AN UNDERSTANDING OF GENITOURINARY SYNDROME OF MENOPAUSE (GSM) THROUGH AYURVEDA
Dr. Pragati Srivastava* and Dr. Shashi Singh
ABSTRACT
Menopause is the start of the next fabulous phase of life as a woman. It is a time to tune in to the body and embrace this new chapter. Menopause also called as Rajonivratti is the cessation of reproductive life of a female. It, alongside, forbodes several other changes in the body and mind. The most unwanted thing about the menopause is that it is considered as an end to the youth and sexuality which makes it socially unacceptable and makes the woman psychologically disturbed. A woman experiences many changes in her body in this stage of life. She complains of many symptoms which from MENOPAUSE SYNDROME. Menopause presents as transition from madhyama avastha to vriddha avashta. Thus, can be considered as a shift from pitta dominant state to vata dominant state. This shift forms the basis of menopause syndrome. Along with this, other nidan of Rajonivratti are – Jara, Kala, Swabhava, Vayu, Dhatukshaya and Karma. Genitourinay Syndrome of Menopause (GSM) is the new term for vulvovaginal atrophy (VVA). The term was first introduced in 2014. Symptoms of GSM include vaginal dryness, vaginal burning, increased frequency of micturition, nocturia, burning micturition, urinary incontinence etc. All symptoms present hypo – estrogenic state of body. The syndrome can also be considered due to Vata dominating Pitta madhyama state of body and as an outcome of Dhatukshaya in the body. Jaravastha, being vata dominant state, is the state of Dhatukshaya in the body. Also, due to mandagni, there is formation of inadequate and vitiated Rasa dhatu which leads to decline in further subsequent dhatus. GSM may occur due to kshaya of Rasa, Mamsa and Shukra dhatu mainly and management may be done accordingly.
[Full Text Article] [Download Certificate]