Basic Understanding of Abnormal Uterine Bleeding (AUB)

Abnormal Uterine Bleeding

Abnormal Uterine Bleeding– Any uterine bleeding outside the normal volume, duration regularity, or frequency is considered abnormal uterine bleeding. (AUB). Nearly 30 % of all Gynaecological OPD are for AUB.

Common causes of Abnormal Uterine Bleeding –

  • Dysfunctional Uterine bleeding
  • Infections
  • Endocrine Dysfunction
  • Pregnancy complication
  • Hematological Disorder
  • Neoplastic Growth



Syn – Hypermenorrhoea

Menorrhagia is defined as cyclic bleeding at normal intervals; the bleeding is either excessive amount (>80ml) or duration (>7 days) or both. The term menotaxis is often used to denote prolonged bleeding.

Causes –

Menorrhagia is a symptom of some underlying pathology –

  1. Organic
  2. Functional

1.Organic –

Pelvic – Pelvic pathology to cause menorrhagia. Due to congestion, increased surface, or hyperplasia of the endometrium.

  • Fibroid
  • Adenomyosis
  • Pelvic endometriosis
  • IUCD in utero
  • Chronic tubo-ovarian mass
  • Tubercular endometritis (early cases)
  • Retroverted uterus – Due to congestion
  • Granulosa cell tumor of the ovary

Systematic – Liver dysfunction ( cirrhosis) – Failure to conjugate and thereby inactivate the estrogens.

  • Congestive cardiac failure
  • Severe Hypertension

Endocrinal –

  • Hypothyroidism
  • Hyperthyroidism

 Haematological –

  • Idiopathic thrombocytopenic purpura
  • Leukemia
  • Von Willebrand disease
  • Platelet deficiency (Thrombocytopenia)

Emotional upset

2. Functional – Due to disturbed Hypothalamus -pituitary-ovarian-endometrial axis. Common causes of abnormal vaginal bleeding include all causes of organic, systematic, and also non-menstrual causes bleeding.

Common Causes of menorrhagia –

  • Dysfunctional uterine bleeding
  • Fibroid uterus
  • Adenomyosis
  • Chronic tubo-ovarian mass

Diagnosis –

  • Long duration of flow
  • Passage of big clots
  • Use of an increased number of thick sanitary pads
  • Pallor
  • Low level of hemoglobin

All these give an idea about the correct diagnosis and magnitude of menorrhagia.

Treatment –

 Poly menorrhea- 

Syn –Epimenorrhea

Poly menorrhea – Cyclic bleeding with an arbitrary limit of fewer than 21 days. And remains constant at the frequency. If the frequent cycle is linked with excessive and or prolonged bleeding – epimenorrhagia.

Causes –

Dysfunctional – Observed during adolescence, preceding menopause, and following delivery and abortion. Hyperstimulation of the ovary by the pituitary hormones may be the responsible factor.

Ovarian hyperemia as in pelvic inflammatory disease (PID) or ovarian endometriosis.

Treatment –


Metrorrhagia is an irregular, acyclic bleeding from the uterus .amount of bleeding is variable. At the same time, metrorrhagia strictly concerns uterine bleeding but in clinic practice, the bleeding from any part of the genital tract is included under the heading. then again, irregular bleeding in the form of contact bleeding or intermenstrual bleeding in an otherwise normal cycle is also included in metrorrhagia. In fact, it is mostly related to surface lesions in the uterus.

Menometrorrhagia is the term applied when the bleeding is so irregular and excessive that the menses cannot be identified.

