Leukorrhea or Leucorrhoea is thick, watery, sticky or frothy, white or yellowish, foul or soul smelling vaginal Discharge. It is associated with itching in the genital area and burning micturition. It is known as “swetapradara” in Ayurveda which involves mainly the Kapha and Vatadosha.
Causes of Leucorrhoea (SwetaPradara)
As soon as women notice the embarrassing symptoms of leucorrhoea, they get all worried and wonder why they are facing this problem. Most women want to know what the white discharge causes are and whether they need to be concerned about anything. Some of the most common causes of white vaginal discharge include:
- Spermicidal creams, ointments and jellies that are used as contraception which can irritate the lining or strip the mucus.
- Certain medical conditions such as diabetes and anemia.
- Infections from bacteria, fungi or other parasites. Urinary tract infections are also very common female discharge causes.
- Irritation caused by IUDs (intra uterine device used for contraception).
- Injury to the cervix or vagina caused by sexual activity, muscle injury, childbirth or miscarriages.
- Unhygienic conditions that lead to the accumulation of bacteria within and around the vagina.
- Menstrual changes such as onset of puberty, menopause or changes associated with pregnancy.
- Sexual intercourse.
- Sexually transmitted diseases. Gonorrhea often causes a marked discharge.
- Lack of cleanliness or poor hygienic measures.
- Following a diet that is low on nutrition.
It is absolutely for women to consult a doctor and identify the main reason for leucorrhoea whitish discharge. This is because certain health problems, such as anemia and diabetes could also lead to vaginal discharge or leucorrhea.According to ayurveda, this is caused due to vitiation of kapha.
Tests and diagnostic considerations
As leucorrhoea can be a normal occurrence, testing for it can often be overlooked. If the discharge becomes foul smelling or heavily discoloured, consult a physician to rule out other conditions and causes such a sexually transmitted diseases or infection. In young females, this may occur prior to the onset of puberty and can be an indication that menses will begin. In recent years products have become available at locations such as pharmacies and grocery stores to allow a woman to test at home to see if a yeast infection is present. This eliminates the need for a pricey doctor exam and testing in many cases but if the infection does not clear up using over the counter methods or becomes worse, a doctor should be consulted.
Pathogenesis According to Ayurveda
Due to the above mentioned causes, kaphadosha aggravates in the place of apaanavata (a type of vatadosha which is responsible for the proper elimination of waste, sexual function, child birth, and menstrual cycles). This impairs the rasa dhatvagni (nutrient plasma) present in vaginal tract leading to painless white discharge.
Symptoms of Leucorrhoea (SwetaPradara):
Leucorrhoea itself is a natural increase in vaginal discharge but it can become bothersome and disruptive to the normal life of a female. Many factors can contribute to the cause, and some symptoms may be indications of a more serious condition. Care should be taken to report any unusual changes to your physician when applicable.
The discharge may be like any of the following:
- Dark, bloody, yellow or white in colour.
- Foul or sour smelling.
- Thick, watery, sticky or frothy.
- Flow may stiffen the linen or simply leave back a trace of white powder or scales.
- Pain during or after intercourse.
- Spots on undergarments from discharge.
- Lower back or abdominal pain.
- Leg pain, specifically calf and thigh.
- Frequent urination, especially burning during urination or passing little urine.
- Fatigue or weakness.
- Irritability and lack of concentration.
- Upset stomach such as diarrhea or constipation or increased gas production.
- Frequent headaches.
- Black or dark circles under the eyes.
- Itching in the vaginal and surrounding areas, area may become inflamed or reddened.
- The discharge from the uterus is often from uterine cavity. In certain ladies leucorrhoea discharge sets in even 8-10 days before anticipated period of menses and stops as soon as menses appear but in others, it may start when menses are over.
- There appears to be a direct relationship of this disease with a nervous temperament.
