The Efficacy and Safety of Korean Herbal Medicine in a Patient with Endometrioma of The Ovary: A Case Report

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This case report describes the efficacy and safety of Korean herbal medicine in treating a patient diagnosed with ovarian endometrioma.

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Abstract

ObjectiveThe objective of our study is to report our experience of treatment of a patient with endometrioma who was diagnosed with blood deficiency and blood stasis.MethodsA 36-years-old Korean woman diagnosed with endometrioma of the right ovary complained of pelvic pain around the menstrual periods, vaginal discharge, and swelling and itching of the pudenda. The patient was administered the modified Gyejibokryeong-hwan (GBH) and the Bogol-gongjin-dan (BGD) for 6 months.ResultsAfter treatment, the size of the endometrioma in the right ovary was reduced to 17 × 11 × 10  mm from 25 × 21 × 17  mm before treatment. The level of CA 125 decreased from 47.2 U/ml at baseline to 34.3 U/ml after treatment. The level of CA 125 after treatment was within normal range. After treatment, the pelvic pain around the menstrual periods (VAS 7→1), vaginal discharge (VAS 4→1), and swelling and itching of the pudenda (VAS 5→2) decreased from the baseline values.ConclusionHerbal medicine is a potential alternative therapy for patients with endometrioma of the ovary. Further studies, including case-control studies and RCTs based on an international standard and higher methodological quality, are needed.

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Condition tags

endometriosischronic_pelvic_painendometrioma

MeSH descriptors

Endometriosis Phytotherapy Plant Extracts Adult CA-125 Antigen CA-125 Antigen Endometriosis Female Genitalia, Female Genitalia, Female Humans Ovary Ovary Pelvic Pain Pelvic Pain Plant Extracts Plant Extracts Plants, Medicinal Pruritus Pruritus

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