1

LAKSHANA

Menstrual irregularities can be caused by a variety of conditions, including pregnancy, hormonal imbalances, infections, malignancm’ diseases, trauma, and certain medications. 

2

NIDANA

Common causes of anovulatory bleeding (absent, infrequent periods and irregular periods) include:
- Adolescence.
- Uncontrolled diabetes.
- Eating disorders.
- Hyperthyroidism or hypochyroidism.
- Hypcrprolactinemia (an abnormally high concentration in the blood of prolactin, a protein hormone).
- Medications, such as antiepileptics or antipsychotics.
- Perimenopause.
- Polycystic ovary syndrome (PCOS).
- Pregnancy.

Common causes of ovulatory bleeding (heavy or prolonged menstrual bleeding) include:
- Structural problems, such as uterine fibroids or polyps.
- Bleedmg dlsorders, such as leukemia, platelet disorders, various factor deficiencies, or von Willebrand disease.
- Hypothyroidism.
- Advanced liver disease.  

3

LABORATORY

Haemogram, Serum estrogen, Serum FSH, Scrum . LH, USG. 

4

PRICIPAL OF CHIKITSA 

Vatanulomana, Vatahara, Rasayana, restoring normal menstrual physiology.

1. Snehana-Sukumara Ghrita/Phala Ghrita/Shatavari Ghrita

2. Abhyanga-Bala taila

3. Bashpa Sveda

4. Virechana-Trivrit leha Gandharvahastadi Taila 50ml with Shunthi kashaya 30ml

5. Garbhashayagata Uttara basti with Dashamula Taila 5ml /Shatpushpa mila-5 ml

6. Yoni Pichu-Dashamula taila   

1. Ashokarishta + Kumaryasava -20ml (Adhobhakta 2 times with water)

2. Pushpadhanva rasa-1tab (3 times with Phala sarpi BF)

3. Tab. Leptaden(Jeevanti+kamoji)-1tab (3 times BF)

DIET AND LIFESTYLE

Pathya(DO):

Exercise, asana, pranayama.

Apathya(DON’T):

Avoiding stress. Avoid high calorie, fat, bakery items in diet 

Recommended Classical Formulations

Rasayana Churna-3-6gm BD

Chandraprabha Vati-500mg TID

Shatapushpa-Shatavari Chuma-3mg BD

Sukumara Kashaya-20ml BD

Phala Ghrita-10-20ml BD

Ashokarishta-20ml

Dashmoolarishta-20 ml

Kumaryasava-20ml thrice a day with water

Proprietary Formulations

Tab. Leptaden-1 TID, & Aloes compound (Alarsin)_1 TID

Syrup Fenisolve (DHC)15ml BD/TID

Syrup Gynadis (AVN)--15ml BD/TID

Tab. M2 tone (Charaka)-1-2 TID

Cap. Gynocare (Dr.Palep)-1-2 TID

Tab. Gynokot (AVS, kottekal)--1-2 TID

Tab. Femitab (Jain)-1-2TID