Successful Ayurvedic Management of Left Paraovarian Adnexal Cyst Associated with Infertility: A Case Report

Introduction: Paraovarian adnexal cysts are benign cystic lesions arising from mesonephric or paramesonephric remnants located adjacent to the ovary and fallopian tube. These cysts commonly occur in women of reproductive age and may present with lower abdominal pain, menstrual irregularities, pelvic discomfort, infertility, or pressure symptoms. In Ayurveda, such cystic conditions can be correlated with Granthi, Gulma, or Kaphaja Yonivyapad, caused predominantly by vitiation of Kapha and Vata Dosha along with Srotorodha and Meda-Rakta Dushti. Ayurveda describes various Shamana and Shodhana therapies for the management of cystic gynecological disorders. Aim and Objectives: To evaluate the effectiveness of Ayurvedic management in a case of paraovarian adnexal cyst associated with lower abdominal pain and infertility. Materials and Methods: A 40-year-old married female patient attended the OPD of Government Ayurveda College and Hospital, Jaipur, with complaints of severe lower abdominal pain, pelvic discomfort, and inability to conceive. Ultrasonography revealed chronic cervicitis with a 28 mm left paraovarian adnexal cyst. The patient was treated with Ayurvedic formulations along with Nidana Parivarjana, dietary modifications, and Shamana–Shodhana Chikitsa aimed at reducing Kapha, correcting Agnimandya, removing Srotorodha, and normalizing Apana Vata. Observations and Results: Significant improvement was observed in lower abdominal pain, pelvic discomfort, bowel habits, and sleep. Follow-up ultrasonography showed reduction in cyst size. No adverse effects or recurrence were noted during follow-up. Discussion and Conclusion: The Ayurvedic treatment protocol possessing Kapha-Vatahara, Lekhana, Deepana-Pachana, and Shothahara properties proved effective in reducing cystic pathology and associated symptoms. The treatment was safe, cost-effective, and clinically beneficial in the management of paraovarian adnexal cyst.