Ayurvedic approach in managing Primary Infertility associated with Endometrioma - A Case Report

Ayurvedic approach in managing Primary Infertility associated with Endometrioma - A Case Report DOI: https://doi.org/10.21760/jaims.10.10.61Keywords: Dysmenorrhoea, Endometrioma, Infertility, Shamana, ShodhanaAbstract Endometriomas, commonly known as chocolate cysts, are a manifestation of endometriosis that can impact fertility. This case highlights the role of Ayurvedic management in conjunction with modern diagnostics for a successful pregnancy outcome. A 26-year-old woman with a history of 3 years of infertility presented with regular menstruation but was experiencing moderate dysmenorrhea (VAS-5) without clot passage. Her obstetric and contraceptive history was nil, and no dyspareunia was noted. Previous assisted reproductive techniques (IUI and IVF in 2021) had been unsuccessful. Imaging revealed a retroverted, normal-sized uterus and bilateral bulky ovaries with adherent chocolate cysts (36×28 mm on the right and 20×18 mm on the left). Hormonal evaluations were within normal limits (CA-125: 28.5 U/mL; Prolactin: 11.42 ng/mL). Her surgical history included prior chocolate cyst removal in 2020.The patient underwent Ayurvedic Shodhana and Shamana therapy aimed at reducing cyst size and improving reproductive health. Clinical follow-up showed reduction in cyst size and significant relief in menstrual pain. She conceived naturally in October 2022, and subsequent antenatal evaluations revealed normal fetal development. A healthy female baby was delivered in August 2023. Timely diagnosis and multidisciplinary management of endometriomas can result in successful pregnancy outcomes, even in infertile patients with a history of assisted reproductive failure. Downloads References 1. Eskenazi B, Warner ML. Current approaches to diagnosis and treatment of endometriosis. J Reprod Med. 2001;46(3):252–8. 2. Tripathi B. Yanjapurusheey Adhyaya. In: Charaka Samhita of Agnivesha, Sutrasthana. Vol. 2. 6th ed. Varanasi: Chaukhambha Surabharati Prakashan; 1999. Chapter 28, Verse 243. 3. Sharma N. Ashtanga Samgraha of Vagbhatta, Uttartantra, Granthi Chikitsa Adhyaya. Reprint ed. Varanasi: Chaukhambha Orientalia; 2015. Chapter 34, Verse 26. p. 412. 4. Sharma HR. Kashyapa Samhita of Vruddhajivaka, Siddhi Sthana, Trilakshana Siddhi Adhyaya. Varanasi: Chaukhambha Sanskrit Sansthana; [year not specified]. p. 225. 5. Sharma RK, Dash B, editors. Agnivesha’s Charaka Samhita based on Chakrapani Datta’s Ayurveda Deepika. Vol. 1. Varanasi: Chaukhamba Sanskrit Series Office; [year not specified]. Sutrasthana, Chikitsa Prabhriteeya, Verses 20–21. 6. Tripathi R. Charaka Samhita, Chikitsa Sthana. Part II. Varanasi: Chaukhamba Surabharati Prakashan; 2003. Chapter 30, Verses 25–26. p. 757. 7. Sen G. Bhaishajya Ratnavali. Chapter 54, Kushtha Rogadhikara, Verses 233–236. In: Mishra SN, editor. Siddhiprada Hindi Commentary. Varanasi: Chaukhamba Ayurvigyan Granthamala; [year not specified]. p. 882. 8. Bhavamishra. Bhavaprakasha Nighantu, Mutra Varga. Part 1. 10th ed. In: Mishra B, Vaishya R, editors. Varanasi: Chaukhamba Sanskrit Sansthan; 2002. p. 258, 778. 9. Kaiyadeva. Kaiyadeva Nighantu. 1st ed. In: Sharma PV, editor. New Delhi: Chaukhambha Publications; 1979. p. 398–400. Published How to Cite Issue Section License Copyright (c) 2025 Priyanka E. Pradhan, Shilpa B. Donga This work is licensed under a Creative Commons Attribution 4.0 International License.