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→Physiology of menstruation:
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!Name of Phase !!Days!! Physiological events!!Clinical features
!Sl No:!!Name of Phase !!Days!! Physiological events!!Clinical features
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|1.|| Menstrual phase (raja kala)||1st - 3rd or 5th day ||The blood accumulated in earlier month in the uterine vessels and endometrial capillaries (dhamani) is brought downwards to vaginal orifice by [[vayu]]. ||The daily amount of bleeding is individual specific. This phase is mainly influenced by [[vata]]. The spasm in the straight stem of arterioles as a causative phenomenon of bleeding is similar to the action of [[vata]] through dhamani.
|1.|| Menstrual phase (raja kala)||1st - 3rd or 5th day ||The blood accumulated in earlier month in the uterine vessels and endometrial capillaries (dhamani) is brought downwards to vaginal orifice by [[vayu]]. ||The daily amount of bleeding is individual specific. This phase is mainly influenced by [[vata]]. The spasm in the straight stem of arterioles as a causative phenomenon of bleeding is similar to the action of [[vata]] through dhamani.
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|2. Proliferative/follicular and ovulatory phase (Rutu kala)||Upto to 12th or 16th day||After menstruation, proliferation of endometrium starts. It makes the female reproductive organs healthy and suitable for conception.||In this phase, the fertile female (rutumati) shows following features:
|2.|| Proliferative/follicular and ovulatory phase (Rutu kala)||Upto to 12th or 16th day||After menstruation, proliferation of endometrium starts. It makes the female reproductive organs healthy and suitable for conception.||In this phase, the fertile female (rutumati) shows following features:
•She looks bright and healthy
•She looks bright and healthy
These changes can be considered as the effect of estrogen hormone, that is predominant during this phase.
These changes can be considered as the effect of estrogen hormone, that is predominant during this phase.
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|3. ||Secretory/luteal /post ovulatory phase (ritavateeta kala)||17th -28th day ||The cervix (yoni) do not promote the entry of sperms (shukra) into the uterus. The cervical mucus becomes hostile to the sperms due to the influence of progesterone.||The hot (agneya) nature of artava is more evident in this phase and there is predominance of [[pitta]] [[dosha]].
|3.||Secretory/luteal /post ovulatory phase (ritavateeta kala)||17th -28th day ||The cervix (yoni) do not promote the entry of sperms (shukra) into the uterus. The cervical mucus becomes hostile to the sperms due to the influence of progesterone.||The hot (agneya) nature of artava is more evident in this phase and there is predominance of [[pitta]] [[dosha]].
The glandular and vascular changes in the endometrium, and the thermogenic effect of progesterone during this phase may be considered in this context.
The glandular and vascular changes in the endometrium, and the thermogenic effect of progesterone during this phase may be considered in this context.
Gonadotropins FSH*/LH** Low FSH LH
Gonadotropins FSH*/LH** Low FSH LH
*Follicle Stimulating Hormone **Luteinizing Hormone
*Follicle Stimulating Hormone **Luteinizing Hormone
==Importance in preservation of health and prevention ==
==Importance in preservation of health and prevention ==
Menstruation is an important physiological event in lifecycle of a female. Female reproductive health and health of progeny significantly depends upon normal menstruation. A specific diet and lifestyle regimen (rajaswala charya) are prescribed during menstrual phase to preserve and maintain health.
Menstruation is an important physiological event in lifecycle of a female. Female reproductive health and health of progeny significantly depends upon normal menstruation. A specific diet and lifestyle regimen (rajaswala charya) are prescribed during menstrual phase to preserve and maintain health.