In Ayurveda, hormones are the "fire" element that travels through the blood. An imbalance is rarely an isolated event; it is a systemic failure of Dhatu Agni (tissue metabolism). When the body is under stress, the Ojas (vital essence) is depleted. This signals the endocrine system to go into "emergency mode," disrupting the delicate balance of estrogen, progesterone, and thyroid hormones.

A regular cycle depends on the unhindered movement of Apana Vayu. Irregular periods (Artava Dushti) occur when this wind is erratic. Delayed/Scanty: Indicates Vata aggravation (dryness and constriction in the channels).Heavy/Prolonged: Indicates Pitta aggravation (excess heat causing the blood to flow too freely).

Growth in the uterus, such as fibroids (Garbhashaya Granthi) or endometriosis, represents a severe aggravation of Kapha and Rakta (blood tissue). The text Sushruta Samhita describes this as Granthi, a "knot" or hardening of the tissue. When the surrounding muscle tissue loses its intelligence due to accumulated toxins, it begins to grow incorrectly. This is often painful because the "knot" obstructs the free movement of Vata, causing sharp, spasmodic pain.