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What is Menorrhagia?
Menorrhagia (known as Atyartava) is a common symptom experienced by many women, and is characterized by prolonged and excessive bleeding, or frequent periods during the month. Ayurveda terms this dysfunction as rakta pradar.

Types of Menorrhagia
1. Atyartava (Menorrhagia) refers to excessive and prolonged bleeding from the uterus during menstrual periods.
2. Polymenorrhoea: In this type, the menstrual cycle is reduced from the normal twenty eight days to a cycle of two or three weeks and remains constant at that frequency. Bleeding is excessive and prolonged.
3. Metrorrhagia: Also known as “Asrigdaar” in Ayurveda, this is characterized by irregular, acyclical, intermittent or continuous bleeding from the uterus.
4. Dysfunctional Uterine Bleeding (DUB) is the most common form of uterine bleeding, and caused due to emotional imbalance. Bleeding in DUB can be heavy and irregular. The cause is not an underlying anatomical abnormality such as a fibroid, lesion, or tumour.

Causes of Menorrhagia
1. Constitutional factors such as severe anaemia, poorly developed reproductive system, bleeding disorders and thrombocytopenic purpura can contribute to this condition.
2. Localised diseases in the pelvic area such as fibroids, adenomyosis, polyps, endometriosis, pelvic infection and pelvic cancer, sub involution of uterus, prolapse or inversion; spontaneous or induced abortions, incomplete abortion, trauma to the uterus and ectopic pregnancy
3. Iatrogenic factors: this includes use of intrauterine devices, anticoagulants, and contraceptives
4. Other causes: endocrine disturbances, diseases such as typhoid, malaria and measles, sedentary lifestyle, diet that includes excessive spices, pungent, acidic food, excessive use of medication and chemicals, stress, excessive sexual activity, multiple child births, hot climates

Symptoms of Menorrhagia
  • Heavy blood loss during menstrual periods
  • Bleeding or spotting between periods
  • Cramping and pain in the lower abdomen and sacral region
  • Fatigue
  • Headache
  • Feeling of heaviness in the body
  • Constipation
  • Tenderness in breast
  • General debility
  • Indigestion
  • naemia

Other generalised symptoms could include breast tenderness and enlargement, weight gain, abdominal distension, headaches, pelvic congestion, depression, irritability, anxiety, mood swings, reduced concentration, reduced desire for intercourse and tiredness.

Treatment with Ayurveda
For general weakness and fatigue in women, it is recommended to take a composition of dashmula bilva (Aegle marmelos), shayonaka (Oroxylum indicum), gambhari (Gmelina arborea), patala (Stereospermum suaveolens), agnimantha (Premna integrifolia), shalaprani (Desmodium gangeticum), prishniparni (Uraria picta), brihati (Solanum indicum), kantakari (Solanum surattense), gokshura (Tribulus terrestris)], pushkara (Inula racemosa), amalaki (Emblica officinalis), yashti (Glycyrrhiza glabra), rasna (Pluchea lanceolata), pippali (Piper longum), puga (Areca catechu), haridra (Curcuma longa), draksha (Vitis vinifera), shveta chandana (Santalum album), lavanga (Syzygium aromaticum), nagakesara (Mesua ferrea), dhataki (Woodfordia fruticosa), tvak (Cinnamomum zeylanicum), sukshmaila (Elettaria cardamomum), tvakpatra (Cinnamomum tamala), pippali (Piper longum) and madhu.

Mensta, which 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 (Terminalia belerica), hareetaki (Terminalia chebula), mustak (Cyprus rotundus), safed jeera (Cuminum cyminum), vasaka (Adhatoda vasica), pippali (piper longum), ghrit kumari (aloe vera), daruharidra (bereberis aristata), red chandan (Pterocarpus santalinus), amrasthi (Mangifera indica), hing (Ferula asafetida) and madhu (Honey). It is useful in restoring harmony to women’s health.

Lovasava & ablari are recommended for many menstrual disorders. Ablari contains known Indian medicinal ingredients such as ashoka and valerian which are noted for their benefits to the uterus. It stimulates the endometrium and the ovary, and is indicated in menorrhagia, metrorrhagia, post-partum hemorrhage, dysmenorhoea and primary amenorrhoea. It is recommended in PCOD and weakness associated to heavy bleeding.

For low haemoglobin levels, Lohasava 4 TSF with 4TSF of water can be taken twice a day.

Supari pak, composed of pooga, dugdh, ghrit, sharkara, mustaka, nnagakesher, chandan, shunthi, maricha, pippali and jatipatra, helps treat general weakness in women.

Ashokarishta 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), and shvetajiraka (Cuminum cyminum). It is helpful in improving women’s strength, stamina and overall health.

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