Definition
The presence of functioning endometrium outside the uterine mucosa is termed Endometriosis. Common sites include the ovaries, cul-de-sac (including uterosacral ligaments), peritoneum over the bladder, sigmoid colon, back of the uterus, intestinal coils, and appendix.
Symptoms of Endometriosis
Clinical symptoms encompass nausea, vomiting, bloating, dysmenorrhea, dyspareunia, dysuria, dyschezia, lower abdominal pain, menorrhagia, irregular bleeding, and the development of chocolate cysts in later stages.
Investigations
- MRI
- Laparoscopy
- Blood examination for Ca 125
- Ayurveda Diagnosis: Vatika Yonivyapat based on pathology and symptoms
Management of Endometriosis
Ayurveda
- Medicines to normalize Vata and reduce ama causing inflammation
- Relieves pain, normalizes menstrual cycle, and improves fertility chances
Diet and Lifestyle Corrections
- Cumin and fennel tea to reduce menstrual cramps
- Include hing (asafoetida), ginger, turmeric to reduce inflammation and normalize Vata
- Cut down on gluten and dairy
- Include cooked veggies, fruits (dried grapes, Indian gooseberry)
- Avoid caffeine and processed foods
- Maintain a routine for eating, sleeping, and working out
- Manage stress through family and work support
- Yoga poses: Cobra, mountain, butterfly, child pose, and moon salutations
Medical Treatment
- NSAIDs
- Hormones
- Oral Contraceptive Pills (OCP)
- Surgical Management: Laparoscopy
