Ayurveda Approach in the Management of Endometriosis

Endometriosis is the functioning endometrium in a site other than the uterus. It can be either the endometriosis externa or interna. External refers to endometriosis of any part of the body except the myometrium. It primarily affects women who are of reproductive age and is a significant contributor to infertility and pelvic pain. Dyspareunia, cyclic menstrual pain, can be correlated with different Yonivyapada based on other symptoms. Ayurvedic management can be done based on Tridosh theory in which Vata is responsible for displacing endo-metrial cells from their original location in the uterus to places outside the uterine cavity. Pitta is responsible for the involvement of blood, hormones, and menstruation, as well as the inflammatory nature of the disease. Kapha is responsible for increasing the buildup of cells and forming adhesions in between organs so that the treatment approach can be Amapachana & correction of Agni, Vaatanulomana, Mridu Virechana, Vatashamaka, Raktasra-varodhaka, Granthihar and Shothhara Chikitsa. This paper will review endometriosis and its Ayurvedic per-spective, preventive & curative aspects.