A Comparative Clinical Study to Evaluate the effect of SARASIJAMAKARANDADI CHURNA AND PUSHYANUGA CHURNA with SHONITASTHAPANA GANA SIDDHA KSHEERA BASTI in Management of ASRIGDARA with special reference to DYSFUNCTIONAL UTERINE BLEEDING

Asrigdara is one of the most common gynaecological problems It refers to pradirana ie excessive flow of asrik It is the excessive or prolonged blood loss during menstruation with or without bleeding in intermenstrual period. Ayurvedic classics have mentioned various nidanas based on which the respective doshas get vitiated predominantly apana vayu vitiation takes place which affects the reproductive system and increases the artava pramana in the garbhashaya gata siras Asrigdara is of four types vataja pittaja, kaphaja and sannipataja and the lakshanas are based on the dosha predominance. According to Acharya Sushruta there is angamarda and pain symptoms present in all types of asrigdara with excessive vaginal bleeding that is seen as a samanya lakshana Complications include dourbalya, bharama murchha tama trishna daha pandu and tandra which usually seen in this condition

It can be correlated to the Dysfunctional uterine bleeding which is defined as a state of abnormal uterine bleeding without any clinically detectable organic systemic iatrogenic cause where pelvic pathology like tumour inflammation or pregnancy is excluded About 10-30 percentage of reproductive aged women suffer from this condition and the prevalence increases during menarche and peri-menopausal period This condition can cause many complications like anaemia and infertility, general debility, lack of concentration discomfort etc which can hamper day to day routine activities It is observed that sharp increase in the incidence today due to lifestyle food habits and stress Management of Dysfunctional uterine bleeding includes  hormonal medications including oral contraceptives non hormonal medications including NSAIDs and tranexamic acid, intrauterine devices and surgical management Medical management in contemporary science has potential side effects and most of the cases end-up in surgical intervention. According to studies hysterectomy operations are primarily performed for benign indications such as excessive menstrual bleeding, fibroids/cysts, uterine disorder and uterine prolapse in India. It is reported that some of these operations were lifesaving, some were only meant for treating nonfatal but severe conditions and some are unnecessary.

It is indicated that many of these causes were considered to be treatable and surgery could be avoided Hence there is a need to treat such cases with medicines that are potent enough to regularize the menstrual cycle with a normal flow and avoid surgical intervention

In the present study attempt is made to evalaute the efficacy of shonitasthapana gana siddha ksheera basti and shamanaousadis like Sarasija Makarandadi churna and Pushyanuga churna in Asrigdara