Causes and Symptoms: Amenorrhoea or scanty discharge of menstrual blood may be due to anaemia or general ill health, or due to certain serious diseases like TB, Bright`s disease, or malaria of a prolonged nature.

Dysmenorrhoea is characterized by colicky pain and there is also prostration and vomiting. If the pain precedes the menstrual period, it is due to irritation in the ovary and is generally accompanied by pain in the groin.

Another cause of dysmenorrhoea is inflammation of the various internal organs like the uterus, the ovaries, or the fallopian tubes. These parts connect the ovaries with the uterus. Sometimes the disorder is due to nervous causes in which case there are spasmodic pains.

In cases of scanty discharge of menstrual blood, the main cause should be diagnosed and removed. If it is due to anaemia, the treatment for anaemia is a prerequisite to the treatment of amenorrhoea. Aggravated dyspepsia, prolonged malaria, or Bright`s disease should be treated first, in case they have given rise to scanty and painful discharge. In cases where the exact cause is not known, general tonics and remedies for improving the health of the patient should be administered as well.

Medicines & Prescriptions: Ayurveda prescribes the following medicines in cases of amenorrhoea and dysmenorrhoea:

Raja Pravartini, Voladi Vati or Nashtapushpantaka Rasa: 500 mg of Raja Pravartini, and 500 mg of Voladi Vati or Nashtapushpantaka Rasa to be taken with decoction of black sesame, leaves of Lasora, and gur.

Kumaryasava, Shuddha Tankana: 20 ml of Kumaryasava and 240 mg of Shuddha Tankana to be taken twice daily and should be preferably taken after meals.

Home Remedies: Another helpful remedy is a decoction of 18 gm of the root of the cotton tree, Telia Geru should be taken 6 gms, leaves of rose bush 6 gms, root of Chaulai 6 gms, and gur 24 gms with 750 ml of water. The decoction should be allowed to boil till one-eighth is left. It should be given once daily for three days.

Diet and Other Regimen: A nourishing diet with plenty of milk, fruit, and vegetables should be taken.

A medical check-up for evidence of any chronic infection or disease is necessary.