Management of Endometriosis Through Ayurveda A Clinical Observational Study

  • Unique Paper ID: 184313
  • PageNo: 2912-2916
  • Abstract:
  • Background: Endometriosis is a chronic, estrogen-dependent gynecological disorder characterized by ectopic endometrial tissue, affecting 10–15% of reproductive-age women worldwide. It commonly presents with dysmenorrhea, chronic pelvic pain, dyspareunia, and infertility, severely impairing quality of life. Conventional management relies on hormonal therapies and surgical excision, but these approaches are often limited by side effects, recurrence, and impact on fertility. Ayurveda, with its holistic approach of balancing doshas, detoxification (Shodhana), and rejuvenation (Rasayana), offers potential for safer long-term management. Aim: To evaluate the clinical efficacy and safety of Ayurvedic interventions in the management of endometriosis. Methods: A clinical observational study was conducted on 30 women (20–40 years) diagnosed with endometriosis through ultrasonography or laparoscopy. Patients underwent a combined treatment regimen consisting of Vairocana (purgation) and Basti karma (medicated enema) followed by oral classical formulations such as Kanchanara guggul, Ashoka Rishta, and Shatavari churna for 3 months. Outcome measures included pelvic pain (Visual Analogue Scale), dysmenorrhea severity, menstrual regularity, ovarian cyst size (via ultrasound), and quality of life (WHO-QOL scale). Data were assessed before and after treatment, and statistical significance was calculated. Results: Post-treatment, there was a highly significant reduction in pelvic pain (VAS score reduced from 8.2 ± 1.1 to 3.6 ± 1.4; p < 0.001) and dysmenorrhea severity (p < 0.01). Menstrual regularity improved in 40% more patients (p < 0.05), and WHO-QOL scores showed marked improvement (42 ± 6.3 to 68 ± 5.7; p < 0.001). Ovarian cyst size reduction averaged 40%, though this was not statistically significant (p > 0.05). No adverse effects were reported. Conclusion: Ayurvedic management demonstrated substantial clinical benefits in alleviating pain, improving menstrual regularity, and enhancing quality of life in women with endometriosis. While reduction in cyst size was observed in some cases, further large-scale controlled trials are needed to confirm efficacy and establish standardized treatment protocols. This study highlights Ayurveda’s role as a safe, holistic, and promising alternative or complementary approach in the long-term management of endometriosis.

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Copyright © 2026 Authors retain the copyright of this article. This article is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

BibTeX

@article{184313,
        author = {Vedangi Dinesh Wargantiwar and Shweta Rawat and Vinod Kumar and Mamata Kumari Swain},
        title = {Management of Endometriosis Through Ayurveda A Clinical Observational Study},
        journal = {International Journal of Innovative Research in Technology},
        year = {2025},
        volume = {12},
        number = {4},
        pages = {2912-2916},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=184313},
        abstract = {Background: Endometriosis is a chronic, estrogen-dependent gynecological disorder characterized by ectopic endometrial tissue, affecting 10–15% of reproductive-age women worldwide. It commonly presents with dysmenorrhea, chronic pelvic pain, dyspareunia, and infertility, severely impairing quality of life. Conventional management relies on hormonal therapies and surgical excision, but these approaches are often limited by side effects, recurrence, and impact on fertility. Ayurveda, with its holistic approach of balancing doshas, detoxification (Shodhana), and rejuvenation (Rasayana), offers potential for safer long-term management. Aim: To evaluate the clinical efficacy and safety of Ayurvedic interventions in the management of endometriosis. Methods: A clinical observational study was conducted on 30 women (20–40 years) diagnosed with endometriosis through ultrasonography or laparoscopy. Patients underwent a combined treatment regimen consisting of Vairocana (purgation) and Basti karma (medicated enema) followed by oral classical formulations such as Kanchanara guggul, Ashoka Rishta, and Shatavari churna for 3 months. Outcome measures included pelvic pain (Visual Analogue Scale), dysmenorrhea severity, menstrual regularity, ovarian cyst size (via ultrasound), and quality of life (WHO-QOL scale). Data were assessed before and after treatment, and statistical significance was calculated. Results: Post-treatment, there was a highly significant reduction in pelvic pain (VAS score reduced from 8.2 ± 1.1 to 3.6 ± 1.4; p < 0.001) and dysmenorrhea severity (p < 0.01). Menstrual regularity improved in 40% more patients (p < 0.05), and WHO-QOL scores showed marked improvement (42 ± 6.3 to 68 ± 5.7; p < 0.001). Ovarian cyst size reduction averaged 40%, though this was not statistically significant (p > 0.05). No adverse effects were reported.  Conclusion: Ayurvedic management demonstrated substantial clinical benefits in alleviating pain, improving menstrual regularity, and enhancing quality of life in women with endometriosis. While reduction in cyst size was observed in some cases, further large-scale controlled trials are needed to confirm efficacy and establish standardized treatment protocols. This study highlights Ayurveda’s role as a safe, holistic, and promising alternative or complementary approach in the long-term management of endometriosis.},
        keywords = {Endometriosis, Ayurveda, Dysmenorrhea, Panchakarma, Kanchanara guggulu, Ashoka Rishta, Basti.},
        month = {September},
        }

Cite This Article

Wargantiwar, V. D., & Rawat, S., & Kumar, V., & Swain, M. K. (2025). Management of Endometriosis Through Ayurveda A Clinical Observational Study. International Journal of Innovative Research in Technology (IJIRT). https://doi.org/doi.org/10.64643/IJIRTV12I4-184313-459

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