Management of Endometrial Polyp through Ayurveda: A Single Case Study

Abstract

Menorrhagia is a common gynecological condition that significantly affects women’s quality of life. The presence of endometrial polyps and Nabothian cysts may further complicate the clinical presentation. Ayurveda describes excessive menstrual bleeding as Asrigdhara and advocates a comprehensive treatment approach based on Shodhana and Shamana principles. A 35-year-old female diagnosed with Asrigdhara, suspected endometrial polyp, and multiple Nabothian cysts presented with heavy menstrual bleeding with clots, lower abdominal pain, and symptoms of Medo Dhatu Dushti. Associated metabolic disturbances included Grade 2 fatty liver and elevated HbA1c. The patient was admitted for an Ayurvedic inpatient protocol involving Udwartanam, Abhyanga with Ushma Swedana, Snehapana, followed by Mridu Vamana, Churna Vasthi, and final Virechana, supported with internal Shodhana and Shamana medications. The treatment resulted in marked symptomatic improvement, stabilization of metabolic parameters, and complete resolution of the endometrial polyp as observed during follow-up assessments. This case demonstrates the potential effectiveness of a comprehensive Ayurvedic Shodhana therapy in managing menorrhagia associated with endometrial polyps while also addressing underlying metabolic dysfunctions. Further clinical studies are recommended to validate these findings.