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==Classification of menstrual disorders==

==Classification of menstrual disorders==

===Types based on clinical presentation===

===Types based on clinical presentation===

The menstrual disorders can be classified into three categories.

The menstrual disorders can be classified into three categories.

'''Table 1: Three categories of menstrual disorders'''  

'''Table 1: Three categories of menstrual disorders'''  

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==Age specific classification ==

== Age specific classification ==

Chronological age is an important factor of examination[Cha.Sa. Vimana Sthana 8/122]. Therefore, it is also considered in the diagnosis of menstrual disorders.  

Chronological age is an important factor of examination[Cha.Sa. Vimana Sthana 8/122]. Therefore, it is also considered in the diagnosis of menstrual disorders.  

• Heavy menstrual bleeding is also included in the disorders of blood (raktapradoshaja vikara).[ Cha. Sa. Sutra Sthana 28/11]

• Heavy menstrual bleeding is also included in the disorders of blood (raktapradoshaja vikara).[ Cha. Sa. Sutra Sthana 28/11]

• The obstructive pathology due to kapha usually leads to decrease in the fuction due increase in the properties like coldness[[sheeta]], dullness/slowness[[manda]] and immobility[[sthiratva]]. While explaining the pathology of secondary amenorrhoea(artava nasha), it is clarified that the [[dosha]] causing the occlusion of [[vata]] here is either [[kapha]] or another form of [[vata]] itself, but not[[pitta]].[Dalhana commentary on  Su.Sa. Sharira Sthana 2/21]

• The obstructive pathology due to kapha usually leads to decrease in the fuction due increase in the properties like coldness[[sheeta]], dullness/slowness[[manda]] and immobility[[sthiratva]]. While explaining the pathology of secondary amenorrhoea(artava nasha), it is clarified that the [[dosha]] causing the occlusion of [[vata]] here is either [[kapha]] or another form of [[vata]] itself, but not[[pitta]].[Dalhana commentary on  Su.Sa. Sharira Sthana 2/21]

===General features===

===General features===

The increase or decrease in quality and/or quantity of menstrual blood(artava)can lead to various abnormal conditions. The states can be assessed by following clinical features.

The increase or decrease in quality and/or quantity of menstrual blood(artava)can lead to various abnormal conditions. The states can be assessed by following clinical features.

Symptoms of decrease of menstrual blood(artavakshaya)* Symptoms of increase in menstrual blood (artavavriddhi)**

Symptoms of decrease of menstrual blood(artavakshaya)

*Symptoms of increase in menstrual blood (artavavriddhi)**

primary or secondary amenorrhea, oligomenorrhea (yathochita kala adarshanam ) body aches (angamarda)

primary or secondary amenorrhea, oligomenorrhea (yathochita kala adarshanam ) body aches (angamarda)

scanty menses/ hypomenorrhea (alpata) excessive menstrual bleeding (atipravrutti)

scanty menses/ hypomenorrhea (alpata) excessive menstrual bleeding (atipravrutti)