Abstract
Polycystic ovarian syndrome (PCOS) is a probably fastest growing endocrinological disorder in females of reproductive age. In PCOS, follicular growth is influenced by hormonal imbalance during the ovarian cycle, leads to affected follicles remain in the ovary. The prevalence of PCOS is estimated 6-10% globally and 3.7% - 22.5% in Indian female population, which is relatively high. It is characterised by hyperandrogenism, anovulation and polycystic ovaries which clinically manifests in the terms of amenorrhea or oligomenorrhea, hirsutism, acne, infertility etc. In present scenario, incidence of this disease increasing exponentially due to sedentary lifestyle and faulty dietary habits. This particular disease is not described word to word in Ayurveda. Associated features of PCOS are closely resembling with Bandhya Yonivyapada, Artavavahasrotasa-Vidhha Lakshana, Nastartava and Ksheenaartava described by Acharya Sushruta and Pushpghani Jatharini and Vikuta Jatharini mentioned by Acharya Kashyap. Maximum congruence of PCOS can be established with Bandhya Yonivyapada. The purpose of this study is to understand Nastartava which is the cardinal feature of Bandhya. Word Artava has been used exclusively in Samhita in context of menstrual blood, ovum and ovarian hormones. Therefore Amenorrhea, anovulation, hormonal dysfunction is considered exposed manifestations of Nastartava. Possible line of treatment is stipulated with Nidanaparivarjan, herbal drugs and Panchakarma procedures.
 Keywords- Ayurveda, Artava, Nastartava, PCOS, Herbal drugs, Panchakarma
Highlights
In today’s era polycystic ovarian syndrome (PCOS) is an emerging endocrinological disorder leading to reproductive as well as metabolic dysfunctions affecting 6-14% of child bearing age of females [1]
In Polycystic ovarian syndrome (PCOS), follicular growth is influenced by hormonal imbalance during the ovarian cycle, leads to affected follicles remain in the ovary
The prevalence of PCOS is estimated 6-10% globally and 3.7% - 22.5% in Indian female population, which is relatively high. It is characterised by hyperandrogenism, anovulation and polycystic ovaries which clinically manifests in the terms of amenorrhea or oligomenorrhea, hirsutism, acne, infertility etc
Summary
In today’s era polycystic ovarian syndrome (PCOS) is an emerging endocrinological disorder leading to reproductive as well as metabolic dysfunctions affecting 6-14% of child bearing age of females [1]. PCOS characterised by classical triad of symptoms by hyperandrogenism, anovulation and polycystic ovarian morphology [2] It has associated comorbidities which include irregular menses, infertility, insulin resistance leads to Type 2 Diabetes and obesity, hirustism, alopecia, acne, anxiety, depression and sleep apnea, cancer and coronary heart disease [3]. AES considered Androgen excess as a main cause for pathology of PCOS and established that hyperandrogenaemia should be present accompanied by oligomenorrhoea or polycystic ovarian morphology or both of them [32].NIH sponsored an evidence-based methodology workshop on PCOS in 2012, expert panel estimated each criteria has its own strength and limitations; considering multiple criteria creates dilemma in understanding PCOS. Weight loss leads to increase circulating androgen and glucose levels and beneficial in ovulation and combating the infertility rate in obese females with PCOS. It reduces waist- to- hip on long ratio term practice [51]
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