Ayurvedic Treatment Protocol in the Management of Adenomyosis: A Single Case Report

Abstract

Adenomyosis is a gynecological condition where the endometrial tissue grows into the muscular wall of the uterus, the myometrium. This condition can lead to an enlarged uterus and often results in heavy menstrual bleeding and painful periods. Adenomyosis can contribute to infertility through several mechanisms, with an altered Uterine Environment and an inflammation that cause disruption of endometrial function making a hostile environment for both sperm and embryos, reducing the chances of successful fertilization and implantation. The patient, diagnosed with primary infertility, presented with complaints of painful menstruation and excessive blood clotting during her periods. A pelvic ultrasound (USG) confirmed adenomyosis. She underwent 14 days of inpatient (IP) treatment, including Yoga Vasti. Her treatment protocol included Dasamoola Ksheera Nirooha Vasti with Mahanarayana Tailam and Sukumara Ghritam. Additionally, Pradeshika Pichu was applied to the lower abdomen, and Uttaravasti was administered with Dhanwantaram 41 A. After 2.5 months, a follow-up USG revealed a reduction in the size of the adenomyotic tissue in the uterus. Her symptoms of pain and bleeding was reduced and she conceived with the help of IVF.