Abstract

CRITICAL REVIEW ON ARTAVA KSHAYA WITH SPECIAL RESPECT TO OLIGOMENORRHEA AND HYPOMENORRHEA

*Dr. Mofidul Islam and Dr. Yanbeni Humtsoe

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Abstract

The term "Artava" encompasses menstrual blood, ovum, hormones, and associated secretions, while "Kshaya" denotes reduction or cessation. According to classical texts, Artavakshaya is described as irregularity in menstruation (Yathochitakala Adarshanam), scanty (Alpata), lasts less than 3 days, and may involve vaginal pain (Yonivedana). Artava Kshaya is also seen as one of the manifestation of the Yoni vyapad as like Arajaska/Lohitkshaya Yonivyapada & Vatala Yonivyapada, along with ksheen Artava dusti and Jataharini. Primary etiological factors include Apan Vayu vitiation, Dhatu imbalance, excessive hot foods, over-medication, and srota avarodha. The pathogenesis involves a complex interplay of dosha disturbances and dhatu deficiencies, impacting normal menstrual function. From a modern medical perspective, Artava Kshaya aligns with conditions like oligomenorrhoea and hypomenorrhoea. Treatment in Ayurveda focuses on both Samshodhana (purification) and Samshamana (pacification) approaches.

Keywords: Artava Kshaya, Garbhashayashodhana, Oligomenorrhea & Hypomenorrhea, YoniYapad, Yathochitakala Adarshanam, Alpata, Yonivedana.