Abstract

Endometriosis is one of the most common benign gynaecological diseases characterized by the implantation and growth of viable endometrial tissue outside the uterine cavity. The symptoms of endometriosis can be correlated to many of the Yoni vyapads described in our classics. In the present case, a 37-year-old female (Swedish national) reported chief complaints of severe lower abdominal and pelvic pain and heavy bleeding during menstruation from the past 7 years, especially one day prior to menstruation and stops 1-2 days after the onset of bleeding. She was advised for a USG scan which showed endometriosis, cyst in the left ovary. Sodhana chikitsa was followed, and the whole treatment period spanned for a total of 42 days. The patient was advised to follow up after 6 months. After the treatment, there was a significant improvement in the patient’s conditions, and in turn, the patient also expressed greater satisfaction with the result. Keywords: Endometriosis, Yoni vyapad, Vatiki, Sodhana chikitsa

Highlights

  • Endometriosis is the most common problem encountered in Gynaecology

  • According to Ayurveda classics, endometriosis cannot be codified under a single disease entity

  • The complicated clinical scenario demands accurate diagnosis and management to prevent surgical intervention. This present case report emphasized the importance of an Ayurvedic treatment protocol for the management of pelvic pain connected with endometriosis

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Summary

Introduction

Endometriosis is the most common problem encountered in Gynaecology. This is a hormone-dependent gynecologic disease, with clinical manifestations of adhesion and progressive growth of endometrial cells in organs other than the uterus. [1] This disease affects a large portion of the population. [2,3] Endometriosis is a relatively common and potentially debilitating condition affecting up to 10-15% of reproductive age group women. It is seen in 30-40% of women with infertility. The Gynaecological reasons for chronic pelvic pain are diverse This diversity ends in the clinical diagnosis of endometriosis in about one-third of the cases during their reproductive period. Her personal history revealed a constipated bowel habit, occasional acidity and disturbed sleep She attained menarche at the age of 12 years, a menstrual period with a duration of 3-4 days and an interval of 24-26 days.

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