Ayurvedic Management of Polyendocrine Metabolic Ovarian Syndrome (Pmos/Pcod): A Case Study

Polyendocrine metabolic ovarian syndrome (PMOS) is one of the most common endocrine and metabolic disorders affecting women of reproductive age. It is characterized by menstrual irregularities, hyperandrogenism, anovulation, obesity, infertility, and polycystic ovarian morphology. In Ayurveda, PCOD/PMOS can be correlated with Artava Kshaya and Nashtartava involving Kapha-Vata Dushti and Meda Dhatu vitiation. The current case study evaluates the efficacy of Ayurvedic management including Shodhana and Shamana therapy in a patient of PMOS. A 21-year-old unmarried female presented with complaints of irregular menstruation, scanty menstrual bleeding, dysmenorrhea, and ultrasonography findings suggestive of bilateral PCOD/PMOS. The patient had previously undergone allopathic treatment for 1–2 years without satisfactory improvement. The patient was treated with Ayurvedic internal medications including Kanchanar Guggulu, Triphala Churna, Kumaryasava along with Panchakarma procedures including Snehapana, Abhyanga, Swedana, and Virechana Karma. Significant improvement was observed in menstrual regularity, amount of bleeding, dysmenorrhea and ovarian morphology after three treatment cycles. Post-treatment ultrasonography revealed normalization of ovarian morphology and reduction in ovarian volume. Ayurvedic management incorporating Shodhana and Shamana Chikitsa showed encouraging results in the management of PMOS. Early intervention along with lifestyle modification may help in restoring menstrual regularity and improving ovarian function.