In Ayurveda, scanty menstruation is called rajah-kricchra. Ayurveda attributes painful menstruation to the predominance of doshas, namely, vata, pitta and kapha. The pain may appear before the menstruation starts and may subside after a little time thereafter. In Ayurveda lower pelvis is considered to be the seat of apana vayu, which is responsible for the elimination of menstrual blood, stool, urine, ovum. Women having constipating tendency or those who do not develop regular habit of attending the call of nature, are usually exposed to this type of complaint. The 'Vaidya' therefore, suggests a purgative to be given to the patient.

Secondary Amenorrhoea: Secondary Amenorrhoea refers to absence of menstruation for 3 months or more in a woman who has previously menstruated. Women who are very weak, or suffering from some chronic diseases as rheumatic fever suffer from this ailment.

Primary Amenorrhoea: It is delay or absence of menarche beyond the age of 16.

Uterine Bleeding: Abnormal excessive uterine contractions can cause leaking or oozing of menstrual blood along with endometrial tissues through fallopian tubes into peritoneal cavity.

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The health of the female reproductive organs determines the health of the woman to a great extent. If this system is imbalanced it affects the whole body through the hormonal system. The hormones then affect the emotions and psychology of the woman. It is very important for a woman to learn what her options are in self-care. It is not normal for a woman to have painful menstruation and strong PMS systoms. These problems can be corrected 90 percent of the time with herbs

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How to manage menstrual cramps

FOR a woman, regular menstruation occurring without any noticeable pain, tension or emotional disturbance is a sign of good health. However, many women suffer some difficulties with menstruation at one time or another. Medically called dysmenorrhoea, painful menses or menstrual cramps have been described in ayurveda as “kashtartava”. This condition is classified into two groups - primary and secondary. The primary dysmenorrhoea may be existing from the onset of the menstruation and the secondary one due to some physical cause of later origin.

Modern health scientists think that primary menstrual cramps are caused by a physiological substance called prostaglandin, resulting in painful contractions and vasoconstriction of the uterine muscles. This phenomenon is stimulated by another hormone known as progesterone, which is produced by the ovaries after ovulation has occurred. The secondary dysmenorrhoea, apart from including the effects of these hormones, may result due to uterine infections, intra-uterine contraceptive devices, swellings and some other underlying diseases.

According to ayurvedic perceptions, “apan vayu” is said to be the governing force of the menstrual flow and any vitiation of it due to a wrong diet and improper activities can lead to problems related to the periods. Menstrual cramps are more common among young and adolescent girls and women reaching menopause, and these may range to be mild, moderate or severe. In many girls they are incapacitating enough to make it to be the single most cause of absenteeism from school or the working place.

The symptoms of dysmenorrhoea may begin two or three days before the menses and peak on the first day and then gradually recede. The pain is typically described as dull, aching or cramping involving areas of the lower back, lower abdomen and the groins. The other symptoms may include nausea, vomiting, diarrhoea or constipation, abdominal bloating, headache, restlessness and fainting. In secondary menstrual cramps, the pain may have its onset a week or more before the starting of the periods and continues after a few days of the cessation of the flow.

The ayurvedic approach to treat dysmenorrhoea revolves around taking measures to alleviate the vitiated “vata”. Adequate rest and hot bottle fomentation help reducing the muscular spasms and stiffness. Turmeric, ginger, ajwain, hing, nutmeg and jatamansi are some of the antispasmodic and muscle relaxing herbs which are given by grannies to the young girls in Indian homes to treat the menstrual cramps. To prevent indigestion, bloating, nausea and vomiting the patient should be given a light diet, and proper care and reassurance additionally support to control the psychological symptoms like palpitation, anxiety and restlessness.

Kaishore Guggul and Pushyanug Churna are the best classic ayurvedic remedies where there is an intra-uterine pathology. Rajaprivartini Vati, Kumaryasva and Dashmool Qwath, if started from the mid-cycle, enhance the flow and are prescribed where scanty periods are associated with the cramps. The famous Chandraprabha Vati and Ashokarishta more or less act as tonics for the uterus and can be given to all the patients of dysmenorrhoea whether it is of primary or secondary origin.

Adopting a regular walk and mild exercise regime after the cessation of menstruation is also good for relaxing the muscles of the pelvis and the lower back. Certain yoga postures like suryanamaskar, dhanurasna, pavanmuktasna and paschimottanasna are especially beneficial for the female genital tract. The women who exercise regularly find that continued participation in their usual activities helps relieve the cramps in a natural way.

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