Published Paper Details:

Rajonivrtti is a natural, age-related physiological transition characterized by the permanent cessation of menstruation, usually occurring between 45 and 55 years of age. In modern medicine, menopause is attributed to depletion of ovarian follicles and decline in oestrogen levels, leading to various vasomotor, psychological, urogenital and metabolic symptoms. Ayurveda describes this phase as Rajonivrtti, a Swabhavika Kalaja Avastha occurring due to Jara and progressive Dhatu kshaya. Although not considered a disease entity, Rajonivrtti is associated with multiple distressing manifestations primarily due to Vata dosha predominance and imbalance of Raja and Tama guna. Ayurveda emphasizes a holistic and preventive approach to ensure healthy aging during menopause. Management is aimed at Vata-shamana, Dhatu-poshana and enhancement of Satva through appropriate Ahara, Vihara, Rasayana therapy, Panchakarma, Yogasana and Sattvavajaya Chikitsa. Rasayana drugs help in delaying degeneration, improving immunity and maintaining physical and mental strength, while Panchakarma procedures-especially Basti-play an important role in correcting Vata imbalance. Yogic practices and Sattvavajaya Chikitsa contribute significantly to psychological well-being by reducing stress, anxiety and sleep disturbances. This review aims to compile classical Ayurvedic concepts of Rajonivrtti, correlate them with modern understanding of menopause and highlight the role of Ayurveda in promoting healthy aging and improving quality of life in menopausal women through a comprehensive, safe and integrative approach.