( By Dr. S. R. Jindal )

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Menstrual Disorders

Menstruation normally begins at the age of 11-13 years and stops around 45 years. Normally the cycles are regular - occurence in 28 days ( range 21-35 days) with the bleeding lasting for 3-5 days.

Some common complaints associated with menstruation are - painful, irregular periods and excessive or scanty bleeding. A person may have one or more complaints simultaneously.

Adolescent girls commonly have lower abdominal pain ( back and leg pain, occasionally) on the first day of the period ( Spasmodic Dysmenorrhoea). There may be nausea, vomitting or loose stools. The exact cause is not known. Long-term benefit is obtained by regular asanas and brisk walking. Relieving constipation helps as a general measure and specifically, prior to period. Fruit diet 2-3 days before periods and fasting on the day of onset of the period help.

Bleeding may also occur at irregular intervals.It may be excessive, so as to cause anaemia or it may be scanty - such that there is only spotting of blood.Anxiety and depression may be associated with the period in some cases. Of the numerous causes, hormonal imbalance, over and underweight are easily controllable by Naturopathic and Yogic methods. Other conditions that may occur are onset of periods at an early age (precocious puberty) not having periods ever or having stopped at an early age, all of which require further medical assessment.

Asanas and diet regulation are essential. Massage to abdomen, back and legs, avoiding stimulants like tea, coffee, alcohol also help. Adequate sleep, rest and relaxation help to combat anxiety and depression.

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