Dysmenorrhea (Painful Periods)

Dysmenorrhea is defined as painful menstruation  of    sufficient    magnitude    so    as    to incapacitate day to day activities

Dysmenorrhea,  one  of  the  most  prevalent  gynaecological problems  in  young  women, particularly  among  teenagers,  Characterized  by  painful  menstruation  severe  enough  to prevent  a  person  from  doing  day to day  activities.  It is the  main  factor  behind  young women’s  missed  job  and  school  days  of  teenagers.  Primary  dysmenorrhea  is  widely prevalent  in  more  than  70 %  of  teenagers  and  30 – 50%  of  menstruating  women. Among Yonirogas,  Udavarta  yonivyapat is  a  condition  characterized  by  painful  menstruation  and the   relief   of   discomfort   following   blood   discharge,   which   is   typic all   of   primary dysmenorrhea.  In  modern  medical  science,  various  forms  of  treatments  are  available  for the    relief    of    Primary    dysmenorrhea  which  includes antispasmodic, analgesics, prostaglandin  synthesis  inhibitors,  hormonal  therapy  etc.

Reluctance  of  young girls  and ladies  to  adopt  the  hormone  therapies  bring  them  to Ayurvedic treatment  or  any  other alternative   treatment   of   their  choice.  Ayurvedic management   aims  at vatanulomana through Snehana, Swedana, Vasti along  with Samana  oushadha which  can  alleviate  Vata. Abhayatrivrudadi  kashaya mentioned  in  the  context  of Udavarta  chikitsa from Chikitsa manjari consists  of  Abhaya,  Trivrut,  Kulatha,  Pippali  and  Eranda  taila. Properties  of  this yoga  include Vatanulomana , Sulaghna and Udavartahara

Dysmenorrhea is of two   types.   Primary and secondary dysmenorrhea.

Primary dysmenorrhoea

Primary directly means primary. When pain during the period starts within first six months of menarche- this condition comes under the primary dysmenorrhoea. This condition lasts less than 72 hours. There are no cause behind this condition.

Secondary dysmenorrhoea

This condition appears as a result of some other diseases. Naturally there won’t be any pain during the periods. But as soon as the other disease appears, pain comes. The diseases are- fibroids, endometriosis, infections or sexually transmitted diseases. When we have idea about the types of the dysmenorrhoea. The treatment of the condition, becomes easy. And this thing gets clear after complete diagnosis and discussion with the patient. Because there cannot be any test for the pain.

Primary   Dysmenorrhea:   is   one   where   there   is   no identifiable   pelvic   pathology. It   is   more   seen   in adolescent   girls   and   more   prevalent.   It   is   usually associated with ovulatory cycles. Pain is due to  dysrhythmic  uterine  contraction and  retraction.   Usually   pain   is   relieved   by   vaginal delivery. In classical Ayurvedic  references Udavarta yonivyapat is  caused  due  to  “Vegodavartanat”

i.e., suppression of   natural   urges   like Adhovata, Mutra, Purisha etc, Vata get  vitiated  and  this  vitiated Vata causes   difficult   or   painful   menstruation   i.e., “Raja kruchrena munjathi. According to Caraka “Udavartamiti   urdhwam   neetam”  indicates  loss  of  Anulomana property of Apana vata. Apanavata is responsible   for   proper   expulsion   of Sukra, Artava,

Sakrut, Mutra and Garbha. “Artave  sa  vimukte  tu  tat kshanam  labhate  sukham”. i.e., feels  relief  immediately following  discharge  of  menstrual  blood.  Considering the  above  facts  it  is  seen that  in Udavarta yonivyapath there   is   difficult   or   painful   expulsion   of   menstrual blood   caused   by   vitiation   of Apana vata.  Hence Udavarta yonivyapat can  be  more  suitably  correlated with  primary  dysmenorrheal. All  classical  texts  have described Udavarta yonivyapath as  a Vataja Yoniroga. Modern treatments include an tispasmodics, analgesics, prostaglandin  synthesis  inhibitors  etc.  Pain  can  never occur  without Vata vitiation.  The  disorders  of yoni does not occur without vitiation of Vata. Expulsion of menstruation   is   carried   out   by Apana   vayu,  the malfunctioning of which can cause painful menstruation. Hence proper functioning of Apana vata is    essential.  Medication which    can    correct Vata vaigunya may    be    beneficial    in    managing    painful Mens truation. In Ayurveda, Vatiki yoniroga chikitsa can be   applicable   in  Udavarta chikitsa.   Vatika   yoniroga chikitsa include Snehana, Swedana, Vasti along  with Samana oushadha which  can  alleviate Vata. Abhaya trivrudadi  kashaya is  mentioned in Chikitsa manjari in the context of Udavarta chikitsa. There is manifestation of Apana vata vaigunya.

All Acharyas are of  opinion  that  disorders  of Yoniroga can  never  occur without  vitiation  of Vata.  While  describing Nidanas of Udavarta it  is  clearly  mentioned  that Vegadharana or suppression of  natural urges  like Adhovata, Mutra and Purisha are   main   causative   factors   for   vitiation   of  Apanavayu. Hence Yoga which can  correct Apana vata  vaigunya may  be  beneficial  in  the  treatment  of Udava rtini  yonivyapat The treatment lasts for 3 months at most. And there is no need for panchakarma in most of the cases. Only cases, where pain is complicated and condition is chronic for more than 5 years- patient might need to go for some panchakarma treatments. But this all depends on the recommendation from our doctors only.

Ayurvedic Treatment for Gynaecological Diseases

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