Ihtibaas-e- Tams (Amenorrhoea)

Ihtibaas-e- Tams (Amenorrhoea)


Ihtibaas-e- Tams (Amenorrhoea/ Amenorrhea) is a condition where menstrual cycle stops before time or a condition in which menstrual flow ceases during reproductive life of a women. In few conditions menstrual cycle stops naturally for example before menopause, during pregnancy, after menopause and for a long period after delivery when the mothers are nursing their babies. However, the stoppage of these cycles before time is not normal.

Types of Amenorrhoea: There are two types of amenorrhea

1.      Primary Amenorrhoea: It is a condition which takes place when a girl is unable to have her first period by the age of sixteen years due to different reasons such as over exercise, anorexia, stress, ovulation abnormalities, genetic abnormalities, thyroid disorders, pituitary disease or obesity.

2.      Secondary Amenorrhoea: It is a condition in which a women who has had her periods but fails to have them again or she is facing irregularities in menstrual cycle along with absent periods.

Causes of Amenorrhoea (Asbaab-e- Ihtibaas-e- Tams)

Some of the important causes of amenorrhoea are given below:

  • Anaemia (Qillat-e- dam)
  • Increased blood viscosity (Ghilzat-e- dam)
  • Faulty dietary pattern (Ghizayi aadat me nuqs)
  • Faulty life style (Rahen sahen mein nuqs)
  • Displacement of uterus
  • Low physical work
  • Intake of strong medicines and intoxicants
  • Obstruction as the openings of uterine vessels
  • Healed uterine ulcers resulting in vascular obstruction
  • Stress and anxiety
  • Imperforated hymen
  • Diseases like TB, malaria, cough & cold
  • Malnutrition (Naqs-e- taghzia)
  • Diseases of liver and spleen
  • Excess of venesection (Fasd)
  • Excess of exercise (Riyaazat)
  • Obesity  (Motaapa) which is resulting in pressure on vessels

Ihtibaas-e- Tams ke Alamaat (Symptoms of Amenorrhoea): Stopping of menstrual cycle before time is associated with many signs and symptoms which is characterized by cessation of menses along with specific features of its causative factors. Some important signs and symptoms are:

  • Headache
  • Nausea
  • Laziness
  • Pain in back and waist
  • Respiratory problems
  • Vomiting
  • Sleepiness
  • Tiredness

Usool-e-Ilaj (Principles of Treatment)

  • Hemopoesis (Tawleed-e- Dam) in cases of anaemia
  • Evacuation of viscous humours (Tanqiya-e- Akhlaat-e- Ghaleeza)
  • Thinning of humours (Talteef-e- khilt)
  • Deobstruction of vascular openings (Tafteeh-e- Afwaah-e- Urooq)
  • Emaciation (Tahzeel) in case of obesity
  • Surgical intervention is case of imperforated hymen

Ilaj bil- Tadbeer (Regimenal Therapy)

  • Bloodletting through saphenous vein (Fasd-e- Saafin)
  • Moistness producing bath (Hammam-e- Murattib)
  • Cupping on calf (Hijama)

Ilaj bil- Ghiza (Dietotherapy)

Dietary Recommendations: Haemopoetic diet is recommended (Aghziya-e- moallid-e- dam) in case of anaemia (Qillat-e- dam).

Dietary Restrictions: Dietary control (Taqleel-e- Ghiza) is advised in case of obesity

Ilaj bil- Dawa (Pharmacotherapy)

  • Sitz bath (Aabzan) with decoction of following drugs

Anethum soya (Shibt), Oliganum vulgare Linn. (Marzanjosh), Mentha piperita Linn. (Foodanaj), Ruta graveolens Linn. (Suddab), Matricaria chamomilla Linn. (Baboonah), Pods of Trigonella uncata Linn. (Iklil-ul- malik).

Oral administration of decoction of following drugs

  • Apium graveolens Linn. (Karafs) and Ziziphora tenuior (Mushktaramasheeá) alongwith honey (Shahed)
  • Mentha piperita Linn. along with Ma-ul- A’sl
  • Ferula asafoetida Linn. (Hilteet) 3.5 gm along with Ma-ul- A’sl

Oral administration of decoction of following drugs along with honey

Apium graveolens Linn. (Karafs), Pimpinella anisum Linn. (Anisoon), Foeniculum vulgare Gaertn (Baadiyan), Mentha arvensis (Pudinah kohi), and Mentha aquatica (Pudinah Nahri)

  • Pessary (Firzaja) containing following ingredients

Juice of fresh Ruta graveolens Linn. (Aab-e- sudad), juice of fresh Mentha piperita Linn. (Aab-e- pudina)

Single Drugs Recommended

  • Muqil               Commiphora wightii Bhandari Syn.: C. mukul ( Hook. ex Stocks) Engl.
  • Mur makki       Commiphora myrrha
  • Abhal              Juniperus communis Linn.
  • Zeerah             Cuminum cyminum Linn.

Compound Drugs Recommended

  • Habb-e- Mudirr
  • Safoof Mudirr-e- Haiz
  • Roghan-e- Baboonah
  • Sharbat-e- faulaad
  • Safoof Muhazzil
  • Sharbat-e- afsanteen

Health tips for Amenorrhoea patients

There are some health tips, which are important in giving relief from amenorrhoea.

  • Amenorrhoea patient is advised to take fruits or vegetable juice for three days subject to condition that she shouldn’t be weak. It is better to be on fruits, fruits & vegetable juices for 10 days if her health permits.
  • Amenorrhoea patient should take sitz bath in the morning and evening.
  • One should try to follow self-discipline natural life.
  • Wet mud pack on the abdominal region is advisable. Sometimes, steam should be given on the abdomen.
  • Drinking of lukewarm milk is very beneficial.
  • Consult Unani physician/ expert to learn how to maintain good and holistic health.
  • Always balance diet is recommended in such cases. Check your weight to control obesity at intervals.
  • Do regular workouts/ exercise moderately.
  • Fruits like papaya, pineapple, pomegranate and apple is advisable.
  • Advisable foods preferably in this condition are pulses, curd, green grams, lentil, onion and sprouted grams











  • PUBLISHED DATE : Feb 16, 2018
  • CREATED / VALIDATED BY : Dr. Mahtab Alam Khan
  • LAST UPDATED ON : Feb 16, 2018


Write your comments

This question is for preventing automated spam submissions