- The genital tract should be regularly douched with a decoction of the bark of banyan tree or the fig tree. It will keep the Genital tract Healthy and clean.
- Soak about 10gm of dry coriander in 100ml of water over night and this water should be taken in the morning. This gives relief in 7-10 days.
- Boil 2-3 tsp. of fenugreek (available in bulk loose, in a tea or capsule form) seeds in 1 litre of water for ½ an hour. Use this water to wash vagina.
- Wash the genitalia with water boiled with neem leaves and turmeric.
- Eat a balanced Diet: A strict dietary regimen is necessary for this condition.
- Eating a healthy and balanced diet that is low in sugary or processed foods can help keep the body healthy.
- Eating plenty of nutrient rich fruits and vegetables especially overripe bananas, cranberries, oranges, lemons, black plums, okra, leafy greens, onions, brown rice, yogurt, as well as healthy herbs and spices such as ginger, garlic, fenugreek and coriander,helps keep the body healthy and functioning normally.
- Drinking the recommended 8-10 glasses of water per day can also flush toxins from the body.
- Betel nut (Supari) should be chewed after meals.This has curative and preventive effect.
- A balanced diet benefits the body in many ways and can help with many conditions beyond leucorrhoea.Some of the foods that should be eliminated from healthy leucorrhoea recipes include eggs, meat, bread, mushrooms, sweets and any other food items that have been fermented. Fried, spicy food and pickles are to be avoided.
- All kinds of mental strain and sexual intercourse should be avoided.
- Fasting is sometimes used to cleanse the body but caution should be taken when beginning any drastic dietary change.
- Avoid excessive use of products designed for feminine hygiene. This can include panty liners, pads, tampons, douches and feminine sprays.
- Avoid contaminating the vaginal area by always wiping front to back after bowel movements and observing proper hygienic practices.
- Proper use of condoms and other types of barriers such as dental dams when in any sexual relationship. When infection is present, abstain from sexual activity during treatment to avoid spreading the infection.
- Pushyanug Churna
- Pradrantak lauh
- AShokarishta or Dashamoolarsihta
Dysmenorrhoea, a medical term for painful periods, or menstrual cramps, pertaining to pain during menstruation. This, the most common menstrual disorder, occurs in 20% to 90% of women of reproductive age.
Symptoms of Dysmenorrhoea Pain
Symptoms of dysmenorrhea often begin immediately after ovulation and can last until the end of menstruation because it is often associated with changes in hormonal levels in the body that occur with ovulation.The cramping and pain usually start a day or two before the period begins with the most severe discomfort occurring on the first day of menstruation.
The main symptoms often co-occurring with menstrual pain include:
- Throbbing pain in the lower abdomen or pelvis, and radiate pain to the lower back and thighs.
- Nausea and vomiting
- Diarrhoea or constipation
- Headache, dizziness, disorientation
- fainting and fatigue
- Hypersensitivity to sound, light, touch and smell
- Angry outbursts
- Menstrual migraines
- Social withdrawal
- Frequent urination
- Altered bowel habits like diarrhoea or constipation
- Heart palpitation and sweating can also occur due to anxiety and hormonal changes.
- Heavy bleeding periods
Symptoms like heaviness, fullness and painfulness of breasts or/and abdomen may occur before and during the periods.
Causes of Dysmenorrhoea:
- Excess oestrogen level in blood
- Fluid retention. Vitamin B6 deficiency
- Progesterone hormone deficiency
- Thyroid abnormality
- Hypoglycaemia (reduction of blood glucose level)
- Serotonin deficiency
- Ovarian cyst
One can experience relief by restricting alcohol and caffeine consumption, since alcohol is a depressant and diuretic that can worsen PMS headaches and fatigue and can accentuate depression. Caffeine, on the other hand, is a stimulant, and can contribute to anxiety, irritability and painful breast tenderness.
