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Painful Periods Tips

Endometrial Ablation - Know Utility Of It!

Dr.Sunita Singh 91% (27ratings)
Associate Professor (PMCH), MS Obstetrics & Gynaecology, MBBS, Consultant Gynaecologist & Obstretician, Consultant Gynecologist & obstetrician, Consultant Gynaecologist
Gynaecologist, Patna
Endometrial Ablation - Know Utility Of It!

Slight discomfort and pain is normally associated with every woman's monthly menstrual cycle. However, for some women, this discomfort can restrict their normal activities and put them in a lot of pain. This is often accompanied by heavy menstrual bleeding. Medication is usually the first line of treatment for heavy periods, but if this is not effective surgical options may need to be looked at. Amongst the surgical ways to deal with painful menstruation and heavy bleeding is a procedure known as endometrial ablation.

Endometrial ablation is a surgical procedure that removes the lining of the uterus or endometrium. The procedure is usually performed under spinal or local anesthesia and takes less than a hour. In some cases, the patient may need to go under general anesthesia. This surgery is often performed as an outpatient procedure. This can be performed in a number of ways. Some of the common forms of endometrial ablation are:

1. Laser ablation
2. Heat ablation using either heated saline or radio frequency
3. Electric removal of uterine lining
4. Freezing
5. Microwave removal

Though the procedure is performed as an outpatient procedure, it can take up to 2 weeks for complete recovery. The woman may notice watery discharge for a day or two accompanied by cramps and nausea. However, after such a procedure, most women do not have a period for the next few months. While this may stop menstrual bleeding completely for older women, younger women should see reduced menstrual bleeding, but may also need a repeat procedure later.

Though many women can conceive after such a procedure, endometrial ablation is usually not recommended for women who intend on having children later. It is usually suggested as an alternative to a hysterectomy. It is also not recommended for women who have a high risk of developing endometrial cancer. An endometrial ablation can be performed if the woman suffers from minor fibroids, but is avoidable if the woman suffers from large fibroids. A vaginal or pelvic infection of any kind will also prevent a woman from undergoing this procedure.

Like any other procedure, this one is associated with a number of certain risks as well, such as

1. Infection and bleeding
2. Rupturing the uterine wall or bowel walls
3. Excessive fluid in the bloodstream

Thus in order to reduce the risks associated, utmost care must be taken, both by doctor and patient and in case of any bleeding that lasts longer than two days should be immediately brought to your doctor's notice.

1400 people found this helpful

Menstrual Pain - Can Yoga Resolve It?

Ayurvedic Doctor, Chennai
Menstrual Pain - Can Yoga Resolve It?

Bloating, cramping, headaches, nausea are very common during menstruation—painful symptoms women go through when during their monthly cycle. During this time, women tend to crave salt, desserts, caffeine or liquor. One should look out for different alternatives to prevent menstrual cramps and satisfy their cravings.

Menstrual cramps cause a great deal during the menstrual cycle since the withdrawals interrupt the bloodstream to the wall of the uterus. Stomach aches, lower back pain and leg cramps are some common and basic side effects. Here are a few ways yoga can cure the problem:

  1. Janu sirsasana (head-to-knee forward bend): Go down on the floor in a sitting position with your legs stretched out forward. Twist the right knee outward to a 90-degree angle and press the right foot into the insides of the left thigh. Get the left shin or foot, breathe in, tighten the hips, and place the stomach over the straight leg. Breathe out, and broaden the spine and stretch out the chest. Straighten your back.
  2. Pasasana (noose pose): Come into a full squat position with your feet together and drop your hips down towards your heels. In case your heels do not reach the floor, put a pillow underneath. Breathe in and twist your knees to one side as you turn your abdomen to one side. Breathe out, touch the back of your upper left arm with the outside of your right leg and reach the left lower arm to touch the foot.
  3. Ustrasana (camel pose): Bow on the floor with the knees and hips. Turn your thighs inside and press your shins and feet firmly into the floor. Lay your hands on the back of your hips. Breathe in, lift your chest, and press your shoulders down towards the ribs. Breathe out, push the hips forward as you stretch the front of the body and bend backwards. Keep your hands on the back of your hips or on the back of the heels. In case you put your hand on the heels, press your toes into the floor to lift the heels higher.
  4. Supta padangusthasana (reclining big toe pose): Lie on your back with your arms by your sides and stretch the legs. Lay your head on the floor, breath in, bend the right knee, and hold the toe with the right fingers. Put your left hand on top of the upper left thigh to put the left leg down.
  5. Towel hook: Breathe out and stretch the right leg to the extent your body permits. You can likewise use a towel or belt to wrap around the right foot to help. Breathe in; lift your head up towards the right leg and hold the left leg down.
     
