Dysmenorrhea is a medical condition characterized by severe uterine pain during menstruation. Painful menstruation is known as RAJAH-KRICCHA or Kastartava in Ayurveda. While many individuals experience minor pain during menstruation, dysmenorrhea is diagnosed when the pain is so severe as to limit normal activities, or require medication. The pain may appear before the start of menstruation cycle and may remain thereafter. It may continue till the end of cycle. This kind of dysmenorrhea usually affects young woman within two years of the onset of menstruation and lasts one or two days each month.


When the menstrual cycle begins, prostaglandins (chemical substances that are made by cells in the lining of the uterus) are released by the endometrial cells as they are shed from the uterine lining, causing the uterine muscles to contract. If excessive prostaglandin is present, the normal contraction response can become a strong and painful spasm. As it spasms, the blood flow is cut off temporarily, depriving the uterine muscle of oxygen and thus causing a "cramp." The cramps themselves help push out the menstrual discharge. Excessive prostaglandin release is also responsible for contraction of the smooth muscle in the intestinal tract;


Dysmenorrhea is severe, disabling cramps without underlying illness. Symptoms may include:

  • Backache
  • Leg pain
  • Nausea
  • Vomiting
  • Diarrhea
  • Headache
  • Dizziness

According to Ayurveda, Aartava or Menstruation is a phenomenon, which is controlled and governed by Vata and specifically the Apana Vayu, the sub type of the Vata Dosha. So in Dysmenorrhea, the first important thing is to control the Vata. Vata as we all know is a factor which "holds" and "moves" all other factors of the body in its desirable directions, so this is important that in a female patient Vata should be under control to remove this condition of the Dysmenorrhea completely.

Vata is associated with the stress, with dryness, with movements and with a lot of other factors and all these factors should be under control to get rid of the problem properly. Generally it is noted that Periods bring a lot of anxiety and depression and females went under stress. This stress will never help any one this will only increase the problem and severity of the problem. It generally happens with the women who are suffering from Premenstrual Syndrome.

The second thing which worsens the condition of theDysmenorrhea is the Constipation. This is a well known fact that Apana Vayu has its head quarter in the last part of the intestine. So if there will be some of the problems, it will only aggravate the condition of the Dysmenorrhea.

Ayurvedic treatment emphasizes sweating, cleansing douches, and medicated enemas. Abhyang, is used to relieve any obstructions in the passage, relieve any spasms, facilitate free movement of vata in the proper direction, and enhance a proper menstrual flow. Gentle massage with sesame oil, mahanarayan oil, or Panchguna oil is advised over the lower abdomen, pelvic region, and thighs. swedana therapy remove the toxins and also relieve muscular spasms and tenderness.

A medicated enema with a mixture of oil, milk, herbal paste, and decoction of herbs is also pacifies vata and reduces any flatulence, removes obstruction of fecal matter, and relieves the tension in the pelvic cavity. These three therapies together help relieve pain and discomfort in the pelvic region.

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