Diet rich in calcium and vitamin B6 during PMS may also help reduce water retention and alleviate bad moods. The highest sources of calcium are milk and milk products like yogurt, ice cream and cheese. But make sure you choose low-fat options. Also, one can get calcium from vegetables such as broccoli, dark greens (like turnip greens), green or red cabbage (raw). Foods rich in vitamin B6 include bananas; baked potatoes; legumes such as soybeans and lentils.
Many women have food cravings during PMS, and the cravings usually focus on sweets and snacks such as ice cream, chocolate and potato chips. Eating complex carbohydrates is probably the best way to ward off those food cravings. These foods are a good source of fibre, which helps to clear excess oestrogen from your body. High levels of oestrogen have been shown to contribute to PMS. Also high-carbohydrate foods relieve the psychological symptoms of tension, anxiety and mood swings that accompany PMS.
Natural home remedy using flaxseeds
- Applying heat on the lower abdomen is the easiest way to control menstrual cramps and relaxing the contracting muscles in the uterus. It can be done either using a regular plastic bottle filled with hot water or taking a hot shower.
Using ginger, honey, lemon and tea
- Eat 2 tbsp of flaxseeds every day during periods
- This reduces prostaglandin levels in the body
- Prepare black tea
- Add to it ½ tsp of crushed ginger
- Add 2 tsp lemon juice
- Add 1 tsp honey
- Drink this tea at regular intervals during the day
- Crush a handful of basil leaves
- Press the paste on a sieve to extract juice
- Take 1 glass hot water
- Add 2 tsp basil leave juicee
- Mix well
- Drink thrice everyday
- Make cinnamon tea by stirring one-fourth teaspoon of cinnamon powder into a cup of hot water.
- Let it sit for up to five minutes, add a little honey and then sip it slowly.
- Drink 2-3 cups of cinnamon tea one to two days before your period starts to prevent cramps
- Add one teaspoon of fennel seeds to a cup of boiling water.
- Simmer the mixture on low heat for five minutes.
- Remove from heat and strain the tea.
- Add one teaspoon of honey and mix well.
- Drink this herbal tea 2 times daily beginning three days before the expected start date of your cycle.
- A potent anti-inflammatory agent, papaya is very helpful in treating menstrual cramps.
- Also, it has nutrients like carotene, iron, calcium and vitamins A and C that help soothe the uterine walls and ease muscle contractions.
Ayurvedic cure –
- Rajah pravartanivati
“There is no better feeling that the movement of life inside of you”–let’s make pregnancy easy together.
Pregnancy and motherhood are the most eulogized concepts of all times, and in all cultures universally. Women have always been looked up to with awe because of this wonder of being able to bring another being into this world. The practice of yoga can help you prepare your mind and body for labour and birth as this helps you focus, concentrate and keep you healthy. Doing yoga postures is a gentle way of keeping your body active and supple and minimize common pregnancy symptoms like morning sickness and constipation. It can also help in ensuring easier labour and smooth delivery by relieving tension around the cervix and birth canal and by opening the pelvis.
12 Yoga poses for ladies during pregnancy -
The following Yoga poses can help you deal with symptoms of pregnancy, ensuring smoother and easier delivery, and faster recovery after childbirth.
- Vajrasana with ujjayi breath (Adamantine pose with Victory breath)
- Tadasana (Mountain pose)
- Konasana - 1 (Standing sideways & bending one arm)
- Konasana- 1 (sideways bending using both arms)
Some of the benefits of practicing yoga during pregnancy include-
- Develops stamina and strength- As baby grows within our body, more energy and strength is needed to be able to carry the weight. Yoga poses strengthen our hips, back, arms and shoulders.
- Balance - Our balance is challenged physically as the foetus grows within our body. Emotionally we are drained due to the increases in progesterone & estrogen levels. As we try to focus on holding and breathing through each yoga pose, we are able to fine tune our balance, physically and emotionally.
