Management of Uterine Leiomyoma using Ayurveda treatment modalities : A Case Report

Abstract

Introduction: Uterine fibroids, also called leiomyomas, are the most common benign tumors in women of reproductive age and often present with heavy menstrual bleeding, dysmenorrhea, and pelvic discomfort. Conventional management primarily involves hormonal therapy or surgical procedures such as myomectomy and hysterectomy. However, these modalities may not always address underlying cause or prevent recurrence, and surgical interventions may also affect fertility. Ayurveda offers a holistic and individualized approach that aims at restoring balance and improving long-term outcomes. Case Presentation: A 39-year-old woman presented with severe dysmenorrhea, heavy menstrual bleeding, and abdominal bloating. Ultrasonography revealed a uterine fibroid measuring 30 mm. She was managed with Ayurveda formulations including Kanchanar Guggulu, Varunadi Kwath, Chandraprabha Vati, and Pushyanuga Churna, along with Panchakarma therapy, involving a six-day Yoga Basti. The patient followed the prescribed treatment and reported adherence to dietary and lifestyle guidance. Results: Within three months, the patient experienced significant symptomatic relief with marked reduction in pain and normalization of menstrual flow. Follow-up ultrasound performed twice, after approximately three months showed no evidence of fibroid, confirming complete resolution. No adverse effects were observed during or after therapy. Conclusion: This case highlights the potential role of Ayurveda as a safe, non-invasive, and holistic approach to the management of uterine fibroids. The observed regression without surgical intervention emphasizes the need for systematic clinical studies to validate these outcomes and establish Ayurveda as an effective alternative or adjunct in fibroid management.