AYURVEDIC MANAGEMENT OF PRIMARY DYSMENORRHOEA – A CASE STUDY

Abstract

Background: Primary dysmenorrhoea is recurrent, lower abdominal pain occurring just before or during menstruation in the absence of any identifiable pelvic pathology, and remains one of the commonest gynaecological complaints among adolescent and young adult women, often interfering substantially with daily activity, schooling, and quality of life. Conventional management relies largely on NSAIDs and hormonal contraceptives, which provide symptomatic relief but do not address the underlying functional imbalance and are frequently limited by recurrence on discontinuation or by side effects. Objectives: To evaluate the clinical effect of an Ayurvedic treatment protocol on pain severity, menstrual flow characteristics, and associated symptoms in a patient with primary dysmenorrhoea (Vataja Kashtartava), using both subjective and objective parameters. Methods: A single-case interventional protocol comprising internal medications (Tb. Dashamoolarishta, Tb. Shanka Vati) along with Sahacharadi Taila Matra Basti administered pre-menstrually, supported by Pathya–Apathya dietary advice and a daily regimen of Pranayama and gentle Yogasana, was followed for three consecutive menstrual cycles. Results: Pain scores on the Visual Analogue Scale fell from a baseline of 8/10 to 2/10 by the third cycle, analgesic consumption dropped from near-daily use to none, and the menstrual cycle became more predictable with no demonstrable pelvic pathology on repeat ultrasonography. Conclusion: This case suggests that an individualised Ayurvedic approach directed at Apana Vata and the Artava Vaha Srotas can offer sustained, low-risk relief in primary dysmenorrhoea and merits evaluation in a larger comparative trial.