Endometriosis Treatment in Ayurveda
Abnormal growth of active endometrial tissue outside the uterus. Sites of endometriosis can be ovaries, fallopian tubes, rectum, bladder, pelvic cavity, kidneys, intestines etc. When the endometrial tissue invades into the muscular wall of uterus, it is called Adenomyosis. An estimated prevalence of endometriosis among women of reproductive age is high as 10%. This condition has a prevalence rate of 20-50% in infertile women, but it can be as high as 71-87% in women with chronic pelvic pain. It usually affect women in
reproductive years and therefore very common cause of infertility.
Although endometriosis is not considered as a life threatening disease, it most certainly is a life altering disease that requires timely diagnosis and treatment.
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Endometriosis Symptoms - (6‘D’)
Dysmenorrhoea - Painful periods
Deep seated pelvic pain
Dyspareunia - Painful sexual intercourse
Dyschezia - Painful motions
Dysuria- Painful urination
Disturbed menstruation- Excessive and irregular bleeding
What is Ayurvedic View On Endometriosis?
We can not find any one disease in Ayurveda which is exactly similar to endometriosis in symptoms and pathology. However, Ayurveda has its own principles of classifying and diagnosing diseases. It is mentioned in Charak Samhita that even if a physician is unable to name a particular disease, knowledge of Dosha, site of manifestation,nidana (causes) would never fail his attempt to cure a disease. We can relate Endometriosis with vatik yoni vyapad, Udavarta,Paripluta, Granthi, Gulma, Visarpa etc according to the variable symptoms it shows in patients.
According to Ayurveda, this condition is due to disturbed or altered Vata dosha. Mainly “ Apana vayu vikara”. Apana vata is a subtype of Vata dosha which is responsible for the downward elimination of urine, faces, flatus, child birth and menstrual blood.
Apana vata imbalance causes retrograde menstruation and leads to the accumulation or movement of endometrial tissue to settle in the extra uterine surfaces like fallopian tubes and pelvic cavity. Often associated with severe pain and scanty menstruation are due to aggravated vata, excessive bleeding and burning sensation due to associated pitta dosha and heaviness, lethargy and slimy mucus bleeding with clots is due to associated aggravated Kapha dosha.
Causes of Endometriosis
It is a vata predominant condition especially a subtype of vata called Apana vata is vitiated.Both physical and mental factors are responsible for the Vata aggravation. The factors such as delayed conceptions ( delayed marriage), consuming too much
cold, dry, rough, pungent, astringent and bitter substances, excess consumption of raw foods, excessive travelling, substance abuse, excess physical activity, travelling and suppression of 13 different Vegas (Involuntary functions such as hunger,thirst,
tears, urination, defaecation,sneezing, farting etc. are factors causing aggravation of Vata in the body. Most of us tend to suppress these ‘vegas’(urges) in our day to day life situations.Because of these ‘vega dharan’( suppression of urges), the flow of Apanavata gets disturbed which also controls the proper menstrual flow Taking Oral contraceptive pills for longer durations is also one of the cause for endometriosis. However, it is very important to avoid the mental stress and excessive physical activity during the time of menstruation.
Ayurvedic Treatment Protocols
The first line of treatment is ‘Nidana Parivarjanam’ i.e.removal of the root cause. In the treatment of Endometriosis the root causes are Vata aggravating factors, one should identify the factors that are causing Vata aggravation and eliminate them accordingly.
Aam Pachan- correction of digestion and metabolism and medicines.
Vata anuloman- channelising vata with Panchkarma like Vasti chikitsa , uttar vasti
Treatment for vataj yoni vyapad ( appropiate medicine selection)
Treatment for Granthi/ gulma (regression of endometrioms/ chocolate cysts)
Shophhar chikitsa ( treatment for inflammations)
Raktaprasadan (cleansing of toxins)
Rasayan chiktsa (to avoid remissions)
Appropriate treatment is advised according to the condition and constitution of an individual by the qualified Ayurvedic Gynecologist which will ensure the balanced digestive fire, with balanced vata to move in the downwards direction. Endometriosis can be completely treated with Ayurveda.In early cases, treatment is much faster and shorter. Consult Dr. Rani Gupta, Senior Ayurveda Gynecologist, M.D.( Ay. Gynae), B.H.U. Gold Medalist at SKK AYURVEDA AND PANCHAKARMA.