Management of Intramural Uterine Fibroid by Ayurveda: A Case Report

Abstract

Uterine fibroids (leiomyomas) are benign smooth muscle tumors of the uterus and are a common gynecological condition in women of reproductive age. Among various types, intramural fibroids are located within the muscular wall of the uterus and may cause symptoms such as menorrhagia, pelvic pain, and infertility. Conventional treatment includes hormonal therapy or surgical interventions, which may have side effects or affect fertility. Ayurveda offers a holistic approach for managing fibroids through Ayurvedic formulations, Panchakarma therapies, and dietary and lifestyle modifications. A 44-year-old married female presented to the Outpatient Department on January 7, 2025, with a 6-month history of lower abdominal pain, heavy menstrual bleeding, burning micturition, and vaginal white discharge, accompanied by anxiety and disturbed sleep. She had no significant past medical or family history. Investigations revealed a bulky uterus with two intramural fibroids, left renal concretions, and a right renal medullary cyst. She was diagnosed with intramural uterine fibroid (modern diagnosis) and Garbhashayagata Granthi (Ayurvedic diagnosis). A three-month Ayurvedic regimen was initiated, comprising classical formulations such as Kanchanar Guggulu-500mg 2 tab twice a day for 12 weeks and Kumaryasava 15 ml twice a day with equal water after a meal for 12 weeks, along with dietary and lifestyle modifications. Post-treatment evaluation demonstrated marked clinical improvement, with resolution of heavy bleeding and urinary symptoms, normalization of menstrual duration, disappearance of renal abnormalities, and reduction in fibroid size. This case highlights the potential effectiveness of Ayurvedic management in addressing uterine fibroids and associated symptoms.