Management of Hirsutism Associated With Obese PCOD - A Case Report

Abstract

Hirsutism is a condition of abnormal growth of hair on any part of the body irrespective of gender. The reason for hirsutism might be genetic or unhealthy lifestyle which triggers the pathogenesis. Women with PCOD particularly associated with hirsutism, have an increased prevalence of reactive depression and minor psychological abnormalities. The overall quality of life is decreased in hirsute women. This case study helps to plan a treatment protocol for the patient with PCOD having irregular, delayed menses & obesity along with hirsutism. A 19 years old unmarried female patient came to OPD of Streeroga Evum Prasutitantra, with complaints of irregular, delayed menstruation, weight gain, facial hair growth with acne from last 1 year. Bilateral bulky ovaries with PCOD were founded in her USG. Her FSH:LH ratio was altered, and her serum testosterone level was raised. 3 months of treatment protocol was given to patient in which Nitya Virechana with Shamana Aushadhi (Kulatthadi Kashaya and Shatapushpa Churna). Her menses became regular after 3 months of treatment & 8 kg of weight was reduced. Her USG report revealed bilateral normal ovaries and volume became normal. She continued Shamana Aushadhi up to 6 months. Her acne was subsided, facial hair growth became scantier with complete stoppage of new hair growth. Her FSH:LH ratio became normal and serum testosterone as well as S. insulin level became normal. This case will give a new hope in the management of hirsutism associated with PCOD by ayurvedic protocol i. e. Nitya Virechana Karma along with Kulatthadi Kashaya and Shatapushpa Churna, also to explore the probable mode of action of these drugs which helped in menstrual regulation, hirsutism, acne and obesity. KEYWORDS: Hirsutism, PCOD, Irregular menses, Obesity, Kulatthadi Kashaya, Shatapushpa Churna, Nitya Virechana.