AYURVEDIC MANAGEMENT OF KSHINA- ARTAVA (HYPOMENORRHEA) ASSOCIATED WITH HYPERPROLACTINEMIA: A CASE STUDY

Dr. Neha R. Gadhari*, Dr. Kalpana B. Ayare and Dr. Manda S. Ghorpade

ABSTRACT

Introduction: Woman’s health is the primary factor to be considered of well being of family, society and culture. Any physical, physiological disorder disturbs her life. Physiological changes and development occurs right from birth but markedly during the reproductive period. The reproductive era starts with the menarche and is terminated by the menopause, giving scope for great deal of ill-health due to disturbance of the delicately balanced cyclic activity of hormones. Most of the menstrual disorders have been described under the headings of Ashta Artava Dushti in our classics. Kshina- Artava is not explained as a disease. Moreover it is a symptom in some diseases. Aacharya Sushruta explains Kshina- Artava in Sharir-sthan. But according to Dalhan Tika Lakshana and Chikitsa of Kshina- Artava are stated under Artava- Kshaya. Lakshana of Kshina- Artava can be seen in hyperprolactinemia. It means hyperprolactinemia leading to Kshina- Artava which can be managed by Ayurvedic management. Materials and Methods: A female patient, age 22 years was coming to the OPD with the case having symptoms of scanty menses (hypomenorrhea due to hyperprolactinemia) and discharge from both breasts and breasts pain. A total therapy was given for 3 months with 3 follow-ups, on fifth day of each mensrual cycle. Necessary investigations were done along with hormonal assay. Observation and Result: On observation after first menstrual cycle (after starting treatment) patient came with 80% relief in the above mentioned symptoms. Conclusions: The result was encouraging with complete relief in the symptoms by Ayurvedic management.

Keywords: Kshina- Artava, Hyperprolactinemia, Hypomenorrhea.