Ayurvedic Treatment for Premenstrual Syndrome (PMS)

Ayurvedic Treatment for Premenstrual Syndrome (PMS)

Ayurvedic Treatment for Premenstrual Syndrome (PMS) aims in correcting lifestyle and enhance good digestion. 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 of the reproductive age. It is important to get a proper diagnosis and treatment for physical and social well-being. In general, PMS symptoms start around one week 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 before menstruation and ends with the onset of bleeding.

The symptoms of PMS vary in individuals and months.

The symptoms of PMS include:

  • Bloating and belching
  • Distension of abdomen
  • Abdominal pain
  • Soreness in breasts
  • Акне
  • Craving for food items, especially sweets
  • Constipation or diarrhoea
  • Головная боль
  • Nausea & vomiting
  • sensitivity to light or sound
  • усталости
  • irritability
  • changes in sleep patterns or disturbed sleep
  • anxiety
  • депрессии
  • sadness
  • emotional outbursts

Причины

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.

Патофизиология

Premenstrual syndrome (PMS) and premenstrual dysphoric disorder are triggered by hormonal events ensuing after ovulation. Although evidence for a hormonal abnormality has not been established, the presenting complaints of the condition can be related to the production of progesterone by the ovary.  The lowering of serotonin also can give rise to PMS-like symptoms. However, similar to affective disorders, PMS is not completely related to the dysregulation of any neurotransmitters.

Диагноз

There is no single examination or lab test to diagnose the premenstrual syndrome.

Treatments

For many women, lifestyle changes can help relieve PMS symptoms. But in severe cases, medications are needed. The success rate of medications varies among women. Most advised 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.

Прогноз

PMS has a very wide range of prognoses. It gets better mostly in women with a healthy lifestyle.

Осложнения

If managed properly, no complications may arise.

Disease & Ayurveda

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

Нидана

        Unwholesome diet and regimen

Not following Ritumaticharya (advised regimen during menstruation and ovulation)

Пурваарупа

        Не упоминается

Сампрапти

        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 the 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.

Лакшана

        Pain in the abdomen during menstruation

Подразделения

Не упоминается

Прогноз

        Saadhyam in new & uncomplicated in young patients

Yaapya in chronic cases with other complications

Чикитса

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.

Самана

  • Soolahara dravyas
  • Anulomanam
  • Pradesikaswedanam
  • Maatravasti
  • Aamapaachanam
  • Agnideepanam

Содхана

  • Sneha-sweda
  • Виречана
  • Вамана
  • Asthapanavasti
  • Anuvasanavasti
  • Uttaravasti in needed cases

Часто используемые лекарства

Ayurvedic Supplements

Бренды в наличии

  • AVS Коттакал
  • AVP Коимбатур
  • СНС Ушадхасала
  • Вайдьяратнам ушадхасала

Домашние средства

To help with PMS, a woman has to record 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 the 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 despite 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

Диета 

  • Следует избегать

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, obstruct channels and obesity

Curd – causes vidaaha and thereby many other diseases

Caffeinated drinks

  • To be added

Light meals and easily digestible foods

Green gram, soups, sesame oil

Fresh fruits like grapes, pomegranates and dates

Eat more leafy vegetables

Use more ginger in food preparations

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

Behaviour:

Protect yourself from extreme climate changes.

Better to avoid exposure to excessive sunlight wind rain or dust.

Maintain a regular food and sleep schedule.

Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc.

Avoid a sedentary lifestyle. Be active.

Avoid stress and emotional hurricanes.

Йога

Regular stretching and cardio exercises are advised on 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.

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

Yoga can maintain harmony within the body and with the surrounding system.

Vajrasana

https://youtu.be/82p0aGNJSF4

Gomukhasana

https://youtu.be/d_dh_DwDr84

Bhadrasana

https://youtu.be/mWWZsA9ECqI

Паванамуктасана

https://youtu.be/EK1ov1cP4UE

Надисудхи пранаяма

https://youtu.be/RUFzLVf5wL4

Бхуджангасана

https://youtu.be/fOdrW7nf9gw

All the exercises and physical exertions must be decided and done under the supervision of a medical expert only.

Научные статьи

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

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

*These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake. All the Ayurveda Supplements mentioned here are in the Indian Market with GMP Certification from India

Писатель:
Доктор Раджеш Наир, соучредитель и главный консультант Ayurvedaforall.Com, окончил престижный аюрведический колледж Vaidyaratnam (филиал Университета Каликут), штат Керала, Индия. Кроме того, он получил диплом об окончании аспирантуры по йогатерапии в Университете Аннамалай.

Доктор Наир проводит консультации в двух оживленных клиниках в Харипаде и его окрестностях, Аллеппи, Керала, южном штате, известном на весь мир аутентичным аюрведическим лечением и врачами. Предлагая консультации по всем аспектам аюрведического лечения, доктор Наир проявляет особый интерес к панчакарме, йоге и массажу.

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.

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