scholarly journals A Clinical Study to Evaluate the Efficacy of Asthapana Basti and Uttar Basti in Asrigdara w.s.r to Abnormal Uterine Bleeding

AYUSHDHARA ◽  
2021 ◽  
pp. 3482-3489
Author(s):  
Kaminey ◽  
Soni Kapil ◽  
Anil Bhardawaj
Keyword(s):  
Clinical Study ◽  
Hormonal Therapy ◽  
Abnormal Uterine Bleeding ◽  
Signs And Symptoms ◽  
Good Health ◽  
Uterine Bleeding ◽  
Total Effect ◽  
Inclusion Criteria ◽  
Group I ◽  
Effect Of Therapy

Regular periods are necessary to maintain good health of women. Any abnormality in Rituchakra leads to excessive and irregular uterine bleeding which is known as Asrigdara which can be correlated to Abnormal Uterine bleeding. In Ayurvedic text, many preparations are described to treat Asrigdara. Samshodhan therapy is mainstay in the management of Artava related disorders of which Basti is supreme to manage Asrigdara. In conventional science, Hormonal therapy is given but chances of recurrence of the disease are high. This study was planned to provide simple, safe, non- hormonal drug for the patients of Asrigdara. Total 40 patients fulfilling the inclusion criteria were selected randomly from Dept. of Stree roga and Prasuti tantra O.P.D.and I.P.D. The total effect of drug was evaluated on the basis of signs and symptoms after completion of therapy. Overall effect of therapy shows in group-I 6 (60%) patients were markedly improved, 11 (61.11%) were partially improved and 1 (5.6%) was not improved and group II- 6 (33.33%) patients were cured, 9 (50%) were markedly improved, 2 (11.1%) were partially improved, and 1 (5.6%) was unimproved. Thus, Basti Chikitsa manifested promising results for the management of Asrigdara, although hormonal pill manifested better cycle but for shorter duration.

scholarly journals Prevalence of thyroid dysfunction in women with abnormal uterine bleeding in reproductive age

2020 ◽  
Vol 9 (7) ◽  
pp. 2792
Author(s):  
Hema K. R. ◽  
Girish B. L. ◽  
Dhananjaya B. S. ◽  
Riyaj Ahmad Kalaburgi
Keyword(s):  
Thyroid Dysfunction ◽  
Abnormal Uterine Bleeding ◽  
Cross Sectional Study ◽  
Uterine Bleeding ◽  
Reproductive Age ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
Medical College ◽  
Thyroid Profile ◽  
Definitive Management

Background: Abnormal uterine bleeding (AUB) is one of the commonest presentations encountered in gynecological outpatient department. Menstruation is also regulated by many mechanisms, including thyroid hormone. So, for definitive management of AUB, it becomes imperative to assess thyroid status in those with abnormal uterine bleeding.Methods: Cross sectional study was conducted on all woman attending to OPD at Sri Siddhartha Medical College, Tumukuru, with complaints of abnormal uterine bleeding (AUB). Thyroid test was done for those who were eligible under inclusion criteria. Incidence of thyroid disorders among AUB and type of abnormal menstrual pattern associated with specific type of thyroid dysfunction were noted in this study.Results: Total of 522 presented with AUB. AUB was most common among woman age >40 years at 49.23% (257 of total 522 cases). AUB was more common in Multipara at 61.49% (321 of 522 cases). Menorrhagia was commonest pattern in AUB accounting for 51.34% (268 of 522cases). Thyroid dysfunction was present in 12.27% (64 of 522) of cases with AUB. Among them hypothyroid was most common accounting for 8.81% (46 of 522 cases). Hyperthyroidism was present in 3.44% (18 of 522 cases). Menorrhagia was most common pattern in Hypothyroidism at 65.21% (30 of 46 cases, followed by polymenorrhea at 17.39% (8 of 46 cases). Oligomenorrhea was most common in hyperthyroid group at 55.54% (10 of 18 cases) closely followed by hypomenorrhea at 44.44% (8 of 18 cases).Conclusions: Abnormal uterine bleeding (AUB) is one of the commonest gynecological complaint at gynecological OPD.  Thyroid dysfunction is noted consistently in cases of AUB. So, evaluation of thyroid profile should be part of evaluation of AUB, especially during perimenopause.

