Menorrhagia (heavy menstrual bleeding)

Menorrhagia is the menstruation at regular cycle intervals but with excessive flow & duration.

The causes menorrhagia are hormonal imbalance, dysfunction of the ovaries, uterine polyps or fibroids, adenomyosis, IUD’s, cancer of uterus/ ovaries/ cervix or certain medications.


  • Heavy bleeding, needing to change sanitary pads every hour.
  • Prolonged bleeding, lasting for more than 7 days
  • Passing of blood clots with menstrual flow
  • Tiredness & fatigue.
  • Anaemia

Ayurveda considers heavy menstrual bleeding as Asrigdara/ Raktapradara. Asrik, means blood & dara refers to excessive flow.

Due to unwholesome diet & habits, vata along with raktadhatu & pitta gets vitiated , which leads to heavy flow, with fatigue, backpain etc. asrigdara is of 4 types- vataja, pittaja, kaphaja & sannipathaja based on which the treatments can be adopted.

  • Stambhana (blocking therapy) is the first line of treatment, as then treating the underlying cause.
  • Sheetala upachara (cooling treatments & medicines)
  • Sheetala annapana (cooling foods & drinks) are recommended. To arrest the bleeding ,the medicines that passify pitta, with kashaya rasa(astringent taste) are well advised.

The medicine & treatments are not only meant for stopping the bleeding, but also to balance pitta dosha & rakta dhatu.

2-3 weeks of treatments with regular & continued administration of medicines can help the condition.
Treatment modalities include virechanam, vasti, vaginal douches, vaginal tampoons (yoni pichu), avagaham etc.

Diet restrictions

  • Avoid hot and spicy foods
  • Avoid coffee and alcohol
  • Low fat diets will be good
  • High fibre diet is recommended
  • Cakes, cookies & pastries should be avoided


  • Avoidance of stress.
  • Breathing exercises are adviced to calm the body.
  • Avoid strenuous activities.