Menopause – Rajah-nivrutti

Right from her period of adolescence, a woman undergoes a number of changes, both physically and mentally. One of the natural transitions experienced by every woman, who has attained the menstrual cycle, is menopause. Menopause is defined as the culmination of woman's monthly menstrual periods and ovulation. Menopause can occur in women after the age of 45 years, though this widely varies from one woman to another. The average menopausal age could be taken as 51 years. This is not a disease; rather it is a natural process in a woman’s life. However, the stage when a woman has her menopause could be a very painful and mentally debilitating stage. There could be several complications.

According to Ayurveda, menstruation (raja-pravrutti) is the natural flow of excess pitta in the form of menses (raja). Raja-nivrutti is the state of gradually diminished raja-pravrutti which ends as menopause. Ayurveda looks upon menopause as an imbalance of pitta and vata doshas. These two doshas accumulate, spread and localize in the vital metabolic tissues manifesting as symptoms and consequences of menopause.


Menopausal age coincides with the woman’s transition from the pitta time period of her life in to the vata time period. Many of the symptoms that are experienced with menopause are a combination of the three doshas—vata, pitta and kapha. A woman’s hormones are governed by pitta and kapha. This is one reason why many women will experience hot flushes (pitta) and weight gain (kapha) when they are menopausal. Nervousness and affected sleep will be part of vata imbalance.

  • Anemia
  • Weakness
  • Sudden hot flashes
  • Profuse sweating, especially at night
  • Excessive fall hair
  • Irregular menstrual periods with excessive or scanty bleeding
  • Burning urination
  • Incontinence or increased frequency of urination
  • Vaginal dryness and itching
  • Joint pain
  • Edema or water retention
  • Irritable nature and mood swings
  • Depression
  • Low self-esteem
  • Sleeplessness
  • Dizziness
  • Chilly sensations
  • Breast reduction
  • Poor concentration
  • Poor memory
  • Headaches
  • Weight swings

Ayurvedic treatment for menopause , which comes under the branch of "Rasayana Therapy", involves correcting the imbalance, a Diet rich in phyto-oestrogens and internal medications and Detoxification to eliminate Toxins in the system. For this Ayurveda Panchakarma & Rejuvenation Procedures are carried out.

Panchakarma Procedure link Abhyanga (Oleation), Swedam (Suddation), Vamanam (Emesis), Virecanam (Purgation), Asthapana Vasthi (Cleansing Enemas), Anuvasana Vasthi (Nutritive Enemas) in consecutive order are performed and the Toxin accumulations are thus removed thereby bodily channels are cleaned and there is a tremendous amount of relief in the Menopausal Symptoms

Diet & Lifestyle Advice:
  • Avoid excessive intake of salt, chilies, spices, sour foods, and pickles.
  • Decrease intake of caffeine and other stimulants, refined sugar and cold drinks.
  • Completely avoid junk food and carbonated drinks.
  • Increase intake of warm foods and drinks; maintain regular meals; and use spices such as fennel and cumin.
  • An early bedtime, daily oil massage (with almond and olive oil), meditation, yoga, and regular exercise (like walking) are all helpful.

Many Ayurvedic herbs can help strengthen and rejuvenate the female reproductive system, regulate hormones, and calm emotions. These include Aloe Vera gel, shatavari (asparagus), saffron,kapikachhu (Mucuna pruriens), and ashwagandha (Withania somnifera). These herbs can be taken in milk decoctions to relieve the symptoms of menopause. Licorice should be consumed during menopause, because it has phytoestrogens that can help correct the hormonal imbalances. Also taking beetroot juice daily is helpful.

When a woman reaches perimenopause, she can benefit from turning inward to renew her self-awareness and self-knowledge. We can come to know ourselves better by simply reflecting on the energetic forces that create balance as opposed to imbalance in our lives. Along with tridosha-balancing treatments and lifestyle changes suggested by Ayurveda, we’ve seen many women benefit from practices like meditation and yoga, as well as other relaxation techniques and gentle exercises.

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