Menstrual disorders: Difference between revisions
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==Classification of menstrual disorders== | ==Classification of menstrual disorders== | ||
===Types based on clinical presentation=== | ===Types based on clinical presentation=== | ||
The menstrual disorders can be classified into three categories. | The menstrual disorders can be classified into three categories. | ||
'''Table 1: Three categories of menstrual disorders''' | '''Table 1: Three categories of menstrual disorders''' | ||
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==Age specific classification == | == Age specific classification == | ||
Chronological age is an important factor of examination[Cha.Sa. Vimana Sthana 8/122]. Therefore, it is also considered in the diagnosis of menstrual disorders. | Chronological age is an important factor of examination[Cha.Sa. Vimana Sthana 8/122]. Therefore, it is also considered in the diagnosis of menstrual disorders. | ||
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• Heavy menstrual bleeding is also included in the disorders of blood (raktapradoshaja vikara).[ Cha. Sa. Sutra Sthana 28/11] | • Heavy menstrual bleeding is also included in the disorders of blood (raktapradoshaja vikara).[ Cha. Sa. Sutra Sthana 28/11] | ||
• The obstructive pathology due to kapha usually leads to decrease in the fuction due increase in the properties like coldness[[sheeta]], dullness/slowness[[manda]] and immobility[[sthiratva]]. While explaining the pathology of secondary amenorrhoea(artava nasha), it is clarified that the [[dosha]] causing the occlusion of [[vata]] here is either [[kapha]] or another form of [[vata]] itself, but not[[pitta]].[Dalhana commentary on Su.Sa. Sharira Sthana 2/21] | • The obstructive pathology due to kapha usually leads to decrease in the fuction due increase in the properties like coldness[[sheeta]], dullness/slowness[[manda]] and immobility[[sthiratva]]. While explaining the pathology of secondary amenorrhoea(artava nasha), it is clarified that the [[dosha]] causing the occlusion of [[vata]] here is either [[kapha]] or another form of [[vata]] itself, but not[[pitta]].[Dalhana commentary on Su.Sa. Sharira Sthana 2/21] | ||
===General features=== | ===General features=== | ||
The increase or decrease in quality and/or quantity of menstrual blood(artava)can lead to various abnormal conditions. The states can be assessed by following clinical features. | The increase or decrease in quality and/or quantity of menstrual blood(artava)can lead to various abnormal conditions. The states can be assessed by following clinical features. | ||
Symptoms of decrease of menstrual blood(artavakshaya)* Symptoms of increase in menstrual blood (artavavriddhi)** | Symptoms of decrease of menstrual blood(artavakshaya) | ||
*Symptoms of increase in menstrual blood (artavavriddhi)** | |||
primary or secondary amenorrhea, oligomenorrhea (yathochita kala adarshanam ) body aches (angamarda) | primary or secondary amenorrhea, oligomenorrhea (yathochita kala adarshanam ) body aches (angamarda) | ||
scanty menses/ hypomenorrhea (alpata) excessive menstrual bleeding (atipravrutti) | scanty menses/ hypomenorrhea (alpata) excessive menstrual bleeding (atipravrutti) | ||