Abstract

*Dr. Shalini Chauhan

ABSTRACT

Amenorrhea is considered as Anartava in Ayurveda. The concept of Anartava is explained in different contexts. By analyzing those contexts, we can infer that the main causes are Mithyahara and vihara (Improper diet and regimens of mother during the pregnancy period and the girl/woman during her reproductive period), Beeja dosha (Genetic deformities/abnormalities) and Dushtartava (Hormonal imbalance). Anartava is absence of artava, that is may be antar-artava(ovum) or bahir-artava(menstrual blood).[5] The process of releasing ovum is known as ovulation, after ovulation if it is not fertilized then it flows out with cyclic menstrual blood. In Anartava this normal process of ovulation and bleeding hampers and we call it as anovulation, but it is not mandatory that both the processes must hamper together.[2] In Ayurveda classics Acharyas have mentioned various terms for absence of Artava, Nashtartava by Sushruta, Anartava by Vagbhata, and absence of Raja by Bhela & Rajonash by Bhavaprakash. It is described as a symptom but not as a disorder by our Acharyas. Ayurveda is a science that focuses on the quality of living, aims not only in curing the disease rehabilitating but also in preventing it.[7] A good progeny of procreation is a real bliss. In the present scenario, the Primary amenorrhea is one of the gynecological issues which affects the quality of life of a woman and has a wider impact on her physical, psychological and social well-being. Because of the physical, psychological and social impact, it is very necessary to have a look at its causes for the better prevention and management. This promises a generation with better reproductive health. Amenorrhea is the absence of a menstrual period in a during woman's reproductive age. About 3 to 4%of adolescent girls suffer from primary amenorrhea. Primary amenorrhea is not a life-threatening disease condition, but can result in significant complications. Primary amenorrhea can leads to calcium loss which will result in osteoporosis. Osteoporosis manifests with no clinical symptoms, until there is a fracture and results in a reduced quality of life.[3]