By  Dr.P.M.Sharma  

The commencement of menstrual cycle young lady is a sort of stroke of luck for mankind. This is the development that makes a lady the mother one of the most respectable designation. But on contrary if this cycle gets idiosyncrasy or irregularity due to any reason, it becomes a curse.
However abnormal menstrual periods in various form is continuously. This is elaborated in ayurvedic texts as ASRIGDAR. Sushruta assumes the term for this as LOHITKSHARA (Su.Ut.38) and Charak postulates this as ASRAJA the RAKTAPITTA type disorder.
Medically the Dysfunctional uterine bleeding (DUB) is defined as abnormal uterine bleeding caused by a hormonal mechanism. Any alteration of the normal menstrual cycle mechanisms can lead to steady-state estrogen production and DUB.
Ayurveda considers the DUB is a cluster of diseases that can be revolutionized many other diseases like infertility, anemia and other.

Causes
The annoyance of the dosha especially amalgam of Pitta with Rakta is responsible and according to modern medicine has the following explanation

Causes of dysfunctional uterine bleeding: --

Endocrine
Cushing's disease
immature hypothalamin-pituitary
axis
hyperprolacinemia
hypothyroidism
menopause
obesity
polycystic ovary disease
premature ovarian failure
Structural lesions
adenomyosis
coagulopathies
condyloma acuminata
dysplastic or malignant lesion of the
cervix or vagina
endometiosis endometrial cancer
uterine or cervical polyps
uterine leiomyomata
trauma

Infections
Chlamydia
gonorrhea
PID
Medications
hormonal agents
low-dose oral contraceptive pills (OCPs)
nonprogestin-containing IUDs
nonsteroidal anti-inflammatory drugs
(NSAIDS)
Norplant System
progestin-only contraceptive (the "mini pill")
tamoxifen ,warfarin
Pregnancy
ectopic pregnancy
incomplete abortion v pregnancy complications

Symptoms
• Vaginal bleeding between periods
• Abnormal menstrual periods
• Variable menstrual cycles (usually less than 28 days between menstrual periods)
• Variable menstrual flow ranging from scanty to profuse
• Infertility
• Mood swings
• Hot flashes
• Vaginal tenderness
Hirsutism -- excessive growth of body hair in a male pattern

Signs and tests
A pelvic examination will be performed.
Tests usually include:
• CBC
• Serum HCG (to rule out pregnancy)
• Thyroid function tests
• Hormone tests
o Androgen levels
o FSH (follicle-stimulating hormone)
o LH (luteinizing hormone)
o Prolactin
o Progesterone
• Blood clotting profile
The following procedures may be performed:
• Endometrial biopsy
• D and C (dilatation and curettage)
• Pelvic ultrasound
• Hysteroscopy

The management
There are pretty enough and brilliant treatments are available in ayurveda.
Medicinal treatment
Bolbaddh ras, Bolparpatee, Pushpdhanva ras, Purn chandrodaya ras, Pushyanug churna, Aswagandha churn, Shubhra Bhasm, Kanya lauhadi vati, Maha phal ghrit, Ashokarishtha, balarishtha, Chandanasava, usheerasava, Baboolarishtha, and other generic medicines are available in the market.

Panchkarma: -
Utter basti and Swedan.

Ahar the foodstuff
The Madhur and Kashay Ras rich foodstuff is appreciable.

Yoga
At the time of onset the patient must be in rest in bed. But in normal days some yogasana are found effective.
Attitudes to be adopted
Relaxation, faith, serenity, self-fulfillment, affirmation.
Pranayama
Rhythemic breathing  the Poorak, Kumbhak and Rechak must be in equal tenure, then do like Nadi-Shodhan Pranayama or Anulom-Vilom Pranayama.
Asanas
Badha konasana or yoga mudra, Vakrasana, Uddiyana, Sarvangasana, Matasyasana, and Shavasana.

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Editor
J.A.Y(Journal of Ayurveda and yoga
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