A clinical study assessing the efficacy of a new variant of the levonorgestrel intrauterine system for abnormal uterine bleeding

2015 ◽  
Vol 129 (2) ◽  
pp. 114-117 ◽  
Author(s):  
Rajmohan Gopimohan ◽  
Amrutha Chandran ◽  
Joyce Jacob ◽  
Sunil Bhaskar ◽  
Rajeev Aravindhakshan ◽  
...  
Keyword(s):  
Clinical Study ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
New Variant

scholarly journals A Single Arm Clinical Trial to Assess the Combined Effectiveness of Anubhuta Kashaya and Kaishora Guggulu in the Management of Chronic Kidney Disease (CKD)

2021 ◽  
pp. 11-20
Author(s):  
Rajshekar N. Shettar ◽  
Prashanth A.S
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Filtration Rate ◽  
Signs And Symptoms ◽  
Good Health ◽  
The Body ◽  
Inclusion Criteria ◽  
Waste Products ◽  
Progressive Decline ◽  
General Signs

CKD encompasses a spectrum of pathophysiologic processes associated with abnormal kidney function and a progressive decline in the glomerular filtration rate (GFR). Elimination of Malas from the body is also an inductive of good health. There are totally three Malas explained by the Samhitas namely Purisha, Mutra & Sweda. In Chronic Kidney Disease (CKD) where there is a less formation of Mutra, the Karma of Mutra is removing Kleda (waste products) from the body. So, the Kleda which resides in the body causes Pratiloma gati of Vata leading to different variety of diseases which involves Dusti of Rakta. Therefore, use of Mutrala & Raktashodhaka Dravyas may be helpful in the subjects of CKD. There is no availability of direct description of CKD in Ayurvedic science, except Vrukka roga Adhikara of Bhaishajya Ratnavali. So, we studied the disease with Ayurvedic concepts on the basis of general signs and symptoms. Here 28 subjects diagnosed with Chronic Kidney Disease (CKD) fulfilling the inclusion criteria were selected incidentally for study. For each subject of CKD Amapachana and Koshtashodhana was done with Hareetakyadi churna, Anubhuta Kashaya and Kaishora Guggulu are administered as Shamanoushadhi. With this intervention, we are able to give mild to moderate improvement in subjective and objective parameters. During the study improvement of subjective parameters are well appreciated than the objective parameters. The objective of the study is to establish the combined effectiveness of Anubhuta Kashaya and Kaishora guggulu in the management of Chronic Kidney Disease.  

scholarly journals Abnormal uterine bleeding in relation to thyroid dysfunction

2018 ◽  
Vol 7 (11) ◽  
pp. 4525
Author(s):  
H. C. Sudha ◽  
K. M. Sunanda ◽  
Anitha G. S.
Keyword(s):  
Thyroid Disease ◽  
Thyroid Dysfunction ◽  
Age Groups ◽  
Clinical Signs ◽  
Hormonal Treatment ◽  
Abnormal Uterine Bleeding ◽  
Signs And Symptoms ◽  
Uterine Bleeding ◽  
General Physical Examination ◽  
Gynecological Examination

Background: Abnormal uterine bleeding is an abnormal bleeding from the uterus in absence of any organic disease of genital tract and demonstrable extra genital causes. Thyroid dysfunction is marked by large number of menstrual abnormalities. This study is aimed at detecting thyroid dysfunction in patients with provisional diagnosis of AUB (abnormal uterine bleeding).and refer positive cases to physician for further management.Methods: All patients from are from puberty to pre-menopausal age groups, presenting as menoraghia, metrorragia, polymenorrhoea, polymenorragia, hypomenorrhoea, and acyclical bleeding. Onset, duration, amount of bleeding, complaints related to thyroid dysfunction was noted in detail. A thorough clinical examination including general physical examination, neck examination, systemic and gynecological examination was carried out, with special reference to thyroid dysfunction. A provisional clinical diagnosis of DUB was made. Patients with clinical signs and symptoms of thyroid disease were excluded. All these patients were subjected to routine investigations like Hb%, blood counts, urine routine, and bleeding and clotting time to rule out coagulation defects. Then all were subjected for serum T3, T4, and TSH estimation. Patients were then grouped into 4 categories: euthyroid, subclinical lhypothyroid, hypothyroid, and hyperthyroid. Patients who had thyroid disease, on hormonal treatment, IUCD users, and bleeding disorders were excluded.Results: Among 100 patients studied with abnormal uterine bleeding, patients were distributed according to age groups from puberty to perimenopause age. Majority of patients belongs to 31-40 years of age about 40% and the least age group were between 41-45 years of age.(7%).Among different parity status AUB was more common among para three patients(26%). Out of 100 patients, 32% of patients had thyroid dysfunction of which 16% of patients had subclinical hypothyroidism. 15% of patients had hypothyroidism and only 2% of patients had hyperthyroidism. The commonest bleeding abnormality in AUB were polymenorrhoea (30%) and menorrhagia (35%). All hyperthyroid cases were oligomenorrhoeic.Conclusions: This study concludes that thyroid dysfunction should be considered as an important etiological factor for menstrual abnormality. The biochemical evaluation of T3, T4, and TSH estimations should be made mandatory in AUB cases to detect apparent and occult thyroid dysfunction.

