AYURVEDIC VIEW OF DYSMENORRHOEA (KASHTARTAVA)

Dysmenorrhoea is defined as painful uterine cramps occurring during menstruation, severe enough to interfere with routine activities. It is one of the most common gynecological problems among adolescent girls and women, significantly affecting academic performance, work productivity, and overall quality of life. The condition may arise due to anatomical and functional abnormalities of the uterus. In Ayurveda, Kashtartava is not described as an independent disease entity but is understood as a symptom associated with various gynecological disorders such as Kukshishoola, Vatala Yoni, and Udavartini Yonivyapada. The term “Kashtartava” literally denotes a condition in which Artava (menstrual blood) is expelled with difficulty and pain. Classical Ayurvedic texts emphasize the fundamental role of Vata Dosha in the pathogenesis of gynecological disorders.