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Periods (heavy), see Heavy periods (Asrigdara, Rakta Pradara, Atyartav)
Heavy menstrual bleeding, medically known as menorrhagia, is a common condition characterized by abnormally heavy or prolonged menstrual bleeding that can significantly interfere with daily life. It can lead to complications such as iron deficiency anemia due to substantial blood loss. In Ayurveda, this condition is often correlated with Asrigdara or Raktapradar and is primarily attributed to an imbalance of Pitta and Vata doshas.
Common symptoms
Soaking through one or more sanitary pads or tampons every hour for several consecutive hours.
Needing double sanitary protection to control menstrual flow.
Getting up at night to change sanitary pads or tampons.
Bleeding for more than 7 days.
Passing blood clots larger than a quarter (or about 2.5cm).
Limiting daily activities due to heavy menstrual flow.
Feeling tired, fatigued, exhausted, or short of breath as a result of blood loss (can indicate anemia).
Severe pain or cramping during periods (dysmenorrhea).
Diarrhea, headaches, nausea, or acid reflux during menstruation (Ayurvedic indication of aggravated Pitta).
In Ayurveda, heavy or prolonged menstrual bleeding, known as Menorrhagia in modern medicine, is primarily termed Asrigdara or Rakta Pradara. The term 'Asrigdara' literally means 'heavy flow of blood' or 'excessive discharge of blood per vaginum'. 'Rakta Pradara' translates to 'Rakta' (blood) and 'Pradara' (excessive flow). Another term used is Atyartav, where 'Atya' means excessive and 'Artav' means menstrual blood. This condition is often attributed to an imbalance, mainly of the Pitta dosha, which governs heat and transformation in the body and rules the blood and uterus. An increase in Pitta dosha leads to excessive bleeding due to its inherent 'fluidity' and increased heat. Vata dosha, responsible for the initiation and movement of periods, can also be involved, causing irregular uterine contractions and affecting blood and lymph movement. Additionally, an imbalance in Kapha dosha can lead to fluid accumulation, exacerbating the condition. Vitiation of Rakta Dhatu (blood tissue) is also a significant factor. Contributing factors include hormonal imbalances, mental stress, poor digestion (Agni), and unwholesome dietary and lifestyle habits.
Shatavari (Asparagus racemosus) - Helps regulate menstrual cycles, reduces heavy bleeding, nourishes the reproductive system, and acts as an adaptogen.
Amla (Emblica officinalis) - Improves iron levels and strengthens Rakta Dhatu.
Nagkesar (Mesua ferrea) - Known to control heavy bleeding.
Yashtimadhu (Glycyrrhiza glabra / Licorice) - Recommended for younger women, it can decrease excess estrogen and minimize bleeding by thickening blood.
Guduchi (Tinospora cordifolia) - Improves immunity and reduces Pitta-related inflammation.
Ashokarishta - A compound medicine used in Ayurvedic treatment for menorrhagia.
Dosha imbalance
Pitta
Vata
Kapha
Lifestyle tips
Maintain a calm and regular daily schedule.
Practice cooling breathing exercises (pranayama).
Engage in moderate physical activity such as hiking, walking, swimming, dancing, and Yoga asana, avoiding intense exercise.
Exercise during cooler times of the day, like morning or evening, and avoid direct sun exposure at midday.
Manage stress through practices like yoga, meditation, and deep breathing exercises to promote hormonal balance.
Stay well-hydrated by drinking plenty of water and incorporating healthy oils like ghee, flaxseed oil, and hempseed oil into your diet.
Avoid caffeine.
Practice mindfulness and bring awareness to every moment.
Avoid excessive sexual indulgence.
Limit overexertion, excessive grief, depression, anxiety, and oversleeping during the daytime.