scholarly journals Clinical and diagnostic aspects of abnormal uterine bleeding in reproductive aged women with extragenital pathology

2021 ◽  
pp. 101-104
Author(s):  
I.A. Tuchkina ◽  
L.A. Vygivska ◽  
E.V. Blagoveshchensky ◽  
R.E. Blagoveshchensky
Keyword(s):  
Chronic Gastritis ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Control Group ◽  
Clinical Group ◽  
Case Histories ◽  
Study Objective ◽  
Group I ◽  
Obesity And Diabetes ◽  
Reproductive Aged Women

Study objective: to determine the clinical and diagnostic features of the abnormal uterine bleeding (AUB) in women of reproductive age with extragenital pathology.Materials and methods. The study involved a retrospective assessment of 400 case histories of reproductive aged women with AUB who underwent inpatient treatment.The main clinical group (I) consisted of 300 case histories of women with AUB and concomitant extragenital disorders, control group (II) consisted of 100 case histories of somatically healthy women with AUB. An ultrasound scan with Doppler mapping was performed to assess the pelvic organs. All women underwent hysteroscopy and/or separate diagnostic curettage with further morphological assessment of the endometrium.Results. The most common extragenital disorder was diseases of the circulatory system and endocrine system, diseases of the digestive system. 123 patients (41%) had concomitant hypertension and obesity, 76 (25.3%) – obesity and varicose veins, 53 (17.6%) – somatoform autonomic dysfunction and chronic gastritis, 39 (13%) – obesity and diabetes mellitus, 24 (8%) – chronic gastritis and obesity. AUB was complicated by anemia of varying severity in 176 (58.6%) women. According to ultrasound data the most common endometrial disorder in women of group I was glandular hyperplasia of the endometrium.Conclusion. A retrospective analysis of case histories showed a high prevalence of AUB among women with extragenital pathology, which is a clinical indicator of major menstrual disorders in this category of patients and can be a serious problem for women's health in general. The need to study the prevalence and identify the main risk factors for the AUB development will make it possible to provide a general strategy for its prevention, improve the reproductive potential of women and avoid serious abnormal changes in the process of fulfilment of the reproductive function in young women.

scholarly journals Leiomyoma with Lymphoid Infiltration: An Extremely Rare Histological Variant

2019 ◽  
Vol 3 (3) ◽  
pp. 162
Author(s):  
Mukta Pujani ◽  
Kanika Singh ◽  
Varsha Chauhan ◽  
Deepshikha Rana ◽  
Sheetal Arora ◽  
...  
Keyword(s):  
Immune Response ◽  
Hormonal Therapy ◽  
Uterine Leiomyoma ◽  
Abnormal Uterine Bleeding ◽  
Health Sciences ◽  
Uterine Bleeding ◽  
Pathological Examination ◽  
Histological Variant ◽  
Lymphoid Infiltration ◽  
Reactive Alterations

Background: Uterine leiomyoma with lymphoid infiltration is an extremely rare variant of leiomyoma. To the best of our knowledge, only 20 cases have been reported till date in the literature. Pathogenesis of this entity is not very clear. The various hypotheses which have been proposed to explain the etiopathogenesis include reactive alterations due to intrauterine pessaries, hormonal therapy or immune response dysregulation.Case report: We hereby report a case of a 44 year old female who presented with abnormal uterine bleeding. A small intramural leiomyoma was found which on pathological examination turned out to be leiomyoma with lymphoid infiltration.Conclusions: The importance of recognition this peculiar histological variant is to avoid possible misinterpretation as malignant lymphoma, inflammatory pseudotumororpyomyoma. In our case the lymphoid infiltration was reactive which was confirmed on immunohistochemistryInternational Journal of Human and Health Sciences Vol. 03 No. 03 July’19. Page: 162-164

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