts together deliberated on the progress made in the country against HIV and also called for a stronger last-mile effort to eliminate AIDS from the country.

While India has made a major reduction in vertical HIV transmission, with just 0.7 percent of infant diagnoses. But the experts stressed the need to further reduce it to zero.

From 25 percent in 2020, the vertical transmission of HIV has come down to 11.75 percent in 2023, according to Dr. Glory Alexander, President of AIDS Society of India (ASI).

“Before treatments were available to prevent vertical transmission, the risk of a newborn acquiring HIV in India ranged from 15 percent to 45 percent. The risk was nearly 45 percent among infants who were breastfed,” Dr. Alexander said.

She attributed the reduction to the introduction of antiretroviral therapy (ART) and implementation of HIV prevention and treatment guidelines.

"The government has successfully reduced the rate of infant HIV diagnosis (risk of a child getting infected with HIV due to vertical transmission) to 0.71 percent. We need to further reduce it to zero to eliminate vertical transmission of HIV,” Dr. Alexander added.

Intensifying Last-Mile Approach

India reportedly has 27-29 million pregnancies every year.

As per the latest National AIDS Control Organization (NACO) report, 83 percent of all pregnant women are tested for HIV, and 78 percent of all pregnant women are tested for syphilis in India.

“Out of an estimated 19,000 pregnant women who might be living with HIV in India, over 16,000 were reached by the government-run program and linked to services -- half of them were newly diagnosed with HIV,” Dr. Alexander said.

NACO runs 794 antiretroviral therapy centers across the country and provides free HIV treatment to 18 lakhs people with HIV.

NACO's over 700 “Suraksha Sewa Kendras” also provide preventive services for people who are at risk of acquiring HIV.

Dr. Ishwar Gilada, Emeritus President of AIDS Society of India (ASI), called India's progress "commendable."

"But to end AIDS, the last mile approach has to be accelerated and intensified manifold,” the expert said.

Increase HIV Testing Manifold

Dr. Gilada stressed the need to "ensure that all key populations know their status, and those with HIV are linked to treatment, care, and support services and remain virally suppressed".

If a person with HIV is virally suppressed, then there is zero risk of any further HIV transmission, as per the WHO, he added.

Indian data shows 9-43 times higher HIV rates (as compared to the general population) among key populations, such as men who have sex with men, transgender people, sex workers, people who inject drugs, among others.

These key populations are hard to reach, which warrants community-led and science-backed approaches, said Dr. Gilada.

Reducing Advanced HIV Disease

Despite commendable progress in India’s HIV response, there is a huge number of cases of advanced HIV disease (AHD) -- about one third of all people living with HIV in the country, the experts said.

The World Health Organization (WHO) defines AHD as a CD4 count less than 200 cells per cubic millimeter/ or WHO stage 3/4 in adults/adolescents, and all children less than 5 years old.

It indicates a severely weakened immune system, high mortality risk, and vulnerability to infections like TB and cryptococcal meningitis.

AHD cases in India are majorly among those who are HIV infected but are not on lifesaving antiretroviral treatment.

"This could be because HIV infection is undiagnosed in people until they present with opportunistic infections to healthcare centers, or they were not able to adhere to the treatment for a range of reasons,” said Dr Trupti Gilada, Joint Secretary, AIDS Society of India (ASI).

TB, which is preventable and treatable, is the most common opportunistic infection among people with HIV.

Another concern is the rising antimicrobial resistance in HIV patients. Studies show that people with HIV are 2-3 times more likely to get drug-resistant forms of TB.