A report by Swachh Bharat Mission says that 74.5 per cent of public places are equipped with toilets. Another report by the Ministry of Jal Shakti states that there are 2.23 lakh Community Sanitary Complexes built across all States and UTs under the Swachh Bharat Mission (SBM) since October 2014. Over 92 lakh toilets have been constructed since the launch of SBM Gramin (SBM (G)) in April 2020.

While toilets are there, are they accessible? This is the question one should ask. The National Family Health Survey (NFHS) focuses on 131 health indicators, but not until the NFHS 5 survey did they include the question of accessibility of toilets in the survey. This happened after the inputs from the Department of Drinking Water and Sanitation (DDWS) and the Ministry of Health & Family Welfare questioned the accessibility.

One might ask, why is the question of accessibility so important? The answer is quite simple. Access to water, sanitation and hygiene is the most basic human need and is also included under the Sustainable Development Goals by the UN.

Are These Numbers Real?

This thought crossed my mind because back in 2021, I went on a solo trip, on a bus to Udaipur from Delhi. There, the bus made two stoppages. This was done so people could get a quick dinner and freshen up, relieve themselves and be prepared for the rest of the journey. This was a nightmare. The bus only stopped for 10 minutes. While some men used the washroom, others went to the bushes.

For the women, there were three cubicles. One of them was broken, and the other one did not have a light bulb, which meant only one was usable. There was a long queue for that cubicle, and time was short. There was no point in trying to find an isolated corner, because it was past midnight, in an unknown area.

I waited anxiously. When finally, my turn came, I saw an overused, dirty washroom. The toilet seat is in a horrible condition. I wanted to touch nothing there. But I had to pee. So, I used my mask to cover my nose from the odour, folded my pants so they did not touch the floor and squatted. It was quite a task to balance.

On my way back to Delhi, I made sure to not drink any water for over a 13-hour bus journey. I dehydrated myself so I did not have to use the washroom. When I did reach, I was severely dehydrated and was sick for three days.

I shared my experience with my friends only to realise that many women have faced the same. There are no washrooms for women.

A friend of mine told me that it is because these roads and dhabas are mainly designed to serve men. They are the ones who travel at night or are on the roads most of the time. As a result, the few women who do travel or are on the road suffer.

Health Risks Women Are Prone To

Well, it is true, but partially. While holding your pee for too long can lead to health risks, peeing on a dirty toilet seat cannot lead to infections unless your urethra is in contact with the bacteria present on that toilet seat. However, nobody wants to sit on a dirty toilet seat, even if you do not get an infection. A safe and hygienic toilet is a basic need.

One of the regular saleswomen, Usha, who visits my house shared her experience with me. “Being on the road constantly means I must use the dirty public washrooms. But I do not want to use them. So, sometimes I ask my regular customers to let me use their washrooms. Some say yes, and some say no. I understand they are also concerned about their safety and privacy,” she says. As a result, Usha spends most of her day not drinking enough water and holding her pee when she is at work. Due to this, she also suffered from a Urinary Tract Infection (UTI).

Her friend, Halima too faced similar problems and due to increased levels of uric acid in her body, she suffered from Hyperuricemia.

Other health risks are kidney stones and other kidney problems, headaches, dull skin, xerostomia or dry mouth, fatigue, and urinary incontinence, which means losing control over your pelvic floor muscles leading to uncontrolled leakage of urine, seizures and weakness.

What Can You Do?

Wear comfortable clothes and capris. Capri pants are comfortable and are short in length, which means this won’t touch the toilet floor when you squat or sit.

Carry Essentials

Even though you cannot get a UTI alone from sitting on a toilet seat, it is always safe to carry a toilet seat sanitiser. If nothing, it can help you get rid of the bad odour so you can use your stand and pee device inside the toilet. You can also use disposable toilet seat covers if your knees are weak, and you cannot squat. Always flush with your seat down.

