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CTRI Number  CTRI/2026/02/103566 [Registered on: 10/02/2026] Trial Registered Prospectively
Last Modified On: 05/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   The study of changes in Teeth, Nails and Hair in women whose period cycle stopped permanently with weakening of bones. 
Scientific Title of Study   An observational study of structural changes in Danta Nakha Kesha in Menopausal women w.s.r. to Asthi Kshaya 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
Nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Anwaya Govindrao Isal  
Designation  PG Scholar  
Affiliation  Radhakisan Toshniwal Ayurved Mahavidyalaya Akola  
Address  Radhakisan Toshniwal Ayurved Rugnalaya and Anusandhan Kendra Department-Sharir Rachana Room no 6 Floor no 3 Akola

Akola
MAHARASHTRA
444005
India 
Phone  7559226677  
Fax    
Email  anuisal22@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Yogeshwar Nilkanth Deshpande  
Designation  HOD Sharir Rachana department  
Affiliation  Radhakisan Toshniwal Ayurved Mahavidyalaya Akola  
Address  Radhakisan Toshniwal Ayurved Rugnalaya and Anusandhan Kendra Department-Sharir Rachana Room no 6 Floor no 3 Akola

Akola
MAHARASHTRA
444005
India 
Phone  7719923259  
Fax    
Email  yogeshwardeshpande@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Anwaya Govindrao Isal  
Designation  PG Scholar  
Affiliation  Radhakisan Toshniwal Ayurved Mahavidyalaya Akola  
Address  Radhakisan Toshniwal Ayurved Rugnalaya and Anusandhan Kendra Department-Sharir Rachana Room no 6 Floor no 3 Akola

Akola
MAHARASHTRA
444005
India 
Phone  7559226677  
Fax    
Email  anuisal22@gmail.com  
 
Source of Monetary or Material Support  
Radhakisan Toshniwal Ayurved Rugnalaya and Anusandhan Kendra Akola 444005 Maharashtra  
 
Primary Sponsor  
Name  Dr Anwaya Govindrao Isal  
Address  Radhakisan Toshniwal Ayurved Rugnalaya and Anusandhan Kendra Kediya plots Jatharpeth Akola 444005 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
Nil  Nil 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Anwaya Govindrao Isal   Radhakisan Toshniwal Ayurved Rugnalaya and Anusandhan Kendra Akola  Department Kayachikitsa Division OPD block Room no 4 Akola
Akola
MAHARASHTRA 
7559226677

anuisal22@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee of Radhakisan Toshniwal Ayurved Mahavidyalaya Akola  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Structural changes in Danta Nakha Kesha in Menopausal women  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  45.00 Year(s)
Age To  55.00 Year(s)
Gender  Female 
Details  Postmenopausal women aged between 45-55 years.
1.Patients who have attained natural menopause irrespective of no. of pregnancies,
lactation, height, weight, socio-economic status.
2.Known cases of simple systemic disorders affecting bones, teeth, nails, hair
Eg. Osteoporosis, Hypertension, Diabetes Mellitus, Thyroid disorders,etc.
Patients who are willing to participate.
3.Patients who are willing to participate.
4.Patients who gave informed consent.
 
 
ExclusionCriteria 
Details  1.Women with surgical menopause or drug induced menopause.
Eg. Hysterectomy
2.Women on hormone replacement therapy (HRT).
3.Women on Calcium or Vitamin-D supplements.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To observe the structural changes in Danta, Nakha, Kesha in menopausal women and
evaluate their correlation with the signs and symptoms of Asthi Kshaya, as described
in Classical Ayurvedic texts.
 
18 months
 
 
Secondary Outcome  
Outcome  TimePoints 
1.To identify common clinical signs & symptoms of Asthi Kshaya in menopausal
women.
2.To assess the severity of structural changes in Danta, Nakha, Kesha using a structured
observation grading scale.
3.To provide an Ayurveda based perspective for early detection & possible preventive
care of Asthi Kshaya during menopause.
4.To strengthen the correlation between observable Updhatu changes & Asthi dhatu. 
18 months  
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   20/02/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="5"
Days="29" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Menopause is a natural and inevitable phase in a woman’s life, marked by hormonal changes, particularly a decline in estrogen levels, which accelerates bone loss and weakens tissues derived from Asthi dhatu. Modern research has established that postmenopausal women are at an increased risk of osteoporosis, brittle nails, hair thinning, and dental problems. According to Ayurveda, Danta (teeth), Nakha (nails), and Kesha (hair) are considered Updhatu or Mala of Asthi dhatu, and structural deterioration in these tissues may indicate Asthi Kshaya (depletion of bone tissue). Assessment of bone health through conventional investigations is often invasive, costly, and inaccessible in resource-limited settings. In contrast, observation of visible structural changes in teeth, nails, and hair is simple, economical, and non-invasive. However, there is limited integrative research correlating these visible changes with the Ayurvedic concept of Asthi Kshaya in menopausal women.
This observational study aims to evaluate structural changes in Danta, Nakha, and Kesha among menopausal women and to establish their correlation with Asthi Kshaya. By bridging classical Ayurvedic knowledge with clinical observation and modern understanding, the study seeks to facilitate early detection of bone tissue depletion, promote preventive healthcare strategies, and contribute to improved menopausal health management from an integrative perspective.
 
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