Polycystic Ovarian Syndrome (PCOS)- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga & Pranayama

Polycystic Ovarian Syndrome (PCOS) Ayurvedic Treatment

PCOS is a problem with hormones that affects women during their childbearing years. Many women have PCOS but don’t know it.  Polycystic ovary syndrome (PCOS) is a condition that affects a woman’s hormone levels. Women with PCOS produce high amounts of male hormones than normal. This hormonal imbalance causes them to skip menstrual periods and makes it harder for them to get pregnant.

Although it is a disease primarily affecting the reproductive system, it has effects on the whole body. It produces signs and symptoms in areas other than uterus & ovary. These include hair growth on the face and body, and baldness. And it can contribute to long-term health problems like diabetes and heart disease.

In many cases, birth control pills and diabetes drugs can help fix the hormone imbalance and improve symptoms with necessary changes in diet & life style.

Signs & Symptoms

PCOS is mostly diagnosed as a part of treatment for infertility. Some women with recent excessive weight gain and missed periods when tested, get the same diagnosis.

The most common PCOS symptoms are:

  • Irregular or missed or late periods with heavy bleeding and other discomforts.
  • Extra hair growth – hair on their face and body — including on their back, belly, and chest. It is called hirsutism.
  • Acne – Male hormones can make the skin oilier than usual and cause breakouts on areas like the face, chest, and upper back.
  • Recent weight gain leading to obesity
  • Baldness like in males – Hair on the scalp gets thinner and fall out.
  • Black discolouration of skin – Dark patches of skin can form in body creases like those on the neck, in the groin, and under the breasts.
  • Dolor de cabeza

Causas

Exact cause is still not known.

Genes, insulin resistance, and high level of inflammation in the body are considered to be related with excess androgen production.

Fisiopatología

PCOS affects a woman’s ovaries, the reproductive organs that produce oestrogen and progesterone — hormones that regulate the menstrual cycle. The ovaries also produce a small amount of male hormones called androgens. The ovaries release eggs to be fertilized by a man’s sperm. The release of an egg each month is called ovulation. Follicle-stimulating hormone (FSH) and luteinizing hormone (LH) control ovulation. FSH stimulates the ovary to produce a follicle — a sac that contains an egg — and then LH triggers the ovary to release a mature egg.

PCOS is a “syndrome,” or group of symptoms that affects the ovaries and ovulation. In PCOS, many small, fluid-filled sacs grow inside the ovaries. The word “polycystic” means “many cysts.” These sacs are actually follicles, each one containing an immature egg. The eggs never mature enough to trigger ovulation. The lack of ovulation alters levels of estrogen, progesterone, FSH, and LH. Estrogen and progesterone levels are lower than usual, while androgen levels are higher than usual. Excess male hormones disturb the menstrual cycle, so women with PCOS get fewer periods than usual.

Diagnóstico

  • Case history
  • Physical examination
  • Pelvic examination
  • Blood tests to check the levels of male hormones.
  • Ultrasound scan
  • PCOS is diagnosed when a woman has at least two of these three symptoms
  • high androgen levels
  • irregular menstrual periods
  • cysts in the ovaries

Tratamientos

Lifestyle interventions are the first treatments doctors recommend for PCOS, and they often work well. Weight loss can treat PCOS symptoms and improve the odds of getting pregnant. Diet and aerobic exercise are two effective ways to lose weight.

Medicines are an option if lifestyle changes don’t work. Birth control pills, Clomiphene and metformin can both restore normal menstrual cycles and relieve PCOS symptoms. Hair removal creams and treatments are done in needed cases. Surgery is also an option where other therapies fail.

Pronóstico

PCOS is a life-long condition which can be managed but a permanent cure is not possible. Without treatment, women with PCOS are at increased risk of a number of complications.

Complicaciones

  • Infertilidad
  • Gestational diabetes or pregnancy-induced high blood pressure
  • Miscarriage or premature birth
  • Non-alcoholic steatohepatitis — a severe liver inflammation caused by fat accumulation in the liver
  • Metabolic syndrome — a cluster of conditions including high blood pressure, high blood sugar, and abnormal cholesterol or triglyceride levels that significantly increase your risk of cardiovascular disease
  • Type 2 diabetes or prediabetes
  • Sleep apnoea
  • Depression, anxiety and eating disorders
  • Abnormal uterine bleeding
  • Cancer of the uterine lining (endometrial cancer)
  • Obesity is associated with PCOS and can worsen complications of the disorder.

Disease & Ayurveda

        In Ayurveda, cysts are considered as granthi which are unwanted and abnormal growths which can develop wherever possible in the body. Ayurveda explains that the vitiated doshas travel from their sites throughout the body and get lodged where there are abnormality or damage in the circulatory channels(srotas). When the doshas cause granthi in aartavavahasrotas (reproductive channels) it is called as granthiartava.

