The Etiopathogenesis of Endometriosis through an Ayurvedic Perspective

The Etiopathogenesis of Endometriosis through an Ayurvedic Perspective DOI: https://doi.org/10.21760/jaims.11.1.27Keywords: Endometriosis, Nidana, Vatika YonivyapathAbstract Endometriosis is one of the most mysterious and fascinating benign gynaecological disorders defined by implantation of functional endometrial tissue outside the uterine cavity. Incidence of Endometriosis is estimated to 6-10% of women in their 30-40s. It results in few deaths estimated being 200 globally in 2013 & 1 in 10 women suffer from endometriosis in India. Causes are Sampson's theory of menstrual regurgitation and implantation (Metastatic theory) Retrograde menstruation, Endometrial fragments are transported to peritoneal cavity through tubes, viable cells implant & grow. Young girls with obstructive anomalies of genital tract often develop endometriosis. Other causes are coelomic metaplasia theory, lymphatic and vascular theory, genetic factors immunological factors. Pathophysiology involves the influence of hormones leading to Endometrial tissue located outside the uterus becomes thicken, breaks down and bleeds every month. This blood cannot exit from the body, and becomes trapped, form cysts, irritate the surrounding tissue resulting into adhesions, pain, and infertility. In Ayurveda, Nidana for endometriosis are 1. Mithyacara, includes Mithyaahara, Vihara and Vishamagni causes Rasadhatu Vikriti, nutritional deficiency and obesity leading to irregular menstruation, endometriosis etc. 2. Pradushta Artava means abnormal production of hormones leading to endometriosis. 3. Bija Doşha or genetic abnormalities leading to endometriosis. 4. Daiva-idiopathic factors. Acharya Caraka told the aggravated Vata, reaching reproductive system produces pain, stiffness, sensation of creeping of ants in vulval region, roughness, numbness, fatigue, or lethargy. Vikrita vata leads to displacement of endometrial cells along with pitta causes inflammation. Life style and diet modifications are also to be advocated as their role in the establishment of any disease cannot be ignored. The Nidana of endometriosis is analyzed and compared with latest theories. Endometriosis is not considered as life threatening disease; it is life altering disease that require timely diagnosis and treatment. Downloads References 1. Shastri SS. Madhava Nidanam with Ayurveda Tattva Sandipika (Hindi ‘Madhukosha’ Sanskrit Commentary). Part II. Varanasi: Chaukhambha Prakashan; 2014. p. 408. 2. Shastri K, Chaturvedi GN. Charaka Samhita. Part II (Chikitsa Sthana). Varanasi: Chaukhambha Bharati Academy; 2009. p. 868. 3. Shastri SS. Madhava Nidanam with Ayurveda Tattva Sandipika (Hindi ‘Madhukosha’ Sanskrit Commentary). Part II. Varanasi: Chaukhambha Prakashan; 2014. p. 408. 4. Hoffman BL, Schorge JO, Bradshaw KD, Halvorson LM, Schaffer JI, Corton MM. Williams Gynecology. 2nd ed. New York: McGraw-Hill Medical; 2012. p. 234. 5. Konar H. DC Dutta’s Textbook of Gynecology including Contraception. 6th ed. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd; 2013. p. 140. 6. Kumar P, Malhotra N. Jeffcoate’s Principles of Gynaecology. 7th ed. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd; 2008. p. 603. 7. Tripathi HP. Hareet Samhita (Pratham Sthan). Varanasi: Chaukhambha Publications; 2011. p. 60. 8. Abhaykatyayan S. Bhel Samhita (Sharir Sthan). Varanasi: Chaukhambha Publications; 2011. p. 223–224. 9. Kumar P, Malhotra N. Jeffcoate’s Principles of Gynaecology. 7th ed. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd; 2008. p. 603. Published How to Cite Issue Section License Copyright (c) 2026 Vilasmati Patil, Ramadevi G This work is licensed under a Creative Commons Attribution 4.0 International License.