Causes of Contact bleeding –

  • Carcinoma cervix
  • Mucous polyp cervix
  • Vascular ectopy of the cervix especially during pregnancy, pill use cervix.
  • Infections – chlamydial or tubercular cervicitis
  • Cervical endometritis

Causes of Acyclic bleeding –

  • DUB – usually during adolescence, following childbirth and abortion, and preceding menopause.
  • Submucous fibroid
  • Uttering polyp
  • Carcinoma cervix and endometrial carcinoma

Causes of Intermenstrual bleeding-

  • Urethral caruncle
  • Ovular bleeding
  • Breakthrough bleeding in pill use
  • IUCD in utero
  • Decubitus ulcer


Menstrual bleeding occurs more than 35 days apart and remains constant at that frequency.

Causes –

  • Age-related – During adolescence and preceding menopause
  • Weight-related – Obesity
  • Stress and exercise
  • Endocrine disorder – PCOS is the most common hyperprolactinemia and hyperthyroidism.
  • Androgen-producing tumors – ovarian, adrenal
  • Tubercular endometritis – late case
  • Drugs – Phenothiazines, cimetidine, methyldopa.


When the menstrual bleeding is unduly scanty and lasts for less than 2 days.

Causes –

  • Local – Uterine synechiae or endometrial tuberculosis.
  • Endocrinal – use of oral contraceptives, thyroid dysfunctions, and premenopausal period.
  • Systematic – Malnutrition.


A state of abnormal uterine bleeding without any clinically detectable organic, systemic, and iatrogenic causes ( With the exclusion of pelvic pathology. e.g. Tumor, inflammation, or pregnancy. )

Heavy menstrual bleeding (HMB) – bleeding that interferes with a woman’s physical, emotional, social, and maternal quality of life.

Incidence – The prevalence varies widely but an incidence of 10 % amongst new patients attending the outpatients seems logical. As the diagnosis is based on the exclusion of organic lesions .so with the care and facilities to exclude such as a lesion. the incidence varies .currently DUB is defined as a state of abnormal uterine bleeding following anovulation due to dysfunction of the Hypothalamus-pituitary -ovarian axis.

Pathophysiology –

The physiological mechanism of hemostasis in normal menstruation are :

  1. Platelet adhesion formation.
  2. Formation of platelet plug with fibrin to seal the bleeding vessels
  3. Localized vasoconstriction
  4. Regeneration of endometrium
  5. The biochemical mechanisms involved are :

In the increased endometrial ratio of PGF, 2/PGE PGF causes vasoconstriction and reduces bleeding. Progesterone increase the level of PGF from arachidonic acid .levels of endothelin, which is a powerful vasoconstrictor is also increased. In anovulatory DUB, there is decreased synthesis of PGF and the ratio of PGF /PGE is low.

Anovulatory cycles are usually not associated with dysmenorrhea as the level of PGF is low. Women with menorrhagia have a low level of thromboxane in the endometrium.

The endometrial abnormalities may be primary or secondary to incoordination in the hypothalamic-pituitary-ovarian axis. It is thus more prevalent in extremes of the reproductive period – adolescence and pre-menopause or following childbirth and abortion.

Emotional influence, worries, anxieties, or sexual problems sometimes are enough to disturb the normal hormonal balance.

The abnormal bleeding may be associated with or without ovulation and accordingly grouped into :

  1. Ovular bleeding (20%)
  2. An ovular bleeding (80%)

1. Ovular bleeding (20%)-

Poly menorrhea or polymenorrhagia: The condition usually occurs following childbirth and abortion, during adolescence and premenopausal period, and in pelvic inflammatory disease.

The follicular development is speeded up with the resulting shortening of the follicular phase. This is probably due to hyperstimulation of the follicular growth by FSH. Rarely, the luteal phase may be shortened due to premature lysis of the corpus luteum. Sometimes, it is related to stress-induced stimulation. Endometrial study prior to or within a few hours of menstruation reveals secretory changes.

Oligomenorrhea – Primary ovular oligomenorrhea is rare. It may be met in adolescence and preceding menopause.

The disturbance may be due to ovarian unresponsive to FSH or secondary to pituitary dysfunction. There is an undue prolongation of the proliferative phase with the normal secretory phase.