3649 people found this helpful

Menstrual Disorders - How Can Homeopathy Tackle Them In Women?

Dr.Debajyoti Saha 88% (20ratings)
MD-Homoeopathy, BHMS
Homeopathy Doctor, Agartala
Menstrual Disorders - How Can Homeopathy Tackle Them In Women?

For some women, a period can be more than just uncomfortable. There are a number of menstrual problems that could affect women. These range from irregular periods to excessive bleeding and premenstrual syndrome. The good news is that homeopathy can be used to effectively treat these problems. Homeopathy is a holistic form of treatment that addresses the root cause of the problem instead of the symptoms. Additionally, it has negligible side effects.

Here are a few homeopathic forms of treatment for menstrual problems.

1. Sepia: Sepia can be used to treat late menstruation as well as scanty blood flow. It is also helpful is the period is accompanied by pain and a sense of weight in the pelvic area and lower back. This can also be used to treat irritability and depression.

2. Pulsatilla: Pulsatilla is helpful in cases where menstrual bleeding causes substantial weight fluctuations, bloating and water retention. It can also be used to treat irregular periods and scanty or excess blood flow. Pulsatilla is also used as a form of treatment for the severe griping pains that can accompany menstrual flow.

3. Cimicifuga: This is used to treat irregular periods and painful periods. It also treats mental unrest, nervousness and irritability triggered by menstruation.

4. Lycopodium: In some cases, delayed menses can last longer than normal and have abnormally heavy blood flow. In such cases, lycopodium is an effective homeopathic remedy.

5. Belladonna: Excessive menstrual bleeding and early menses can be treated with belladonna. This type of menses is also accompanied by intense pain that is relieved by standing and cramps in the back and arms. Belladonna is also extremely useful in acute cases of endometriosis and inflammation of the ovaries.

6. Creosote: Excessive blood flow that is intermittent and preceded by abdominal bloating can be treated using Creosote. This blood flow is usually dark brown in colour and accompanied by an offensive odour. Creosote can also be used against ulcerations in the female genital organs, burning pain and soreness.

7. Helonias: Pain extending from the back of the uterus and loss of muscle strength in the genital organs can be treated with helonias. It can also be used to treat leucorrhoea or dark, offensive vaginal discharge as well as displacement of the uterus.

When prescribing medication for a menstrual problem, a homeopathic doctor not only looks at the symptoms presented but also the personality and lifestyle of the patient. Hence what suits one person may not have the same effect on another. Hence, if you are facing a menstrual problem, it is best to consult a doctor at the earliest.

1629 people found this helpful

Painful Periods - Know Diet To Ease It!

Dr.Reena Kawatra 93% (4576ratings)
MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Painful Periods - Know Diet To Ease It!

Menstrual cramps are not new to women after puberty, and generally, are manageable without specific care. However, when the abdominal cramps interfere with your regular activities, it is important to take some steps in relieving it. The pain is usually caused by chemicals known as prostaglandins that promote inflammation and aid in blood vessel constriction as well as the contraction of muscles. The chemical breaks down during menstruation while constricting blood vessels in the uterus which causes muscle contractions, referred to as cramps.

