India is a developing country and rural women are not so advanced here as compared to Western Countries. Their freedom is still restricted as they have to abide by the rules, regulations and Social Conducts as a part of Tradition. Due to the Shyness and an attitude for making Sacrifices, most of the Indian Women don’t care about their Health. As a customary thing, Indian Females serve their Family members at the cost o their own health. Hence there is no much awareness in majority of Indian females about their health & health related problems. The following are the Common Female Clinical Conditions encountered:

• Leucorrhoea
• Abnormal Menstrual Bleeding Disorders
• Amenorrhoea
• Pelvic Inflammatory Disease (PID)
• Fibroid Uterus and
• Anaemia

 

Leucorrhoea : The Term should be restricted to those patient’s in whom the normal vaginal secretions are increased in amount and the discharge is microscopically and macroscopically non purulent. In Ayurveda, is compared to “Swetha Pradaram”, which is not considered as an independent disease but a symptom occurring in several diseases produced due to vitiation of Kapha dosha and Dhatu of Reproductive System.

 

Abnormal Menstrual Bleeding Disorders includes:

 

• Menorrhagia or Hypermenorrhoea or Atyarthava: A cyclic bleeding at normal intervals but the bleeding is either excessive in amount or duration or both.
• Epimenorrhoea or Polymenorrhoea: A cyclic bleeding where the cycle is reduced to an arbitrary limit of 21 days or less and remains constant at that frequency.
• Metrorrhagia: It is irregular, acyclic bleeding or Contact bleeding or Intermenstrual bleeding from the Uterus or from any part of the Genital Tract.
• Menometrorrhagia: Irregular bleeding and is so excessive that the menses cannot be identified at all.
• Dysfunctional Uterine Bleeding (DUB): Abnormal Uterine bleeding without any clinically detectable organic Pelvic Pathology like Tumours, Inflammation or Pregnancy. Abnormal bleeding in Frequency, Amount or Duration or Combination of any three.

 

In Ayurveda, all types of Irregular and Excessive bleeding during Menstrual Cycle (ATYARTAVA) are compared to “ASRIGDHARAM” or “PRADARAM”.Abhyanga (Oleation), Nasyam (Nasal Efflusion), Uttara Vasthi (Medicated Enemas through Vaginal Route) are administered during the period of Menstrual Flow along with Researched Internal Medicines, Diet Modifications and Life Style Corrections.

 

Amenorrhoea:

 

Means Absence of Menstruation. It is a symptom, not a disease. It is 2 types:

 

• Physiological: Before Puberty and during Pregnancy, during Lactation following Menopause.
• Pathological: In Ayurveda, it is described as “NASHTARTHAVA” or “ANARTHAVA”. In this, arthava is not totally ceased however it is not visible outside due to Obstruction of Arthavaha Srotas (Closure of Orifice of Microcirculating Channels).

 

Pelvic Inflammatory Disease (PID):

 

The Clinical Features are:

• Bilateral Lower Abdominal and Pelvic Region Pain.
• Fever, Lassitude and Headache.
• Irregular and Excessive Vaginal Bleeding.
• Abnormal Vaginal Discharge which is Purulent and Copious.
• Nausea and Vomiting
• Dyspareunia (Pain during Coitus).

 

According to Ayurveda, PID is compared to “PITTAJA ASRUGDHARAM”. Management is bySnehana (Oleation) with Pitta dosha Supressing drugs, Swedana (Suddation), Virechana(Purgation), Uttara Vasthi (Medicated Enemas through Vaginal Route) and Pichu Dharana (Suppository) along with Researched Internal Medicines, Diet Modifications and Life Style Corrections.

 

Fibroid Uterus:

 

Majority of Fibroids are asymptomatic and are accidentally diagnosed during routine examination. It may present with the following  Clinical Features:

 

• Menstrual A bnormalities eg: Menorrhagia, Metrorrhagia, Dysmenorrhoea.
• Infertility.
• Pregnancy related Problems like Abortion, Preterm Labour, IUGD.
• Pain in Lower Abdomen.
• Abdominal Swelling  (Lumps)IN Lower Abdomen etc.

 

Management is by Sodhana Therapies (PANCHAKARMA), Sequential use of proper Abhyangam (Oleation), Swedam (Suddation), Vamana (Emetics), Virechana (Purgation), Vasthi (Enemas) and Nasya Karma (Nasal Effusion) are  Useful along with Shamana Therapies (Researched  Internal Medicines), Diet Modifications and Life  Style Corrections.

 

Anaemia:

 

It is qualitative reduction of circulating R.B.C’s and / or Percentage of Haemoglobin concentration in relation to standard Age and Sex.

 

Symptoms of Anaemia are:

 

• Fatigue and Lassitude.
• Giddiness, Vertigo, Dimness of Vision, Headache, Sleeplessness, Tingling Sensation.
• Indigestion, Diarrhoea, Anorexia, Breathlessness etc.

 

Signs of Anaemia are:

 

• Pallor and Pitting Oedema.
• Enlarged Liver and Spleen.

 

Management of “Pandu”, as Compared inAyurveda is by Sodhana Therapies(PANCHAKARMA), Sequential use of properAbhyangam (Oleation), Swedam (Suddation),Vamana (Emetics

), Virechana (Purgation), Vasthi(Enemas) and Nasya Karma (Nasal Effusion) are Useful along with Shamana Therapies (Researched Internal Medicines), Diet Modifications and Life Style Corrections.

 

Awareness, Education, Personal and Social Hygiene, Balanced Diets and Increasing Immunity are important to keep away these Problems. The Codes and  Conducts  described in Ayurveda in terms of Svastha Vritha, Dinacharya, Ratricharya, Ritucharya are to be followed to  keep oneself Fit  Physically and Mentally Thereby prevent various Ailments.