PMS(Premenstrual syndrome)- Ayurvedic Treatment, Diet, Exercises, Research

Premenstrual syndrome (PMS) is a condition that affects a woman physically and emotionally and causing changes in behaviour during certain days of the menstrual cycle, generally just before her menses. PMS is a very common condition. Its symptoms affect more than 90% of women in the reproductive age. It is important to get a proper diagnosis and treatment for physical and social well-being. Usually, PMS symptoms start five to 11 days before menstruation and typically go away once menstruation begins.

Signs & Symptoms

Signs and symptoms are varied widely in PMS patients. The days affected are also different from person to person. In most cases, it starts at least one week prior to menstruation and ends with the onset of bleeding.

The symptoms of PMS are usually mild or moderate. It varies in individuals and in months.

The symptoms of PMS include:

Bloating and belching
Distension des Unterleibs
Abdominal pain
Soreness in breasts
Akne
Craving for food items, especially for sweets
Constipation or diarrhoea
Kopfschmerzen
Nausea & vomiting
sensitivity to light or sound
Erschöpfung
irritability
changes in sleep patterns or disturbed sleep
anxiety
Depressionen
sadness
emotional outbursts

Verursacht

The cause of PMS is unknown. But a change in both sex hormones and serotonin levels at the beginning of the menstrual cycle is believed to play a role in PMS by experts.

Pathophysiologie

Premenstrual syndrome (PMS) and premenstrual dysphoric disorder are triggered by hormonal events ensuing after ovulation. The symptoms can begin in the early, mid or late luteal phase and are not associated with defined concentrations of any specific gonadal or non-gonadal hormone. Although evidence for a hormonal abnormality has not been established, the symptoms of the premenstrual disorders are related to the production of progesterone by the ovary. The two best-studied and relevant neurotransmitter systems implicated in the genesis of the symptoms are the GABArgic and the serotonergic systems. Metabolites of progesterone formed by the corpus luteum of the ovary and in the brain bind to a neurosteroid-binding site on the membrane of the gamma-aminobutyric acid (GABA) receptor, changing its configuration, rendering it resistant to further activation and finally decreasing central GABA-mediated inhibition.

By a similar mechanism, the progestogens in some hormonal contraceptives are also thought to adversely affect the GABAergic system. The lowering of serotonin can give rise to PMS-like symptoms and serotonergic functioning seems to be deficient by some methods of estimating serotonergic activity in the brain; agents that augment serotonin are efficacious and are as effective even if administered only in the luteal phase. However, similar to the affective disorders, PMS is ultimately not likely to be related to the dysregulation of individual neurotransmitters. Brain imaging studies have begun to shed light on the complex brain circuitry underlying affect and behaviour and may help to explicate the intricate neurophysiological foundation of the syndrome.

Diagnose

There are no unique physical findings or lab tests to positively diagnose premenstrual syndrome. A particular symptom to PMS if it’s part of predictable premenstrual pattern.

Behandlungen

For many women, lifestyle changes can help relieve PMS symptoms. But in severe cases, medications are needed. The success of medications in relieving symptoms varies among women. Commonly prescribed medications for premenstrual syndrome include:

Selective serotonin reuptake inhibitors (SSRIs) — which include fluoxetine (Prozac, Sarafem), paroxetine (Paxil, Pexeva), sertraline (Zoloft) and others — have been successful in reducing mood symptoms.
Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve) can ease cramping and breast discomfort.
Diuretics like Spironolactone (Aldactone) can help ease some of the symptoms of PMS.
Hormonal contraceptives that stop ovulation, can give relief from PMS symptoms.

Prognose

PMS symptoms can recur, but they typically go away after the start of menstruation. A healthy lifestyle and a comprehensive treatment plan can reduce or eliminate the symptoms for most women.

Komplikationen

Krankheit & Ayurveda

Ayurveda does not consider pain during menses as a single disease but explains this as a sign present in many diseases of female reproductive system. The term kashtartava defines painful menses or menstruation with discomforts.

Nidana

Unwholesome diet and regimen

Not following Ritumaticharya (advised regimen during menstruation and ovulation)

Purvaaroopa

Nicht erwähnt

Samprapti

Bleeding during artava is the function of Apaanavayu. Also, Ayurveda explains no diseases in the female reproductive system happens without the affliction of Vaata. Kapha and sometimes Pitta come associated with Vaata to produce diseases of female reproductive system but Vaata derangement especially Apaanavaata affliction is a must. Regarding pain, Vaatadrute ruja naasti explains that Vaata is the causative dosha of Pain sensation. Here, in kashtartava the Apaanavaata gets aggravated and causes pain and discomforts during menses.

Lakshana

Pain in the abdomen during menstruation

Abteilungen

Nicht erwähnt

Prognose

Saadhyam in new & uncomplicated in young patients

Yaapya in chronic cases with other complications

Chikithsa

Ayurvedic treatment for painful menses mainly targets the balancing of Vaatadosha, the guardian of normal menstruation. As there are chances of obstruction in the channels that carry blood, cleaning of the body in the form of panchakarma therapies are advised in patients with adequate physical health.

