RAJONIVRUTTI – A GRACEFUL TRANSITION & ITS MANAGEMENT: CLINICALSTUDY

Menopause is not just a state of few hot flushes, night sweats, or irritability and an end to the menstrual flow. Still, it is a naturally occurring transitionary phase of a woman’s life and a normal ageing process, which is an inevitable process as mentioned in Ayurvedic classics. It marks the end of the fertile stage in a woman's life. She has to overcome the stigma, thus accepting and embracing it. Every individual goes through three phases, name-ly childhood, adulthood, and old age or balya, madhya, and Vriddha avastha during their lifespan, dominated by Tridosha’s, respectively. Especially the Vata dosha, which is much more predominant & Dhatukshaya (depletion of tissue) occurs at the Vriddha avastha stage, which is more challenging for women. Menopause is the perma-nent cessation of menstruation at the end of reproductive life due to loss of ovarian follicular activity. The age at menopause appears genetically determined and is unaffected by race, socioeconomic status, age at menarche, or number of prior ovulations. Symptoms in the menopausal phase, like insomnia, anxiety, urinary symptoms, and osteoporotic changes, are due to the dominance of vata dosha. Additionally, pitta dosha symptoms like hot flushes, irritability, etc, are seen during this phase. Of course, it is temporary and will eventually go away on its own. Still, sometimes, the expression of this change can be unmanageable and become an alarming call to pay the most attention to elderly women’s health. So, with awareness, we should consciously support this transition more healthily physically, mentally, socially, and spiritually by adopting preventive and promotive approaches. Ayurveda, the science of life, has an excellent solution for the safest & happiest transition into Rajonivrutti. It advocates a holistic treatment by modifying diet & lifestyle by utilising various purified herbs and minerals with deepana, pachana, Medhya, balya, vayasthapana, and srothoshodhana properties. Different therapies like Sam-shamana, Panchakarma, Rasayana, and Yoga are advocated as reliable options for conventional treatment. Ra-jonivrutti can be well managed by the Ayurvedic treatment protocol, which helps the woman pass the stage gracefully.