⚙
AI-generated deep summary
by qwen3.7-flash, 2026-09-20
· read from full text
ⓘ
This case report describes a 26-year-old woman with primary infertility and bilateral endometriomas who achieved natural conception after undergoing Ayurvedic Shodhana and Shamana therapies. The patient had previously experienced unsuccessful assisted reproductive technology attempts, including IUI and IVF, while presenting with moderate dysmenorrhea and normal hormonal profiles. Follow-up evaluations indicated a reduction in cyst size and significant pain relief, leading to the delivery of a healthy infant. This paper is centrally about endometriosis — specifically the management of endometriomas associated with infertility using an integrative Ayurvedic approach.
Abstract
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.
Full text
3,382 characters
· extracted from
oa-doi-fallback
· click to expand
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.
Text is read by the "Ask this paper" AI Q&A widget below.
Extraction quality varies by source — PMC NXML preserves structure
cleanly, OA-HTML may include some navigation residue, and OA-PDF can
have broken hyphenation. The publisher copy
(via DOI)
is the canonical version.