- Relieves tension of lower back, hips, chest, upper back, neck and shoulders - As baby grows, more stress is put upon these specific muscle groups in our bodies. We tend to have more of a lordtic/lower back curve due to the increased size of bellies. Our hips get tighter due to the added pressure of baby's weight in our bellies. As our breasts increase in size, our upper back and chest have more tension, along with our neck and shoulders.
- Calms the nervous system – Through deep breathing, the nervous system goes into parasympathetic mode, which is responsible for relaxation. When our bodies are in that mode, our digestions operate properly, we tend to sleep better, and our immune system is at its optimal.
- Preparation for Labor - You are working with conscious breathing during each yoga pose, which may sometimes be challenging. This transfers into the time of labor, allowing one to practice being "comfortable with the uncomfortable" through our breathwork. As you inhale, you acknowledge the tension that is felt. As you deeply exhale, you let go of it more and more with each breath.
- Connection with baby - A prenatal yoga practice allows us to slow down and focus attention on what is going on within our bodies. Through working with our breath and doing each pose, you become more aware of what is going on within.
- Increases circulation - Circulation is enhanced within our joints and our muscles are elongated during practice. Upon circulation of the blood within our bodies, swelling is decreased and our immunity is enhanced, creating a healthy environment for a thriving baby.
- Breathwork practice - This is a good tool for labor during contractions. If we are consciously breathing, our blood pressure and heart rate is regulated keeping us in parasympathetic/relaxation mode. Calm mama equals calm baby.
- Sense of community/sisterhood - It can be very comforting to be with a group of women who understand what we are going through.
- Nurturing time - This time allows us to stop and slowdown from our busy days. Through the practice of yoga, you are setting intention in taking care of not only yourself, but of baby.
Yoga precautions for pregnant women -
- Poses that put pressure on the abdomen and other difficult poses should not be done during advanced stages of pregnancy.
- For the first trimester, standing Yoga poses are advised as this will help strengthen the legs, enhance circulation, generate energy, and may reduce leg cramps.
During the second and third trimester, you may reduce your time spent for practicing the asanas to prevent fatigue and overwork. Instead, focus more on breathing and meditation.
- Also, it is not advised to practice from the tenth through the fourteenth week of pregnancy since these are crucial times.
- Do not overstretch the abdomen; the emphasis of your twisting poses should be on the shoulders and the upper back and not on the abdomen. Avoid doing inversion poses.
- Konasana - 1 (Standing sideways & bending one arm)
- You do not have to do all these asanas and remember to listen to your body and just do as much as you easily can.
Healthy Food and lifestyle
Follow a healthy and balanced diet:
Vitamins and supplements
- During pregnancy it is important to continue to eat a healthy balanced diet. Aim to eat a healthy diet(which everyone should be eating, not just pregnant women). Briefly, a third of most meals should be starch-based foods (such as bread, cereals, potatoes, rice, and pasta), with fruit and vegetables. Eat plenty of fibre, which can be found in wholegrain breads as well as fruit and vegetables. Eat some protein foods such as meat, fish, pulses, chicken, etc, every day. Choose lean meat, cut the fat off red meat and the skin off chicken. Try to avoid adding fat - for example, by not frying food where possible.
- Include foods with plenty of iron, calcium and folic acid - a growing baby needs these nutrients right from the start of the pregnancy:
- Iron is mainly in red meat, pulses, dried fruit, green vegetables and fortified cereals.
- Calcium is mainly in dairy products such as milk, cheese, and yoghurt. (Low-fat milk, cheeses and yoghurts usually contain just as much calcium as the full-fat varieties.)
- Folic acid is mainly in green vegetables, brown rice, and fortified cereals.
- Folic acid - You should take folic acid tablets (supplements). Ideally, start taking folic acid tablets before becoming pregnant. The common advice is to start from the time you stop using contraception. If the pregnancy is unplanned then start taking folic acid tablets as soon as you know that you are pregnant.
