Effect of traditional dry cupping therapy on heavy menstrual bleeding in menorrhagia: A preliminary study

Sultana, Arshiya;Rahman, Khaleeq Ur

  • 투고 : 2012.08.03
  • 심사 : 2012.11.12
  • 발행 : 2012.11.30


Menorrhagia (kasrate tams) is the most common gynecologic complaint in contemporary gynecology, affecting 10 to 15% of the adult female population. It can occur at any age. In the Unani system of medicine, since antiquity, dry cupping therapy (hijamat bila shurt) has been used to treat menorrhagia. An effort was made to evaluate the usefulness of dry cupping on excessive menstrual blood loss in menorrhagia with a well validated menstrual pictogram. This study was conducted on 15 patients at the National Institute of Unani Medicine, Hospital Bangalore, from January 2010 and July 2010. Unmarried or married patients aged 17 - 47 year with a history of excessive or prolonged bleeding per vaginum were included. Two large cups (with 5.7 cm internal diameter) were applied below each breast for 15 min, only once during the menstrual period when the patient reported to the outpatient department. If the menstrual flow was not reduced, the next day again dry cupping was repeated. The outcome was to assess the efficacy of dry cupping on the reduction in the amount of menstrual blood loss. The data was analyzed by the Wilcoxon matched test. The mean scores of menstrual blood loss before and after the treatment was 400.26 (277.95) and 48.4 (32.082) ml respectively, p = 0.002, considered statistically significant. A dry cupping therapy is a useful treatment modality in decreasing the amount of menstrual blood flow in menorrhagia. Further randomized controlled clinical trials and validation are needed in a large population.


Hijamat bila shurt;dry cupping therapy;menorrhagia;Unani system of medicine;menstrual pictogram


  1. Akhtar J, Siddiqui M K. Utility of cupping therapy Hijamat in Unani medicine. Indian J Tradit Know. 2008;7:572-574.
  2. Fathima A, Sultana A. Clinical efficacy of a Unani formulation 'Safoof Habis' in menorrhagia: A randomized controlled trial. Eur J Integr Med. 2012;4:e315-e322.
  3. Kooy J, Taylor NH, Healy DL, Rogers PAW. Endothelial cell proliferation in the endometrium of women with Menorrhagia and in women following endometrial ablation. Hum Reprod. 1996;11:1067-1072.
  4. Lukes AS, Moore KA, Muse KN, Gersten JK, Hecht BR, Edlund M, Richter HE, Eder SE, Attia GR, Patrick DL, Rubin A, Shangold GA. Tranexamic Acid Treatment for Heavy Menstrual Bleeding: A Randomized Controlled Trial. Obstet Gynecol. 2010;116:865-875.
  5. Moore TR, Reiter RC, Rebar RW, Baher VV. Gynecology and Obstetrics: A Longitudinal Approach. (New York, U.S.A: Churchill Livingstone), p. 755, 1993.
  6. Oehler M.K, Rees MC. Menorrhagia: an update. Acta Obstet Gynecol Scand. 2003:82;405-422.
  7. Sengupta SB, Chattopadhyay SK, Dutta DC. Gynaecology for Post graduates and Practitioners (New Delhi, India: B.I. Churchill Livingstone), pp. 250-252, 1998.
  8. Sultana A, Rahman K, Farzana MUZN, Lone A. Efficacy of Hijamat bila Shurt (Dry Cupping) on Intensity of Pain in Dysmenorrhoea. A Preliminary Study. Anc Sci Life. 2010;30:47-50.
  9. Ullah K, Younis A, Wali M. An investigation into the effect of Cupping Therapy as a treatment for Anterior Knee Pain and its potential role in Health Promotion. Internet J Altern Med. 2007; 4:1.
  10. Wallis LA. Textbook of women health. (Philadelphia, U.S. A: Lippincott Raven Publishers), p. 471, 1998.
  11. Wyatt KM, Dimmock PW, Walker TJ, O'Brien PM. Determination of total menstrual blood loss. Fertile Steril. 2001;76:125-131.
  12. Wyatt K, Dimmock P, O'Brien S, Kirkham C, Warrilow G, Ismil K. Quantification of menstrual blood loss. Obstet Gynaecol. 2004;6:88-92.