Abstract

*Dr. Sudhi Kaushal Dr. Suniti Tanwar and Dr. Jitesh Kumar Panda

ABSTRACT

Introduction: Endometriotic cysts are a significant reproductive health issue, contributing to infertility and chronic pelvic pain in nearly 10% of women worldwide. Conventional treatment, often involving a combination of medical and surgical interventions, has shown limitations in effectively managing recurrence and enhancing fertility outcomes. In Ayurveda, endometriosis and related conditions like endometriotic cysts can be understood through the principles of Vata-Kapha imbalance and Rakta Dhatu Dushti. This study investigates an Ayurvedic treatment approach to address the underlying causes, alleviate symptoms and improve fertility outcomes. Methods: A 35-year-old woman diagnosed with endometriotic cyst was treated following Ayurvedic principles. The treatment protocol included Shodhana (purification) through Virechana (purgation) and Basti (therapeutic enema) to balance Apana Vata, along with Shamana (palliative) therapies to reduce inflammation and improve uterine health. Supportive ayurvedic medicines were provided to manage pain and dysmenorrhea. Post-treatment follow-up included ultrasonography to evaluate cyst size and reproductive health. Results: Following five months of Ayurvedic treatment, ultrasonography revealed complete resolution of the endometriotic cyst. The patient reported significant relief from pelvic pain and dysmenorrhea. Discussion: The results suggest that Ayurvedic management through Shodhana and Shamana therapies can effectively address both symptomatic relief and the root causes of endometriotic cysts. Also by focusing on Apana Vata balance and utilizing preconception care, the Ayurvedic approach offers potential benefits in reducing recurrence and promoting natural conception. Conclusion: This study demonstrates the efficacy of an Ayurvedic approach in managing endometriotic cysts, highlighting its potential as a complementary or alternative therapy for improving reproductive health and fertility outcomes. Further research is recommended to substantiate these findings and explore broader applications of Ayurveda in gynecological health.