HERBS

POLYCYSTIC OVARIAN SYNDROME (PCOS)

ABOUT THE DISEASE

Polycystic ovarian syndrome is a hormonal disorder which mainly occurs in women of Reproductive age. It is one of the leading causes for delayed menses and infertility in young women.

In this condition eggs fail to get mature in the ovaries, the immature eggs get collected on the outer edge of ovaries in the form of small fluid filled follicles called as cysts. That’s why it is called as polycystic ovarian syndrome.

CAUSATIVE FACTORS

There are no known causes for PCOS. Certain factors like sedentary lifestyle, faulty dietary habits, obesity and Familial inheritance, excessive consumption of steroids or contraceptive pills have been associated with this disorder

There are no known causes for PCOS. Certain factors like sedentary lifestyle, faulty dietary habits, obesity and Familial inheritance, excessive consumption of steroids or contraceptive pills have been associated with this disorder

The female reproductive organs produce estrogen and progesterone hormones which mainly help in growth and release of mature eggs from ovaries, fertilization of egg and prepare the uterus for plantation and nourishment of fertilized egg. Small amounts of male sex hormones (androgens) are also produced by the ovaries. Due to some reasons when the androgens are secreted at higher levels in body it causes failure of eggs to mature and get released from ovary (ovulation).

Apart from this, resistance for insulin hormone has also been seen in PCOS cases.

Insulin is a hormone produced by pancreatic cells which functions in absorption of glucose by the body cells.

Insulin resistance means that the body cells cannot utilize insulin for absorption of glucose, resulting in high blood glucose levels in body.

CLINICAL FEATURES

The Hormonal imbalance caused in PCOS lead to following Signs and Symptoms

1. Irregular Menses – Due to the hormonal imbalances the menstrual cycles are delayed ranging from 35 days to 3 to 4 months. Bleeding may be either very heavy or scanty.

2. Acne

3. Weight gain

4. Abnormal hair growth on face and other parts of body which is also called as Hirsutism.

5. Thinning of hair of scalp and excessive hair fall.

6. Darkening of skin at body creases like neck, groin region, elbows, fold of breasts.

Due to hormonal imbalance the eggs formed in ovaries fail to mature and are not able to fertilize with sperms this leads to infertility which is the main consequence of PCOS.

The insulin resistance seen in PCOS cases may also lead to Diabetes mellitus type 2 and heart disease.

AYURVEDIC VIEW

In Ayurvedic texts there is no independent disease correlating directly with PCOS but many conditions related to Delayed menses ,infertility have been described which can be taken in context.

The signs and symptoms of PCOS suggest imbalance of all three doshas i.e, Vata, Pitta and Kapha.

Acharya Sushruta has mentioned that Vata, Pitta and Kapha are disturbed in case of Yonivyapadas (gynaecological disorders).

CAUSES

According to Acharyas there are four main causes which are responsible for all gynaecological disorders

  • 1. Mithyachaar – This means improper diet and lifestyle like excessive intake of oily, spicy or sweet diet, junk food, lack of exercise, stress and anxiety. Lack of proper sleep, etc.
  • Artava Dushti –This means menstrual disorders. Menstrual irregularities are mainly caused due to hormonal imbalance in body
  • Beeja dushti- Beeja means genetic constitution of cell. Beeja dushti means genetic abnormality.
  • Daiva (Divine factors) – Which stands for unknown causes. Sometimes all the factors responsible for gynecological diseases like hormones, reproductive organs, diet and lifestyle, genetic factors are normal but then also disease occurs in body which Acharyas have called as Daiva.

All these factors are responsible for producing PCOS also.

PATHOGENESIS

The causative factors lead to disturbance of Vata dosha which causes hormonal imbalances in body. This results in simultaneous disturbance of Pitta and Kapha dosha. Aggravated Pitta Dosha causes menstrual irregularities and Acne while aggravated Kapha dosha results in formation of small fluid filled cysts in the ovaries and weight gain.

Agni condition in this case is generally low (Poor metabolism), Rasa and Rakta Dhatus are vitiated which ultimately lead to poor formation of last Dhatu Shukra (Shukra Dhatu is responsible for proper functioning of Reproductive system in both males and females).

PRINCIPLE OF MANAGEMENT

The main line of treatment consists of Deepana, Pachana which will help in improving metabolism of body. Tridosha shamaka chikitsa along with Shukra Dhatu improving drugs.

MEDICINES

1. Single Herbs – Dalchini (Cinnamomum Zeylanicum), Lashun (Allium sativum), Punarnava (Boerhavia diffusa), Haridra (Curcuma longum), Guduchi (Tinospora cordifolia), Shunthi( Zingiber officinale), Meshshringi (Gymnema sylvestre)

2. Powders – Dashmoola churna, Panchnimbadi churna, Triphala churna, Trikatu churna, Shatpushpadi churna, Raj pravartak churna

3. Tablets – Chandraprabha vati, Punarnava mandoor, Kachnaar guggulu, Raj pravartni vati

4. Kwath (Decoctions) – RajPrawartak Kwath, Dashmool Kwath

5. Asava/Arishta (alcoholic Preparations) – Kumaryasava, Dashmoolarishta, Ashokarishta

HOME REMEDIES

1. Take 1 tsp cinnamon powder with luke warm water empty stomach in the morning. It helps in reducing blood sugar levels and lipid levels. It also helps in reducing body weight and improve metabolism of body.

2. Take 1 to 2 teaspoons of Fenugreek seeds and soak them in 1 glass of water at night . Take this water empty stomach in the morning. It helps in balancing hormones and regulating menstrual cycles.

3. Regular Intake of Aloe Vera gel helps in hormonal imbalance and improving insulin resistance. When applied topically it also helps in soothing acne caused due to PCOS.

4. Drink 3 to 4 litres of water daily.

5. Eat low carbohydrate and high protein diet. Include more fresh vegetables, fruits, dal and whole grains in your daily diet. Avoid junk food.

6. Practise brisk walk for 20 to 30 mins daily along with regular exercise.

7. Yoga exercises like Kapalbhati Pranayama, Bhramri Pranayama, Bhadrasana, Bhujangasana, Dhanurasana, Shavasana are beneficial for PCOS

Disclaimer

The purpose of Ayurvidya is to promote broad consumer understanding and knowledge of various health topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider regarding your medical condition or treatment and before undertaking any new health care regimen.