Endometrial study prior to or within a few hours of menstruation reveals secretory changes.

Functional Menorrhagia – Ovular menorrhagia is quite uncommon. Two varieties are found.

  • Irregular shedding and ripening of the endometrium
  • The abnormality is usually met in extremes of the reproductive period.

Normally, regeneration of the endometrium is completed by the end of the third day off, menstruation in irregular shedding, and desquamation is continued for a variable period with simultaneous failure of regeneration of endometrium. The possible explanation is –

  • Incomplete withdrawal of LH even on the 26th day of cycle -> Incomplete atrophy of the corpus luteum -> Persistent secretion of progesterone ->                                  Persistent LH -> Inhibition of FSH  -> Suppress

To Know more about AUB Consult our Gynecologist

About Author


Dr. Ankit Garg

M.S (Ayu) OBGY, Infertility Specialist

Ayu Nari infertility cure center Falana

Pin 306116 cell- +91 8302463471

Postnatal Yoga

Postnatal Yoga: Restoring Vitality Of New Mom’s

Have you just received a most beautiful gift, a baby from God? Congratulations to you all. Are you afraid of what impact it had on your body, being a new mom is a great experience for you, you had gone through lots of ups and downs of mood swings so now it’s time to stabilize your mental and physical strength both? Postnatal Yoga is one of the easiest and funniest ways to achieve that. Postnatal Yoga can help you in both ways, mentally, physically, and overall holistic development.

What Is Postnatal Yoga?

Postnatal yoga is a certain specified form of yoga that is helpful and designed especially for new moms. It mostly holds poses that are calming and restorative. Yoga helps to restore vitality and strength, and increase stamina, energy, and flexibility. Usually, different forms of yoga target different regions or aspects of the body. In post-natal Yoga, forms of yoga focus on the strength and functioning of the pelvic region which had suffered a portion of weakness during pregnancy or delivery. These yoga poses are performed or practiced during the first weeks and months after childbirth. After achieving the ‘back to normal phase, you may desire to perform the transition to certain other yoga styles to attend to new targets or aims or more challenging goals.

Eligibility of post-natal Yoga

Post-natal yoga usually holds poses that are gentle and smooth and are aimed to restore vitality and functions, so it is not restricted to the postnatal phase only and can be done by anyone. It’s not a matter of discussion that you delivered a baby by normal or difficult delivery or gone through a Caesarion section, the only thing matter is that after delivery you should attend a stage of no bleeding then without any worry you can perform postal yoga. As Postnatal yoga generally includes mild or gentle poses that are easily performed at home without any special trainer also. This exclusively includes the n movements of the hips, and spine and promotes pelvic strength. These poses can be performed while your baby at napping or early in the morning before your house-making starts. Below, some of the poses are listed: –

  • Bhujang asana (Cobra pose) –Initially lie flat on your belly then raise your shoulders and area of belly above the umbilicus by pressing the floor with both hands in the line of should as shown in the picture below and slowly uplift the front portion till you can with the backward extension of the spine. Hold the breath as you can and then relax by exhaling the breath. Repeat this pose five times during inhalation or breathing time.•
  • Wide Forward Bend: This yoga pose is performed with the legs spread wide in a standing position then forward bending your spine or body from the hip joint with knees straight. Forward bending is done till your palms rest on the floor in front. You can extend this pose by bending your knees and touching on floor. Hold the pose for five breaths. Then slowly stand up and relax. Remember to not feel dizzy.
  • Modified Downward Dog – Downward dog is a pose that puts the hands and feet on the floor. Your hands are usually several feet in front of your feet. With a modified downward pose, your body angle may reduce. Instead of resting your hands on the floor, put your weight on your forearms. Keep them parallel. And breathe. Keep your eyes on your ankles or feet and enjoy stretching your hamstrings and lower back.
  • Other poses to consider include:
  • Sukhasana
  • Virabhadrasana
  • Marichayasana
  • Leg cycling Surya namaskar
  • Lizard pose
  • Pigeon pose
  • Ustraasana
  • Halasana

Yoga Nulliparous or new moms require special attention and care. Postnatal yoga is little contributory to that and helps you to get benefits. From the first baby’s birth, a small-time time for restoring strength, vitality mental, and physical health with time. Because being a mom is a challenge, so give yourself an easier treatment. For more details and opinions of yoga instructors make a free or book appointment without any charge. We are proving free service to help the special one who deserves the term “MOTHER”.

