Ayurvedic Management of Endometrial Hyperplasia in early Adolescence Period - A Case Report

Abstract

Endometrial hyperplasia (EH) is a uterine pathology representing a spectrum of morphological endometrial alterations. It is predominantly characterized by an increase in the endometrial gland-to-stroma ratio when compared to normal proliferative endometrium. Generally, endometrial growths are not malignant. They are normal tissue, but growing outside their normal location. These endometrial growths, just like the lining of the uterus, respond to the hormones of the female reproductive system and build up tissue each month, then break down to cause internal bleeding, inflammation and scarring. The most severe complication of this scarring is infertility. In Ayurveda, on the basis of sign and symptoms endometrial hyperplasia of uterus can be correlated with LohitaksharaYonivyapada.A 13 year old teenager girl visited the OPD of Prasutitantra and Streeroga department, having complaints of heavy menstrual bleeding with irregular cycles & severe lower abdominal pain. The present case revealed the Raktastambhaka, Shothhara evum Tridoshahara properties. Ayurvedic medicines prescribed in this case viz. Shonitaragal Ras (250 mg tab two times in a day after meal with water Pushyanug yoga (1/4th tsp three times in a day before meal with Tandulodaka), Varunadikashaya (25 ml two times in a day before meal with warm water), Chandraprabhavati (500 mg tab two times in a day after meal with water) and Kanchnargugglu (1 gm tab two times in a day after meal with warm water) in a known case endometrial hyperplasia with BulkyUterus. USG scan of pelvis showed no hyperplasia of uterus after completion of treatment of- endometrial hyperplasia.