Efficacy of Sri Lankan Ayurveda treatment on Recurrent Adnexal Simple Cyst with Endometriosis - A Case Study

Endometriosis is an unusual feature of retrograde menstruation that affects nearly every woman of reproductive age. Women with endometriosis are usually confronted with one or both of the two major problems: pain-infertility. This study aims to showcase the outcome of an observational case study on endometriosis case managed by Sri Lankan Ayurveda treatment regimen. A 23-year-old unmarried girl, Body Mass Index of 21kg/m2, had a left-sided septate endometrioma (8.0cm× 3.8 cm) diagnosed recently by trans abdominal scan. She complained of premenstrual lower abdominal and pelvic pain (Visual Analogue Scale 09) before 1 week, with vomiting and increased pain with menstruation. In 2022, she underwent laparoscopic cystectomy for right adnexal mass, 2.3*1.3 cm, with right salpingectomy. Her menstruation was regular with normal flow. In the Ayurveda Gynaecology clinic, she was diagnosed as Udavartha Yoni Vyapada. With her consent, a 3½ month treatment protocol involving Ama Pachana Agni Deepana (Digesting toxin and enhancing metabolic fire), Lekana (Scraping out), and Karshana (Ploughing) treatments was adopted orally; Kasaya (Decoction), Choorna (Powder), Guli (Tablets), Thaila (Oil), externally Abhyanga (Oil massage), Sweda (Sudation), Paththu (Paste), Pichu (Soaking), and Mathra Basti (Enema). The case was assessed every 2 weeks before introducing the new drug regimen for 3 months. The case was well tolerated with the management protocol, with Blood pressure 120/80 mmHg, body mass index was 21kg/m2, and all other basic parameters remained intact. Her symptoms were reduced (by 91% according to Endometriosis Health Profile-30 Scale), menstrual pain was controlled (Visual Analog Scale 0-2), and the cyst was disappeared at the final Trans abdominal scan report. After the 02-month follow-up period condition remained intact. The results of this case study provided an encouraging outcome for further studies on Sri Lankan Ayurveda treatment on Endometriosis and Ovarian cysts.