Basic Understanding of Abnormal Uterine Bleeding (AUB)

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Uttar Basti

Role Of Uttar Basti In Various Gynecological Disorders

There are two routes for the administration of Basti described in the classics, viz. Basti (through the anal canal) & Uttara Basti (through the urogenital tract). The Basti Yantra is also used to inject medicines through the urinary and vaginal passage, for which the term Uttara Basti is given. The Uttara Basti deals with both males and females. But the following discussion is carried out taking females in view only, as required here.


  • Uttara Basti as a Vishesa Chikitsa:

विधिमुत्तरबस्त्यन्तंकुर्यादार्तवशुद्धये ||

Acharya Sushruta has mentioned: After applying five Shodhana Karma, Uttara Basti should be given repeatedly for Artava ShuddhiAcharya Charaka has also advised in Siddhisthana: ‘The woman, who is not able to conceive (due to Vata Dosha) should be treated by Basti because Basti is the best Chikitsa for this type of woman.

  • Definition:

            There are three reasons behind this terminology –

  1. It is administered after Niruhabasti (Niruhat Uttarena)

        (Niruhat Uttaro Yasmat Tasmat Uttarsamgyakah.

  • It is administered in the superior organ (upper passage)

(Uttarena Va Margena Deeyat),(Uttarmarga deeyamantaya.

  • It is superior as it does Snehanam like Anuvasanabasti and Shodhana like Niruhabasti. (Shreshtthagunatva)
  • Indications of Uttarabasti
  • For conception (GarbhamYonih Tada)
  • To pacify Vata (JiteVayuh)
  • For urinary bladder disease (Bastijeshu Vikareshu)
  • Diseases caused by prolapse (Yonivibhramshajeshu Cha)
  • Severe Pelvic pain (Yonishuleshu Tivreshu)
  • Gynecological disorders (Yonivyapada, Yonivyadhim)
  • Menometrorrhagia (Asrigdara)
  • Retention of urine (AprasravatiMutre, Mutraghata)
  • Incontinence of urine (BindumBindumSravatyapi)
  • Menstrual disorders (DushtamShonitam)
  • Menorrhagia (Pushpodrekam)
  • Pathological amenorrhoea(TasyaNasham)
  • Dysmenorrhoea (Kashtam)
  • Urinary diseases (Mutradosham)
  • Retention of the placenta (SamsathatimApara)
  • Urinary calculi (SharkaraAshamarim Cha)
  • Groin pain (Vamkshana Shula)
  • For all reproductive tract disorders (RogeshuNarinam Yoni Garbhashayeshu Cha)
  • Not described in classics
  • The only contraindication given in classics is the genital tract in girls (Balanam Apatya Marge Na Diyat Iva)
    Time of administration

Uttarabasti should be given in Ritukala (just after a menstrual period) after purifying the body with two or three Asthapana Basti because Garbhashaya (Garbhashaiya or Yoni)[xiv] is prepared to soak up Sneha this time. Acharya Charaka & Vagbhata have given very correct rationalization for the choice of appropriate time by saying that all through menstruation, vaginal and uterine orifices open (Apaavrita yoni), so medicine is taken in a higher way.

