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Managing Menopause
Managing Menopause
Managing Menopause
ISSN: 0975-833X
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*Dr.
Dr. Y. Ratna Priyadarsini and Dr. P. V. N. R. Prasad
Dr. N.R.S. Govt. Ayurvedic College, Vijayawada, A.P. India
Article History: Menopause is but a natural transition in women that occurs at the age of 4545-55 years. The menstrual
th cycle stops and sex hormone levels decrease, including that of estrogen, resulting in the condition
Received 20 February, 2017
Received in revised form called menopause. In Ayurveda, menopause is described as a natural effect of aging and does not
12th March, 2017 reflect any disease. Since menopause is the transition from the Pitta phase of life to the Vata phase, if
Accepted 16th April, 2017 a woman already has a significant Pitta or Vata imbalance in the years before menopause, things are
Published online 19th May, 2017 likely to get worse during menopause, which is a period
period when hormonal and other natural changes
take place in the body. Foods that can easily be digested, creating micronutrients that are then
Key words: assimilated into the tissues to rebuild their strength, will be recommended. Program to improve
Menopause, Oestrogen, Vata, pitta, digestion is an important prerequisite for overcoming menopausal symptoms.
Micro nutrients, Rajonivritti.
Copyright©2017, Ratna Priyadarsini and Dr. Prasad.. This is an open access article distributed under the Creative Commons Att
Attribution License, which permits
unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
greater quantity and start to create many of the negative For some, a higher risk for certain other age-related
symptoms of menopause. diseases (including cardiovascular diseases, dementia
and osteoporosis)
Another factor leading to menopausal imbalances is the
accumulation of digestive impurities (ama) in the physiology. S.No. Common Serious Other Symptoms
Ama blocks the channels that transport nutrition to the cells Symptoms symptoms
and remove waste from the body, and thus contributes to 1. Cognitive changes Depression Asthma
2. Decreased Libido Heavy Bleeding Aching joints &
menopausal problems. A third factor is the misuse or overuse Muscles
of the mind, body, emotions, or senses. Basically, this happens 3. Fatigue Hypertension Bizarre dreams
when a woman strains her mind too much, is under too much 4. Head-ache Palpitations Burning sensation
ongoing stress or pressure, or is doing work that is too "heavy" Mouth
5. Hot flashes --- Change in Body
for her body, or is under tremendous emotional stress. odour
6. Insomnia --- Change in breadth
Factors influencing menopause odour
7. Memory --- Creepy & crawly
disturbances feelings in Skin
a) General health condition
8. Menstrual --- Dizziness
b) Nutritional status irregularities
c) Environment 9. Mood swings --- Electric socks
d) Psychological status 10. Night Sweats --- Hair loss
11. Urinary problems --- Indigestion
e) Hormonal condition
12. Vaginal dryness --- Low Blood
Pressure
Causative factors 13. Weight gain --- Tinnitus
14. --- --- Unusual
Numbness &
Most of the menopause related disorders can be attributed to Tingling
hormonal imbalance. Other causes for menopausal disorders 15. --- --- ---
may be heredity, viral infections, radiation therapy,
autoimmune disorders and chromosomal irregularities. According to Ayurveda, the most common symptoms of
Because it is a natural transition between two phases of a menopause are caused by an excess of Vata and Pitta dosha.
woman’s life, menopause is only linked with aging and does Imbalances in Vata, Pitta or Kapha create very different
not have any significant causative factor. However, cases of symptoms. Learning where the imbalance is located can help
Premature Menopause have been noticed in many women women understand their condition more clearly and treat it
below the age of 40. This menopause is more likely to occur in more effectively. Though the symptoms of Vata and Pitta are
women who smoke excessively, have never been pregnant, or most common for women around the time of menopause, it is
live at high altitudes. Another kind of menopause – surgical also possible for Kapha to increase at this time. Adrenal stress
menopause – is caused by induced removal of the ovaries. is a typical feature of Vata-imbalanced menopause. Clinically
Women who have had surgical menopause often have a sudden significant insomnia impaired short term memory and
and severe onset of the symptoms of menopause. emotional liability as well as osteoporosis or osteopenia are
frequently encountered symptoms. In Pitta imbalance,
Symptoms Estrogen dominant pattern is evident.