Samana

Soolahara dravyas
Anulomanam
Pradesikaswedanam
Maatravasti
Aamapaachanam
Agnideepanam

Sodhana

Sneha-sweda
Virechana
Vamana
Asthapanavasti
Anuvasanavasti
Uttaravasti in needed cases

Commonly used Medicines

Ayurvedic Supplements

Verfügbare Marken

AVS Kottakal
AVP Coimbatore
SNA oushadhasala
Vaidyaratnam oushadhasala

Hausmittel

In order to help with PMS, a woman has to ecord her symptoms for a few months to identify the triggers and timing of the symptoms. This will allow her to intervene with strategies that may help to lessen them. Besides getting enough sleep and rest, things that help reduce the problems associated with PMS include:

Vitamin supplements like calcium, magnesium, vitamin E and vitamin B-6
Herbal remedies such as ginkgo, ginger, chasteberry (Vitex agnus), evening primrose oil and St. John’s wort.
Regular exercise – Physical activity, helps ease menstrual cramps for some women.
Use heat – Soaking in a hot bath or using a heating pad, hot water bottle or heat patch on lower abdomen might ease menstrual cramps.
Dietary supplements – like vitamin E, omega-3 fatty acids, vitamin B-1 (thiamin), vitamin B-6 and magnesium supplements might reduce menstrual cramps.
Reduce stress – Psychological stress might increase the risk of menstrual cramps and their severity.
Massaging the abdomen
Eating light, nutritious meals several times a day in spite of heavy meals
Relaxation techniques or yoga
Raising the legs or lying with knees bent
Reducing intake of salt, alcohol, caffeine, and sugar to prevent bloating and disturbed digestion

Diät

Zu vermeiden sind

Schwere Mahlzeiten und schwer verdauliche Lebensmittel - verursachen Verdauungsstörungen.

Junk Food - stört die Verdauung und verringert die Bioverfügbarkeit des Medikaments

Kohlensäurehaltige Getränke - erhöhen den Säuregehalt des Magens und stören die Verdauung

Gekühlte und gefrorene Lebensmittel - verursachen eine schwache und träge Verdauung durch Schwächung von Agni (Verdauungsfeuer)

Milch und Milchprodukte - erhöhen Kapha, verursachen Verstopfung in den Kanälen und Fettleibigkeit

Quark - verursacht Vidaaha und damit viele andere Krankheiten

Caffeinated drinks

Noch zu ergänzen

Leichte Mahlzeiten und leicht verdauliche Lebensmittel

Green gram, soups, sesame oil

Fresh fruits like grapes, pomegranate and dates

Eat more leafy vegetables

Use more ginger in food preparations

Frisch gekochte und warme Speisen, verarbeitet mit Kreuzkümmel, Ingwer, schwarzem Pfeffer, Ajwain usw.

Verhaltensweisen:

Schützen Sie sich vor extremen Klimaveränderungen.
Vermeiden Sie übermäßige Sonneneinstrahlung, Wind, Regen oder Staub.
Halten Sie einen regelmäßigen Essens- und Schlafplan ein.
Vermeiden Sie es, Triebe wie Urin, Stuhlgang, Husten, Niesen usw. zurückzuhalten oder zu erzwingen.
Vermeiden Sie eine sitzende Lebensweise. Seien Sie aktiv.
Avoid stress and emotional hurricanes.

Yoga

Regular stretching and cardio exercises are advised in non-menstruating days. Also, specific yogacharya including naadisuddhi pranayama, vajrasana, gomukhasana, bhadrasana, bhujangaasana, pavanamuktasana is recommended.

Yoga and strenuous exercises are not advised during painful menstruation days.

Regelmäßige Bewegung trägt dazu bei, die Bioverfügbarkeit der eingenommenen Medikamente und Nahrungsmittel zu verbessern, und führt zu einer positiven Gesundheit.

Yoga kann die Harmonie im Körper und mit dem umgebenden System aufrechterhalten.

Vajrasana
Gomukhasana
Bhadrasana
Pavanamuktasana
Nadisudhi Pranayama
Bhujangasana

Alle Übungen und körperlichen Anstrengungen dürfen nur unter der Aufsicht eines medizinischen Experten durchgeführt werden.

Forschungsartikel

https://pubmed.ncbi.nlm.nih.gov/22611222/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3118460/

Diese Aussagen wurden nicht von der Food and Drug Administration der Vereinigten Staaten bewertet. Dieses Produkt ist nicht dazu bestimmt, Krankheiten zu diagnostizieren, zu behandeln, zu heilen oder zu verhindern. Bitte konsultieren Sie Ihren Hausarzt vor der Einnahme.

Autorin:
Dr. Rajesh Nair, der Mitbegründer und Hauptberater von Ayurvedaforall.Com, ist Absolvent des renommierten Vaidyaratnam Ayurveda College (angegliedert an die Universität von Calicut) in Kerala, Indien. Außerdem hat er ein Postgraduierten-Diplom in Yogatherapie von der Annamalai University.

Dr. Nair bietet Beratungen in zwei vielbeschäftigten Kliniken in und um Haripad, Alleppey, Kerala, dem südlichen Staat, der weltweit für authentische ayurvedische Behandlungen und Ärzte bekannt ist. Neben der Beratung zu allen Aspekten ayurvedischer Behandlungen hat Dr. Nair ein besonderes Interesse an Panchkarma, Yoga und Massage.

Über Ayurvedaforall bietet Dr. Nair Patienten weltweit Online-Konsultationen an und hat in den letzten 20 Jahren Hunderte von Patienten betreut. Zusätzlich zu seiner ayurvedischen Praxis ist er Chefredakteur von ayurveda-amai.org, dem Online-Portal der Ayurveda Medical Association of India, und Mitglied des Landesausschusses der Ayurveda Medical Association of India.

Dr. Nair ist ein regelmäßiger Redner auf Ayurveda-bezogenen Konferenzen und hat Deutschland besucht, um Ayurveda zu propagieren. Sie können direkt an ihn schreiben.
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