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  • Ayurveda sees menstruation as essentially a cleansing process of the female body, keeping the uterus and body clean of toxins, in preparation for conception and pregnancy. It is seen that if the menstrual cycle is healthy, there will be a healthy pregnancy too. There is also a theory, that women live longer because their bodies are regularly cleansed of ama. During ovulation, Pitta is most dominant, while Vata dominates the period of menstruation and Kapha the period following menstruation.

    Types of menstrual problems:

    Amenorrhea: This is of 2 types, primary and secondary. Amenorrhea may be primary when the woman has never menstruated, or secondary when periods have started but have been absent for 3 consecutive months. Primary amenorrhea is the absence of menstruation by age 16 in the presence of normal pubertal development or by age 14 in the absence of normal pubertal development. Secondary amenorrhea occurs when a woman who has been having normal menstrual cycles stops getting her periods for 6 months or more. Secondary amenorrhea is more common than primary amenorrhea. Common causes of amenorrhea and secondary amenorrhea include anorexia, overactive thyroid gland, ovarian cysts, sudden weight gain or loss, stopping birth control and pregnancy.

    Dysmenorrhea: This consists of painful periods, and may be primary or secondary in nature. Symptoms include cramps in the lower abdomen with pelvic pain that radiates to the thighs and back. Dysmenorrhea is caused by prostaglandins and leukotrienes during ovulatory cycles. An underlying pelvic condition (e.g. endometriosis) or an uterine anomaly (e.g. fibroids) may be present in about 10% of severe dysmenorrhea cases

    Menorrhagia: This refers to bleeding lasting more than 8-10 days with excessive blood loss of over 80ml. Periods may extend longer than the average of five to seven days. Menorrhagia is mostly caused by imbalances in hormone levels, especially progesterone and estrogen. Other causes may include puberty, vaginal infections, inflammation of the cervix, underactive thyroid gland, noncancerous uterus tumors (fibroids) and changes in diet or exercise.

    Premenstrual syndrome (PMS): PMS occurs one to two weeks before periods begins. Some women experience a range of physical and emotional symptoms. Others experience few symptoms or none at all. PMS can cause bloating, backaches, headaches, breast soreness, acne, food cravings, excessive fatigue, depression, anxiety, feelings of stress, insomnia, constipation, diarrhoea and stomach cramps. Symptoms are generally known to resolve within 4 days after bleeding begins.

    Irregular periods: Many women experience irregular periods at some time in their lives. The exact causes of irregular periods can vary and are often quite normal.

    Unusual bleeding: Women may experience unusual or unexpected bleeding at some time in their lives. It is common for periods to sometimes be somewhat irregular. It often gets shorter as you near menopause. It also is normal then to skip periods or for bleeding to get lighter or heavier.

    Symptoms to look for during menstruation are abdominal cramps, pain, excessive flow, sudden stoppage, development of clots. Women menstruating who have a pitta imbalance will experience any of the following excessive flow of blood , blood clotting, long period (more than 5 days),irritated, inflamed skin, rashes, acne, sharp period pain, feeling hot and uncomfortable, anger, irritability, headaches, migraines and diarrhea. Vata periods will generally have: irregularity, less blood, on and off flow, short period time (under 5 days),constipation, pain radiating down into the groin, menstrual pain, thigh and lower back ache and general body stiffness Kapha periods will generally invoke: pale blood, large clots, mucus, slime in blood, dull pain, paleness, water retention and weight gain, feeling sensitive, sentimental and teary, nausea, vomiting and feeling the cold



    REMEDIAL ACTION

    Home Remedies
    a)Papaya helps to reduce the pain and regulates the flow, take pulp of an unripe papaya, blend it with 1 glass water. Drink it twice a day.
    b)Sesame seeds have pain relieving properties and also cure vomiting. Crush 4 tsp of sesame seeds into powder. Add 1 glass of water, mix well, drink 2 times a day
    c)Flax seeds are known for their hormone balancing effect. Regularly eating flaxseeds may help make ovulation more regular.
    Ayurvedic Medication
    a)Ashoka
    b)Chandan
    c)Lodhra
    d)Kamal Phool

    FAQ: Menstrual Problems

    Q 1. My child is 14 years old. She started her periods 3 months back, but they are very irregular and associated with abdominal pain and vomiting. As a mother, I am very worried for her. Can you suggest a remedy?
     