Always keep disposable gloves, a portable bidet (fill it with water before use), a pocket liquid handwash, wet wipes, tissues and sanitiser handy. Do not forget to keep extra sanitary pads. It might sound a lot, but I promise that it all fits in one pouch. Use this travel-friendly pouch every time you are on the road, or using a public washroom.

What Can We Learn From Others?

However, in case we do not get these technologically advanced toilets here, you can always pack a travel-friendly toilet kit!

A breast cancer diagnosis can change more than a woman’s immediate health priorities. Suddenly, appointments, treatment decisions and medical advice become part of everyday life, alongside work deadlines, family responsibilities, relationships and personal plans. Even as women focus on getting better, questions about how treatment might affect their routines, independence and future can be difficult to navigate.

For women diagnosed with early breast cancer, treatment offers an opportunity to address the disease and reduce the risk of it returning. But the experience is about more than medical outcomes alone. How women feel during treatment, the support available to them and their ability to continue doing the things that matter to them are also important considerations.

Treating early breast cancer involves looking beyond the immediate diagnosis to understand what matters to each patient. While our priority is to recommend treatment that offers the best possible clinical benefit, it is equally important to discuss how treatment may affect everyday life, from managing side effects to maintaining relationships and planning for the future. By encouraging open conversations about advanced therapies and addressing patients’ concerns early, we can help women make informed decisions while supporting their quality of life throughout the treatment journey.

Here are four ways women can approach treatment while keeping their personal well-being in focus.

1. Make your everyday life part of the treatment conversation

Breast cancer treatment can affect everyday life in different ways, from recovery after surgery to managing side effects or making time for regular appointments. For women balancing work, family responsibilities and personal commitments, understanding what treatment involves can help them plan ahead and arrange the support they need.

Advances in breast cancer care have expanded treatment options for eligible patients, with some targeted therapies offering a more tailored approach that may help reduce certain treatment-related side effects. Understanding the potential benefits and impact of each option on quality of life can help women make informed decisions with their oncologist. Discussing how treatment may affect daily routines, energy levels and recovery can also help women plan for the journey ahead while continuing to prioritise what matters to them.

Also read: Unspoken Side Of Breast Cancer: Experts Discuss Recurrence Risk, Emotional Toll & Societal Impact At Times Health Summit 2026

2. Prepare for physical changes rather than waiting for them to become overwhelming

Breast cancer treatment affects every woman differently. Depending on the therapy, side effects may include fatigue, nausea, joint pain, sleep disturbances or changes in hair and weight, potentially making everyday activities more challenging.

Women should discuss potential side effects with their healthcare team and seek advice early on, as appropriate interventions can help manage symptoms. Gentle physical activity, a balanced diet and adequate rest may also support overall well-being, depending on individual needs and medical advice. The goal is to find a manageable routine that supports recovery and quality of life without putting every other aspect of life on hold.

3. Give emotional well-being, relationships and personal plans the same consideration

The emotional impact of breast cancer can be as significant as the physical effects. Uncertainty about the future, changes in body image and concerns about loved ones can affect emotional well-being. Talking to trusted friends, joining a support group or seeking professional guidance can help women navigate these challenges, while open conversations with family can make it easier to ask for support.

Personal concerns, including fertility, intimacy and sexual health, also deserve attention. Women should discuss these with their healthcare team before treatment begins, particularly when fertility preservation may be an option. Addressing these concerns early can help women understand their choices and ensure their emotional well-being and personal priorities remain part of the treatment journey.

Also read: Hot Flashes To Night Sweats: Leading US OB-GYN Group Updates Menopause Treatment Guidance After 12 Years

4. Keep the future in view while focusing on the present

Looking beyond initial treatment can help women prepare for the next stages of care. Depending on the cancer’s characteristics, doctors may recommend additional treatment to reduce recurrence risk, with some women continuing medication for several years. Understanding the purpose, expected benefits and duration of treatment can help women plan ahead.

