Polycystic ovarian syndrome: a review on unani verses modern medicine

ABSTRACT

Polycystic ovarian syndrome [PCOS] is a disturbance of reproductive, endocrine and metabolic functions. There are multiple clinical features including menstrual cycle disturbances, hirsutism, enlarged polycystic ovaries, abnormal biochemical profiles, obesity and acne. It is the most common endocrine disorder of women in their reproductive years with a global prevalence of up to 17.8%. While its incidence is highest in women from Kashmir Pakistan -Indian subcontinent [37.3%] followed by Pakistan [20.7%]. In Unani concept polycystic ovarian syndrome has not been defined as a disease however, descriptions related to its manifestation have been reported. According to Unani physicians it is predominantly due to excess of khilte balgham [phelgmatic humour]. The line of management is based on correction of this temperament by using herbs of the opposite temperament such as Aloe barb adensis, Cinnamom zeylanicum, Glycyrrhiza glabra, Linum usitatissimum, Mentha spicata and Nigella sativa which help to increase the expectoration and purgation of phlegm from the body. In modern medicine an ideal therapy is lacking that fully reverses underlying hormonal disturbances and treats all clinical features. There are symptomatic correction available for polycystic ovarian syndrome most commonly used are oral contraceptives pills and metformin. However, they cannot reverse the hormonal imbalance completely justifying the use of alternative treatments