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Nowadays, in the name of urbanization, there is increase in sedentary lifestyle, eating disorders,  excessive stress from work and study, excessive exercise or physical activities. Due to this, women  have been suffering from menstrual abnormalities such as oligomenorrhea, anovulation, infertility, etc.  All these disorders are found together under a condition known as polycystic ovarian syndrome.  Polycystic ovarian syndrome is a condition of hormonal imbalance characterized by  oligomenorrhea/anovulation, polycystic ovaries and clinical or biochemical hyperandrogenism. Any 2  of these 3 criteria are enough to define this condition. In Ayurveda, this condition is very much similar to conditions like Artava Kshaya (Oligomenorrhea), Pushpaghani Jatiharini (Anouvulatory cycle),  Kaphaj-vataj Artavdushti (Hyperandrogenic condition). When not treated early, it leads to  complications like glucose intolerance, dyslipidemia, cardiac disease, infertility. A 22 year old female  of married life of 2 years presented to PTSR OPD of RGGPGA College and Hospital, Paprola, with  the complaints of irregularity of menses with increased interval since about 5 and half years and  inability to conceive since 2 years. Ultrasonographic findings showed Polycystic ovarian pattern. A  Samshaman regimen, Nagaradi Kwath was planned for the management of oligomenorrhea which was  the major symptom of the patient. The regimen included of composition of medicinal plants (ref. Harita  Samhita) given as decoction orally. Soon after 6 months of intake of the Ayurvedic regimen along with  practice of appropriate diet and Yogasana, menstrual pattern was established in natural way and the  patient conceived on the 6th month of her treatment.&nbsp

Artava (Menstrual blood) is one of the Upadhatus (secondary tissue) of rasa dhatu (body tissue); which is used  to define the menstrual blood or female sex hormones or ovum at different contexts. However, most commonly  the term Artava (Menstrual flow) refers the menstrual blood. The color, texture, smell of menstrual blood  picturises hormonal status of women. In classic texts, the variation in color, texture, smell of menstrual blood  (Artava) and other associated factors are described in detail under the topic of Artava Dushti (menstrual  disorder). The endometrium undergoes the great changes during endocrine cycle; thus, the menstrual blood may  vary in color and texture which depends upon the factors such as health conditions, hormonal changes and  pathological factors. Hence, Artava (visible menstrual blood) is an easy source and important diagnostic tool to  make an approach towards diseases. Uterus disorders ranging from benign to malignant tumours as well as  endometriosis can cause abnormal menstrual bleeding and are frequently diagnosed through endometrial  biopsy. Yet the proteome of menstrual blood is an easily available non-invasive source of endometrial tissue.  Classical texts explain types of menstrual disorders hearing Artava Dushti (menstrual disorder). They also  describe in details color, texture, specific smell, amount and other associated features like type of pain in details  in Vata, Pitta and Kapha Dushti. So, only by observing menstrual blood variation we can find out disease  associated with it. Thus, study of Artava (menstrual blood) and Artavadusti (menstrual disorder). according to  Ayurveda may be a major diagnostic tool for diagnosis of underlying gynaecological pathology in current  gynecology scenario.&nbsp

Premature ovarian failure is defined as ovarian failure before the age of forty. In modern medicine only hormonal replacement therapy is available as treatment. HRT itself has its own side- effects. So, we have selected patient who was on hormonal pills since last 5-6 years on and off but didn’t get relief despite of hormonal pills. A study was done in RGGPG Hospital, Paprola. A Patient of 35 years, Primipara , who was having complaint of irregular menses with scanty menses since 7-8years. Hot flushes, Insomnia since 5-6 years. Absence of menses since 3 months. Associated complaints: Vaginal dryness, Dryness of skin, Stress incontinence, Hair fall and brittleness of nails. As the disease is vatapitta predominant where symptoms like hot flushes, sweating showing pittaj characteristic whereas Insomnia, depression, vaginal dryness, brittleness of nail showing vataj characteristic. So, we planned a treatment protocol after stopping hormonal pills –virechana, basti, nasya, takradhara along with some oral medications. Where virechan karma with haritaki churna and erand tail to alleviate pittaj symptoms. Basti (Niruha with dashmoola kwath) and uttarbasti with phalaghrita to alleviate vataj symptoms. Nasya (Shodhan nasya with trikatu churana,Shaman nasya with sadbindu tail).Takradhara with amalaki, musta, takra . After shodhan chikitsa shaman chikitsa was continued .On evaluation of effect of treatment –overall result was marked improvement in all the symptoms .Symptomatic relief persisted even after 1 month of completion of panchkarma therapy.

