Abstract

QUALITY OF LIFE OF THE MENOPAUSAL WOMEN: A HOLISTIC APPROACH

Dr. Preetha Somasundaram* and Dr. Sharon Samuel

Abstract

The physiological function of most organ systems tends to decline with age with a wide range of variation in each individual, especially in women. Menopause is a part of that physiological process that universally affects all women. Every woman deserves attention, precise diagnosis and assessment of her condition along with personalised management. It is a critical period in the woman’s life where loss of ovarian follicular activity is characterized biologically by decline in fertility, endocrinologically by alteration of hormone levels, and clinically by variation in menstrual cycle length and experience of a variety of symptoms. For decades, estrogen, either alone or in combination with progestins (HRT) has been the therapy of choice, which has associated risk factors as well. Search for safer alternatives to provide optimum physical and mental health is a necessity of the time. Ayurveda considers aging as Nishpratikriya (changes cannot be resisted) and Swabhavabala Roga (natural disease). Rajonivritti (menopause) occurs in Jara pakva Shareera (aged body) with gradual diminution in the qualities of Dosha, Dhatu, Mala, Agni and Ojas. Countering aging and related changes by use of Vayasthapana, rejuvenating the aged body by Jeevaneeya Dravyas, Rasayana and Sthanika Chikitsa are recommended. This paper is a review of probable causes and therapeutics based on Ayurvedic principles which can be further understood and applied to improve the quality of life in women of menopausal age.

Keywords: Menopause, Rajonivritti, Hormone Replacement Therapy, Ayurveda.