Ayurvedic management of Premenstrual Syndrome - A Case Study

Abstract

Reproductive health is a condition in which the reproductive process is accomplished in a state of complete physical, mental and social well-being and is not merely the absence of disease or disorders of the reproductive process. Most women experiences mood and behavioral changes apart from physical discomfort associated with the menstrual cycle. Although there are both ups and downs associated with the cycle, it is the more problematic part of the cycle that are characterized, as premenstrual syndrome. Premenstrual syndrome is a psycho neuro endocrine disorder of unknown etiology, often noticed just prior to menstruation. There is cyclic appearance of a large number of symptoms during the last 7-10 days of the menstrual cycle. It is important for two reasons, firstly because the symptoms of PMS are responsible for socioeconomic loss and secondly because of associated legal and women’s rights issues that have arisen in conjunction with personal accountability during the premenstrual period. An estimated 3% to 5% of ovulating women appear to suffer from symptoms so marked that they qualify for a diagnosis of premenstrual dysphoric disorder. A 15-year-old female patient reported to OPD with the complaints of head ache, irritability, depression, extreme mood swings, lack of concentration, physically injuring herself, bloating 7-8 days prior to menstruation and it resolves with the onset of menstruation. After proper physical and mental status examination, based on history, presenting symptoms and diagnostic criteria the case was diagnosed as Premenstrual Syndrome. So, the protocol for treatment planned was internal administration of Kalyanaka Kashayam, Drakshadi Kashayam, Thalam with Ksheerabala for 3 months along with proper Rajaswalacharya. Yoga Asanas and Pranayamas were also advised.