Prophylaxis

Excessive uterine bleeding or Asrigdara is either cyclical or non-cyclical. The condition is seen in all reproductive ages, but more common in pre menopause due to anovulatory cycles with or without endometrial hyperplasia .In active reproductive age groups, uterine lesions like fibroids , adenomyosis and D.U.B are the common causes of excessive uterine bleeding. The modern management of excessive uterine bleeding is with non steroidal anti inflammatory drugs, sex steroids, intrauterine devices and surgery. In almost all cases of Asrigdara, Ayurveda offers symptomatic cure giving due consideration to dosha predominance, prophylactic management to prevent excess bleeding and treatment for various lesions responsible for the symptom. Rasayana has an important role in Streeroga chikitsa. The most commonly used Rasayana medicines in Streeroga are Lasuna, Krishna Tila ,Bhallataka, Shatavari ,Satapushpa and Guduchi. This case report is on the prophylactic management of profuse and prolonged menstrual bleeding with the administration of Guduchi swarasa. Since the drug administration was done for 15 days preceding to her menstrual cycle, this was considered as a prophylactic management. After the therapy with Guduchi swarasa the subsequent menstrual bleeding of the subject had shown marked reduction in quantity and duration.