MANAGEMENT OF INFERTILITY DUE TO ADENOMYOSIS AND OVARIAN ENDOMETRIOMA (MAMSADUSHTIJANYA GARBHASHYA VIKARA) BY AYURVEDIC REGIME: A CASE REPORT

Adenomyosis, also known as endometriosis interna, has been associated with multiparity, but currently, adenomyosis is diagnosed with increasing frequency in infertile patients since women delay their first pregnancy until their late 30s or early 40s. The prevalence of adenomyosis is 9% in healthy individuals, but in the case of those who have endometriosis, the prevalence is 70%. Ovarian endometrioma is the most common form of endometriosis; although most endometriomas are benign, some may undergo malignant changes. Here is a case study of a 30-years-old female patient residing in Jaipur who consulted in OPD of the National Institute of Ayurveda (NIA) Jaipur on 23-3-22 with the chief complaint of being unable to conceive for 4 years and associated complaint of pain in lower abdomen during menses in the last 3 years. Her sonography findings were suggestive of endometriosis stage-4 with adenomyosis and left ovarian endometrioma (6.6 cm). The patient was treated with yoga basti (Anuvasana basti with Triphaladi taila and aasthapana basti with lekhaniya mahakashaya) for 5 cycles, uttara basti with Apamarga kshara taila for 3 cycles and Rasanadi ksheerpaka. The patient missed her period on 8-1-23 and did her urine pregnancy test on 13-1-23, which was found to be positive. From this case study, it is concluded that yoga basti with lekhaniya mahakashya and Triphaladi Taila and uttara basti with Apamarga kshara taila are effective in treating infertility due to adenomyosis (Mamsadushti janya garbhashaya vikara).