DYSFUNCTIONAL UTERINE BLEEDING

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Ayurvedic perspective of dysfunctional uterine bleeding Ayurveda, ancient medical science (1000-2000) written about the length of normal cycle (28-30 days) and duration of bleeding time (4-5 days). This is tallying with present medical knowledge .

 Normally in a healthy girl, menarche appears between 11 and 15 years, with an interval of 21-35 days and duration of bleeding about 4-5 days . It is in parlance with dysfunctional uterine bleeding (DUB), the incidence being about 30% amongst new patients attending gynaecological OPD. Incidence of DUB is approximately of 10%-30%.

 Around 1400 B.C. Asrigdara characterized by excessive, prolonged, and menstrual or inter menstrual bleeding. This is equivalent to DUB. 

Irregularity in menstruation may affect fertility of women. DUB appears any time between puberty and menopause.
Several modern medicines are available, but always result need not lead to pregnancy. Also, it is unaffordable for many patients due to high price and some may exert side effects too.
Ayurveda discussed about DUB and different treatment strategies are mentioned. We opted one of them where only oral medication was required.
DUB Ayurvedic View:
DUB is elaborated in ayurvedic texts as ASRIGDHARA. Sushruta asigns the term for this as LOHITKSHARA (Su.Ut.38) and Charak postulates this as ASRAJA the RAKTAPITTA type disorder. According to Ayurveda, DUB is caused mainly by vitiation of the Pitta Dosha with Rakta Dhatu and Vata
The word Asrigdara explains about prolonged, cyclic or acyclic excessive menstrual bleeding in Ayurveda. Acharya Susruta added that it may occur as intermenstrual bleeding also.
According to Charaka, the women who excessively consumes salty (lavana), sour (amla), heavy (guru), pungent (katu),unctuous (snigdha) food, meat of domestic, aquatic and fatty animals) (gramyaudakaanupa mamsam), wine (madya), whey(mastu) etc are prone to vitiation of vata and rakta .Thus, Rakta increases in its quantity (pramana) and reaches the garbhashaya through the rajo vaha srotas. 

The vitiated vata expels out the vitiated rakta in the form of raja. Here the condition is characterised with excessive bleeding. Acharya Sushrutha, adds body ache and pain along with it. He has mentioned that, if asrigdara is not treated in time, it may lead to complications such as dourbalya, bhrama, murcha, tama,daha, pralapa, panduta, tandra and akshepaka vata roga. Hence timely management of asrgdara is essential
Aurvedic Causes of Dysfunctional Uterine Bleeding (DUB)
The main causes of dysfunctional uterine bleeding include:
1. Excessing Fasting for a very long period of time which increases vata and pitta doshas. Both the doshas are related to menorrhagia.
2. Excess of sexual indulgence also leads to increase in vata dosha.
3. Intake of spicy food leads to pitta dosha increase and causes heavy menstruation.
4. Stress and anxiety also cause this problem.
5. Intake of food including deep penetrative nature like asafetida, mustard, garlic etc. and heavy exercise also cause heavy bleeding 


Ayurvedic Treatment/ Management for Dysfunctional Uterine Bleeding
Ayurvedic treatment for DUB includes internal treatment with medicines, Panchakarma, external treatment, proper diet, positive lifestyle and other procedures . 

Medicinal:-Stambhana Dravyas (for reduceing excessive blood flow),Pitta Shamaka (Balances pitta), Vatanulomana (Vata balancing) and Rakta Prasadaka dravyas are used. Examples - 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 etc
Panchakarma for DUB:- For the treatment of DUB, Panchakarma includes five therapies mainly like basti, virechana etc. which makes the body rid of toxins.
External treatment includes yoni prakshalana (vaginal cleansing), Pichu (vaginal sterilization including medicated ghee and oil), Avagaha Sweda (Sits bath), Chakra Basti (application of ayurvedic medicine around the naval area), Abhyanga (massage with warm herb medicated oil) and Takradhara (treatment with buttermilk) help the patient immensely. 

Yoga for DUB


Nadi-Shodhan Pranayama or AnulomVilom Pranayama.


Asanas like-Badha konasana or yoga mudra, Vakrasana, Uddiyana,

Sarvangasana, Matasyasana, and Shavasana. meditation, mudras


Ahaar(Food) for DUB :- The Kashya and Madhur Ras rich food is always preferable in DUB.
Vihaar (Lifestyle changes) for DUB :- Lifestyle of the patient is completely specific to the patient's nature of work, constitution and other geographical conditions 


Home Remedies for Dysfunctional Uterine Bleeding 

1. Use of saffron added in your diet gives you a great relief in DUB.
2. Bark powder of Asoka tree with milk also provides a good result.
3. Nagakesara ( Messua FerraStamens) and Usheera ( Vittiver zizanoides root) are taken into fine powder with butter and sugar candy. This relieves you even in severe menorrhagia.
4. The medicated paste of Lajjalu (Touch me not plant) with tandaulodaka (rice washed water) or fresh juice of Doorva (cynodon dactylon) are also there to cure the problem of Rakta Pradara.
5. Use of raisins in the diet helps in balancing pitta and reduces bleeding during periods.
6. Any bleeding disorder can make the patient worried and panic and causes her health to deteriorate further. So, you need to consult your doctor only in the initial stage which helps to a great extent.
Preventions for Dysfunctional Uterine Bleeding
Basically Dysfunctional Uterine Bleeding is the result of unpredictable hormonal changes.
1. First of all reduce your weight as it helps prevent irregular menstrual bleeding.
2. Irregular menstrual bleeding can cause a low level of iron in blood which is anemia. So, increase the amount of iron in your diet.

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