A persistent and painful discrepancy between a person’s gender identity as experienced or perceived and their given gender at birth is the hallmark of the psychological illness known as gender dysphoria.
Symptoms
Incongruence: People with gender dysphoria frequently believe that their gender identity does not match their biological sex, which causes them to have a strong desire to be accepted and be treated as a different gender than the one they were assigned at birth.
Anxiety, sadness, and other mental health issues can result from this incongruence, which frequently causes severe emotional suffering.
Gender dysphoria sufferers may use a variety of methods to communicate their gender identity, including their choice of dress, hairstyles, names, and pronouns.
Causes and pathophysiology
Although the precise causes of gender dysphoria remain unknown, it is thought to be the result of a complex interplay of biological, genetic, hormonal, and environmental variables. It Is a fundamental part of a person’s identity and is not something they can choose. There may be a neurological foundation for gender identification, according to certain research that has revealed ties to brain shape and function.
Diagnosis
To diagnose gender dysphoria, a skilled mental health professional with experience dealing with gender-related disorders will normally conduct a complete psychological evaluation. The examination measures the person’s gender expression, amount of suffering, and degree of impairment brought on by the discrepancy between the person’s gender identity and assigned sex.
Treatment
The main objectives of treatment for gender dysphoria are to reduce the distress and enhance the person’s general well-being. The age, particular needs, and preferences of the patient can influence the treatment strategies used. Typical forms of treatment include:
Psychotherapy: Talk therapy, such as cognitive-behavioral therapy, can assist people in navigating their emotions, resolving conflict, and determining their gender identity.
Hormone Therapy: Under the direction of licensed medical professionals, hormone therapy (hormone replacement therapy) may be recommended for transgender people who want to match their physical traits with their gender identification.
Surgery: Gender-affirming procedures, commonly referred to as gender confirmation surgeries, maybe a part of the treatment strategy for certain transgender people.
Social Transition: Social transition entails assuming a gender role that is consistent with one’s gender identification. This could involve modifications to one’s name, pronouns, attire, and social interactions.
Prognosis
Many people who are experiencing gender dysphoria find their mental health and general well-being to be enhanced with the right support and gender-affirming care. As people are given the freedom to live genuinely and express their real gender identity, the level of distress is likely to reduce.
Complications
Gender dysphoria increases the likelihood of anxiety, depression, self-harm, and suicide ideation if it is not treated or supported. It can also cause severe emotional and psychological discomfort. To lower the possibility of such difficulties, it is essential to create an atmosphere for people with gender dysphoria that is accepting and supportive.
Gender dysphoria in Ayurveda
A disorder resembling gender dysphoria is occasionally referred to as “Trishna” in the traditional Indian medical system of Ayurveda. In general, the term “Trishna” refers to a strong want or longing that can be used in a variety of contexts, including discussions of gender identity and sexual orientation. In this context, the mental faculties are disturbed.
Nidana
Nidana is the process of determining a disease’s diagnosis or its root causes. To pinpoint the illness’ primary cause, a thorough study of the patient’s signs, symptoms, medical background, way of life, and other elements is required. Trishna (pathological thirst of body and mind) may be caused by several different circumstances, such as excessive heat (Pitta imbalance), dryness, an increase in Vata (air and ether elements), or imbalances in the water element (Kapha).
Poorvaroopana
Poorvaroopana refers to the early symptoms or warning signs that appear before a disease fully manifests. These early symptoms in the case of Trishna may include sensations of mouth dryness, increased thirst, restlessness, irritability, sleeplessness, unwanted thoughts, and a desire to think irrationally.
Samprapti
According to Ayurveda, the following actions contribute to Trishna’s pathogenesis:
Dosha imbalance: An increase in Pitta dosha as a result of things like too much heat, spicy food, drinking alcohol, or spending too much time in the sun and also genetic factors.
Increased Pitta dosha affects the Agni, which results in an aberrant digestive fire. Agni (Digestive Fire) Imbalance. As a result, the body’s capacity to metabolize liquids, minerals, and vitamins and keep itself hydrated is impaired.
The Vata dosha, which governs mobility and transportation in the body, is affected by the exacerbated Pitta. This imbalanced Vata generates an excessive thirst and interferes with the normal functioning of physiological fluids and nerves.
Trishna: Trishna is characterized by an excessive thirst and thoughts and or a persistent yearning for water and other liquids. It results from the interaction of inflamed Pitta and disturbed Vata.
Lakshana
Trishna’s clinical signs in this context or symptoms include:
The main symptom of Trishna is an excessive thirst that is uncontrollable and continuous. The impulse to drink water is experienced by the person.
Dry Mouth: Fluid loss can cause the mouth to become parched and dry.
Fatigue and Weakness: Excessive thirst can cause dehydration, which can result in fatigue, weakness, and low energy.
Dizziness: In serious circumstances, people could feel lightheaded or dizzy.
Thoughts
Prognosis
Manageable
Chikitsa
Sodhana
In Sodhana Chikitsa, the body is cleansed and detoxified to get rid of excess toxins and imbalances. It seeks to eliminate the condition’s underlying cause. If excessive thirst is brought on by underlying toxins or bodily imbalances, Sodhana Chikitsa may be suggested in the context of Trishna.
Virechana is a therapeutic purgation technique that aids in eliminating excessive Pitta (fire element) from the body. It entails giving patients purgative medications to stimulate regulated bowel movements and remove toxins from the intestines. Managing Trishna along with Pitta imbalances may benefit from doing this.
