Dysfunctional uterine bleeding ( dub ) due to endometrial hyperplasia with bulky uterus in Ayurvedic view – case study

Endometrial is inner lining of uterus. Hyperplasia is excessive growth of cells. Endometrial Hyperplasia is excessive cell growth or thickness of inner lining of uterus. Endometrial hyperplasia is excessive or abnormal thickening of the lining of the uterus, which is most probable cause of Dysfunctional Uterine Bleeding (DUB). In most of the cases, it is benign in nature. The treatment of endometrial hyperplasia of uterus is mainly done by hormonal treatment (especially by progesterone) and by surgical treatment such as hysterectomy, which are having their own side effects. Ayurveda is a health care system sensitive to women’s special health needs. Women are far more sensitive to the rhythms and cycles of nature, Ayurveda is founded on the principle of keeping the body toned in time with nature, and naturally, women find Ayurveda very suitable. In Ayurveda, Endometrial hyperplasia of uterus can be correlated with Lohitakshara Yonivyapada. The present case revealed the Raktastambhaka, Shothhara evum Tridoshahara properties of some Ayurvedic medicines viz. Pushyanuga Churna, Ashokarishta and Dashamoola Kashaya in a known case of DUB due to endometrial hyperplasia with Bulky Uterus. After 3 months of treatment sonography report showed no hyperplasia of uterus. AIMS AND OBJECTIVES To evaluate the efficacy of Shamana Aushadhi in the management of Dysfunctional Uterine Bleeding (DUB) due to Endometrial Hyperplasia MATERIALS AND METHODS It is a case study of the subject of 35 yrs age with Dysfunctional Uterine Bleeding (DUB) due to Endometrial Hyperplasia who has been treated with Shamana Chikitsa. AYURLOG National Journal of Research in Ayurved Science (A peer-reviewed open access Indexed e-journal of Ayurved Since 2013) http://www.ayurlog.com Nov2020 | Volume 08th | Issue: 6th ISSN: 2320-7329

treatment of endometrial hyperplasia of uterus is mainly done by hormonal treatment (especially by progesterone) and by surgical treatment such as hysterectomy, which are having their own side effects. Ayurveda is a health care system sensitive to women's special health needs. Women are far more sensitive to the rhythms and cycles of nature, Ayurveda is founded on the principle of keeping the body toned in time with nature, and naturally, women find Ayurveda very suitable. In

INTRODUCTION :-
Endometrial hyperplasia is excessive or abnormal thickening of the lining of the uterus, which is most probable cause of Dysfunctional Uterine Bleeding (DUB). In most of the cases, it is benign in nature. Main cause of trial hyperplasia of uterus is high levels of oestrogens, combined with insufficient levels of the progesterone like which ordinarily counteract oestrogens proliferative effects on this tissue. It may also occur because of chronic disorders, such as diabetes, obesity, or polycystic ovarian syndrome. This disorder most often affects young women who are just beginning to menstruate and older women approaching menopause.

DISCUSSION -
Endometrial hyperplasia of uterus is one of the prevalent reasons for uterine dysfunction, which directly affects the health status of women. The present finding based on sonography and the effective management of hyperplasia of uterus with Ayurvedic formulations with no adverse effect highlights the promising scope of traditional medicine in the various uterine disorders. Stambhana, Vedanahara and Tridoshashamka properties of Pushyanuga Churna, Ashokarishta and Dashmula Kashya act on reproductive system and improve the functions of uterus and Artava. (Especially Bahipushpa (menstrual blood).
Along with this Shothahara property of Ashokarishta also helps in reducing the size and arrests further growth of endometrium. After the treatment, the sonography report showed no hyperplasia of uterus. Ayurveda is the oldest form of healthcare in the world. Ayurveda has best natural health supplements and products to manage the changes in the body right from puberty to menopause. Various effective Ayurvedic herbal formulations are available for the management of female disorders, which are having very good results, and with no any adverse effect. The present study reveals the effective management of endometrial hyperplasia of uterus by Ayurvedic treatment, especially by herbal medicines.

CONCLUSION -
Shamana Chikitsa was found effective in treating Endometrial Hyperplasia. The patient was followed up regularly from 2017 onward till date and did not reveal any evidence of recurrence. The long-term treatments with hormonal imbalance results from many untoward effects like weight gain, stress, depression, and premature menopause if not treated well. Ayurveda gives major spotlight on Shamana Chikitsa. The patient was on active treatment for the period of 3 months. Diet restrictions were followed further. This case study shows that a combination of life style modifications, diet restrictions, and treating root cause is effective in treating any disease holistically. In this case, important consideration was given to Vata Anulomana, Deepana and Pachana because proper functioning of Vata Dosha is necessary in every aspects of endometrial hyperplasia means proper functioning of hypothalamopituitaryovarian axis and Uterus seen. With proper Pathya like to take Santarpana (nutritive diet like milk etc.), green vegetables etc. and avoid Snigdha (oily), Vidahi, Amla and Lavana Ahara is advised.