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.
  • Mal di testa

Cause

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.

Fisiopatologia

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.

Diagnosi

  • Case history
  • Esame fisico
  • 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

Trattamenti

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.

Prognosi

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.

Complicazioni

  • Infertilità
  • 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.

Malattie e 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

        Non menzionato

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

Divisioni

Non menzionato

Prognosi

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

Farmaci comunemente utilizzati

Marche disponibili

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

Home Remedies

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

Dieta

  • Da evitare

I pasti pesanti e gli alimenti difficili da digerire causano indigestione.

Cibi spazzatura: causano disturbi della digestione e riducono la biodisponibilità del farmaco.

Bevande gassate: rendono lo stomaco più acido e disturbano la digestione.

Cibi refrigerati e congelati - causano una digestione debole e lenta indebolendo Agni (fuoco digestivo).

Latte e prodotti lattiero-caseari - aumentano kapha, causano l'ostruzione dei canali e l'obesità.

Cagliata - causa vidaaha e quindi molte altre malattie

  • Da aggiungere

Pasti leggeri e alimenti facilmente digeribili

Green gram, soups, sesame oil

Cibo fresco e caldo trattato con semi di cumino, zenzero, pepe nero, ajwain, ecc.

Comportamento:

  • Protect yourself from extreme hot climate.
  • È meglio evitare l'esposizione a luce solare eccessiva, pioggia o polvere.
  • Mantenere un programma alimentare e di sonno regolare.
  • Evitare di trattenere o forzare gli stimoli come urina, feci, tosse, starnuti ecc.
  • Avoid sedentary lifestyle. Be active

lo 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.

L'esercizio fisico regolare aiuta a migliorare la biodisponibilità dei farmaci e degli alimenti ingeriti e porta a una salute positiva.

Lo yoga può mantenere l'armonia all'interno del corpo e con il sistema circostante.

Pavanamuktasana

Nadisudhi pranayama

Bhujangasana

Semplici esercizi per la salute dei polmoni e del cuore

Specific asanas for female reproductive health

Vajrasana

Gomukhasana

Bhadrasana

Tutti gli esercizi e gli sforzi fisici devono essere decisi ed eseguiti esclusivamente sotto la supervisione di un medico esperto.

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/

 

Queste dichiarazioni non sono state valutate dalla Food and Drug Administration degli Stati Uniti. Questo prodotto non è destinato a diagnosticare, trattare, curare o prevenire alcuna malattia. Consultare il proprio medico di famiglia prima dell'assunzione.

Scrittore:
Il dottor Rajesh Nair, cofondatore e consulente capo di Ayurvedaforall.com, si è laureato presso il prestigioso Vaidyaratnam Ayurveda College (affiliato all'Università di Calicut), in Kerala, India. Inoltre, ha conseguito un diploma post-laurea in Yoga Terapia presso l'Università di Annamalai.

Il Dr. Nair offre consulenze in due cliniche molto frequentate a Haripad e dintorni, Alleppey, Kerala, lo stato meridionale famoso in tutto il mondo per gli autentici trattamenti ayurvedici e per i medici. Oltre a offrire consulenze su tutti gli aspetti dei trattamenti ayurvedici, il Dr. Nair ha un interesse particolare per il Panchkarma, lo Yoga e il Massaggio.

Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India.

Il Dr. Nair partecipa regolarmente a conferenze sull'Ayurveda e ha visitato la Germania per diffondere l'Ayurveda. Potete scrivere direttamente a lui
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