An Ayurvedic Approach in The Management of Endometriotic Cyst; A Case Study

Abstract

Endometriosis is a very serious gynaecological condition with increasing incidence globally. Many cases remain undiagnosed due to negligence of symptoms or due asymptomatic course of the condition. Most common presenting symptoms includes dysmenorrhea, infertility and abnormal uterine bleeding. Endometriotic cyst is one of the conditions of endometriosis when the endometrial segment implants into either or both of the ovaries and undergoes cyclical changes of endogenous hormonal influence. In Ayurveda, Udavartani Yonivyapada has similar symptomatology and aetiology as in Endometriosis. Udavartan of Vega is considered as the aetiology of the condition. Udavartan of Vega can be closely correlated with retrograde menstruation. Retrograde menstruation as in Sampson’s theory is one the most justifiable hypothesis in pathogenesis of endometriosis and endometriotic cyst. As mentioned in classics, none of Yonivyapada can occur without involvement of Vata Dosha in its pathogenesis. Udavartani Yonivyapad being a Vataja Yonivyapada, alleviation and normalization of natural pace of Vata should be the key to its management. A married patient, aged 29 years presented with complaints of painful menstruation and unable to conceive. Based on the complaints and symptoms, diagnosis for Udavartani Yonivyapad was made and treatment protocol was planned including of Yoga Basti for three consecutive cycles. Basti is considered as supreme treatment amongst Samsodhan Chikitsa and in the management of Vataj Vyadhis. There was marked symptomatic relief and follow up scan showed no evidence of endometriotic cyst after completion of the treatment in the case.