Abstract

ENDOMETRIOSIS: AN AYURVEDIC VIEW

Dr. Prashant Patil, *Dr. Vama Sanghvi

.

Abstract

Endometriosis is one of the benign gynaecological disorders defined by implantation of functioning endometrial tissue outside the uterine cavity. The prevalence is about 10 percent. However, prevalence is high amongst the infertile women (30-40%) as based on diagnostic laparoscopy and laparotomy.[1] Endometriosis can occur at any site. The most common sites are the ovaries, the cul-de-sac including the Uterosacral ligaments, peritoneum overlying the bladder, sigmoid colon, back of the uterus, intestinal coils and appendix.[2] The exact cause is still not clear; however, several theories are explained like the implantation theory, metaplasia theory, lymphatic theory, and blood born spread theory, immune deficiency theory, and genetic theory and so on. The endometrium stroma and glands in the ectopic site has got the potentiality to undergo cyclical change. Proliferative changes are constantly evidenced, secretive changes are absent in ectopic endometrium. The periodical shed blood may remain encysted, the cyst becomes tense and ruptures. As the blood is irritant, there is dense tissue reaction surrounding the lesion with fibrosis. It produces adhesions and puckering of the peritoneum. There may be the formation of Chocolate Cyst. In spite of dense adhesion amongst the pelvic structure, fallopian tubes remain patent.[3] Endometriosis is reported in the ovaries, uterine ligaments, recto vaginal septum, pelvic Peritoneum, laparotomy scars, vagina, umbilicus, hernia sacs, urinary tract, large and small intestine, appendix, umbilicus and rarely even in the pleura, diaphragm, arms, legs, kidneys etc. The clinical symptoms include nausea or vomiting and bloating, dysmenorrhea, dyspareunia, dysuria, lower abdominal pain, menorrhagia, irregular bleeding and chocolate cyst in later stages.[4] Although it is predominantly concluded that endometriosis has no cure or treatment. Ayurveda has detailed about the causes, factors that trigger endometriosis and therapies to recover from this condition.

Keywords: .