Karnini Yonivyapada (Cervical Erosion) is one of the very common gynecological conditions  seen in gynecology OPD’s. About 80% of women in her reproductive age group suffer from this problem.  Cervical erosion is a benign condition but if left untreated may leads up to infertility. A cardinal symptom of this  disease is white discharge per vaginum which is very common in women. Electric Cauterization is known  treatment for cervical erosion but chances of recurrence of the disease are high. But the Ayurvedic management  seems to be more practical, cost effective and showing better result with negligible side effects. Keeping this fact  in mind the present clinical study has been undertaken. Material and method: Total 50 patients of cervical erosion and fulfilling the inclusion criteria were selected for  this study, from Deptt. Of Stree roga and Prasuti tantra. O.P.D.  Result: The total effect of drug was evaluated on the basis of signs and symptoms after completion of therapy.  Overall effect of therapy shows 89.13% patients had cured and 10.86% patients had marked improvement in sign  and symptoms. Group –I revealed better results than group –II over total criteria of assessment Conclusion: The therapy proved to be effective measure in the management of cervical erosion.

Premature ovarian failure is defined as ovarian failure before the age of forty. In modern medicine only hormonal replacement therapy is available as treatment. HRT itself has its own side- effects. So, we have selected patient who was on hormonal pills since last 5-6 years on and off but didn’t get relief despite of hormonal pills. A study was done in RGGPG Hospital, Paprola. A Patient of 35 years, Primipara , who was having complaint of irregular menses with scanty menses since 7-8years. Hot flushes, Insomnia since 5-6 years. Absence of menses since 3 months. Associated complaints: Vaginal dryness, Dryness of skin, Stress incontinence, Hair fall and brittleness of nails. As the disease is vatapitta predominant where symptoms like hot flushes, sweating showing pittaj characteristic whereas Insomnia, depression, vaginal dryness, brittleness of nail showing vataj characteristic. So, we planned a treatment protocol after stopping hormonal pills –virechana, basti, nasya, takradhara along with some oral medications. Where virechan karma with haritaki churna and erand tail to alleviate pittaj symptoms. Basti (Niruha with dashmoola kwath) and uttarbasti with phalaghrita to alleviate vataj symptoms. Nasya (Shodhan nasya with trikatu churana,Shaman nasya with sadbindu tail).Takradhara with amalaki, musta, takra . After shodhan chikitsa shaman chikitsa was continued .On evaluation of effect of treatment –overall result was marked improvement in all the symptoms .Symptomatic relief persisted even after 1 month of completion of panchkarma therapy.

Premature ovarian failure is defined as ovarian failure before the age of forty. In modern medicine only hormonal replacement therapy is available as treatment. HRT itself has its own side- effects. So, we have selected patient who was on hormonal pills since last 5-6 years on and off but didn’t get relief despite of hormonal pills. A study was done in RGGPG Hospital, Paprola. A Patient of 35 years, Primipara , who was having complaint of irregular menses with scanty menses since 7-8years. Hot flushes, Insomnia since 5-6 years. Absence of menses since 3 months. Associated complaints: Vaginal dryness, Dryness of skin, Stress incontinence, Hair fall and brittleness of nails. As the disease is vatapitta predominant where symptoms like hot flushes, sweating showing pittaj characteristic whereas Insomnia, depression, vaginal dryness, brittleness of nail showing vataj characteristic. So, we planned a treatment protocol after stopping hormonal pills –virechana, basti, nasya, takradhara along with some oral medications. Where virechan karma with haritaki churna and erand tail to alleviate pittaj symptoms. Basti (Niruha with dashmoola kwath) and uttarbasti with phalaghrita to alleviate vataj symptoms. Nasya (Shodhan nasya with trikatu churana,Shaman nasya with sadbindu tail).Takradhara with amalaki, musta, takra . After shodhan chikitsa shaman chikitsa was continued .On evaluation of effect of treatment –overall result was marked improvement in all the symptoms .Symptomatic relief persisted even after 1 month of completion of panchkarma therapy.