It is possible to manage the pain caused by these cramps by following a healthy diet that can include the following foods:

  1. Soy milk: Some women have reported that having soy milk can help in reducing menstrual cramps. It is rich in natural plant chemicals known as isoflavones that act like estrogen in the body. Fortified soy milk also offers around 300 milligrams of calcium which will fulfil 1/3rd of the daily recommended intake of calcium.
  2. Fatty fish: Fish is considered one of the prime sources of anti-inflammatory fats referred to as omega 3-fatty acids. Researchers have found that women who consume omega 3 fatty acids experience less intense pain. To get maximum benefits, you can consume mackerel, salmon or trout. You should also include ground flaxseeds in your daily smoothies and yoghurt.
  3. Legumes: Legumes such as lentils and beans offer a high amount of protein and fiber without the saturated fat that is found in animal-derived protein sources. Taking a high fiber diet that constricts intake of animal fats can improve the estrogen levels which, in turn, can help in reducing the menstrual pain.
  4. Fruits and vegetables: Eating foods rich in antioxidants and reducing the intake of processed ones can help in improving period cramps. You should opt for different colored fruits and vegetables, from broccoli to berries, from citrus fruits to bell peppers to tomatoes, and anything else that comes to your mind. Many fruits and vegetables such as apricots, raspberries, and brussels sprouts are also rich in fiber that can help in reducing muscle cramps during periods.
  5. Nuts: There is hardly any individual who doesn’t like eating nuts, particularly when they are roasted. It can help in alleviating the hunger for junk foods and the rich magnesium content is essential for reducing period pains.
  6. Dark chocolate: Research suggests that dark chocolate is known for satiating cravings for junk foods while boosting the serotonin levels. When you are on your periods, you should take one ounce of dark chocolate every day for reducing depression and fatigue and alleviating the physical discomfort.

Adding these food items can contribute a lot in sparing you from the undesired stomach cramps during periods.

1544 people found this helpful

Heavy Bleeding During Menses - How To Treat It?

Dr.Sunita Singh 91% (27ratings)
Associate Professor (PMCH), MS Obstetrics & Gynaecology, MBBS, Consultant Gynaecologist & Obstretician, Consultant Gynecologist & obstetrician, Consultant Gynaecologist
Gynaecologist, Patna
Heavy Bleeding During Menses - How To Treat It?

Menstruation is the monthly discharge of blood from the vagina, which lasts for about 5 to 6 days. It is the shedding of the inner lining of the uterus, when pregnancy does not occur after the release of an egg from the ovary. Menstrual periods are generally often accompanied by painful cramps in the lower abdomen, heavy bleeding, weakness, water retention, irritability and malaise.

What is Menorrhagia?

Very heavy or prolonged periods are medically termed as menorrhagia. It is abnormally heavy bleeding if there is a requirement to change sanitary napkins or tampons several times within a very short span of time. Passing large blood clots, night time bleeding, bleeding for over 7 -8 days, are other symptoms that one might be suffering from menorrhagia.

Common Causes Behind It

  1. Menorrhagia is mostly a cause of hormonal imbalance, particularly in the levels of estrogens and progesterone.

  2. Fibroids, cysts or polyps in the organs of the reproductive system, which includes the uterus, ovaries or fallopian tubes.

  3. History of miscarriage or failed pregnancies.

  4. Use of contraceptives

How can you treat heavy bleeding during menses

  1. You must include more minerals, iron, magnesium and calcium in your diet. Your diet must comprise a lot of green vegetables, fresh fruits and dairy products.

  2. Some non-steroidal anti-inflammatory drugs such as ibuprofen may be prescribed to reduce blood loss.

  3. Certain hormonal therapies to regulate the hormonal imbalances and menstrual irregularities.

  4. Home remedies such as intake of certain herbs, ginger and coriander seeds help to control heavy bleeding.

  5. Increasing magnesium intake to balance out levels of oestrogen.

  6. It is best to stick to natural remedies, as it generally does not create complications in other bodily functions.

If the bleeding cannot be controlled even after a change of diet and home remedies, you must visit the gynaecologist as soon as possible. Heavy bleeding is a serious problem, especially if accompanied by dizziness, fluctuations in the blood pressure, nausea and weight loss. Severe cramps and constant bleeding can hinder daily routine, therefore, the earlier you receive medical attention, the quicker you will get relief.

1216 people found this helpful

Periods - Know Misconceptions About Them!

Dr.Bhagyashree Deshmukh 92% (62ratings)
MD - Obstetrtics & Gynaecology, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Nagpur
Periods - Know Misconceptions About Them!

Should you be hitting your gym during your ‘time of the month’ that is during your periods? This is a very common query and is presently a debatable issue. However, after weighing the various pros and cons, it has been concluded that working out during your periods is actually a good thing.

