📄 Abstract
Background: Artava Kshaya is a classical Ayurvedic clinical entity characterized by diminution or loss of menstrual flow, broadly correlating with secondary amenorrhea in contemporary biomedical understanding. Polycystic Ovarian Disease (PCOD), now classified as Polycystic Ovary Syndrome (PCOS), is the most prevalent endocrine-metabolic disorder among women of reproductive age and is a leading cause of secondary amenorrhea globally. Objective: This review critically evaluates the Ayurvedic concept of Artava Kshaya, its pathological basis, and its correlation with PCOD-induced secondary amenorrhea through classical textual references and contemporary research evidence. Methods: A systematic review of classical Ayurvedic texts including Charaka Samhita, Sushruta Samhita, Ashtanga Hridayam, and Harita Samhita was performed. Contemporary peer-reviewed literature from PubMed, Google Scholar, and Ayush journals (2005–2025) was reviewed for epidemiological, pathophysiological, and therapeutic evidence. Results: Artava Kshaya involves Vata-Kapha dominance causing obstruction of Artavavaha Srotas and Rasa-Rakta Dhatu depletion. PCOD demonstrates analogous pathophysiology through hyperandrogenism, insulin resistance, and hypothalamic-pituitary-ovarian (HPO) axis dysregulation. Ayurvedic management principles including Vatanulomana, Srotoshodhana, Rasayana, and Uttara Basti align with evidence-based interventions. Conclusion: The conceptual framework of Artava Kshaya provides a clinically relevant and integrative understanding of PCOD-associated secondary amenorrhea. Ayurvedic interventions offer promising complementary strategies warranting further clinical validation through well-designed randomized controlled trials.
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📚 How to Cite:
Deeptimayee Nayak, Dr. Shibani Dash, Dr Jasmita Priyadarsini, Dr.Manjusri Sahoo, Prof.Dr Sudeshna Meher , ARTAVA KSHAYA WITH SPECIAL REFERENCE TO SECONDARY AMENORRHEA DUE TO POLYCYSTIC OVARIAN DISEASE (PCOD): A REVIEW ARTICLE , Volume 11 , Issue 6, June 2026, EPRA International Journal of Research & Development (IJRD) , Pages: 263 - 268 ,