Abstract

SUCCESSFUL REVERSAL OF ENDOMETRIAL HYPOPLASIA THROUGH AYURVEDA – A CASE REPORT

Dr. Tejashree Kene*, Dr. Varsha Jadhao, Dr. Priyanka Hajare

Abstract

Thin endometrium is a challenging factor in subfertility management, often associated with implantation failure and poor reproductive outcomes. From an Ayurvedic perspective, this condition aligns with Artava Kṣhaya, a state characterized by deficient endometrial nourishment due to Vata predominance and Rasa–Rakta Dhatu Kshaya. This case study describes the clinical management of a 29-year-old woman presenting with infertility and persistently thin endometrium despite multiple modern interventions. The objective of the intervention was to improve endometrial receptivity using classical Ayurvedic principles, particularly Rasayana, Santarpana, and Artava-janana therapies. The patient received an individualized protocol consisting of Phala Ghrita, Shatavari Kalpa, Lajjalu-Bala Kashaya, and intrauterine instillation (Uttarabasti) of Kumari Taila. Dietary regulation emphasizing warm, unctuous, and nourishing foods, along with lifestyle modifications aimed at reducing Vata, were incorporated. Over two menstrual cycles, her endometrial thickness improved from 4.2 mm to 8.1 mm, with better triple-line pattern and relief in associated dryness and abdominal discomfort. She subsequently achieved spontaneous conception in the third cycle. This case highlights the potential of classical Ayurvedic modalities in restoring endometrial nourishment and receptivity, especially in women not responding adequately to conventional therapies. The integrative rationale, probable mode of action, and classical references are discussed. Further clinical studies are warranted to explore standardized protocols for thin endometrium in reproductive medicine.

Keywords: Thin endometrium, Artava Kshaya, Uttarabasti, Kumari Taila, Ayurvedic infertility management, endometrial receptivity.