How work out during menses is helpful?

Exercising helps in beating the uncomfortable and painful cramps in the lower abdomen and helps in relieving fatigue, headaches and malaise. Exercising also helps in regulating blood flow, preventing clots. Working out also helps in sweating out the excess water retention or bloating that occurs during the premenstrual period. It keeps unnecessary weight gain in check. Exercise also helps in the steady flow of feel-good hormones, scientifically termed as endorphins. This helps in improving mood, significantly making menstruating women happier and feeling positive.

It's a myth

  • In fact, there may be benefits to exercising on your period, including reduced cramps and higher pain tolerance. Additionally, the hormonal changes don’t impact your strength or endurance. So although you may feel tired, heading to the gym might make you feel better. Plus, we all know that exercise releases endorphins that cause happiness, so you’ll probably feel a bit cheerier after your workout as well.
  • If you feel really ill or have extreme cramps, don’t force yourself to exercise. Sometimes when your body is asking for rest, it’s because all it really needs to recover is a bit of rest.
  • If you’re still not sure about working out, try doing some low-impact exercise for the days you’re on your cycle, and switch back to heavier work when you’re off.

Use the right protection:
Generally, one of the biggest concerns for working out while during period is "what if I leak?" Although you will be moving your body in ways that might cause more of a flow, you can use the right tools to keep your menstrual cycle out of view. Opt for using a menstrual cup or a tampon rather than pads or panty liners; these options will trap the blood before it leaves your body, making it less likely to leak. If you’re still concerned, double up your protection by using a menstrual cup or tampon with a panty liner. Menstrual cups are much better at preventing leaks than tampons are, but their application may not be comfortable for everyone. Insert a new tampon just prior to exercising, so that you’ll have a better chance of being leak-free.

Here are 4 exercises you can explore during your periods:

  1. Aerobics: If you don’t feel enthusiastic about performing at your usual intensity, try some simpler aerobic exercises like running on a treadmill, Pilates, etc. If you play any games, continuing your sports during periods is a good idea.
  2. Yoga: By trying some breathing and relaxation exercises, you can reduce the stress and tension, in both mind and body. There are yoga postures that have been created specifically for the abdomen that can soothe painful muscles.
  3. Lifting Weight: If you don’t feel like moving around much, try lifting weights during your periods. You can burn calories even when at rest. Work out all major muscle groups. You can do smaller sets with lighter weights.
  4. Swim: Swimming during periods is not impossible. You can wear a tampon and take a dip, whether it is to swim laps or just to float around. The water will make you feel lighter and you’ll feel fresh too. Change your protection before and after the swim.
  5. Take home message: There is only one real rule for working out during your period: Listen to yourself. If you are cramping in a major way, listen to your body and take the day off. Push yourself to exercise but don’t push yourself too hard.
1804 people found this helpful

Menorrhagia - What Causes It?

Dr.Sudha Jetly 88% (22ratings)
MBBS, MD - Obstetrics & Gynaecology, Post Graduate Diploma in Ultrasonography
Gynaecologist, Noida
Menorrhagia - What Causes It?

Menstruation is the monthly discharge of blood from the vagina, which lasts for about 5 to 6 days. It is the shedding of the inner lining of the uterus, when pregnancy does not occur after the release of egg from the ovary. Menstrual periods are generally often accompanied by painful cramps in the lower abdomen, heavy bleeding, weakness, water retention, irritability and malaise.

What is Menorrhagia?

Very heavy or prolonged periods are medically termed as menorrhagia. It is abnormally heavy bleeding if there is a requirement to change sanitary napkins or tampons several times within a very short span of time. Passing large blood clots, night time bleeding, bleeding for over 7 -8 days, are other symptoms that one might be suffering from menorrhagia.

Common Causes Behind It

  1. Menorrhagia is mostly a cause of hormonal imbalance, particularly in the levels of estrogens and progesterone.

  2. Fibroids, cysts or polyps in the organs of the reproductive system, which includes the uterus, ovaries or fallopian tubes.

  3. History of miscarriage or failed pregnancies.

  4. Use of contraceptives

How can you treat heavy bleeding during menses

  1. You must include more minerals, iron, magnesium and calcium in your diet. Your diet must comprise a lot of green vegetables, fresh fruits and dairy products.

