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Amenorrhoea

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AmenorrheaAyurvedic Treatment of Amenorrhoea - Medicines, Home Remedies, Diet Charts

Amenorrhoea is the absence of periods in females and is a menstrual related disorder. This is a normal (physiological) occurrence in girls before puberty (menarche), during pregnancy and breastfeeding (lactation) and following menopause and is probably the most common fall out of present times. But failure to menstruate after puberty is called Amenorrhoea and majority of teenagers face this problem. It is generally regarded as abnormal by the age of 14 years in girls without other signs of secondary sexual development, or by the age of 16 in girls with normal secondary sexual characteristics and parents must be aware of this aspect so any change in signs of young females must be addressed with physician. Absence of menstruation for six consecutive months before menopause in a woman who has previously had regular periods is also termed as amenorrhoea so detailed differential diagnosis is vital and can be easily addressed by intake of medicinal herbs. The first condition is called vilambit artava (delayed menstruation) and second condition is called Artavavrodh (suspension of menstruation) and this is the classification of herbal medicinal science which we shall explain for your easy reference purpose in detail. For Patients of Amenorrhoea, you can contact Nakra Ayurveda Hospitals and Herbals Pvt Ltd anytime to avail our Free Online Ayurveda Consultation. You are welcome to contact Nakra Ayurveda Hospitals and Herbals Pvt Ltd to avail our Free Online Ayurveda Consultation for Amenorrhoea.


Following are the female reproductive organs that are responsible for regular menstruation:


Uterus, ovaries, fallopian tubes and vagina are all pivotal towards female reproductive system: It is very important to have normal physiology and anatomy of these organs in order to ensure a normal menstruation.

Blood: It is important to have regular blood level and thats why good dietary intake is very much essential.

Nervous system and endocrine system: Nervous system coordinates all the gynaecological organs with endocrine system with the mind of the woman and its through hormones only that female body carries through with ease. Thus, it is very important to have healthy nervous and hormonal system in order to have other normal physiological aspects. 

 

Amenorrhoea is of follwoing two types - 


Primary amenorrhoea: If a girl has not had her first period by the time she is 16, this is known as primary amenorrhoea and due to bad dietary habits, its a major concern nowadays.

Secondary amenorrhoea: This is when a woman, who has menstruated normally in the past, stops having periods, temporarily or permanently and its all attributed due to irregular dietary / lifestyle regimen. While many women skip an occasional period for different reasons, amenorrhoea is diagnosed if the woman has missed three or more periods in a row and address through medicinal herbs are very important.


Types of Amenorrhoea according to doshas are as follows - 


Vataj: It is primarily due to aggravation of vata dosha and lifestyle / dietary reimen needs to be corrected here. 
 

Kaphaj: It is primarily due to aggravation of kapha dosha and patient must not be awake during night time. 


Vata-kaphaj: There is involvement of both the doshas. But vata is the prime dosha and as vata is prime culprit, so dietary regimen becomes very pivotal


The causes for Primary Amenorrhoea are as follows - 


1) Eating disorders such as anorexia nervosa and bulimia: Eating disorders cause nutritional deficiency and deterioration of the dhatus (body tissues) and its always through bad dietary habits which forms the root cause of all ailments. According to Ayurveda medicinal science, kshya or deterioration increases vata dosha and thus all hormonal imbalance are created. This aggravated vata dosha leads to Amenorrhoea which is troubling many a teenagers in pesent scenario.


2) Intense physical athletic training before puberty: Intense physical athletic training also causes deterioration of dhatus (body tissues) and thus as per individual capacity, once should practice the physical activity. Kshya or deterioration increases vata dosha and leads to host of other complications as well. This aggravated vata dosha leads to Amenorrhoea which is a prime concern among todays youngsters.


3) Extreme obesity: Extreme obesity causes aggravation of kapha dosha because meda dhatu creates all vitiations. Kapha dosha causes blockage of srotas and causes Amenorrhoea which in turn results in ama creation / blockage.


4) Drugs such as certain antidepressants may cause primary Amenorrhoea and thus no drug should be taken without medical supervision.


5) Chronic illnesses like thyroid problems, Anaemia, Chlorosis, Tuberculosis, diabetes cause aggravation of vata and kapha dosha because all chronic illnesses results in vitiation of physiological aspects. These diseases block the artavavahi channels, which leads to Amenorrhea and is one of the leading causative factor.


6) Turner's Syndrome: This is when a woman is born with only one X chromosome (there should be two) and thus is classified as a genetic abnormality. Turner's Syndrome results in the woman having no ovaries, therefore menstruation cannot take place and as its absece of ovaries so cogential abnormalities cant be corrected.


