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Dysmenorrhea or painful menstruation can be defined as cramps in the lower abdomen before or during menstruation which can be so severe that hinders the women´s routine activity. The pain starts from the lower abdomen and radiates to the low back and the inner thighs. Other symptoms include nausea, vomiting, diarrhoea, headache, or fatigue. It is the most common gynecological problem among the women

CLASSIFICATION

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It can be broadly classified into:

Primary Dysmenorrhea (spasmodic dysmenorrhea), the painful menstruation that is not related to any pelvic disease.

Secondary Dysmenorrhea (congestive dysmenorrhea), defined as pain during menstruation that is caused by any underlying problems in the uterus such as pelvic inflammatory disease, uterine fibroid, ovarian cyst, etc.

SIGNS AND SYMPTOMS

  • Throbbing or cramping pain in the lower abdomen (pain starts 1 to 3 days before the period, peaks 24 hours after the onset of the period, and subsides in 2 to 3 days)
  • Constant lower abdomen pain that radiates to the low back and thigh
  • Some women also have
  • Nausea
  • Loose stools
  • Head ache
  • Dizziness

CAUSES

  • Endometriosis
  • Uterine fibroids
  • Adenomyosis
  • Pelvic Inflammatory Disease
  • Cervical stenosis

Dysmenorrhea is termed as Kashta art in Ayurveda texts and is mentioned not as a disease but as a symptom in many of the gynecological disorders like Vathiki, Udavarthini, etc. Aggravated Vata dosha is the cause of all types of pain in the body. Apana Vata (a subtype of Vata) which is responsible for normal regulation of menstruation gets disturbed due to some causative factors and Vata gets vitiated. This causes painful menstruation.

ETIOLOGY

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Improper Diet: Excessive intake of food which aggravates Vata dosha like rooksha (dry), sheetha (cold), khara (hard), and guna (qualities) with katu rasa (pungent taste), tikta (bitter), and kashaya (astringent) predominant food. Anashana (inadequate intake of food) and vishamashana (improper diet).

Improper activities: Excessive Vyayama (excessive exercise, running, etc.), Faulty sexual practices

Vegodharana: Suppression of natural urges like flatus, micturition, sneezing etc

Pradushta Artava: It can be correlated to any fault in reproductive hormones.

Genetic factors/Bija dosha

Abnormalities in the genes can affect the function of the reproductive organs.

Manasika hetu Vata vitiating chintha (thinking), shoka (grief), etc. that makes psychological stress

AYURVEDA TREATMENT

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As Vata dosha is the main cause for all Yoni Vyapath, the treatment should be directed towards the vitiated Vata and eradication of the cause. The principles of treatment can be subdivided into:-

Snehana/Oleation: Bahya Snehana and Abyantara Snehana

Virechana/Purgation: Mild purgation is beneficial for all Yoni vyapath.It promoted vatanulomana Vamana (emesis)

Vasti (enema): It is the most effective treatment to normalize the Apana Vata localized in the abdomen by entering the srotas (channels) by removing the spasm

Uthara Vasti: It is a procedure for the administration of medicines inside of the uterus. This helps to remove the blockage and gives nutrition to the uterus

Stanika Chikitsa/Localised treatment: It is done using the drugs predominant for the vitiated doshas Kalka, Pichu (tampon), Yoni Prakshalana (douching), abhyanga (massage)

Abhyanthara chikitsa/Internal Therapy

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At Samwarthika Ayurveda Hospital, we create a sustainable health care system that empowers women by curing menstrual discomfort and menstrual pain through Ayurveda. We recommend effective treatment for dysmenorrhoea through internal medicines, diet modulation, panchakarma therapies, and yoga in the form of asanas, pranayama, and meditation.