  2. Some non steroidal anti inflammatory drugs such as ibuprofen may be prescribed to reduce the blood loss.

  3. Certain hormonal therapies to regulate the hormonal imbalances and menstrual irregularities.

  4. Home remedies such as intake of certain herbs, ginger and coriander seeds help to control heavy bleeding.

  5. Increasing magnesium intake to balance out levels of oestrogen.

  6. It is best to stick to natural remedies, as it generally does not create complications in other bodily functions.

If the bleeding cannot be controlled even after a change of diet and home remedies, you must visit the gynaecologist as soon as possible. Heavy bleeding is a serious problem, especially if accompanied by dizziness, fluctuations in the blood pressure, nausea and weight loss. Severe cramps and constant bleeding can hinder daily routine, therefore, the earlier you receive medical attention, the quicker you will get relief.

1383 people found this helpful

Homoeopathic Treatment Of Dysmenorrhoea!

Dr.Jyoti Singh 92% (1138ratings)
BHMS, MA Psychology & Traning Counselling
Homeopathy Doctor, Delhi
Homoeopathic Treatment Of Dysmenorrhoea!

What is dysmenorrhoea?

Dysmenorrhoea is painful menstruation; although it’s normal for most women to have mild cramps but few women experience severe pain due to which they are not able to do daily routine work.
Dysmenorrhoea or painful menses is one of the most common gynecological symptoms and is affecting many women in their reproductive age.

Risk factors for dysmenorrhea -

  • Young age
  • Early menarche
  • Heavy menstrual flow
  • Nulliparity (state in which a woman has never carried a pregnancy)
  • Smoking
  • Depression
  • Anxiety
  • Stress


Types of dysmenorrhoea

Primary (no pathology)- primary dysmenorrhoea is presence of painful menses in absence of any pathology.

  • Primary dysmenorrhoea is caused by excessive levels of prostaglandins (hormone that cause contraction of the uterus). It affects adolescent girls but the problem cease as they mature, particularly after a pregnancy.
  • Age at onset: 16–25 yrs
  • In primary dysmenorrhoea pain typically begins with onset of menses and last for 12-72 hours. The pain is typically most severe on the first day and diminishes gradually.
  • Primary dysmenorrhoea is usually seen in absence of ovulatory cycles.
  • It usually begins within 6 to 12 months from the onset of menarche.
  • The pain is confined to lower abdomen and is most intense in midline which is crampy and intermittent.
  • Women often complaint about pain in back and thighs as well with nausea, diarrhea, headache, fatigue, malaise.


Secondary (related to some underlying gynecological disorder)- dysmenorrhea is secondary when there is an identifiable anatomic or macroscopic pelvic pathological condition.

There may be associated -

  • Vaginal discharge
  • Dysperiunia (painful sexual intercourse)
  • Menorrhagia (heavy bleeding at menstruation).


Secondary dysmenorrhoea is seen in conditions like -

  • Fibroid
  • Adenomyosis
  • Sexually transmitted infection
  • Endometriosis
  • Pelvic inflammatory disease
  • Ovarian cyst
  • Intra uterine device. 
  • It affects women in adulthood and most of the disorders can be treated easily.
  • Pain in secondary dysmenorrhoea (congestive) increases through the luteal phase (before period starts) peaking at onset of menstruation.

Symptoms & causes -
In primary dysmenorrhoea pain typically starts with onset of menses and diminishes gradually. The pain is crampy, intermittent and confined to lower abdomen. The pain is often associated with pain in lower back, thighs, diarrhea, nausea, vomiting, malaise, headache, fatigue.
In secondary dysmenorrhoea pain is congestive and starts before menses which reaches to peak at onset of menses. There may be associated vaginal discharge, dysperiunia (painful sexual intercourse), menorrhagia (heavy bleeding at menstruation).

Causes -
Primary dysmenorrhoea don’t have any underlying pathology except for high levels of prostaglandins.
For secondary dysmenorrhoea:
Common causes

  • Endometriosis
  • Pelvic inflammatory disease (infections)
  • Adenomyosis
  • Intrauterine polyps
  • Submucosal fibroids
  • Iucds
  • Less common
  • Congenital uterine abnormalities
  • Cervical stenosis
  • Asherman syndrom
  • Chronic ectopic pregnancy
  • Pelvic congestion syndrome
  • Ovarian cysts or neoplasms

Diagnosis & treatment -

  • History taking and physical examination along with pelvic examination would diagnose the case.
  • Transvaginal ultrasound should be performed if secondary dysmenorrhoea is suspected.