    A. Your daughter just started her periods; in the beginning symptoms like irregular menses, abdominal pain and vomiting are common. There is no need to be worried, you may give her Dabur Ashokarishta, this is composed of ingredients such as Ashoka (Saraca asoca), Dhataki (Woodfordia fruticosa), Musta (Cyperus rotundus), Utpala (Nymphaea stellata), Amalaki (Emblica officinalis), Haritaki (Terminalia chebula), Bibhitaka (Terminalia belerica), Shveta Chandana (Santalum album), Shvetajiraka (Cuminum cyminum) etc. It is helpful in improving women’s health and provides strength and stamina. It is also useful for women in their difficult days. She can also start with Dashmularishta that helps in general weakness and fatigue in women, improves appetite, provides stamina and glow and helps relieve abdominal pain.
     
    Q 2.My daughter is 19 years old. She has been complaining of white discharge (leucoria) since 2 months. She was on medication for the same, but the problem recurred after stopping her medication. Is there any treatment for this in Ayurveda?
     
    A. To get rid of white discharge (leucoria), your daughter will have to take medicine as well as maintain cleanliness and hygiene of the private parts. She can take Dabur Mensta. It contains Ashok Chaal (Saraca indica) ,Dhataki Pushp (Woodfordia fruticosa) ,Nishoth (Ipomoea turpethum), Kalaunji (Nigella sativa) , Ajwain (Tachyspermum ammi) ,Shunthi (Zingiber officinale) , Amla (Emblica officinalis), Bahera (Terminaliabelerica), Hareetaki (Terminalia chebula), Mustak (Cyprus rotundus),Safed Jeera (Cuminumcyminum), Vasaka (Adhatoda vasica) Pippali (Piper longum), GhritKumari (Aloe vera), Daruharidra (Bereberis aristata), Chandan Red (Pterocarpus santalinus), Amrasthi (Mangifera indica), Hing (Ferula asafetida) and Madhu (Honey). It is useful to relieve symptoms of leucoria and other menstrual problems. She can also use Trifaladecox to clean the vaginal area.
     
    Q 3. My sister is 35 years old. She has been having periods for extended durations along with heavy bleeding since 4 years. Her reports were suggestive of PCOD. Does there exist an Ayurvedic treatment for this condition?
     
    A. As your sister has been suffering from PCOD since 4 years, general weakness occurs due to heavy bleeding. She can take Lovasava & Ablari for such conditions. Ablari contains Indian drugs of repute such as Ashoka, Valerian etc. which are noted for their sedative and beneficial action on the uterus. It exerts a stimulating effect on the endometrium and the ovary, and is indicated in menorrhagia, metrorrhagia, post-partum hemorrhage, dysmenorhoea and primary amenorrhoea. If her haemoglobin level is low, she can take Lohasava 4 TSF with 4 TSF of water, twice a day.
     
    Q 4. My wife is 38 years old and her weight is 78 kg. The doctor told us that she is overweight because of hormonal imbalance, and she has been on allopathic medicine for the same. Is there any ayurvedic product which I can start with this medicine?
     
    A. Her increased weight is due to hormonal imbalance. Along with the allopathic medicine, you can take Dabur Mensta. It contains Ashok Chaal (Saraca indica) ,Dhataki Pushp (Woodfordia fruticosa) ,Nishoth (Ipomoea turpethum), Kalaunji (Nigella sativa) , Ajwain (Tachyspermum ammi) ,Shunthi (Zingiber officinale) ,Amla (Emblica officinalis), Bahera (Terminaliabelerica), Hareetaki (Terminalia chebula),Mustak (Cyprus rotundus),Safed Jeera (Cuminumcyminum), Vasaka (Adhatoda vasica) Pippali (Piper longum), GhritKumari (Aloe vera), Daruharidra (Bereberis aristata), ChandanRed (Pterocarpus santalinus), Amrasthi (Mangifera indica), Hing (Ferula asafetida) and Madhu (Honey). It is useful in all types of menses problem. She can also start with Ashokarista for the same, as it help in irregular menses and in hormonal irregular conditions. Yoga, exercise, and a proper diet plan will help her to reduce weight.
     
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