Abstract

AYURVEDIC MANAGEMENT OF PRIMARY INFERTILITY ASSOCIATED WITH ENDOMETRIOSIS – A CASE REPORT

M. Anusha* and G. CH. D. Nagalakshmi

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Abstract

Endometriosis is common gynecological condition that can affect women in their reproductive years. Endometriosis characterized by the implantation and growth of viable endometrial tissue out side the uterine cavity. Endometriosis often manifests with dysmenorrhea, menorrhagia, metrorrhagia, primary infertility, dyspareunia. Endometriosis is one of the most important cause of female infertility. This is a case report of couple who presented with primary infertility, After 6 years of marriage. On clinical evaluation and investigations the wife aged 31 years, was found to have endometriosis. She took various treatments including hormonal therapies and multiple attempts of ART of IUI, ICSI but failed. In Ayurvedic terminology that case was diagnosed a Vandhyatwa (Infertility). Samana aushadhis and shodhana therapies which includes virechana (Therapeutic purgation), vasti (Therapeutic enema) and Uttara Vasti were done with the aim of providing Amapachana & correction of Agni vaatanulomana, vatashamak, lekhana, granthihara, srothosodhana and garbhasthapana. Life style and diet modifications are also advised for successful treatment of endometriosis. Her 6 months of ayurvedic intervention resulted in the conception and she delivered a full term male baby weighing 2.9 kg through lower segment caesarean section.

Keywords: Vandhyatwam, Endometriosis, Phala gritha.