- Food Sources :- found in spinach, sprouts, broccoli, green beans and potatoes. Some bread and breakfast cereals are fortified with folic acid.
Vitamin D: - is needed for growth and supplements are recommended for all pregnant women, breast-feeding women and breast-fed babies.Best source is sunlight.
Iodine - Iodine is known to be important for the healthy development of the brain of the foetus. A woman who is pregnant needs more iodine than usual to supply the developing foetus. If they do not have enough iodine, the baby may end up less intelligent than they otherwise would. Sources:milk, yogurt, eggs and fish,Iodised salt, etc.
For most women, it is important to do some regular physical activity during pregnancy as part of living a healthy lifestyle. In most cases, moderate physical activity during pregnancy is safe and can have benefits for both you and your baby and should not harm either of you.You should aim to do a mixture of both aerobic physical activity and muscle-strengthening physical activity everyday at least 30 minutes is recommended.
Precautions which should be taken during pregnancy -
You should not eat the following if you are pregnant:
- Anything with a lot of vitamin A-So, avoid liver and liver products and vitamin tablets/supplements.
- Food which may have high levels of listeria(like Undercooked meats and eggs, mould-ripened and soft cheeses and pasteurised milk), which may cause miscarriage, stillbirth or infections in the baby after birth.
- Limit the amount of caffeine to no more than 300 mg per day.Having a lot of caffeine increases your risk of having a miscarriage and a baby with low birth weight.
The effects of some prescribed medicines are safe in pregnancy.However, for many medicines, we do not know for sure if they are safe or unsafe. So if you are pregnant, you should minimise your use of medication. Always tell a doctor or dentist who prescribes medication for you that you are pregnant.
Recreational (illicit) drugs -
- Paracetamol at normal dose is safe and useful for headaches, backache and other aches and pains that may occur during pregnancy.
- Anti-inflammatory painkillers such as ibuprofen should not be taken normally during pregnancy as it can affect the large blood vessels of the developing baby.
- Laxatives - Constipation is common in pregnancy and you may need a laxative.It is best to try increasing the fibre in your diet and increasing the amount of non-alcoholic fluids that you drink.
- Antihistamines: Advised to avoid antihistamines because there are no trials to show they are safe.
- Decongestants such as pseudoephedrine and xylometazoline often bought for symptoms of the common cold should be avoided in pregnancy.
It is safe to assume that if you use recreational drugs, it is likely to pose a risk to the unborn child. If you intend to become pregnant you should aim to stop taking or using recreational drugs.
Smoking :- Smoking when you are pregnant gives a higher risk of:
- Having a miscarriage
- Having a pregnancy which does not develop in the normal place (ectopic pregnancy)
- Slow growth of the baby leading to a low birth weight.
- Premature labour
- Bleeding towards the end of pregnancy due to placental abruption.
- Abnormalities such as a cleft lip or palate
- Even after the birth, children of smoking parents have an increased risk of:
- Chest infections.
- Glue ear.
- Cot death (sudden infant death syndrome).
- Doing less well at school.
- Behavioural problems such as attention deficit hyperactivity disorder (ADHD).
Women who are pregnant should not drink alcohol because it can cause damage to a developing baby. Alcohol gets to a baby through the placenta if a pregnant woman drinks alcohol. A baby cannot process alcohol very well. So, any alcohol in your baby stays in its body much longer than in you. This is known to be a risk for causing serious problems. At worst, babies can develop a syndrome of severe abnormalities, called foetal alcohol syndrome(poor growth, premature labour and physical and mental disability).
Sex is safe for most couples during pregnancy. Later in pregnancy, sex and orgasm may provoke contractions known as Braxton-Hicks contractions. These make your bump feel hard. They can be uncomfortable but are quite normal. They usually pass after a few minutes. Your doctor or midwife may advise you to avoid sex if any problem occurs.
Working during pregnancy
If you think that your job may pose a risk to a pregnancy, then ideally you should discuss this with your employer before you become pregnant or as soon as you become pregnant.
