Description

• Amenorrhoea due to hypothalamic dysfunction. Women under constant stress performing strenuous exercise develop amenorrhoea due to a decrease in GnRH pulse frequency with elevation in endogenous opioids and corticotrophin release hormone (CRH)
• Menstruation become irregular when BMI is < 19 kg/mm2

Types

• Absence of menstrual cycles for several months
• Decrease in bone mass density
• Osteopenia
• Osteoporosis
• Depression
• Anxiety

Investigation

• BMI(< 19 kg /mm2)
• Serum FSH(Elevated)
• Serum LH
• Serum Estradiol
• Reduced GnRH
• Low serum insulin level
• Elevated corticotrophin-releasing hormone (CRH)
• Lower 24 hr Prolactin level
• Low total triiodothyronine

Treatments

• Dietary support
• Psychological support
• Short term oestrogen therapy

Ayurvedic Treatment

Internal Medicines

• Sukumaram Kashaya
• Sathavaryadi Kashaya
• Phalasarpis
• Sathapushpa Choorna
• Dhawantharam Gutika
• Manasamithra Vataka
• Aswagandha Choorna

Procedures

• Marsa Nasya - Ksheerabala
• Thakradhara

Department

Female Infertility