  • Dose
  • Dose of Snehana type of Uttarabasti

Acharya Sushruta has given the quantity of Snehana (oleaginous) type of Uttarabasti for the urinary tract as one Prasrita (palm of an outstretched hand and hollowed it as to hold liquid, stuffed up to the Svangulimula i.e., the base of fingers). For cleansing (Vishodhana) of the uterus, it is doubled i.e., two Prasrita. Acharya has given this dose for extreme illness and strong patients (Paramvarga) and has left the decision of fixing individual doses on the knowledge of ShalyaChikitsaka (BuddhiVikalpitam). While commenting on the same, Acharya Dalhana again clarifies that the volume can also be half or less (as decided by the physician at his discretion), depending on the strength of the disease or the capacity of the patient. Acharya Chakrapani followed Sushruta and repeated the same.12

Acharya Sharangadhara and Bhava Mishra have considered this dose as:

  • In adult women: two Pala (96 ml) in the genital tract & one Pala (48 ml) in the urinary tract
  • In premature girls: two Karsha (24 ml)

Acharya Vagbhata has mentioned:

  • For adult women: one Prakumcha (Pala=48gms)
  • For girls: 1 Shakti (24 gms)

Aforesaid Matra is Madhyama as per Acharya VagbhataIt should be increased gradually by half & one Karsha in the second & third Uttarabasti respectively.

  • Dose for Niruha Uttarabasti

If cleansing is needed by Uttarabasti:

  • For the genital tract reproductive age group of women (Nullipara or parous) – 2 Prasrita
  • For a urinary tract of reproductive age and girls of less than 12 years – 1 Prasrita


Day-night, a total of 2, 3, or 4 Basti should be given and the procedure should be continued for three nights gradual increase in the quantity of oleaginous substance


After giving rest for 3 days (Trayahmeva Cha Vishramya), the procedure was repeated for another 3 days.

  • Method of Uttarabasti

Yantra (Instruments): Pushpanetra & Bastiputaka

  • Pushpa Netra:

The Netra or nozzle of Uttarabasti is termed as Pushpanetra;

In nutshell, the parameters of Pushpanetra can be summarized as follows:

  • Should be made of silver, gold, brass, bell metal, tin, or lead
  • It must be smooth, tapering like a cow’s tail
Age Passage Length Circumference of nozzle Size of lumen
Girl Urinary 10 fingers The flower stalk of Malati Size of a mustard seed
Adult women Urinary 10 fingers Size of the urethral meatus Size of Mudga seed
Adult women Vaginal 10 fingers Index finger Size of Mudga seed
  • Uttarabasti Pustaka
  • Not mentioned specifically in classics
  • Can be made on the same pattern as mentioned for Guda (anal) Basti, but smaller in dose /quantum.
  • Uttarbasti putaka should be made from soft material, light like the skin of an animal and in case they are unavailable skin of birds, one-fourth portion of a leather bag or any other soft leather can be used.
  • Position (Sthiti)

The woman should be placed in a supine position with flexed thighs and elevated knees (Uttanaya Shayanaya Samyak Samkochya Sakthini Urdhvajanve Striye Dadyat Uttanaye)

  • Procedure (Vidhi)

The nozzle should be inserted in the urinary or vaginal passage slowly with steady hands, following the direction of passage.

  • Pratyavartana (Returning)
  • Pratyavartana of Snehana is considered essential for Uttarabasti.
  • Acharya Charaka has mentioned the administration of PippalyadiVarti (suppositories) if Basti does not return.
  • Acharya Dalhana has given a very specific description of the Pratyavartana of Sneha. These measures are –Yoni Varti, GudaVarti, Sphika – Tadana Eshana, etc.


Now a day, Uttarabasti referred to as classic is being practiced after making several modifications. Everything has been extensively modified from its indications to contraindications, and instruments to the method, and only the Snehana type of Uttarabasti is in practice.