Treatment -
Treatment of dysmenorrhea is aimed at providing symptomatic relief as well as inhibiting the underlying processes that causes symptoms.
Primary dysmenorrhea respond to

1. Nsaids (nonsteroidal anti-inflammatory drugs, blocking production of prostaglandins) that provide analgesic (pain-killing) and anti-inflammatory effects eg: aspirin, ibuprofen and naproxen. Should be offered as first line treatment for pain relief.
2. Cocs (combined oral contraceptives) are commonly used as a second line therapy when nsaids are ineffective, poorly tolerated or contraindicated. Cocs inhibit ovulation and endometrial tissue growth, thereby decreasing prostaglandin release. Contraception is the additional benefit of cocs.
Treatment of secondary dysmenorrhea must address the underlying disease (cyst removal/ removal of submucosal fibroids/polyps etc). Secondary dysmenorrhea may be resistant to nsaids and cocs.
Homeopathic medicines would relieve the symptoms without any side effects and would give permanent relief as well.

Management -

  • Pain management is very important.
  • Ask the patient to stay active and do regular physical exercise.
  • Patient should be advised to do yoga.
  • Advice patient to use hot water bottle for fomentation during pain.
  • Patient should be advised to take healthy diet.

Homeopathic management -

Homoeopathic medicines like mag phos, dioscorea, sepia, pulsatilla, sabina, graphites, colocynth etc are few medicines which are very effective in treatment of dysmenorrhoea depending on the symptoms with which the patient presents.

Do’s and don’ts -
Do’s -

  • Regular exercise.
  • Yoga
  • Healthy diet.
  • Healthy life style

Don’ts -

  • Manage anxiety/ stress
  • Quit smoking.
  • Don't take alcohol

Endometrial Ablation - Know Utility Of It!

MBBS, MD - Obstetrics & Gynaecology, DGO
Gynaecologist, Hyderabad
Endometrial Ablation - Know Utility Of It!

Slight discomfort and pain is normally associated with every woman's monthly menstrual cycle. However, for some women, this discomfort can restrict their normal activities and put them in a lot of pain. This is often accompanied by heavy menstrual bleeding. Medication is usually the first line of treatment for heavy periods, but if this is not effective surgical options may need to be looked at. Amongst the surgical ways to deal with painful menstruation and heavy bleeding is a procedure known as endometrial ablation.

Endometrial ablation is a surgical procedure that removes the lining of the uterus or endometrium. The procedure is usually performed under spinal or local anesthesia and takes less than an hour. In some cases, the patient may need to go under general anesthesia. This surgery is often performed as an outpatient procedure. This can be performed in a number of ways. Some of the common forms of endometrial ablation are:

1. Laser ablation
2. Heat ablation using either heated saline or radio frequency
3. Electric removal of uterine lining
4. Freezing
5. Microwave removal

Though the procedure is performed as an outpatient procedure, it can take up to 2 weeks for complete recovery. The woman may notice watery discharge for a day or two accompanied by cramps and nausea. However, after such a procedure, most women do not have a period for the next few months. While this may stop menstrual bleeding completely for older women, younger women should see reduced menstrual bleeding, but may also need a repeat procedure later.

Though many women can conceive after such a procedure, endometrial ablation is usually not recommended for women who intend on having children later. It is usually suggested as an alternative to a hysterectomy. It is also not recommended for women who have a high risk of developing endometrial cancer. Endometrial ablation can be performed if the woman suffers from minor fibroids but is avoidable if the woman suffers from large fibroids. A vaginal or pelvic infection of any kind will also prevent a woman from undergoing this procedure.

Like any other procedure, this one is associated with a number of certain risks as well, such as

1. Infection and bleeding
2. Rupturing the uterine wall or bowel walls
3. Excessive fluid in the bloodstream

Thus in order to reduce the risks associated, utmost care must be taken, both by a doctor and patient and in case of any bleeding that lasts longer than two days should be immediately brought to your doctor's notice.

