Efficacy of Unani Formulation (Mentha Longifolia) And Ruta Graveolans in The Management of Ihtebas-E Hayd (Secondary Amenorrhea): A Case Series

Ehtbas-e-Hayd (secondary amenorrhoea) is defined as cessation of menses for 6 month in female previously irregular menstrual pattern, or the cessation of menses for 3 consecutive month. This accounts for approximately 3 to 4 % of the population. It is a commonest problem in the reproductive years. As a result, a large number of female populations rely on exogenous source of hormones to cure the imbalance. But the prolong use of hormones causes side effects and other health related complications. Methodology: In this study of case series, 5 patients irrespective of their marital status who presented with secondary amenorrhoea were randomly enrolled. After history taking, pregnancy test evaluation and systemic examination were given oral capsules containing ground test drugs (suddab & mushktramashee) thrice in a day for a week for withdrawal bleeding. The primary outcome variable was the occurrence of withdrawal bleeding after consumption of the study drug. Secondary outcome measure was to regularize the bleeding pattern during the 3month study period. Discussion & Conclusion: The management of secondary amenorrhea as per the conventional system of medicine mainly includes hormonal therapy. This treatment however, provides temporary relief to the patients. Long-term use of hormonal pills results in significant number of side effects and hence there is a need of an alternative therapy to treat the same. Hence, keeping in view the need of a non-hormonal drug with minimum side-effects, the 2 Unani drugs suddab and mushktramasheeh have been selected to study their effect on secondary amenorrhea.