7) Congenital obstructive defects in lower genital tract e.g. non-canalisation of cervix, vagina or an imperforate hymen - and as all congenital ailments cant be reversed back and thus patients should only follow medical supervision for best health benefits. 


Causes for Secondary Amenorrhoea are as follows - 


1) Stress: Negative mental feelings like stress, tension, anger, or sorrow affect menstruation because both mind and body are governed together. Very often, women do not have periods while changing jobs or schools, travelling, or when under emotional duress and thus is also relates to the same aspect of mind behavior. Stress aggravates the prana vata which is one of very vital vayu in our body. Prana vata is subdosha of vata dosha so directly related here. It stays in the brain and controls our nervous system and thus all physiological processes are governed through here. Aggravated prana vata causes imbalance of the next subdosha that is apana vata which is also very vital vayu constituent. Thus, stress and tension create an imbalance of apana vata, which leads to Amenorrhoea and thats why its secondary amenorrhoea as explained above.


2) Contraceptives: Some women on the oral contraceptive pill and many women on hormonal injections experience no periods or nil periods and so use of contraceptions must also be under medical supervision only. Regular and prolonged use of these contraceptives can cause aggravation of vata, which leads to Amenorrhoea so doctor advise should always be taken prior starting any of these.


3) Rapid weight loss often caused by an eating disorder so one should always have fresh and warm meals only: Eating disorders cause nutritional deficiency and deterioration of dhatus (body tissues) and its very much a fault with all youngsters. According to Ayurveda medicinal science, kshya or deterioration increases vata dosha so dietary habits must be very sincere always. This aggravated vata dosha leads to Amenorrhoea as has been expalined here in detail. 


4) Excessive exercise: Exercising beyond one's capacity can deteriorate the dhatus (body tissues) and so it should never be done. Kshya or deterioration increases vata dosha and this increase / aggravated vata dosha leads to Amenorrhoea as has been explained above. 


5) Increase of cold temperament in the body at the commencement of menstruation or during menstruation also causes aggravation of vata dosha, which leads to Amenorrhoea and its this very reason why all dietary / lifestyle regimen be recommended. Thus it is very important to keep the body warm at commencement of menstruation or during menstruation and all females should think on this aspect. 


6) Excessive lethargy and sedentary lifestyle aggravates the kapha dosha, which blocks menstrual channels, leading to Amenorrhoea so this also should be avoided and proper medical guidance should also be taken.


7) Marijuana use and chronic illness can also cause Amenorrhoea so all such drugs must never be used. 


8) Polycystic ovaries or ovarian tumour can cause Amenorrhoea and thus medical consultation is very much required here.

 

9) Medical therapies: Occasionally, periods can stop after pelvic surgery or chemotherapy and its a side effects type of conventional medicinal science. Prescription medicines such as Haloperidol can also cause Amenorrhoea and so these must never be used without medical supervision.


10) Hormonal disorders: Rarely, benign (non-cancerous) tumours can occur in the pituitary gland and its also hormonal in nature as explained above. This leads to an excess of the hormone Prolactin that can stop periods, and cause a milky discharge from the nipples and once it becomes chronic in nature its really difficult to roll back form here. Disorders of other glands such as the thyroid, adrenal and the ovaries can also cause periods to stop but these are rare and so differential diagnosis is important.


Causes from Ayurvedic perspectives:
 

  • - Eating excessively cold, light, dry, or airy foods increase vata dosha in the body and this has been explained in detail above so dietary regimen is always very vital. Eating gas forming vegetables and fruits such as cabbage, broccoli, cauliflower, beans, lettuce, mushrooms, parsley, peas, yeast-based products, white flour and white sugar products in excess, also increase the vata dosha as all these come under vata increasing diet so should be avoided by patients. Excessive use of fried foods, heavy creams and puddings increases kapha dosha as these are all kapha increasing food ietms. Gradual aggravation of vata and kapha dosha leads to blockage of artavavahi srota and causes Amenorrhoea so all patients should abstain from eating vata / kapha aggravating food items.
     

  • - Excess physical exercises, improper ways of intercourse, use of artificial objects for reaching orgasm, sedentary lifestyle, lack of exercises, excessive cold or warm temperature also leads to an imbalance of dosha and so patients should be very much cauious on these aspects and be sincere with regards dietary intake. Gradual aggravation of vata and kapha dosha leads to blockage of artavavahi srota and leads to Amenorrhoea and this blockage should always be taken into consideration by physician.


