Effect of Sri Lankan Traditional Medicine and Ayurveda Management in Endometriosis & Adenomyosis: A Case Study

Kaumadi Karunagoda, Krishani Deepthika, Pathirage Kamal Perera, D. M. S. D. Karunarathne
In: International Journal of AYUSH Case Reports · 2024 · vol. 8(4) , pp. 466–474 · doi:10.70805/ija-care.v8i4.639 · W4405636593
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⚙ AI-generated summary by claude@2026-07, 2026-07-09 ⓘ

This case study reports that a three-month intervention of Sri Lankan traditional and Ayurvedic treatments, including various procedures and oral medications, resulted in the complete disappearance of endometriosis and adenomyosis in a 42-year-old woman.

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⚙ AI-generated deep summary by claude@2026-07, 2026-07-09 · read from full text ⓘ

This paper reports a single case study of a 42-year-old nulliparous woman diagnosed with both endometriosis (multiple endometriomas in both ovaries) and adenomyosis, who previously underwent laparoscopic bilateral cystectomy in 2021. The intervention for three months combined Sri Lankan traditional medicine and Ayurveda procedures (including Sneha Sweda, Yoga Vasti, Nadi Sweda, Udara pattu, and Mathra vasti) with multiple oral drug regimens given in OPD and IPD settings; dysmenorrhea, pelvic pain, and dyspareunia were assessed monthly using VAS, and ultrasound evaluations were performed by experts blinded to the procedure. After treatment, VAS scores for dysmenorrhea and pelvic pain decreased to 0 and dyspareunia decreased to 1, and ultrasound was reported to show total disappearance of both endometriomas and adenomyosis after three months, with quality of life remaining unchanged during follow-up. The major limitation is that this is a non-comparative single-patient case with no stated control condition, so causal conclusions are limited. This paper is centrally about endometriosis and adenomyosis—an Ayurveda and Sri Lankan traditional medicine case study reporting symptom and ultrasound changes over three months.

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Abstract

Endometriosis affects about 10% of reproductive-age women and girls worldwide. Adenomyosis is a stage of the endometriosis where endometrial glands found deep within the myometrium. In this case study, a patient diagnosed with both endometriosis and adenomyosis with multiple endometrioma in right and left ovaries. She is a 42-year married nulliparous women without other pathologies. BMI-26.8, BP -120/78 mmHg and Pulse:78/min. History of laparoscopic Bi lateral cystectomy in year 2021. The intervention period was three months while the 1st drug regimen started by OPD management followed by two IPD treatment regimens in one month apart. Sneha Sweda, Yoga Vasti, Nadi Sweda, Udara pattu, Mathra vasti procedures were conducted with the 2nd and 4th oral drug regimen. In between 3rd drug regimen was continued at OPD level. The dysmenorrhea and dyspareunia were monthly assessed by using Visual Analog Scale (VAS). Before and after assessment of endometriomas and adenomyosis was measured by ultrasound scans conducted by the experts who are blind on the procedure. Other vital signs and menstrual pattern was observed ones in 2 weeks. After the treatments VAS score of dysmenorrhea was reduced to 0 from 10, pelvic pain from score 10 to 0 and of dyspareunia it reduced to 1 from 4. The ultrasound scan report proved the total disappearing of the endometrioma and adenomyosis after three months intervention. During the follow up period patients’ quality of life (QOL) remained unchanged. In conclusion, endometriosis and adenomyosis can be successfully managed by Sri Lankan traditional and Ayurveda treatments.
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Effect of Sri Lankan Traditional Medicine and Ayurveda Management in Endometriosis & Adenomyosis: A Case Study Abstract Endometriosis affects about 10% of reproductive-age women and girls worldwide. Adenomyosis is a stage of the endometriosis where endometrial glands found deep within the myometrium. In this case study, a patient diagnosed with both endometriosis and adenomyosis with multiple endometrioma in right and left ovaries. She is a 42-year married nulliparous women without other pathologies. BMI-26.8, BP -120/78 mmHg and Pulse:78/min. History of laparoscopic Bi lateral cystectomy in year 2021. The intervention period was three months while the 1st drug regimen started by OPD management followed by two IPD treatment regimens in one month apart. Sneha Sweda, Yoga Vasti, Nadi Sweda, Udara pattu, Mathra vasti procedures were conducted with the 2nd and 4th oral drug regimen. In between 3rd drug regimen was continued at OPD level. The dysmenorrhea and dyspareunia were monthly assessed by using Visual Analog Scale (VAS). Before and after assessment of endometriomas and adenomyosis was measured by ultrasound scans conducted by the experts who are blind on the procedure. Other vital signs and menstrual pattern was observed ones in 2 weeks. After the treatments VAS score of dysmenorrhea was reduced to 0 from 10, pelvic pain from score 10 to 0 and of dyspareunia it reduced to 1 from 4. The ultrasound scan report proved the total disappearing of the endometrioma and adenomyosis after three months intervention. During the follow up period patients’ quality of life (QOL) remained unchanged. In conclusion, endometriosis and adenomyosis can be successfully managed by Sri Lankan traditional and Ayurveda treatments.

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VAS-pain

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endometriosisadenomyosisendometriomadysmenorrheadyspareunia

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