Abstract

C. S. Bhuvana*, H. M. Spoorthi Prasad and Kamath Nagaraj

ABSTRACT

Menopause refers to permanent cessation of menstruation due to loss of ovarian follicular activity. The ovaries produce less oestrogen and progesterone, resulting in physiological, psychological, and social changes. Ayurveda depicts menopause as ‘Jara Pakva Avastha’ with Rajo Nivrutti being a coined term. Rajo Nivrutti refers to cessation of Artava Pravrutti and is associated with Vata Dosha dominated stage of life. The phases of menopause can be compared to a female’s Madhyamavastha. Menopause (Rajo Nivrutti) is a physiological process. Menopause is a natural aspect of aging even Rajo Nivrutti is mentioned as Jarajanya Avastha. It can be categorised as natural cause (Kaalaja) and unnatural cause (Akaalaja). Both conditions have a common set of clinical signs and symptoms. Vata Pradhana and Pitta Pradhana clinical signs and symptoms are predominantly observed in this phase. Menopause (Rajo Nivrutti) have an impact on both physical and mental health where especially counselling and reassurance similar to Satvavajaya Chikitsa aids in its management. The concepts of Menopause and Rajo Nivrutti are closely related.