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According to Acharya Sushruta, Artavakshaya refers to irregular menstruation, characterized by its absence or insufficient quantity, accompanied by pain in the vagina (yoni marga). This condition can be correlated to Polycystic Ovary Syndrome (PCOS), where oligomenorrhea, delayed or scanty menstrual cycles, is a prevalent symptom (80-90%). PCOS is an endocrine disorder characterized by hyperandrogenism, anovulation, and the presence of polycystic ovaries, as confirmed by ultrasound (USG). Aim: To explain Yoga Basti's efficacy in managing Artavakshaya. Background: A married Hindu female patient of age 35 years visited Prasuti Tantra and Stree Roga OPD of NIA, Jaipur, Rajasthan, India, on 27th June 2022 with a complaint of delayed and scanty menses along with pain during menstruation since 13 months. Physically, the patient appeared lean and thin. Ultrasonography (TAS) dated 15-06-2022 suggested B/L PCOD. Based on clinical presentation and USG findings, the patient was diagnosed with Artavakshaya, which was further correlated with PCOS. Methodology: Mainly, Vata dosha (Apana Vata) vitiation symptoms were observed in the patient, and therefore, Yoga Basti chikitsa (3 consecutive cycles) was done to eliminate Vata dosha. Her complete nidana parivarjana was done, and she was advised to follow rajaswalacharya. Result: After three cycles of Yoga Basti, her menses were regular with normal menstrual flow and decreased pain intensity. Ultrasonography dated (12-9-22) suggested a normal study of the uterus and adnexa, and no evidence of PCOD was found. Conclusion: Yoga Basti is effective in the management of Artavakshaya with special reference to PCOD. This study aims to report the potential of Yoga basti in Artavakshaya.
Agarwal et al. (Sun,) studied this question.