Regular follow-up appointments remain important for monitoring recovery and addressing new symptoms or ongoing side effects. If treatment becomes difficult to manage, women should speak to their healthcare team, who may suggest ways to manage symptoms or explore suitable alternatives. Staying informed about the care plan can help women look ahead with greater confidence while prioritising their long-term health and quality of life.

Making room for the life beyond the diagnosis

An early breast cancer diagnosis can bring uncertainty, but it does not erase the other parts of a woman’s life. Work, relationships, family, personal ambitions and everyday pleasures remain important, even while treatment becomes a priority.

Making space for these aspects of life starts with asking questions, communicating concerns and seeking support before challenges become overwhelming. Clinical outcomes and recurrence risk remain important considerations, but so does the experience of living through treatment.

The goal is not to manage every aspect of the journey perfectly. It is to ensure that women have the information, care and support they need to navigate treatment in a way that considers both their health and their quality of life.

By Dr. Sachin Sekhar Biswal, Consultant Medical Oncologist, Manipal Hospital, Bhubaneswar

Living in cities could mean your home may be located near a busy road, railway line or airport. It also means your comfort and sleep may get interrupted from time to time due to excessive noise. After living at such places for a long time, the traffic sounds may turn into white noise for you but it does not mean that you are completely safe.

A recent study says that constant exposure to transportation noise could increase your risk of cardiovascular disease, even if you sleep for seven to nine hours every night.

The research, presented at the American Heart Association's (AHA) Scientific Sessions 2026, found that adults who were exposed to higher levels of transportation noise were more likely to face cardiovascular risk factors like high cholesterol, hypertension and diabetes.

The study is based on health records of 108,051 adults, with an average age of 57 years. They also used US government data to estimate average daily transportation noise levels around the homes of participants. About one-third of participants were exposed to noise levels exceeding 50 decibels.

Transportation Noise & Heart Disease Risk

Also read: Bowel, Pancreatic & Liver: NHS Trial Offers New Blood Test To 20,000 Patients That Could Detect 13 Cancers

The study found that exposure to transportation noise above 50 decibels could lead to an 8% to 10% increase in the development of major cardiovascular risk factors. The researchers examined average 24-hour transportation noise levels above 45 to 50 decibels. These estimates included noise from road traffic, trains and aircraft.

Dr Joseph Nguyen, an internal medicine resident at Massachusetts General Hospital, emphasised that the measurements represented daily averages rather than peak noise levels. "These levels are similar to moderate rainfall or typing on a keyboard," he explained.

He added that noise levels can rise considerably during specific events. Subway stations, for example, may reach more than 100 decibels when trains arrive or depart.

In terms of individual risk factors, the strongest link was observed with high cholesterol, followed by high blood pressure and diabetes.

One of the findings that stood out in the study is that the cardiovascular risk due to transportation noise was the same among those with healthy as well as unhealthy sleep schedules.

For this study, unhealthy sleep was defined as having a diagnosed sleep disorder or regularly sleeping fewer than seven hours or more than nine hours per night.

"The key finding of our study is that the relationship between noise exposure and cardiovascular disease events, and the number of cardiovascular risk factors developed, was similar among people with and without unhealthy sleep, suggesting that healthy sleep is not protective against adverse heart impacts of noise exposure," said Dr Nguyen.

"We expected that disordered sleep would influence the relationship between noise exposure and heart disease. It was surprising to find that sleep health appeared to play no role," he added.

Also read: NCCN Issues First-Ever Guidelines For Cancer Caregivers

How Could Noise Exposure Affect Heart Health?

Experts believe that long-term exposure to transportation noise may activate the body's stress response, which could affect cardiovascular health over time.

Even when people do not wake up or feel disturbed by noise, their bodies may still unconsciously respond to these environmental sounds.

