PCOS, referred to as Aarthava Kshaya in Ayurveda, is a hormonal disorder characterized by irregular or absent menstruation, excessive body hair, weight gain, and cysts in the ovaries. Ayurveda sees PCOS as a result of an imbalance in the Doshas, particularly Kapha and Vata, leading to disrupted menstrual function and accumulation of cystic growths.

Reference:

• Charaka Samhita, Chikitsa Sthana 30/16: "Arthava viplava kshaya dosha pradhanam" (The disturbance in reproductive functions is often due to Dosha imbalances).

PCOS is a complex condition involving multiple factors, including lifestyle, diet, and stress, resulting in menstrual irregularities, ovulation issues, and elevated levels of androgens (male hormones) in women. From an Ayurvedic perspective, it is viewed as Aarthava Kshaya (diminished menstrual flow) due to imbalances in Kapha, Vata, and impaired metabolism (Agni), leading to the formation of Ama (toxins).

• Consumption of heavy, processed, or junk foods that increase Kapha and create Ama (toxins).
• Excessive intake of dairy, sweets, and cold foods that further aggravate Kapha.

• Sedentary lifestyle, lack of exercise, or excessive screen time, which promote Kapha imbalance.
• Chronic stress and sleep disturbances, exacerbating Vata and hormonal irregularities.

Reference:

• Sushruta Samhita, Chikitsa Sthana, 24/30: "Kapha vata janita sthula vriddhi" (Sedentary and Kapha-inducing lifestyle causes weight gain and hormonal disruption).

When Kapha accumulates and combines with Vata, it obstructs the channels (Srotas) responsible for menstrual flow, leading to cyst formation in the ovaries. The impaired metabolism (Agni) generates toxins (Ama), which exacerbate the reproductive issues by obstructing Artavavaha Srotas (reproductive channels).

Reference:

• Madhava Nidan, Yonivyapad Nidan, 27/3: "Kapha avrita vata artava rodha hetu" (The obstruction of menstrual channels by Kapha and Vata leads to reproductive issues).

Ayurvedic diagnosis involves an assessment of doshic imbalances, lifestyle factors, and Agni (digestive fire) status. Pulse diagnosis and examination of menstrual history are also considered.

Reference:

• Yogaratnakara, Stri Roga Chikitsa, 18/22: "Nadi pariksha kapha pradhan dosha gyana" (Diagnosis of Kapha involvement in reproductive disorders through pulse examination).

• Irregular or delayed menstruation
• Slight weight gain, especially around the abdomen
• Increased hair growth on the face and body
• Mild fatigue and lethargy

• Irregular, scanty, or absent periods
• Difficulty in conceiving due to lack of ovulation
• Acne, oily skin, and hair fall
• Weight gain, especially around the belly
• Excessive hair growth in areas such as the face, chest, and back

• Irregular, scanty, or absent periods
• Difficulty in conceiving due to lack of ovulation
• Acne, oily skin, and hair fall
• Weight gain, especially around the belly
• Excessive hair growth in areas such as the face, chest, and back

1. Kapha Predominant PCOS: Slow metabolism, weight gain, and cystic formations.
2. Vata Predominant PCOS: Irregular cycles, anxiety, and nervousness.
3. Pitta Predominant PCOS: Acne, mood swings, and inflammatory symptoms.

• Infertility and difficulty in conceiving
• Increased risk of diabetes and cardiovascular issues
• Sleep apnea and hormonal imbalances

With a balanced diet, lifestyle adjustments, and appropriate herbal treatments, PCOS can be managed effectively. Early diagnosis and lifestyle modification are key to controlling symptoms

1. Panchakarma (Detoxification):

   • Virechana (Purgation): To eliminate excess Pitta and improve hormonal balance.
   • Udvartana (Herbal Powder Massage): Reduces body fat and balances Kapha.
   • Basti (Herbal Enema): Nourishes reproductive organs and balances Vata.

2. Herbal Remedies:

   • Shatavari (Asparagus racemosus): Supports reproductive health and balances hormones.
   • Triphala: Helps in detoxification, enhancing metabolism and gut health.
   • Guggulu (Commiphora mukul): Reduces body fat and manages Kapha dosha.

3. Shamana Chikitsa (Pacification Therapy):

   • Use of Chandraprabha Vati, Kanchanar Guggulu, and Ashokarishta to maintain hormonal balance.
   • Yoga & Pranayama: Regular practice of Asanas like Baddha Konasana, Paschimottanasana, and Nadi Shodhana Pranayama to improve reproductive health.

• Include fibrous foods, leafy greens, and whole grains to improve digestion.
• Avoid refined sugars, dairy, and fatty foods that increase Kapha.
• Consume warm, light meals with spices like turmeric, cumin, and cinnamon to balance Kapha and support metabolism.

Reference:

• Charaka Samhita, Sutrasthana, 6/20: "Aushadha bhutam karma saarthaka kaphaghna bhojana" (Diet with Kapha-reducing properties can be effective in controlling symptoms).

• Avoid heavy, sweet, and oily foods.
• Refrain from excessive sugar, cold foods, and dairy products.
• Limit mental stress, irregular sleep, and sedentary habits.

PCOS is characterized by elevated androgens, insulin resistance, and irregular ovulation, leading to symptoms such as weight gain, acne, hair growth, and menstrual irregularities. Modern treatment includes lifestyle modification, hormonal therapy, and medications. Ayurveda focuses on holistic management through diet, lifestyle, detoxification, and herbal support to address the root cause of the disorder.

1. Nadi Pariksha (Pulse Diagnosis): To identify underlying doshic imbalances.
2. Ultrasound: Detects ovarian cysts.
3. Hormonal Profile: Measures levels of androgens, estrogen, and insulin.
4. Blood Tests: Includes fasting blood sugar and lipid profile to assess metabolic health.