Poly Cystic Ovarian Disease (PCOD) is a complex disorder affecting 5-15% women in their

reproductive age and related to ovarian dysfunction  characterized by menstrual irregularities

hyperandrogonism obesity  and infertility. Polycystic Ovary Syndrome (PCOS) and Polycystic

Ovary Disorder (PCOD) are terms often used interchangeably  but they have subtle differences.

PCOD stands for Polycystic Ovary Disorder  and it is primarily a term used in India and some

other countries  while PCOS (Polycystic Ovary Syndrome) is more commonly used in the West.

However  they both refer to the same medical condition. PCOD is a hormonal disorder that

affects women of reproductive age typically starting from their teenage years. It is characterized

by various symptoms  including irregular menstrual periods  excess androgen levels and multiple

small cysts on the ovaries. The exact cause of PCOS is not fully understood  but it likely involves

a combination of genetic and environmental factors. Insulin resistance  where the body s cells do

not respond properly to insulin  is often seen in women with PCOS.

Common symptoms of PCOS:

Irregular Menstrual Periods:     Women with PCOS often have irregular menstrual cycles which

may manifest as infrequent periods  prolonged periods or unpredictable bleeding patterns.

Excess Androgen Levels:    Elevated levels of androgens (male hormones) such as testosterone can

lead to symptoms like acne oily skin  and excessive facial or body hair growth (hirsutism). Some

women may also experience male-pattern baldness or hair thinning on the scalp.

Polycystic Ovaries:    Many women with PCOS have enlarged ovaries with multiple small cysts which can be detected through ultrasound imaging. However, not all women with PCOS willhave cysts on their ovaries. Weight Gain or Difficulty Losing Weight: PCOS is often associated with weight gain particularly around the abdomen. Many women with PCOS struggle to lose weight or may find itdifficult to maintain a healthy weight.

Insulin Resistance:    Insulin resistance, where the body s cells do not respond effectively to insulin

is common in women with PCOS. This can lead to high insulin levels in the blood which may

increase the risk of developing type 2 diabetes

Infertility:   PCOS is a leading cause of infertility in women due to irregular ovulation or lack of

ovulation. Women with PCOS may have difficulty conceiving or may require medical

intervention to achieve pregnancy.

Pelvic Pain:   Some women with PCOS may experience pelvic pain which can range from mild

discomfort to severe cramping. This pain may be associated with ovarian cysts or other

reproductive system issues.

Fatigue:      Chronic fatigue or low energy levels are common among women with PCOS  possibly

due to hormonal imbalances  disrupted sleep patterns  or other underlying factors.

Mood Changes:     PCOS can affect mood and emotional well-being leading to symptoms like

Depression   anxiety  irritability  or mood swings.

Artava Kshaya  is a term from Ayurveda  an ancient system of medicine that originated in

India. In Ayurveda  Artava refers to the menstrual blood  and Kshaya  means a decrease or

depletion. Therefore  Artava Kshaya  translates to a decrease or depletion of menstrual blood.

In Ayurvedic terms Artava Kshaya is considered a disorder related to the female reproductive

system. It indicates an imbalance or dysfunction in the menstrual cycle  resulting in scanty or

decreased menstrual flow. This condition can be caused by various factors  including hormonal

imbalances  stress  poor diet  lack of exercise  or underlying health conditions.

Need of Study:

PCOD is a leading cause of female reproductive and general heath issues in the current times and

thus requires a keen outlook towards its management as not much substantial productive

management protocols exist in synergistic approach towards the same. Thus, the current study

has been planned to assess the efficacy of Nishaamlki and Bhadrasana as a synertic approach.

Review of Literature:

Aim & Objectives:

1. To assess the efficacy of Nishaamalki in management of PCOD.

2. To assess the efficacy of Bhadrasana in management of PCOD.

3. To compare the Efficacy of Nishaamalki and Bhadrasana in management of PCODHypothesis:

Null Hypothesis: There is no significant difference in the efficacy Nishaamlaki,

Bhadrasana & combination of Nishaamlaki and Bhaadrasana in the management of

PCOD.

Research Hypothesis: There is significant difference in the efficacy of Nishaamlaki,

Bhadrasana & combination of Nishaamlaki and Bhaadrasana in the management of

PCOD