Avoid contact with sheep and lambs at lambing time. This is because some lambs are born carrying the germs that cause listeriosis, toxoplasmosis and chlamydia. Toxoplasma is also found in cat poo. You should always wash your hands after handling cats and kittens and ask someone else to wash out cat litter trays.
In general, it is safe to travel during pregnancy. When in a car, wear the seat belt so that the straps go above and below your bump, not across it. Flying is not known to be harmful. (Most airlines will not allow you to fly in the late stages of pregnancy). Don't travel to anywhere too remote and far from medical assistance, particularly in the early or later stages of pregnancy.
- Common symptoms of PMS include anxiety, depression, acne, fatigue, and headaches.
- Premenstrual dysphoric disorder (PMDD) causes severe symptoms, such as suicidal thoughts and insomnia.
Premenstrual syndrome (PMS) is a condition that affects a woman’s emotions, physical health, and behaviour during certain days of the menstrual cycle, generally just before her menses.
Are you one of those women for whom having a period is almost torture?And this happens on a regular basis. Your head aches, your stomach cramps, your tummy feels bloated, you feel like crying for no apparent reason, and you bite everyone’s head off at the slightest provocation. Most of all, you hate it when people shrug and patronizingly mouth, “PMS!”.
The onset of menstruation signifies that a girl has stepped across a biological threshold into puberty. For some women, menstruation is merely an inconvenience. Others really dread “that time of month.” The latter are usually women who are plagued by premenstrual syndrome (PMS). For these women it is not the five days of actual menstruation that bothers them so much as the symptoms of PMS that manifest themselves any time from two to ten days before menstruation begins.
Many researchers believe that it’s related to a change in both sex hormone and serotonin levels at the beginning of the menstrual cycle. Levels of estrogen and progesterone increase during certain times of the month. An increase in these hormones can cause mood swings, anxiety, and irritability. Ovarian steroids also modulate activity in parts of your brain associated with premenstrual symptoms. Serotonin levels affect mood. Serotonin is a chemical in your brain and gut that affects your moods, emotions, and thoughts.
The symptoms of PMS include: -
Aadness & Emotional Outbursts -
- abdominal bloating & pain
- sore breasts
- food cravings, especially for sweets
- headaches & sensitivity to light or sound
- irritability & changes in sleep patterns
- sadness & emotional outbursts
If you have a mild or moderate form of premenstrual syndrome, the treatment options include:
- Drinking plenty of fluids to ease abdominal bloating.
- Eating a balanced diet to improve your overall health and energy level, which means eating plenty of fruits and vegetables and reducing your intake of sugar, salt, caffeine, and alcohol.
- Taking supplements, such as folic acid, vitamin B-6, calcium, and magnesium to reduce cramps and mood swings. Vitamin B6 also helps in reducing premenstrual tension and water retention.
- Taking vitamin D to reduce symptoms.
- Sleeping at least eight hours per night to reduce fatigue.
- Exercising to decrease bloating and improve your mental health.
- Try to avoid stressful situations.
- Going to cognitive behavioural therapy, which has been shown to be effective.
Severe PMS: premenstrual dysphoric disorder -
Severe PMS symptoms are rare.PMDD affects between 3 and 8 percent of women. This is characterized in the new edition of the Diagnostic and Statistical Manual of Mental Disorders.
Symptoms include –
- Thoughts of suicide
- Panic attacks
- Extreme anxiety
- Anger with severe mood swings
- Crying spells
- headaches & sensitivity to light or sound
- A lack of interest in daily activities
- Trouble thinking or focusing
- Binge eating
- Painful cramping
Long-term outlook -
PMS and PMDD symptoms can recur, but they typically go away after the start of menstruation. A healthy lifestyle and a comprehensive treatment plan can reduce or eliminate the symptoms for most women.
Ayurvedic Supplements –