Menopause may not be the same for everyone. But some S.No. VATA PITTA KAPHA
menopause symptoms are very common, some are less 1. Anxiety Hot Flashes Heaviness in the
common, and some are serious and should not be ignored. body
Women can experience a variety of symptoms and conditions 2. Constipation Hot temper Depression
related to changes in sex hormone levels and aging. Some of 3. Feeling cold Irritability Listlessness
4. Drying Up Of Body Digestive Slowing down of
the most common menopause symptoms include: Tissues Disturbances Digestion
5. Joint & Muscle Altered Metabolism Weight gain
Morphological changes in the distribution of adipose pains
tissue and associated obesity trend. 6. Loss of skin tone Acne Lethargy
7. Mood swings Night Sweats Fluid retention
Irregular and less abundant menstruation until their 8. Nervousness Excessive heat Yeast infections
complete disappearance. 9. Panic Feeling Hot Depression
Increasing scarcity of pubic and auxiliary hair 10. Sleep Disturbances Excessive Bleeding Lacking
Decreased volume and tone of the breasts, vaginal Motivation
11. Changeable body Urinary Tract Dullness
dryness, vulvar changes temp. Infection
Change in mood: anxiety, irritability, depression, 12. Cramps Skin rashes Weak Digestion
tension, palpitations and headache 13. Shivering --- Fluid retention
Changes in libido with diminished interest in sex 14. Bloating --- Regular but
delayed Cycles
Changes in the uterus, ovaries and cervix 15. Weight loss ---
Insomnia and partial memory loss Krodha, Smriti hrasa, Utsaha hani,
Other symptoms like fatigue, numbness and backaches. MANASIKA LAKSHANA Dhairya hani, Shoka. Shirah shula,
Breast discomfort, dry mouth, frequent headaches, Vishada, Chinta, bhaya, Medha hrasa,
Alpa harsha, parakrama hani, Preeti and
frequent urge to urinate, loss of muscle, mental Dwesha.
exhaustion, nervousness, or passing excessive amounts
of flatus
49757 International Journal of Current Research, Vol. 9, Issue, 05, pp.49755-49760, May, 2017
As levels of progesterone and then estrogen drop, the relative no treatment. But Acharya Chakrapani while commenting on
level of testosterone becomes greater. Hence a Pitta-provoked this mentioned that the word "Nishpratikriya" means ordinary
menopausal woman may experience levels of anger, treatment and measures have no effect on aging. There is no
aggression and fighting spirit that are quite unfamiliar to both treatment for Kalakrita. But according to Acharya Dalhana
her and her partner. In Kapha imbalance, Thyroid function they may become "Yapya" by Rasayana & pathya-
may be affected by the hormonal changes of menopause, aharavihara etc. Rajonivritti (menopause) and the individual
resulting in lowered metabolism and an inability to lose may live with the disorder without being disturbed by the
weight. Fibrocystic changes may occur in the breasts during disease. It is also said that in "Yapya" stage the disease recurs
peri menopause, while fluid retention may also be an issue immediately after the withdrawal of treatment.