  • Method
  • Poorva Karma
  • The patient is asked to evacuate the bladder & rectum.
  • Yoni Prakshalana – by some Kwatha of antiseptic property
  • Snehana (Abhyanga) of the local abdomen, back, thigh, and legs
  • Svedana especially Nadi Sveda on the back and lower abdomen
  • Pradhana Karma

The instruments used for the Uttarabasti are Posterior Vaginal Speculum, Anterior Vaginal Wall retractor, Allis’ forceps & Uttarabasti cannula fitted with a disposable syringe. Uttarbasti is done under perfect aseptic precautions. It can be given intravaginally or intrauterine. In Intrauterine Uttarbasti– The genital parts are prepared and the medicine should be autoclaved or heated and cooled at room temperature. The drug can be instilled when slightly warm but not beyond 95°F.

The routine disposable syringe is used and not more than 5 ccs of medicine (usually Snehadravya) is used in one sitting. Rubin’s cannula, Uttarbasti canula, IUI canula or butterfly needle with the needle cut off and only the tube is used. The patient is taken to the dorsal lithotomy position, and cleaned with the antiseptic solution is done. Expose the cervix with instruments (By Speculum). Before inserting the medicine, one should ensure that there are no air bubbles in the syringe or the tube and then the medicated oil is gradually pushed in, while the anterior lip of the cervix is held with Allis’ forceps and the patient is kept in head low position.

Once the speculum is withdrawn the patient may be asked to lie in the left lateral position for 15-20 mins and then shifted toward. The patient is kept in a head low position for at least 2 hours for better absorption of the drug from the vagina and to prevent any vasovagal shock.

  • Pashchata Karma
  • Complete rest in head low position for at least 2 hours.
  • Abdominal hot fomentation with hot water bag.
  • Light diet.
  • Indications
  • Yoni shuShulaavartaYonivyapada
  • Rajodosha
  • Asrigdara
  • Vandhyatwa
  • Artavadosha
  • Premature ovarian failure
  • Yonivyapada
  • Tubal Block
  • Gulma
  • Granthi, Arbuda

2.3. Contraindications

Contraindications being considered these days can be divided into two categories –

  • Absolute contraindications: Pregnancy and in-situ contraceptive device
  • Relative contraindications: vaginitis, cervicitis, endometritis, endometriosis, and carcinoma.

2.4. Period of Uttarabasti

The best period is from the 6th to 12th12th-days of menstruation, as it will lead to a well-formed Bija and facilitate conception.


The mode of action of Uttarabasti lies not only in the Pradhana Karma but also in its Poorva Karma-

  • Mode of action of Poorva Karma in Uttara Basti:
  • Though classics have not specifically emphasized much upon Snehana and Svedana before Uttarabasti, this method looks to be genuine and appropriate.
  • Uttarabasti deals generally with the Apana Vayu, as the close-by situated organs are its seat. Snehana and Swedana before Utttarabasti do its Anulomana and thus, Uttarabasti becomes more efficacious.
  • Besides this, the chances of any type of complication are also less, if Vatanulomana is done before the procedure.
  • Besides, Snehana and Swedana (just before Uttarabasti) relax the abdominal muscles. Good relaxation is very important for Uttarabasti, so that uterus does not get irritated by the instillation of medicine from outside. If it is not relaxed adequately, it may contract at once and may not retain any of the medicine.
  • Snehana and Svedana (before Uttarabasti) also lessen the ache all through and after the procedure.
  • Yoni Prakshalana carried out before Uttarabasti with Kwatha of antiseptic property nullifies the possibility of any kind of infection as a complication.

