Amenorrhea

What is Amenorrhea?

This problem is not related to irregular periods. However, it is not a disease, as it may be a symptom or sign associated with a medical condition that is possible to treat. Many women can miss more than 3 or 3 of their periods without becoming pregnant or menopausal, which is not a common practice. Absence of menstruation can indicate a variety of problems, including: thyroid problem, pituitary tumor, PCOS, etc. Additionally amenorrhea can also cause complications such as sterility or osteoporosis. Therefore, it is very important to treat it.

Types of amenorrhea

There are two types of amenorrhea, primary and secondary amenorrhea.

Primary amenorrhea– This means that the period has not started during puberty i.e. 15–16 years of age. According to the National Institutes of Health, there is a need to consult a doctor if periods do not begin until the age of 16. Although primary amenorrhea is rare.

Secondary amenorrhea– This is when the menstrual period does not come for 3 consecutive months after the normal period cycle starts. It is common during pregnancy and breast feeding, but it also indicates that there is some health problem.

What causes amenorrhea?

In many cases, doctors are unable to find the cause of primary amenorrhea. However, possible reasons for this include-

• Problem with ovary
• Problems with the central nervous system (brain and spinal cord) or puberty gland
• Problems with reproductive organs
• Family history of late period, although sometimes it is due to genetic problem
• Secondary amenorrhea occurs due to problems with the puberty thyroid gland. These produce hormones necessary for gland periods.

The causes of secondary amenorrhea include:

• obesity
• Lose a lot of weight
• Polycystic ovary syndrome
• Too much exercise
• Ovarian cancer
• Malnutrition
• anorexia nervosa
• Problem in thyroid gland
• Use of any kind of medicine
• Removal of uterus and ovary
• Hormone imbalance
• Stress or depression
• Apart from this, taking, stopping or changing birth control pills also has an effect on the period cycle.

Symptoms

Its main symptom is the absence of menstruation. Depending on the cause of amenorrhea, you may experience other symptoms such as:

• Hair fall
• Change of vision
• More facial hair
• Milk discharge from the nipple
• Headache
• Pelvic pain
• Acne
• Reduced breast development in primer amenorrhea.

What is the diagnosis of amenorrhea?

Before the test of amenorrhea, the doctor will ask you many questions like-

• What age did you have periods
• Chances of pregnancy
• Have you lost or gained weight, or what kind of exercise do you do?
• How long does your period last and how much or less bleeding happens

Amenorrhea is not a disease, but a symptom of a disease. Therefore, the doctor tries to find out the reasons for not having periods. For this, the doctor performs several tests:

Lab test– There are several types of blood tests, including-

Pregnancy test, thyroid function test, ovary function test, prolactin test, male hormone test etc. The first test is done by a doctor when a period is missed. Other tests are done when it is negative.

Hormone Challenge Test– For this test you are given hormones pills for 7 to 10 days so that the periods come. This test shows that there is no deficiency of estrogen hormone due to absence of periods.

Imaging Test – After blood test and hormone test, one can recommend imaging test based on symptoms of amenorrhea, including ultrasound, CT scan, MRI, scoop test etc.

Ayurvedic view in Amenorrhea

Environmental factors and our changing lifestyle also causes Amenorrhea, which includes- Chronic diseases (for example, Tuberculosis), Recreational drug abuse, Excessive stress, Malnutrition, Excessive weight gain or weight loss, Anorexia, Cycle suppression with systemic hormonal contraceptive pills, etc.

Herbal treatments for Amenorrhea can be very effective which contains a lot of nutritive elements that help in building the Rasa Dhatu and supporting the production of menstrual flow. Chandigarh Ayurved Centre introduces ‘’Amenorrhea Go Kit’’, which are generally used for the gynecological purposes and to strengthen female hormones. This kit includes – Rajpravartinvati vati, Stri rasayan, Stri poshak syrup, Stri poshak capsules, and Ashwagandha tablets.

ALL PRODUCTS DESCRIPTION IN DETAIL:

1. Rajapravartini Vati

Rajapravartini vati is an Ayurvedic medicine which mainly balances the Vata and Kapha dosha and improves the women’s health problems. It mainly affects ovaries and uterus. The ingredients used for the preparation of these tablets are – Shuddha tankan (Purified borax), Kaseesa (Purified blue vitriol), Shuddha hingu (Purified ferula asafoetida), etc. Its main action is to eliminate the obstruction and regulate the proper flow of blood.

Recommended Dosage – Take 2 tablets twice a day with normal water.

2. Stri- Poshak Syrup

Stri Poshak Syrup is an Ayurvedic medicine that contains natural and pure herbs which mainly balance the Pitta and Kapha dosha. The syrup is beneficial in curing woman’s physical weakness, anemia, amenorrhea, etc. It includes ingredients like – Ashok chall (Saraca asoca), Lodhar chall (Symlocos racemosa), Khadir chall (Acacia catechu), Guduchi (Tinospora cordifolia), Mulethi (Glycyrrhiza glabra), etc. This herbal syrup cures the wrinkles on the face, dark circles below eyes, feeling of exhaustion in the body, helps in reducing hot flashes, disturbed sleep, abdominal discomfort, mood elevation, excess sweating, tiredness.

Recommended Dosage– Take 2 teaspoonful twice a day with normal water.

3. Stri – Poshak Capsules

This is the herbal remedy which contain ingredients like– Ashok chall (Saraca asoca), Lodhar chall (Symlocos racemosa), Aamlaki (Emblica officinalis), Nagkesar (Mesua ferrea), etc. that mainly balance the kapha dosha. The capsule is very beneficial in maintaining women’s health and regulation in the menstrual cycle. It relieves abdominal pain.

Recommended Dosage – Take 2 capsules twice a day with normal water.

4. Ashwagandha Tablet

 Ashwagandha tablet is mainly used in strengthening the uterus. It improves the ovarian functions, helps to normalize flow during periods and reduces the abdominal pain. These tablets balance the hormones, anorexia, and improve the quality of cervical mucus. The tablets provide effective results in amenorrhea.

Recommended Dosage – Take 2 tablets twice a day with normal water.

5. Femine care tablets

Femine care tablet is an Ayurvedic formulation that work on female reproductive system and make it healthy. Ghritkumari (Aloe Vera), Muramakki (Commiphora myrah), Sonth (Zingiber Officinale), Hara Kasis. These tablets shows antioxidant, anti-inflammatory and immune-modulator properties. These tablets helps to treat polycystic ovarian syndrome, endometriosis, amenorrhea, dysmenorrhea, uterine fibroids etc.

Recommended Dosage: Take 1 tablet twice daily.

6. Rasayan Vati

Rasayan vati is herbo-mineral Ayurvedic formulation which contains various herbs such as Aswagandha, Shilajeet, Amla, Kesar, Musali, Shatavar, Brahmi Abhrak Bhasam, Swarn Makshik Bhasam, Yashad Bhasam, Mukta pisti, Praval pisti, Jaiphal, Vang Bhasam, Aswagandha, Dalchini, Javitri, Gokhru, Kaunch Beej, Shilajeet, Saunth, Mirch, Pipli, Amla, Kesar, Manjith, Anant Mool, Brahmi, Musali, Shatavar, Swarn Vang, etc. These ingredients show antioxidant, anti-inflammatory, antipyretic, analgesic, immune- modulator properties. These tablets provides good results in General debility, Psychological disorders, and improves immunity.

Recommended Dosage: Take 1 tablet twice daily.