1910 people found this helpful

Dysmenorrhoea - How Can Ayurveda Help To Resolve It?

Dr.Karamvir Singh 92% (29ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Panchkula
Dysmenorrhoea - How Can Ayurveda Help To Resolve It?

Dysmenorrhoea is the term used to describe painful periods. Normal ovulatory menstruation can be painful, but when it affects one’s routine for example absence in school or office or unable to do day-to-day activities, it has to be investigated and treated. Women of any age can experience painful periods. Some women find periods are no longer painful after pregnancy and childbirth

Symptoms of dysmenorrhoea

  • Pain low in the abdomen that can spread to the lower back and legs

  • Pain that is gripping or experienced as a constant ache, or a combination of both.

  • The pain starts when the period starts, or earlier

  • The first 24 hours is the most painful

  • Clots are passed in the menstrual blood mostly pain is relieved after the passage of clots.

Dysmenorrhoea can be associated with:

  • Nausea and vomiting

  • Headache

  • Digestive problems

  • Fainting

  • Premenstrual symptoms, such as tender breasts

Types of Dysmenorrhoea:

  • Primary
  • Secondary

Causes of Primary dysmenorrhea

Normal menstruation that happens to be painful is known as primary dysmenorrhea. In primary dysmenorrhoea, it is thought that the muscles of the uterus contract harder than normal to excrete the thickened lining (endometrium). These contractions may also reduce blood flow to the uterus which makes the pain worse. The hormone-like compounds that prompt these contractions are prostaglandins. The reason for the increased prostaglandins is not known. This type of dysmenorrhea diminishes with age. It is mostly seen in the adolescent period due to low pain threshold, tension and anxiety.

Causes of secondary dysmenorrhoea

Ayurvedic view

According to Ayurveda, there is no pain without vata. Apan vayu is the subtype of vata dosha which is responsible for excretion of waste, cell division and any movement in the body. When there is vitiation of vata, instead of proper direction, apan vayu works in opposite direction. As reproductive organs are under influence of apan vayu, there is colicky pain and the discharge is thrown out with difficulty and becomes frothy. When the position of the uterus is distorted due to faulty positions and excessive coitus, the mouth of the uterus becomes curved and uterus falls back which is responsible for painful intercourse and painful menses. When along with vata, pitta is also vitiated then there are symptoms like chronic backache, painful menses, painful intercourse and periods with excessive bleeding; which can be corelated with PID (Pelvic Inflammatory Disease).

Treatment: Correction of Apana Vata vitiation is the main objective of the treatment. The site of Apana Vata is last part of the intestines. Etiological factors which lead to Apana Vata provocation need to be strictly avoided.

SNEHANA

  • Generally, snehana or oleation is done with medicated oil or ghee.
  • It may be administered orally (shatavari ghrit) or externally (sesame oil).
  • Local massage with sesame oil and hot water bag fomentation or nadi sweda are helpful in painful condition.
  • Oleation help in pacifying vitiated Apana Vatha.

Virechana-Medicated purgation

  • Purgatives or laxatives are useful here for, example gandharva haritaki.

Basti

  • As basti is the primary treatment of vitiated apan vata, it is of prime importance during painful episodes as well as to prevent dysmenorrhea.
  • Enema with medicated oils is used to pacify Apana Vata.
  • Uttarbasti with bala taila, Dashamool ksheer basti and decoction basti, sahchar oil matrabasti are helpful.

Diet:

  • Take Fresh fruits and vegetables

  • Avoid salty spicy fried junk food

  • Take Asafoetida in diet

  • Milk medicated with Ashwagandha

  • Add Cow ghee in diet

Some useful Medicines:

  • Yograj guggul, maharasnadi Kashaya, dashmool kashay, shankhavati, ashokarishta, lodhra, jatamansi, shatavari, ashwagandha, shunthi, hingu, black sesame, haritaki etc.
  • Yoga, Pranayama and meditation and exercise
  • Stress is the main factor contributing to this disease and hence pranayama and meditative techniques are proved to be effective in relieving the condition and prevent further recurrence.
  • Regular exercise is inevitable and part of your lifestyle
1998 people found this helpful
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