Abstract

ROLE OF PATHADI KWATHA IN THE MANAGEMENT OF OLIGOMENORRHOEA CAUSED DUE TO PCOS

Ashiya*, Laxmipriya Dei and Rajkrinti

Abstract

Menstrual bleeding occurring more than 35 days apart and whichremains constant at that frequency is called as oligomenorrhoea. Theaffected women typically menstruate between 4 and 9 times per year.Oligomenorrhoea can be age related- during adolescence andpreceeding menopause, weight related-stress and exercise related, dueto tubercular endometritis, due to androgen producing tumors- ovarian,adrenal, due to endocrine disorders hyperprolactinaemia,hypothyroidism, PCOS(commonest). Women with pcos have raisedlevels of male hormones androgens, which causes oilgomenorrhoea.Low oestrogen levels are also a component of oligomennohoea.Oligomenorrhoea can result in infertility. The causes ofoligomenorrhoea include hypothalamic, pituitary, or ovariandysfunction. Hypothalamic oligomenorrhoea or ammenorrhoea is due to decreased pulsatilesecretion of GNRH. Decreased GNRH secretion may be caused by psychological oremotional disorders. Pituitary causes include hyperprolactinaemia. Ovarian causes includepremature ovarian failure. Information about the cause of oligomenorrhoea may be revealedby measurements of Sr.FSH, Sr.LH, Sr.Prolactin, Sr. Testosterone. High Sr. FSH, Sr.LHlevels indicates the presence of ovarian dysfunction (primary hypogonadism) whereas lowlevels indicates the presence of hypothalamic or pituitary dysfunction (secondaryhypogonadism). Some people are at risk to develop oligomenorrhoea, such as athletes,models, dancers due to their intense strenuous physical training and strict diet.

Keywords: Oligomenorrhoea, PCOS, Artava Kshaya, Pathadi Kwatha.