AYURVEDIC PRINCIPLES IN MANAGING PRIMARY AMENORRHEA: A REVIEW OF ANCIENT AND MODERN PERSPECTIVES
If a woman has no menstrual periods by the age of fifteen and no secondary sexual traits, or if she has secondary sexual characteristics by the age of thirteen, she is said to have primary amenorrhea. It is characterized by a failure or delay in the commencement of menstruation, and diagnosing it frequently entails assessing any hormonal, anatomical, or genetic variables that might be responsible for the lack of menstrual cycles in a person who has reached the normal menarche age.
A protracted lack of menstruation may result from this illness, which may have long-term effects like infertility, greater susceptibility to bone loss, hormonal imbalances, and implications for metabolic and reproductive health. This highlights the significance of regular observation and suitable medical treatment. Primary amenorrhea is closely linked to the Ayurvedic ideas of Vandhya, Varta, Shandhi Yonivyapad, and others, which stand for illnesses pertaining to irregular menstruation and disturbances in the female reproductive system.
Beeja Dosha (imbalance at the level of reproductive elements) and Dushtartava (vitiation of female reproductive tissues or hormones) are considered the causal factors of primary amenorrhea. These Ayurvedic ideas emphasize how primary amenorrhea is caused by imbalances in the reproductive components (beeja) and the integrity of the reproductive tissues (artava). Restoring dosha balance and encouraging the healthy operation of reproductive components are two ways that the Ayurvedic understanding of primary amenorrhea addresses these variables for the best menstrual health. A thorough assessment of reproductive health is made possible by combining these interrelated elements with contemporary ideas.
KEYWORDS: Ayurveda, Beeja Dosha, Hormonal Imbalance, Primary Amenorrhea, Reproductive Health.