Pelvic endometriosis is a chronic estrogen-dependent inflammatory condition affecting pelvic tissues, including the ovaries, due to retrograde endometrial tissue. It is a leading cause of chronic pelvic pain and menstrual irregularities, affecting 5-10% of reproductive-age women.1,2 Treatment options are limited to hormonal therapies and analgesics, which often have adverse effects and provide temporary relief, leading to surgical interventions with potential complications.3 Ayurveda understands the concept of endometriosis under the umbrella of yonivyapad.4 This study presents a 23-year-old patient with severe dysmenorrhea, irregular menstrual cycles. According to Astanga Hridaya, all yonivyapads do not occur without vitiation of vata dosha, thus first of all vata should be pacified, only then treatment of other doshas should be done.5 There is no other remedy than basti for pacification of vata dosha. Results showed marked improvements in menstrual cycles, pain and complete resolution of the endometriotic cyst highlighting the efficacy of Ayurvedic therapies as cost-effective and long-term solutions for managing endometriosis and associated complications.
2Dr. Preethi Hegde 1*Dr. Mamatha K. V. (Thu,) studied this question.