Vamana: To rid the body of too much Kapha (elements of the soil and water), Vamana is a therapeutic emesis procedure. To cause vomiting and get rid of toxins that have built up in the upper digestive tract, it entails the carefully timed delivery of emetic drugs.
Samana
Treatments used in Samana Chikitsa aim to calm and regulate the doshas (biological energies) without eradicating them from the body. When the excessive thirst is not brought on by serious imbalances or poisons, this strategy is appropriate.
Herbal treatments:To calm excessive Pitta, ayurvedic medicines with cooling characteristics may be utilized. For this reason, plants like Shatavari, chandan (sandalwood), guduchi, and fennel are frequently utilized.
 Diet: A Pitta-calming diet can assist in balancing the body’s heat and quenching thirst. This may entail eating more meals with sweet, bitter, and astringent flavors while avoiding foods with spicy, sour, and salty flavors.
Lifestyle: Ayurveda places a strong emphasis on leading a balanced lifestyle, which includes regular sleep patterns, stress management, and moderate exercise. Good counselling from an expert will help to find the reality.
Commonly used medicine
Sandalwood (Chandan), coriander (dhaniya), licorice (yashtimadhu), and vetiver (ushira) are used to make the herbal concoction known as Chandanadi Kashayam.
Usheerasava: Ushira (vetiver), coriander, and other herbs are all included in this fermented liquid preparation.
Draksharishtam: This Ayurvedic medicine is made up of herbs and grapes (draksha). In addition to calming the mind, it also enhances general well-being.
Cumin seeds (jeera) and other herbs are included in this preparation known as jeerakarishtam. Digestion is aided, and excessive thought is diminished.
Kalyanakam Ghritham
Panchagavyam Ghritham
Chandanadi Thailam
Himasagara Thailam
Brand available
Dabur
Avp
Kottakkal
Baidyanath
Zandu
Patanjali
Himalaya herbals
Home remedies
Trishna is treated by bringing the exacerbated Pitta and Vata doshas into balance and making sure the patient is properly hydrated. The following are a few of the general guidelines used to manage Trishna:
Rehydration: The main strategy is to rehydrate the body by consuming lots of liquids and water. Fresh fruit juices, herbal teas, and coconut water are all healthy options.
A cooling diet that includes fresh fruits, vegetables, and foods with both sweet and bitter flavors is advised to calm the Pitta dosha. Foods that are fried, spicy, or hot should be avoided.
Herbal Treatments: Ayurvedic herbs like fennel, aloe vera, coriander seeds, and Shatavari can help quench thirst while balancing the doshas.
Reduce your exposure to hot temperatures, direct sunlight, and activities that produce a lot of heat.
Get enough sleep to help your body’s natural healing processes.
Avoid alcohol and coffee as these items can aggravate Trishna by further dehydrating the body.
Yoga
This stance, known as Viparita Karani (Legs-Up-the-Wall stance), is renowned for its calming and unwinding effects on the body and mind. It may lessen tension and anxiety, which are factors in cravings.
Instructions:
Sit with one side of your body against a wall that is free from obstructions.
Lay on your back with your legs crossed in front of you, forming a 90-degree angle with the wall.
Your hips can be a little farther from the wall, and you can rest your arms at your sides or on your tummy.
For 5 to 10 minutes, hold this position while concentrating on your breath and letting yourself completely unwind.
Child’s Pose, also known as Balasana, is a soothing resting position that eases stress in the neck, shoulders, and back. Additionally, it encourages relaxation and a sense of surrender, both of which are advantageous in overcoming cravings.
Instructions:
Begin by bending your knees while standing atop a table.
Reach forward with your arms as you recline back on your heels and lower your chest towards the floor.
Allow your arms to fully extend and your forehead to touch the mat.
Hold the stance for one to two minutes, or longer if it’s comfortable, and inhale slowly and deeply.
Bhujangasana (Cobra Pose): Cobra Pose stretches the abdomen, opens the chest, and strengthens the back. Additionally, it may help people choose healthier foods and curb cravings by enhancing blood circulation and stimulating digestion.
Instructions:
Laying flat on your stomach, palms close to shoulders, forehead resting on the floor, is a good starting position.
Your lower belly and pelvis should remain on the mat as you steadily lift your head, chest, and upper abdomen off the ground.
While maintaining a long neck, pull your shoulder blades back and down to open up your chest.
Breathe deeply while maintaining the position for 15 to 30 seconds, and then slowly let go to return to the floor.
The Food and Drug Administration, United States has not evaluated these statements. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake.
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Writer:
Dr. Rajesh Nair, the co-founder and chief consultant of Ayurvedaforall.Com, is a graduate of prestigious Vaidyaratnam Ayurveda College (affiliated with the University of Calicut), Kerala, India. Additionally, he holds a Postgraduate Diploma in Yoga Therapy from Annamalai University.
Dr. Nair offers consultation at two busy clinics in and around Haripad, Alleppey, Kerala, the southern state famous worldwide for authentic ayurvedic treatment and physicians. While offering consultation on all aspects of ayurvedic treatments Dr. Nair has a special interest in Panchkarma, Yoga, and Massage.
Through Ayurvedaforall, Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the Secretary of the Kerala State Committee of Ayurveda Medical Association of India.
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