Symptoms
 

  • - Weight loss or weight gain and it shall be a suddden onset

  • - Absence of menstruation or almost nil menstruation

  • - Changes in breast size very considerably

  • - Discharge from breast nipples

  • - Abnormal hair growth & acne on face and it shall be rampant

  • - Vaginal dryness with itchiness

  • - Voice changes towards hoarseness


Ayurvedic Amenorrhoea Treatment :
 

According to the Ayurveda medicinal science, perspective, imbalance of tridoshas and three mental properties lead to Amenorrhoea as has all been explained above in detail. Aggravated vata and kapha dosha and low pitta dosha are responsible for Amenorrhoea so all these dietary changes should be kept in mind. Specifically, imbalanced or high apana vata is responsible for amenorrhoea and both primary / secondary are the result. Located in the pelvic region, it controls the flow of menstruation which is vital towards ensuring normalization.


Aggravated vata or apana vata causes increase of digestive fire which we refer as jathragni, impairing digestion at a subtle level and considerably as well. Impaired digestion causes accumulation of ama or toxins in the body which in turn leads to development of Amenorrhoea.


It is like this: The food that we eat is digested by the digestive fire and is converted into nutrient plasma (rasa dhatu) which carries our body. This nutrient plasma nourishes all other body tissues (dhatus) like blood (rakta dathu), muscles (mamsa), fat (meda), bones (asthi), bone marrow (majja), and reproductive fluid (shukra) and all these are the seven dhatus respectively. This nourishment for production of various tissues is carried through a network of channels to various parts of the body and is very vital. Artava or menstrual blood is a part of rasa dhatu or nutrient plasma which also cant be ignored at all in treatment regimen.


Aggravated vata and kapha dosha increases the cold temperament in the body, which leads to low pitta dosha or decrease of hot temperament and this is directly related towards development of illness. Menstrual blood is analogous to pitta dosha and is constituent type. Thus, low pitta dosha or low hot temperament leads to decrease or loss of menstrual blood and as a result chronic ailments develop in body. Doshas involved: High vata, kapha and low pitta which is the conclusion of all discussion. 


Srota involved: Rasavahi srota and artavavahi srota are the ones involved here. 


Diet & Lifestyle Advice

  • - A diet, which will increase pitta and pacify vata and kapha, is advised. It should be nourishing and easy to digest so good assimilation caapcity is achieved.
     

  • - Follow a hot and spicy diet because its essential, which is astringent, acidic, with garlic, onion, nuts, ginger etc. and in this regard Herbal teas are highly recommended.
     

  • - Spices like black pepper, cinnamon, coriander, cardamom, fennel, ginger, cumin, black pepper, fenugreek, clove, celery seed, salt, soya seed and mustard seed can be used for garnishing / cooking the foods and all these are highly beneficial in every regard.
     

  • - Milk and milk products are good and they must be either home made or from good quality. But avoid yoghurt, as it causes blockage of menstrual channels as it does not come under fresh category.
     

  • - Eating excessively cold, light, dry, or airy foods that increase vata dosha in the body should be avoided and this must be followe with sincerity.
     

  • - Resist from eating gas forming vegetables and fruits like cabbage, broccoli, cauliflower, beans, lettuce, mushrooms, parsley, peas, yeast-based products, white flour and white sugar products in excess, as they increase the vata dosha and thus create all troubles associated with menstruation.
     

  • - Excessive use of fried foods, heavy creams, and puddings increases kapha dosha so should be avoided and must be followed by all patients a such.
     

For obese persons, an anti-kapha diet is recommended.
 

Anti-kapha diet
 

  • - Dairy: Low-fat milk is recommended. Boil milk before drinking. Drink it warm. This makes it easier to digest. Do not take milk with a full meal or with sour or salty foods. Add a pinch of turmeric or ginger to the milk before boiling it. This helps to reduce the kapha increasing qualities of the milk.
     

  • - Fruit: Lighter fruits, such as apples, oranges, grape fruit, pineapple and papaya and pears, are recommended.
     

  • - Sweeteners: Honey is excellent for reducing kapha. Reduce the intake of sugar products, which increase kapha.
     

  • - Beans are recommended.
     

  • - Nuts should be avoided.
     

  • - Grains such as barley, chickpea and millet are recommended. Do not take too much wheat or rice, as they increase kapha.
     

  • - Spices are recommended as they decreases kapha.
     

  • - Vegetables such as sweet potatoes and root vegetables are good.
     

Lifestyle:
 

  • - Follow a lifestyle that will increase pitta and pacify vata and kapha.
     

  • - Negative feelings like stress and tension should be avoided. Do not undertake physical or mental work beyond your capacity.
     

  • - Excessive intercourse should be avoided. Limit the use of contraceptives.
     

  • - Follow an active lifestyle, yet the exercises should be according to one's capacity.
     

  • - Both, excessive fasting and overeating are harmful.
     

-Smoking, drinking alcohol and using narcotics aggravates menstrual disorders."
 

Treatment / Prescription / Consultation / Home remedies for Amenorrhoea - please send an email to dramit.nakra@gmail.com