Mode of action of Pradhana Karma in Uttarabasti:

The mode of action of Uttarabasti can be understood in two ways –

  • Local effect of Uttarabasti
  • The effect of Uttarabasti will depend on various things; like method, instrument, drug user, etc. If the medicine is put in the cervical canal, it may act more on the cervical factors. For the factors like cervical stenosis, a Katu – Ushna Taila-based medication is more useful, while for increasing the secretion of mucous from cervical glands, a nutritive like Madhura-Sheeta Ghrita-based medicine will be more efficacious.
  • In the same way, drug selection for an ovulatory and tubal factor will be different from each other. On the ovary, the effect of the drug will be after absorption and then by promoting the Hypothalamus-Pituitary-Ovarian axis, while in the tubal block, Uttara Basti acts locally. In ovulation, a drug with Snehan property can be good while for tubal block, a drug with Lekhana Karma will be better.
  •  The advantage of intrauterine instillation of oil is proved in modern science also as it is said that approximately 30% of the patients who have normal hysterosalpingography, conceive over the following 6 months and it is thought to be a characteristically oil-based contrast medium.
  • Apart from this, Uttara Basti may also stimulate certain receptors in the endometrium, leading to the correction of all the physiological processes of the reproductive system. It may also help in the rejuvenation of the endometrium.

Thus, the mode of action of Uttara Basti can be understood in the following ways –

  • Intra-vaginal Uttara Basti helps in removing infections. (If given with antiseptic drugs)
  • Intra Intra-vaginal – Basti may also facilitate the absorption of the drug, as the posterior fornix has a very rich blood supply and it may also act as a reservoir of the drug (when the patient is lying down in a head low position after Uttara Basti).
  • Intra-cervical Uttara Basti with oil-based drug helps to remove cervical stenosis and to restore the function of the cervix in conception and helps to treat dysmenorrhoea caused by stenosis.
  • In cervical Uttara Basti with Bhrimhana drugs may stimulate the secretion of cervical mucous leading to an ascent of sperms in the uterine cavity.
  • Intrauterine Uttarabasti with Ghrita-based Snehana Brimhana drugs helps in the rejuvenation of endometrium, especially where apart from regular ovulation, poor endometrium is causing infertility or scanty menstruation.
  • In cases of menorrhagia due to endometrial hyperplasia, Intra uterine Uttarabasti with Lekhana Dravyas may help.
  • For a tubal factor of infertility, a high intra intra-uterine Basti with Lekhana Ropana Dravya acts in two ways. Lekhana Dravyas removes the blockage of the tubal lumen by directly acting on obstruction mechanically and Ropana Dravyas restores the normal function of tubal cilia by stimulating it. As endometrial covering is continuous in the tubes too, its scraping and regeneration also lead to the normalization of tubal functions.
  • The systemic effect of Uttar Basti after absorption: –
  • Ayurveda had a very clear approach to the oral and parenteral route of drug administration from the very beginning. Thus, Acharyas have described the administration of drugs from almost all the open organs and have considered the Basti (rectal administration) the most efficacious.
  • In the same pattern, Uttarabasti can also act after getting absorbed from the rich blood circulation of the uterus and posterior fornix. Then, it may act on the whole body system and can act as a parenteral route.
  • The systemic effect of Uttarabasti can also be understood with the help of the system biology concept. System biology is the latest concept emerging and getting accepted in modern science. This concept believes in the artistic approach similar to as advocated in Ayurveda from the very beginning. It considers the need for a standard shift of modern science from reductionist to holistic. It believes that all bodily systems and organs are interconnected at the molecular level. This concept is the first step of modern science towards the concept of Mahabhuta and TridoshaAyurveda also considers whole the body as one unit on the Mahabhautic level. Still, Tridosha and Mahabhuta are something broader, but more abstract than molecules, which will be explored in modern science too in the coming future. It is now clear that ‘whatever may the effect Uttarabasti drugs have on the physiology of the reproductive system, it will involve the physiological functions and corrections of other systems.
  • Thus, Uttarabasti can be taken as a parenteral route of administration for reproductive diseases, as it can act, locally as well as systemically.

About Author

Dr. Ankit K. Garg

M.S (Ayu) OBGY

Former resident ITRA, Jamnagar

Address-Ridhi-Sidhi Bhawan bedal road Falna Dist.-Pali, (Raj).306116 Phone -8302463471