Nifedipine for primary dysmenorrhoea

2021 ◽  
Vol 2021 (12) ◽  
Author(s):  
Rachel A Earl ◽  
Rosalie M Grivell
Author(s):  
Sataz Rahmania ◽  
Vanitha Shetty ◽  
Balakrishnan Ragavendrasamy

AbstractBackground & ObjectivesThe douche, one of the hydrotherapeutic treatment modality is commonly used by Naturopathy physicians as a treatment of choice in the management of several ailments. This study was done to assess the effect of full body neutral douche in the management of pain and systemic symptoms in adult females with primary dysmenorrhoea.Methods68 subjects of age 18-22 years with primary dysmenorrhoea were recruited for the study and were randomly divided into two groups: the experimental group (n = 34) and the control group (n = 34). The experimental group received whole body neutral douche, whereas the control group followed the routine as usual. Assessments for the pain, systemic symptoms and menstrual cramps were done by using McGill Pain Questionnaire, Verbal multidimensional scoring system and analog scale for severity of pain and menstrual cramps respectively at baseline, day 30 and day 60 of intervention. Two- way repeated measures of ANOVA was performed to understand the between group changes, adjusted for the respective baseline values and age.ResultData was analyzed with SPSS (Version 21.0) package. Neutral douche resulted in significant improvement in pain [F(2,66) = 114.564, p < 0.0005, partial ?2 = 0.771], severity of pain [F(2,66) = 70.418, p < 0.0005, partial ?2 = 0.681], cramps [F(2,66) = 75.986, p < 0.0005, partial ?2 = 0.697] and systemic symptoms [F(2,66) = 14.64, p < 0.0005, partial ?2 = 0.307] as compared to the control group.ConclusionFindings suggest that neutral douche can be used as a non-pharmacological intervention in the management of pain and systemic symptoms in primary dysmenorrhea.


The Lancet ◽  
1980 ◽  
Vol 315 (8172) ◽  
pp. 800-801 ◽  

Author(s):  
Archana Kamble

The diseases related to female genital system are elaborated under umbrella of ‘Yonivyapad’ in Ayurveda.  Vitiated Vatadosha causes pain during menstruation and subsides after menstruation. This condition is explained as Udavartini Yonivyapad in Charaka Samhita. Both Primary dysmenorrhea as per modern gynaecology and Udavartini Yonivyapad from Ayurveda show similarities in their signs and symptoms, especially pain during menstruation. After deliberation of Charaka Samhita, effect of oral administration of Rasnadi Ksheera and local Guduchyadi Kwatha Parisheka were considered for their textual reference on ‘Yonishoola’. For this single arm, open labelled, prospective study; 30 married females between the age of 18 to 42 years with Pratyatma Lakshana (cardinal features) of Udavartini Yonivyapad & signs and symptoms of primary dysmenorrhea were selected. They were given Rasnadi Ksheera 80 ml orally in Apana Kala (i.e. Before lunch & dinner) for two months. Guduchyadi Kwatha Parisheka (Vaginal Douche) was performed in Rutukala for 8 days duration (i.e. from 5th day of menstrual cycle to 12th day of menstrual cycle) for two consecutive cycles. The assessment was done on basis of standard parameters before treatment and after treatment. The subjective parameters such as Spasmodic pain in abdomen, Lumbo-sacral backache, Pain radiating to thigh, Vomiting, Constipation were assessed. The study data generated and collected was put to statistical analysis to reach to the final results and conclusions.  It was concluded that oral administration of Rasnadi Ksheera and local Guduchyadi Kwatha Parisheka were highly effective in symptomatic management of Udavarta Yonivyapad W. S. R. to primary dysmenorrhea.


Author(s):  
Asitha.H

Pain is generally described as an unpleasant sensation and a universally understood sign of disease. Around 80% of women experience pain during periods from adolescent period right up to menopause. Dysmenorrhoea literally means painful menstruation. Primary dysmenorrhoea is one where there is no identifiable pelvic pathology. The pain begins a few hours before or just with the onset of menstruation and lasts for 24-48 hours. Secondary dysmenorrhoea is normally considered to be menstruation –associated pain occurring in the presence of pelvic pathology. Pain starts 7-8 days before menstruation. Endometriosis is one of the main causes of secondary dysmenorrhoea. Dysmenorrhoea can be correlated to Udavarta and endometriosis to Vatiki. In Udavarta, Sanga and Vimargagamana of Vata and derangement of Kapha pitta is responsible for pain. In Vatiki there is Apana vata vimargagamana, Vyana vata and Pitta vitiation causes Artava dusti and Dusta artava sthana samsraya in Kha vaigunya sites. So administration of drugs and treatment modalities crackling these factors involved in the etiopathogenesis do the work. Ayurvedic classic textbook along with available modern literatures were referred to make a clear view regarding the concept of pain and the main Yonirogas causing pain during menstruation and its management.


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