A comparative study to evaluate the kaalaja and akaalaja rajonivrutti w.s.r to natural and surgical menopause on stree swasthya

Summary of article contents:

Rajonivrutti , an irreversible state of a woman's life is a welldiscussed phenomenon. In the present scenario, in India, the population has crossed the 1 billion marks with 71 million people over 60 years of age and the number of menopausal women, who have entered Kaalaja Rajonivrutti (Natural Menopause) is about 43 million [1] To add to this, there are many women who have entered Akaalaja Rajonivrutti (Surgical menopause) due to Hysterectomies. Hysterectomy is the second most frequently performed major surgical procedure on women all over the world, next to cesarean. In India, though no national statistical data for hysterectomy has been recorded so far, a study conducted in Haryana and Gujarat, states that 7-8% of the female population had already undergone Hysterectomy at an average age of 37 years [2] Rasadhatu [3] and Raktadhatu [4] being processed by Dhatwagni , form Upadhatu Aartava (Menstrual blood). The age of Rajonivrutti has been mentioned as 50 years in classical literatures [5]. However, considering Aartava as menstrual blood, if at all normal functioning of Aartavavaha srotas is arrested even prior to Rajonivrutti kaala , the question arises regarding its further fatewhether it is going to show its impact only on Rasadhatu and Raktadhatu or will it affect Uttarottara Dhatus too, or whether it is going to show an impact on Twak (skin) which is having an intimate relationship with Rasadhatu . Adding on, there is mention in Ayurveda classics about less susceptibility of women to Prameha (Diabetes mellitus) during the reproductive period [5]. If Rajonivrutti is Kaalaja , then it will be accepted physiologically by the body. On the other hand, due to certain pathologies, if Rajonivrutti is Akaalaja (surgically induced), it may affect the holistic wellbeing of the women. To seek an answer to the above questions, this work has been planned. Through this work, an attempt is made to have a comparative analysis of the effect of Kaalaja and Akaalaja Rajonivrutti and thereby to comprehend the outcome of surgical menopause on the systemic wellbeing of women ( Stree Swasthya ). The study also aims to document the impact of Rajonivrutti upon Dosha, Dhatu, Mala, Satva , and Srotas . The mode of assessment will be via the Dashavidha Pareeksha Vidhi. Keywords: Menopause, Kaalaja, Akaalaja Rajonivrutti INTRODUCTION Each phase of a women