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Menorrhagia can be defined as abnormally heavy or prolonged bleeding at menstruation.  Menorrhagia is one of the most common gynaecologic complaints in women. 

A Forty one year-old woman has been suffering from menorrhagia for 5-6 years. Since menarche at the age of 13, she always had a very painful menstruation. Now, there is heavy vaginal bleeding associated with severe abdominal and pelvic pain.  Periods was always irregular, prolonged (sometimes lasted 15 days), frequent: sometimes 3-4 times in a month. Despite taking 5-6 pain killers/day and hormonal injections prescribed by her general physician, only her per vaginal bleeding could be kept under control, but the pelvic pain persisted. In 2018, as the vaginal bleeding increased, she was taken up for hysterectomy. During Exploratory laparotomy, adhesion of internal organs were diagnosed. So, hysterectomy could not be done. All the specialist she consulted in Mumbai and Hyderabad suggested that until menopause the condition must be managed with pain killers and hormonal injections. So, she decided to stop the allopathic medications and consulted Dr Jyoti Joshi who diagnosed this condition as Asrgdara. The treatment principle followed was that of Gulma Cikitsa.  Vasti was administered to correct the Vayu Apamarga. The patient is on regular ayurvedic treatments since 2 years (22nd Aug 2019 onwards) and is still continuing them. Her period is regular and normal, with no abdominal or pelvic pain. This has boosted her up psychologically also. Her blood parameters are satisfactory.