INTRODUCTION OF THE DISEASE
Amenorrhoea is the absence of menstrual period in a woman of reproductive age. A woman usually menstruates after every 23 to 35 days. Women who have missed atleast three menstrual periods in a row have amenorrhoea. It is a normal feature in prepubertal, pregnant and post menopausal females. Physiological state of amenorrhoea is seen,most commonly, during pregnancy and lactation. Apart from the reproductive years there is absence of menses during childhood and after menopause.
For a woman to have regular menstrual cycles, her hypothalamus (that stimulates the pituitary gland), pituitary gland (that releases luteinzing hormone and follicle stimulating hormone which influence the production of estrogen and progesterone that control cyclic changes in the lining of the uterus), ovaries and uterus must be functioning properly. Her cervix and vagina must also have a normal anatomy.
TYPES OF AMENORRHOEA
THERE ARE TWO TYPES OF AMENORRHOEA
1. Primary Amenorrhoea:-
When a woman has not had her first menstrual period by the age of 16 years, it is known as primary amenorrhoea or delayed menarache. This is common in teenage girls who:
- Are very thin or very athletic
- Are underweight
- Have not experienced the normal puberty related rise in body fat
- Have genetic problem
- Have abnormal female reproductive organs
2. Secondary Amenorrhoea is seen in:-
- Breast feeding
- Emotional or physical stress
- Rapid weight loss
- Strenuous exercise
- Polycystic ovarian syndrome
- Premature ovarian failure
SYMPTOMS OF AMENORRHOEA
AMENORRHOEA IS A SYMPTOM IN ITSELF. ASSOCIATED FEATURES ARE
- Excess body and facial hair
- Lowering of the voice
- Altered sex drive
- Changes in the breast
- Breast milk secretions
- Weight gain or weight loss
- Dry skin and hair
- Worry and anxiety
- Muscular and neural pains
AYURVEDIC VIEW AND TREATMENT ACCORDING TO CHANDIGARH AYURVEDA CENTRE
According to Ayurveda, imbalance of sharirik dosha mainly Vata and Kapha and mansik dosha Raja and Tama are responsible for amenorrhoea.
Normally, the food we eat is digested by the digestive fire and is converted into rasa dhatu. This rasa dhatu nourishes the successive dhatus and other tissues of the body. Artava or menstrual blood is a part of this rasa dhatu. But when the digestion is impaired, instead of the healthy rasa dhatu, ama or toxins are produced. This ama accumulates in rasavahi srotas (which carries the nutrient plasma) or aartavavahi srotas (which carries the menstrual flow) and blocks them stopping the flow of menstruation, which leads to amenorhoea.
SINGLE HERBS USEFUL IN AMENORRHOEA
- GhritKumari or Aloe Vera
- Bhumi Amalaki
- Vidari kanda
- Wild Yam
AYURVEDIC FORMULATIONS RECOMMENDED IN AMENORRHOEA
- Punarnava Mandoor
- Kumari Asava
- Loha asava
- Dashmoola Arishta
- Aarogya Vardhini Vati
- Raja Pravartini Vati
- Pushyanuga Churna
- Ashoka Arishta
- Shatavari Kalpa
- Dhatri Rasayan
- Saubhagya Shunthi Pak
DIET AND LIFESTYLE
- Take plenty of milk, fresh fruits and vegetables.
- Strive for balance in work, recreation and rest.
- Avoid hard to digest and junk foods.
- Avoid ice creams, cold drinks and lots of raw vegetables.
- Eat warm, nutritious and easily digested foods like khichadi and soup which give the gastrointestinal tract a rest and facilitate cleansing.
- Drink filtered or boiled water.
- Avoid taking alcohol.
- Avoid salty and dry foods.
- Sweet, sour and salty tastes nourish vata dosha.
- Regular meditation and relaxation techniques are important to reduce mental stress.
- Daily oil massage can be helpful in maintaining the imbalanced dosha.
- Take deepana dravyas like cinnamon(is a good choice because of its demulcent and stimulating properties ), dried ginger( works as an emmenogogue), turmeric( helps to regulate menses by decongesting the liver).
- Abhyanga, shirodhara, svedana therapies are beneficial as they pacify Vata dosha and provides nourishment to the system.
- Apart from above therapies, anuvasana and uttara bastis help to encourage healthy downward movement.
- Boil a teaspoon full of saffron in half a cup of water and reduce it to about a table spoon and this should be taken in a day by dividing it into three parts. Saffron is a powerful antioxidant that can treat chronic inflammatory conditions as well as reduce stress that may be causing amenorrhoea
- Fomentation with hot and wet towel or hot water bag should be done around the pelvis to get relief from the pain and menstrual cramps
- A cup of black beans should be boiled in 5 cups of water and a half cup of this juice should be taken before meals. This regulates the menstrual cycle.
- Drinking 2 to 3 glasses of tomato juice is said to improve blood circulation and treat amenorrhoea.
- Raw beetroot of fresh beetroot juice is considered an effective treatment for amenorrhoea.
- Foods such as papaya, seasame seeds, ginger and bitter gourd can increase the internal body temperature and improve ovulation. This in turn can result in regular periods.
- Mix half a teaspoon of cinnamon in a glass of milk and drink this everyday for weight loss. Weight loss is important to ensure regular menstruation
- The herb pennyroyal is one of the best natural remedies for amenorrhoea. It stimulates the reproductive system and encourages menstruation.
- Soak a teaspoon of fenugreek seeds in water overnight. Drink this water in the morning to get relief from amenorrhoea.
- Unripe papaya is a great home remedy for the treatment of amenorrhoea. It helps in the contraction of the uterus and helps in getting rid of amenorrhoea.
- One teaspoon of aloe vera juice with a pinch of black pepper is used for the treatment of amenorrhoea.