Early Activation of Artavavaha Srotas: An Observational Study on the Secular Trend of Menarche and Its Mitigation Through Classical Ayurvedic Protocols

Background

The secular downward trend in the age of menarche represents a critical global health concern. Ayurveda defines Balavastha (childhood) as extending up to 16 years of age, a phase characterized by Aparipakva Dhatu (immature tissues), Asampurna Bala (unformed strength), and Ajatavyanjana (unmanifested secondary sexual characteristics). This stage is physiologically dominated by Kapha Dosha to protect systemic growth. Classical texts define the natural onset of menstruation (Artava-Darshana) at twelve years (Dvadasat Varsha). However, modern Anthropocene lifestyles—characterized by technological saturation, sedentary habits, hyper-caloric diets, and endocrine-disrupting chemicals (EDCs)—are prematurely activating the Artavavaha Srotas (reproductive channels). Aims and Objectives: To assess the current age of menarche, constitutional (Deha Prakriti) susceptibility, and lifestyle correlates (Ahara-Vihara) in 100 schoolgirls (aged 8–16 years), and to establish a Samhita-based management protocol utilizing the principles of Stri Roga. Materials and Methods: An observational cross-sectional survey was conducted among 100 girls in an urban school setting (Vishva Keerti High School). Data regarding sociodemographics, digital screen time, dietary patterns, and gynaecological symptoms were collected using a pre-tested clinical questionnaire, and constitutions were assessed using the CCRAS 30-item MOSOP Prakriti Questionnaire. Clinical manifestations were correlated with classical Ayurvedic entities, specifically Raktayoni, Prakcharana, and Udavartini. Statistical analysis was performed using descriptive and inferential methods to establish correlations between lifestyle factors and early pubertal onset. Data regarding sociodemographics, digital screen time, dietary patterns, and gynaecological symptoms were collected using a pre-tested clinical questionnaire. Clinical manifestations were correlated with classical Ayurvedic entities, specifically Raktayoni, Prakcharana, and Udavartini.