International Journal of Indian Medicine

ISSN: 0000-0000

Year: 2025 |Volume: 6 | Issue: 05


An Integrative Case Study on the Clinical Management of Kastartava (Primary Dysmenorrhea) in a Young Female: A Multimodal Approach

About Author

Jumle A., 1 , Jumle R., 2 , Bhadlikar D.,3 , Bhadlikar D.4

1Associate Professor, Department of Sriroga & Prasutitantra, Datta Meghe Ayurvedic Medical College, Wnadongri, Hingna, Nagpur.

2Professor, Department of Kaumarbhritya, Mahatma Gandhi Ayurved College, Hospital & Research Centre, Salod, Wardha.

3Professor dept. of Shalakyatantra & Principal, Sardar Ajit Singh Ayurved Mahavidyalay, Bhopal.

4Professor, Dept. of Rasashastra, B R Harne Ayurvedic Medical College, Wangani, Badlapur, Thane.


Date of Acceptance: 2025-05-24

Date of Publication:2025-06-15

Correspondence Address:

Dr. Archna Pandey Jumle Associate Professor, Department of Sriroga & Prasutitantra, Datta Meghe Ayurvedic Medical College, Wanadongri, Hingna, Nagpur. Email: drarchna.pandey28@gmail.com
Article-ID:IJIM_380_07_25 https://ijim.co.in

Keywords: Dysmenorrhea, Kastartava, Ayurveda, Basti, Pachakarma, NSAIDs, Menstrual health, Integrative medicine.


Source of Support: Nill

Conflict of Interest: None declared


Abstract


Primary dysmenorrhea is a common gynecological condition characterized by painful menstruation in the absence of underlying pelvic pathology. While nonsteroidal anti-inflammatory drugs (NSAIDs) and hormonal therapies remain the mainstay of conventional treatment, increasing interest in complementary therapies such as Ayurveda, acupuncture, and lifestyle modifications is evident. This case study explores a holistic and integrative approach to managing dysmenorrhea in a 19-year-old female, combining conventional pharmacological management with lifestyle modification and Ayuvedic interventions and Panchakarma therapies like basti. The outcome demonstrates improvement in pain intensity, quality of life, and menstrual regularity, highlighting the potential of integrative management in chronic gynecological conditions. Dysmenorrheal affects about 50% of women who are menstruating, and in Ayurveda dysmenorrheal refers to the term Kastartava. Ayurvedic classics mention various dietary modifications, Anuvasana basti, Uttar basti therapies.