This could result in changes in stress hormones, blood pressure and other processes. Repeated exposure may contribute to cardiovascular strain over time.

How To Reduce Exposure To Traffic Noise?

Researchers suggested several ways people living in noisy neighbourhoods could reduce exposure inside their homes:

• Install thicker windows, doors and walls to improve sound insulation.
• Place bedrooms in the quietest areas of the home.
• Plant dense trees and vegetation around the property.
• Consider using earplugs while sleeping.

Dr Nguyen said the findings highlight the importance of reducing environmental noise through better urban planning and infrastructure for protecting long-term cardiovascular health.

Women's bodies have long been understudied, and even a simple touch can trigger unexpected sadness, anguish or homesickness. One such experience is Sad Nipple Syndrome (SNS), which many women may experience without knowing it has a name. Triggered by nipple stimulation, it remains poorly understood and largely unresearched.

Some describe it as sudden sadness or anguish, while others compare it to homesickness, nostalgia or an upsetting memory. Even putting on a shirt can trigger the sensation.

SNS is not an officially recognised medical diagnosis. Although it can affect anyone, it appears more common in women, according to the Cleveland Clinic.

Sad Nipple Syndrome Can Begin In Childhood

Also read: Lessons From The Lindsay Clancy Case: Can Families Spot Early Signs Of Postpartum Psychosis?

Some people experience SNS from childhood without understanding what is happening.

“I was probably a child when I first noticed: ‘Why does touching my nipple make me sad?’” 28-year-old Sandra told The Guardian.

She kept the experience to herself until college, when she searched for answers online. “I realized I wasn’t crazy,” she said.

The Role Of Oxytocin And Dopamine

One possible explanation involves oxytocin, commonly known as the 'love hormone'.

Dr Vladimír Kraus from the Department of Gynaecology and Obstetrics at Pavol Jozef Šafárik University suggests oxytocin may be involved because nipple stimulation triggers its release.

Oxytocin plays a role in bonding and emotional connection. It is released during physical touch and also plays a role in childbirth and breastfeeding.

Kraus theorises that changes in oxytocin signalling could trigger negative emotions associated with SNS, although this has not been established.

A study found that breast stimulation increased oxytocin levels in both lactating and non-lactating women, suggesting the response is not limited to breastfeeding.

Maureen Sweeney, a psychiatric mental health nurse practitioner and women's behavioural health specialist at the Cleveland Clinic, suggests oxytocin release may also influence dopamine production. Reduced dopamine could contribute to dysphoric feelings, although this remains a proposed explanation.

Other possible factors include postpartum mental health, body image concerns, anxiety and intimate partner violence. Sweeney also points to premenstrual dysphoric disorder (PMDD), suggesting that some people may be more sensitive to normal hormonal fluctuations.

Read More: Breastfeeding Can Help Reduce Mothers' Risk of Type 2 Diabetes, Breast Cancer and More

How Is SNS Similar To D-MER And Post-Coital Dysphoria?

Dysphoric milk ejection reflex (D-MER) causes sudden negative emotions, such as sadness, homesickness and guilt, just before or during milk letdown while breastfeeding. It can also affect the breastfeeding experience and maternal bonding.Post-coital dysphoria (PCD), meanwhile, involves sadness, anxiety or irritability after sexual activity.

While SNS and D-MER are associated with nipple stimulation, PCD occurs after orgasm. Despite the different triggers, people can experience similar emotional and physical sensations, lactation consultant Alia Macrina Heise was quoted as saying to The Guardian.

She suggested hormonal interactions may be involved in all three conditions, although their precise mechanisms remain unclear.

Is There A Treatment For Sad Nipple Syndrome?

There are no specific treatments for SNS, and more research is needed to understand its causes. However, coping strategies and psychological support may help manage the distress. Sweeney suggests cognitive behavioural therapy (CBT) as one approach to addressing symptoms, even when a therapist is unfamiliar with SNS.