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

H.L.M.G. Sajeewani, M.S. Sajeewane Perera
In: International Journal of AYUSH Case Reports · 2021 · vol. 4(4) , pp. 226–232 · doi:10.52482/ijacare.v4i4.180 · W3123746260
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An Ayurvedic treatment protocol effectively managed ovarian endometriomas and adenomyosis in a 32-year-old woman, reducing pain and cyst size while normalizing CA-125 levels.

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This case report details the Ayurvedic management of a 32-year-old woman presenting with severe lower abdominal pain, dysmenorrhea, and prolonged bleeding. Diagnostic imaging identified bilateral ovarian endometriomas and a bulky uterus indicative of adenomyosis, while tumor marker CA-125 levels were initially elevated at 41.1 U/mL. Following ten weeks of treatment, the patient experienced complete resolution of pain, normalization of her menstrual cycle, and significant reduction in cyst size and CA-125 values to 16 U/mL. This paper is centrally about endometriosis — specifically the Ayurvedic treatment of ovarian endometriomas — and also notes the concurrent presence of adenomyosis in the patient’s diagnosis.

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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).
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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).

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endometriosisadenomyosisendometrioma

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