Since Menopause also represents the stage of Dhatu-kshaya, Any woman, however healthy, will go through menopause
the following symptoms of Kshaya lakshna of different dhatu sometime in her mid-forties to mid-fifties. In Modern medicine
are often observed in Menopaused individuals. today, menopause is seen as a deficiency disease and is
However HRT is recommended only if the imbalance is cereals, dried beans and lentils, flax-seed, sunflower seeds and
severe, as HRT has been found to have side effects like breast peanuts, vegetables such as asparagus, sweet potatoes, carrots,
or cervical cancer. Ayurveda has excellent solutions for a safe garlic and broccoli and fruits such as pears, plums and
and happy menopause. According to Ayurveda, Menopause is strawberries are highly helpful in overcoming the menace of
not an illness but is usually a hormonal shift that occurs in menopause. According to Ayurveda, every individual has
women. It is normal for hormone levels to fall in middle age. unique need for balance. Since diet is one of the most
These hormones do not need to be replaced. While menopause important ayurvedic tools for achieving balance, ayurvedic
is inevitable, the related disorders can be coped up by healers generally design individualized diets for people they
following some simple home remedies and natural cures. Yet see, based on various factors such as age and gender, the
menopause is a more difficult topic to approach because doshic tendencies that need to be balanced at a given time, the
menopause is not an illness. Understanding of this important strength of the body tissues and the digestive fires, and the
phenomenon and of how to support women in all stages of level of ama (toxins) in the body. Common herbs and spices
menopause is thus an essential aspect of Ayurveda practice such as thyme, nutmeg, turmeric and licorice also have
today. estrogenic properties. It turns out that if one simply eat a
varied diet high in fruits, vegetables, whole grains and dried
The main objective of Ayurvedic therapies for menopause is beans, one will be ingesting a rich phyto-estrogen feast in daily
to: cuisine! Variety and moderation are important because just as
too much estrogen is unhealthy after menopause, too much
1. Prevent the build-up of toxins that can manifest years phyto-estrogen may also be dangerous. This danger can be
later as symptoms of menopause. avoided by getting your phyto-estrogens naturally from a
2. Provide cleansing periods for the body after menopause variety of whole foods. Health problems at menopause
when the important cleansing periods of menstruation represent imbalances in the body that were already growing in
have been lost. the body and are unmasked by the stress of shifting hormones.
Menopause symptoms are Nature's wake-up call to start paying
Ayurvedic treatment of Menopause focuses on strengthening more attention to health. Age forty-five to fifty-five is a critical
and rejuvenating the reproductive system, regulate the decade, according to Ayurveda. It provides the foundation on
hormones, calm mental stress, maintain effective digestion, which one’s later health is laid.
boosting immunity and to provide rejuvenation. Apana Vata,
which governs the genitourinary tract, elimination, and Conclusion
menstruation, is a key area to attend to when preparing for
menopause. It is also important to keep your digestion strong Menopause happens. It's a natural transition, says Ayurveda,
and free of Ama. Diet and lifestyle adjustments are advised to and like all transitions, menopause has to be managed to
maintain health and increase vitality naturally. The entire line minimize discomfort. Ayurvedic treatment of Menopause
is targeted to promote the overall emotional, physical and focuses on strengthening and rejuvenating the reproductive
mental health of women. This also helps in keeping the body system, regulate the hormones, calm mental stress, maintain
free of ama and maintains the balance between soma (lunar effective digestion, boosting immunity and to provide
energy) and agni (solar energy) — a balance that is vital for rejuvenation. Apana Vata, which governs the genitourinary
health during menopause and beyond. It provides both general tract, elimination, and menstruation, is a key area to attend to
support and targets specific imbalances that women experience when preparing for menopause. It is also important to keep
before, during and after menopause. Ayurvedic detoxification one’s digestion strong and free of Ama. Diet and lifestyle
program referred to as "Panchakarma," may be needed to clear adjustments are advised to maintain health and increase vitality
the body's channels and gain relief. This internal cleansing naturally. Eating fewer calories, adding fruits, vegetables,
approach is also the treatment of choice for more serious whole grains and lean proteins will help the body fuel in a
problems such as osteoporosis and high cholesterol. It can be healthy way. Eating food with a lower glycemic index may
very transforming, eliminating symptoms while at the same also be helpful to decrease the effect on blood sugar levels.
time dramatically reducing stress and fatigue. They feel much These may seem like small steps but if practiced daily can
better, radiate health and youthfulness and one may experience make a huge difference.
a profound sense of well-being and inner peace.
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