Ayurvedic management of Udavartini Yonivyapad (Ovarian Endometrioma)- A Case Report

Abstract

Endometriosis presents in three different entities, which are frequently found together: peritoneal lesions, deep endometriosis and ovarian endometriotic cysts (endometriomas). Endometriosis can   be   discussed as   a syndrome complex of Udavartini Yonivyapad in Ayurveda. A 32-year-old unmarried woman consulted the BMARI hospital with a chief complaint of sever lower abdominal pain, severe menstrual pain and prolong bleeding for 5 years’ duration.  Surgical history of laparoscopic cystectomy in right side endometrioma (chocolate cyst) on 2017. Laboratory tests were unremarkable except that the Tumor marker. CA -125 value- 41.1U/ML. Ultrasound revealed (TAS) bulky uterus with adenomyosis. The   endometrioma were seen which were thin walled with diffuse homogeneous ground-glass echoes contents measuring around of 3.72cm x 1.84cm in size in the right ovary and 3.09 cm x 2.22 cm in left ovary; in addition, highly echogenic peritoneal fluid in the cul-de-sac and a pre-ovulatory follicle in the left ovary were observed. After 10 weeks’ treatment proceeds patient was recovered completely from pain lower abdomen, Menstrual cycle was regular and at normal intervals without any complications. After treatment CA-125 tumour marker value – 16 U/ML   & USG revealed   normal findings with right ovary and left ovary cyst reduced and size to be 1.45cm x1.68cm. Hence it is concluded that above treatment protocol is effective in the management of Udavartini Yoni Vyapad with Kaphajagranthi (Endometriosis with Ovarian Endometrioma).