Role of Matra basti in polycystic ovary syndrome: A case report

Abstract

Polycystic ovary syndrome is a disorder of reproductive women characterized by hyperandrogenism (elevated free testosterone levels and hirsutism), ovulatory dysfunction, and polycystic ovarian morphology. Here, a case of 29-year-old female was presented with complaints of irregular menstrual cycle, only twice during the last six months associated with severe pain in the lower abdomen and back. Acne on the face, facial hair growth, and increase in weight (from 42 kg to 53 kg) were also associated. The diagnosis of Polycystic Ovarian Syndrome (PCOS) was established through Ultrasonography (USG) and blood hormonal profile (prolactin, serum testosterone total, androstenedione value, complete blood count, thyroid profiles, luteinizing hormone, fasting insulin, dehydroepiandrosterone sulfate, follicle-stimulating hormone, sex hormone-binding globulin, progesterone level, and estrogen level). Ayurvedic treatment was planned on the lines of management for Nastaartava (~ceases of menstrual fluid with ovary dysfunction). Matra basti (a form of unctuous enema) was administered in a dose of 75 ml of Phala ghrita regularly for 24 days starting from 6th day of menstruation cycle. The regimen was adopted for two consecutive cycles. Improvement in USG findings showing reduced endometrial thickness from (9 mm to 6 mm) and ovarian size (from 40 mm × 20 mm to 34 mm × 24 mm of right ovary and 39 mm × 18 mm to 36 mm × 22 mm of left ovary), and normal menstrual cycles were noticed after the treatment. The size of follicle also reduced from >12 mm to 3–7 mm in both ovaries. These findings suggest that Ayurvedic management and Matra basti procedures may be beneficial in case of PCOS.