Successful Ayurveda Management of Vatala Yoni Vyapad w.s.r. Endometriosis: A Single Case Study

Abstract

Endometriosis, a painful  benign gynecological condition characterized by the ectopic growth of endometrial tissue, is often associated with dysmenorrhea, chronic pelvic pain, dysperunia, fatigue, and infertility. The prevalence of Endometriosis in women of reproductive age is 6-10%.In Ayurveda, this condition closely aligns with Vatala Yoni Vyapad, where an aggravated Vata dosha disrupts the normal functioning of the reproductive system. This case report presents a 34-year-old married nalliparous woman diagnosed with Grade IV endometriosis, confirmed by laparotomy. She presented with severe pelvic pain, irregular menstruation, and chronic fatigue. The aim and objectives of this single case study was evaluate  the effect and efficacy of Ama pachana,Agni Deepana Chikitsa,Shodhana Chikitsa , including Virechana and Basti (Matra and Yoga Basti) and Shamana chikitsa in the management of Endometriosis. An Ayurveda treatment protocol was initiated, focusing on pacifying Vata promoting Agni Deepana (digestive fire stimulation), and eliminating Ama (toxins).   Additionally, Udara Pattu (abdominal poultice) was applied to relieve local discomfort. End of the treatment the patient showed marked improvement with reduced pain, normalized cycles, and enhanced overall well-being. This case highlights the potential of individualized Ayurveda management in alleviating endometriosis symptoms and improving reproductive health.