Ayurvedic Management of Polycystic Ovarian Syndrome (PCOS) with Submucous Uterine Fibroid in Obese Patient - A Case Report

Abstract

Polycystic Ovarian Syndrome (PCOS) means ovarian dysfunction along with cardinal features of hyperandrogenism and polycystic ovarian morphology, also known as ovarian hyperthecosis. It is the foremost cause of anovulation and infertility. Uterine fibroids are benign monoclonal neoplasms of the myometrium, representing the most common tumors in women worldwide. Several studies have found an association between obesity and an increased incidence of uterine leiomyomas. Obesity is a common finding in PCOS as well.  This case explores the Ayurvedic management of obese PCOS with submucous fibroid. A case of 37 year old female complaints of irregular, delayed and scanty menses since 3 years and weight gain of 6 Kg since 1 year diagnosed as   PCOS by revised Rotterdam criteria (2003) with obesity (BMI- 34.80). After 3 months submucous fibroid was diagnosed as per USG finding. Patient was treated successfully for 6 months by shodhana chikitsa including deepana, pachana with Aampachana vati 2 vatis of 500 mg BD before food with luke warm water  for 7 days followed by nityavirechana with Erandabhrusht Haritaki 5gm at night with lukewarm water followed by shamana oushadhis including Kulathadi kashaya 40 ml empty stomach BD morning- evening with 1g Yavakshara as Prakshepa and Shatapushpa churna 5 gm before food BD with lukewarm water for 7 days. After 6 months of treatment her menstrual cycle got regular, weight loss of 21 kg and complete resolution of cyst and submucous fibroid attained.