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MENSTRUAL DISORDERS

The female reproductive system is more complex than its male counterpart and therefore it is not surprising that it is subject to more frequent disturbances. Unlike the male reproductive system, where the major reproductive organs and glands are visible externally, the major organs and glands of the female system lie inside the pelvic cavity and are not visible, except for the breasts and vestibule or outer entrance to the vagina.

Disturbances of the menstrual and reproductive functions are extremely common and are a source of continual suffering for many women throughout their lives. In many countries the topic of reproductive function is traditionally veiled in secrecy, and as a result, many women do not fully understand the natural processes and cycles occurring in their bodies, or are misled by superstitions and false or inaccurate information. Many are too shy or ashamed to seek guidance and assistance when troublesome irregularities of function occur, while many others accept their problems philosophically or are not even aware that a disturbance is present and that a healthier state is possible.

SPECIFIC MENSTRUAL DISORDERS

I. Amenorrhea: or the absence of menstrual periods, is normal in children and women after menopause, as well as during pregnancy. Menstruation also remains suspended for a variable time in women who are breast feeding their baby. Stress and worry, fear and anxiety, change of environment and diet can also be implicated. Hormonal deficiency and certain tumors must be ruled out by medical examination before yogic therapy is embarked upon.

There are two basic types of amenorrhea:

Primary amenorrhea: When a young girl does not menstruate it is usually caused by poor diet and lack of fresh air, sunshine and proper exercise. Constipation and other symptoms of tension may also be present. When these causes are removed, menses usually appear. If the girl still has not begun to menstruate by the age of sixteen and a gynecological and medical examination reveals no abnormality, there should be no cause for alarm. Sometimes absence or delayed on-set of menstruation occurs in gifted or spiritually minded children, when there is strong pineal control over the pituitary gland. Artificial hormonal manipulation to induce ovulation and menstruation should be avoided unless it is proven that the child lacks the necessary hormones for full secondary sexual growth.

Secondary amenorrhea: If menstruation ceases for a few months and there is no underlying organic reason, the recommended yoga program usually restores normal function.

2. Dysmenorrhea and menorrhagia: are the medical terms for problems of painful, irregular or excessively heavy menstruation. The underlying emotional and hormonal imbalance is readily rectified by a simple and regular yogic practice.

DISORDERED MENSTRUATION

Menstrual difficulty (dysmenorrhea) spawns as much wretchedness as the common cold and medical insight into this problem is equally limited. However, one researcher in this field, Dr. Katherina Dalton (USA), has established that `woman's pain' is not one, but two distinct problems.

Spasmodic dysmenorrhea is characterized by cramps and acute pain in the lower abdomen with perhaps nausea or shakiness at the beginning of the period. It generally appears in women under twenty-five and usually clears up when the first child is born.

Congestive dysmenorrhea is associated with the terrible tension that doctors call the `premenstrual syndrome'. A heavy, dull aching in the abdomen and lower back may begin up to three or four days before the bleeding itself. Some women notice swelling and tenderness in the breasts, swollen abdomen or a generally bloated feeling. Greater fluid retention may be reflected in a temporary weight increase of up to three kilos, and there may be some nausea. Headaches, general stiffness and constipation are common. The worse aspects are the irritability, depression and lethargy that make this time of the month so emotionally debilitating. Both the physical and psychic congestion lessen in intensity when bleeding begins and are relieved when the blood-flow is most profuse. This kind of menstrual problem is common to women of all ages from puberty to menopause and seems to get worse with every pregnancy.

Although medical science has not been able to detect beyond doubt the cause of this pain, DR.Dalton's evidence and that of Drs Carey and Pinkerton in australia, indicates that both spasmodic and congestive dysmenorrhea are due to hormone imbalance. With spasmodic pain there is too much progesterone in the body, while congestive problems are due to an excess of estrogen. Another researcher, Dr.Elizabeth Connel, suggests that uterine cramps could be due to high levels of prostoglandins. These are hormone-like substances produced by the lining of the uterus in great quantities just before it is shed. Lack of progesterone (that is, too much estrogen) also causes the body cells to retain sodium and lose potassium. This has severe consequences, for the transmission of impulses throughout the nervous system and brain depends on the correct sodium/potassium ratio. It seems then, that hormonal imbalance is also the physiological root of emotional vulnerability during menses.

The symptoms of altering hormonal levels in the blood and the mental and emotional reactions to them, build up to a crescendo in the days and hours preceding the onset of menstruation. Their severity varies from individual to individual depending on the state of her health and the ability to accept and flow with the cyclical, hormonally induced changes. A high level of pain and discomfort associated with the menstrual cycle often reflects a high level of physical and nervous tension in the body, and mental and emotional opposition to the process. This is why some women who are habitually tense and on edge tend to have difficulty with their menstrual cycles, while those who accept the process with calmness and poise, whose bodies are not run down or pranically depleted and whose nervous systems are relaxed, have no abnormal symptoms.

Doctors usually treat menstrual difficulties with pain-relievers and hormonal supplements (birth control pills) and a certain percentage of women on oral contraceptive find their periods easier and the flow lighter. However, the pill is at best, risky business, most recently being linked to uterine cancers, and an increasing number of women prefer not to use it. Yoga, on the other hand, offers natural and effective methods without toxic side-effects and with benefits that extend far beyond the physical. It develops our awareness of menstruation as a useful part of our lives, rather than a curse, and offers the techniques to tame the hormonal cycle and use it for our spiritual evolution.

A PERIOD OF HEIGHTENED AWARENESS 

The monthly hormonal cycle of menstruation serves as a constant backdrop of the mental and emotional life of every woman, as well as being an important factor in her overall state of health. Form the spiritual point of view, the days around the menstrual period are very powerful and auspicious for a woman to practice meditation and japa yoga. The period commencing three days before the onset and continuing for five days of menstrual bleeding and the first five days of the new cycle, is a time when a woman gains a heightened level of awareness naturally, by virtue of the altering hormonal balance. This is a time when her natural insight and intuition become very prominent, and it is a most powerful time for psychic awakening.

During this period sense perceptions, psychic receptivity and intuition spontaneously sharpen; for example, a woman may become very much more aware of smells, sounds, textures and tastes. She may feel unusual repulsions or attractions which really reflect her altered state of awareness.

Many women become frightened because of unusual perceptions and experiences and may mistake them for hallucinations or symptoms of sickness because they fail to understand what is actually happening. Much of the pain and suffering of menstruation is due to fear and tension. When yoga is used to rebalance the disordered muscular and hormonal imbalances which distort menstruation, and fears and tensions are relaxed, the process will be seen in a different light-as a blessing in disguise. It is a period in which access to higher level of awareness is temporarily available and this should be met with confidence. Yoga and meditation are the means of transforming the menstrual period from a troublesome and unhappy experience into a natural doorway to the spiritual dimension of existence.

Any women who is taking hormonal preparations to normalize her menstrual function, or is facing hysterectomy, the surgical removal of the uterus, to relieve such symptoms, is advised to adopt the recommended daily yoga program for some months. By reducing tension and directing prana to the reproductive organs, restoration of proper balanced functioning follows. Women who practice yoga regularly have found that period pain is eased almost immediately and completely eliminated within a few months. They are generally more relaxed and their overall health and vitality are much increased.

Yogic Management:

1. Suryanamskaram
2. Veerabadhrasana
3. Sarvanga Asana
4. Nadisodhana Pranayama


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