Nidana

Causative factors for the vitiation of Kapha and Vaata

Unwholesome diet and lifestyle during menstruation

Purvaaroopa

        Not mentioned

Samprapti

        When vitiated Kapha and Vaata in women reach the reproductive organs and get lodged in andasaya, artava production is affected and the development of it is delayed & arrested in andasaya. Due to the kapha and vaata doshas, it forms a cyst like growth which leads to granthiartava

Lakshana

        Irregular menstrual bleeding with clots

Lower abdominal pain

Divisions

Not mentioned

Pronóstico

Saadhya in new cases in healthy women with no complications.

Yaapya in chronic cases

Chikithsa

The aim of Ayurvedic treatment in granthiartava is to remove and expel the kapha dosha blocking the normal functioning of Vaata. This will help the reproductive system in functioning in the normal way. To eliminate kapha, vamanam and nasyam are done if the patient is suitable. After clearing the obstruction in channels, treatment is given to enhance artava formation and development in a normal way. Nasya has a specific effect on ovulation, pertaining to stimulation of Hypothalamo-Pituitary-Ovarian axis. Along with kaphahara treatment, Vaata should also considered as Ovary in Pakwasaya is the seat of Vaata and the process ovulation is controlled by Vaatadosha too.

Samana

  • Aamapaachana
  • Agnideepana
  • Internal medicines and diet with ushna-teekshna (hot, pungent & penetrating) properties
  • Krishna Tila, kulattha

Sodhana

  • Sneha-sweda
  • Vamana
  • Virechana
  • Kashayavasti
  • Snehavasti
  • Uttaravasti

Medicamentos de uso común

Marcas disponibles

  • AVS Kottakal
  • AVP Coimbatore
  • SNA oushadhasala
  • Vaidyaratnam oushadhasala

Remedios caseros

No home remedies can completely cure ovarian cysts. But a healthy diet and lifestyle can help manage the discomforts.

Dieta

  • A evitar

Heavy meals and difficult to digest foods – cause indigestion.

Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine

Carbonated drinks – makes the stomach more acidic and disturbed digestion

Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)

Milk and milk products – increase kapha, cause obstruction in channels and obesity

Curd – causes vidaaha and thereby many other diseases

  • Por añadir

Comidas ligeras y alimentos fáciles de digerir

Green gram, soups, sesame oil

Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc

Comportamiento:

  • Protect yourself from extreme hot climate.
  • Es mejor evitar la exposición a la luz solar excesiva, la lluvia o el polvo.
  • Maintain a regular food and sleep schedule.
  • Evite aguantar o forzar las ganas de orinar, defecar, toser, estornudar, etc.
  • Avoid sedentary lifestyle. Be active

posturas de Yoga

As granthiartava develop due to stagnant Kaphadosha due to sedentary lifestyle, regular exercising is advised unless severe pain present. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana for apaanavayu correction is recommended.

Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health.

El yoga puede mantener la armonía dentro del cuerpo y con el sistema circundante.

Pavanamuktasana

Nadisudhi pranayama

Bhujangasana

Simple exercises for lungs and heart health

Specific asanas for female reproductive health

Vajrasana

Gomukhasana

Bhadrasana

Todos los ejercicios y esfuerzos físicos deben decidirse y realizarse únicamente bajo la supervisión de un experto médico.

Research Articles

 

https://www.ncbi.nlm.nih.gov/books/NBK560541/#_article-26445_s5_

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6676075/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5045492/

 

Estas afirmaciones no han sido evaluadas por la Food and Drug Administration, Estados Unidos. Este producto no está destinado a diagnosticar, tratar, curar o prevenir ninguna enfermedad. Por favor, consulte a su médico de cabecera antes de la ingesta.

Escritor:
El Dr. Rajesh Nair, cofundador y asesor jefe de Ayurvedaforall.Com, es licenciado por el prestigioso Vaidyaratnam Ayurveda College (afiliado a la Universidad de Calicut), Kerala, India. Además, posee un Diploma de Postgrado en Yoga Terapéutico por la Universidad de Annamalai.

El Dr. Nair ofrece consultas en dos concurridas clínicas situadas en Haripad y sus alrededores, Alleppey, Kerala, el estado meridional famoso en todo el mundo por sus auténticos tratamientos y médicos ayurvédicos. Además de ofrecer consultas sobre todos los aspectos de los tratamientos ayurvédicos, el Dr. Nair tiene un interés especial en Panchkarma, Yoga y Masaje.

A través de Ayurvedaforall, el Dr. Nair ofrece consultas en línea a pacientes de todo el mundo y ha atendido a cientos de pacientes en los últimos 20 años. Además de su consulta ayurvédica, es editor jefe de ayurveda-amai.org, el portal en línea de la Asociación Médica Ayurveda de la India, y miembro del comité estatal de la Asociación Médica Ayurveda de la India.

El Dr. Nair es ponente habitual en conferencias relacionadas con el Ayurveda y ha visitado Alemania para propagar el Ayurveda. Puede escribirle directamente
rajesh@ayurvedaforall.com

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