ANALYSIS OF NIDANAS ON ASRIGDHARA WITH SPECIAL REFERENCE TO PATHOPHYSIOLOGY OF ABNORMAL UTERINE BLEEDING

Asrigdhara/ Raktapradara is one among the Artavavyapath mentioned by our Acharyas. It can be a symptom in any disease or a disease in itself. The Tridoshakara nidanas mentioned in our classics leads to the manifestation of the disease, the pre-existing Srotodushti in the Garbhashaya and Artavavaha srotas. Any uterine bleeding outside the normal volume, duration, regularity or frequency outside of pregnancy is considered abnormal uterine bleeding (AUB). Heavy menstrual bleeding defines prolonged or heavy cyclic menstruation. Objectively menstruation last- ing longer than 7 days or exceeding 80mL of blood loss are determining values. The causes of AUB can either be structural (PALM- Polyp, Adenomyosis, Leiomyoma, Malignancy) or non- structural (COEIN- Coagulopathy, Ov- ulatory dysfunction, Endometrial, Iatrogenic and Not yet classified). Abnormal uterine bleeding among women has a global prevalence of between 3-30% accounting for about one third of outpatient gynecology visits. This condition affects the quality life of women with socioeconomic and psychological well-being. The Nidanas, Samprapti of Asrigdhara and pathophysiology of abnormal uterine bleeding has been elaborately discussed in the present article which is need of the hour. Keywords: Asrigdhara, Artavavyapath, Tridoshakara nidanas, Artavavaha srotas, Abnormal uterine bleeding.