Himanshi Nirwal and Gayathri Bhat NV
Introduction: People of present era are habituated to sedentary way of life due to which they are prone to different types of metabolic ailments. Polycystic ovarian syndrome is one among them affecting the females of active reproductive age group and infertility is one among the complications of PCOS. Infertility is a condition which is defined as the inability to conceive after 1 year of unprotected intercourse of reasonable frequency. In ayurveda, infertility by anovulation in females with PCOS is considered as Vandhyatva due to nashtartava where the vitiated vata along with kapha does the occlusion of Artavaha srotas. Hence in this case following the principles of ayurveda shamana and shodhana chikitsa was given in the management of infertility with polycystic ovarian syndrome.
Methodology: A case of 23-year-old woman diagnosed with infertility with PCOS complaining of irregular menstruation and weight gain. She was given Ayurvedic treatment, shamana and shodhana chikitsa (Vamana and Basti) and including dietary and lifestyle advice and yoga therapy.
Result: Size of cyst decreased remarkably and patient conceived after completion of treatment.
Discussion: By analyzing the causes of PCOS, it can be stated that obesity is one of the main causes of the disease. Formation of rasa dhatu and updhatu Artava is affected in obese which due to jatharagni and Medodhatwagni mandyata resulting in sroto rodha. In such condition since Kha vaigunyata will be in artava vaha srotas menstrual irregularity and chronic cases anovulation may result. Hence treatment in PCOS should aim at agnideepana, kaphahara, medohara, artavajanaka and granthiviliana. The drugs and procedures which possess properties like deepana, pachana, shothahara, artavajnana, medohara and lekhaniya should be used.
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