Management of Dysmenorrhea due to Ovarian Endometrioma w.s.r to Vatika Artavadushti by Ayurvedic Regime - A Case Report

Rozina Sheikh, Hetal H. Dave, Poonam Choudhary, Nalini Das, Monika Kumari
In: AYUSHDHARA · 2023 · pp. 73–78 · doi:10.47070/ayushdhara.v9i6.1117 · W4317791684
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An Ayurvedic regimen of Kashmarya-Kshudrasaha Ksheerapaka effectively managed ovarian endometrioma and associated dysmenorrhea in a case study.

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This case report describes the treatment of a 24-year-old female with painful, scanty, and dark brown menses associated with bilateral ovarian enlargement and a left ovarian endometrioma. The patient was diagnosed with Vatika Artavadushti in Ayurvedic terms and treated for two months using Kashmarya-Kshudrasaha Ksheerapaka to address the vitiated Vata dosha. Follow-up ultrasonography indicated the complete resolution of the ovarian endometrioma after the treatment course concluded. This paper is centrally about endometriosis — specifically the management of an ovarian endometrioma causing dysmenorrhea through an Ayurvedic therapeutic regimen.

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Abstract

Endometriomas are cystic lesions that stem from the disease process of endometriosis. Ovary is the most common site for endometriosis (60-70%) and dysmenorrhea is its commonest manifestation. Dysmenorrhea means painful menstruation. Therefore in Ayurveda this condition can be correlated with Vatika Artavadushti as painful menses (Vata vedana) is mentioned as one of the main characteristic feature of it according to Acharya Sushruta. Hereby, reporting a case of 24 year old unmarried female who visited Prasutitantra and Striroga OPD at National Institute of Ayurveda, Jaipur. Main Clinical Findings: Patient presented with the complaints of painful and scanty menses along with vomiting and fever during menstrual days since 1.5 years. Patient also added that she was having dark brown colored menses. Ultrasonography dated 03rd December 2021 suggested bilateral enlarged ovaries with small left ovarian endometrioma. Diagnosis: On the basis of these clinical presentations and ultrasonography findings patient was diagnosed with Ovarian Endometrioma and was further correlated with Vatika artavadushti as mentioned in Ayurveda classics. Intervention: As vitiation of Vata dosha is main causative factor for all these symptoms, treatment of same was of prime importance. Ashtang Sangraha while explaining the management of Vatika Artavadushti have mentioned Kashmarya-Kshudrasaha Ksheerapaka as one of the treatment modality. Hence it was taken as the drug of choice. Outcome: After 2 months of treatment an ultrasound was repeated which showed no any impression of Ovarian Endometrioma. Conclusion: Kashmarya-Kshudrasaha Ksheerapaka is found effective in the management of Ovarian Endometrioma. The purpose of this study is to report the potential of Kashmarya-Kshudrasaha Ksheerapaka in the management of painful menses due to ovarian endometrioma along with its effect on dark brown colored and scanty menses with special reference to Vatika artavadushti.
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Management of Dysmenorrhea due to Ovarian Endometrioma w.s.r to Vatika Artavadushti by Ayurvedic Regime - A Case Report DOI: https://doi.org/10.47070/ayushdhara.v9i6.1117Keywords: Painful, Dark brown colored and scanty menses, Ovarian endometrioma, Vatika artavadushti, Kashmarya-Kshudrasaha Ksheerapaka.Abstract Endometriomas are cystic lesions that stem from the disease process of endometriosis. Ovary is the most common site for endometriosis (60-70%) and dysmenorrhea is its commonest manifestation. Dysmenorrhea means painful menstruation. Therefore in Ayurveda this condition can be correlated with Vatika Artavadushti as painful menses (Vata vedana) is mentioned as one of the main characteristic feature of it according to Acharya Sushruta. Hereby, reporting a case of 24 year old unmarried female who visited Prasutitantra and Striroga OPD at National Institute of Ayurveda, Jaipur. Main Clinical Findings: Patient presented with the complaints of painful and scanty menses along with vomiting and fever during menstrual days since 1.5 years. Patient also added that she was having dark brown colored menses. Ultrasonography dated 03rd December 2021 suggested bilateral enlarged ovaries with small left ovarian endometrioma. Diagnosis: On the basis of these clinical presentations and ultrasonography findings patient was diagnosed with Ovarian Endometrioma and was further correlated with Vatika artavadushti as mentioned in Ayurveda classics. Intervention: As vitiation of Vata dosha is main causative factor for all these symptoms, treatment of same was of prime importance. Ashtang Sangraha while explaining the management of Vatika Artavadushti have mentioned Kashmarya-Kshudrasaha Ksheerapaka as one of the treatment modality. Hence it was taken as the drug of choice. Outcome: After 2 months of treatment an ultrasound was repeated which showed no any impression of Ovarian Endometrioma. Conclusion: Kashmarya-Kshudrasaha Ksheerapaka is found effective in the management of Ovarian Endometrioma. The purpose of this study is to report the potential of Kashmarya-Kshudrasaha Ksheerapaka in the management of painful menses due to ovarian endometrioma along with its effect on dark brown colored and scanty menses with special reference to Vatika artavadushti. Downloads Downloads Published Issue Section License Copyright (c) 2022 AYUSHDHARA This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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