Ayurvedic Treatment for Adenomyosis focuses to fix the various factors influencing the imbalance of female hormones. Adenomyosis is an abnormal condition of the uterus in which the endometrial tissue that normally lines the uterine cavity grows into the muscular wall of the uterus. This abnormally grown tissue goes into the menstrual cyclic changes like thickening, breaking down, and bleeding. This results in an enlarged uterus and heavy menstrual bleeding associated with pain.
- Signs and symptoms of Adenomyosis
- Causes of Adenomyosis
- Pathophysiology of Adenomyosis
- Diagnosis of Adenomyosis
- Treatments of Adenomyosis
- Prognosis of Adenomyosis
- Complications of Adenomyosis
- Abortion in Adenomyosis
- Nidana- Causes of Adenomyosis
- Lakshana of Adenomyosis
- Prognosis of Adenomyosis
- Chikitsa (Treatment) of Adenomyosis
- Commonly used medicines for Adenomyosis
- Diet desirable in adenomyosis
- Yoga
- Research articles link.
Signs and Symptoms
Occasionally Adenomyosis goes undiagnosed due to mild symptoms. But in conditions where the condition is serious, it may have signs and symptoms like,
- Dysmenorrhea: severe cramping pain in the lower abdomen and pelvis associated with menstruation
- Prolonged heavy bleeding
- Dyspareunia- the pain is felt during the sexual intercourse
- Abdominal pressure and bloating may be seen in some cases.
- The size of the uterus increased in some cases.
Causes
Adenomyosis is a common condition and prior uterine surgery for C section, fibroid removal, dilatation, and curettage, etc. act as the risk factors. The exact cause of Adenomyosis is still unexplained. The frequently suspected theories include,
- Repeated childbirth
- Vigorous curettage
- Excess effect of estrogen
Pathophysiology
Associated with the extension of endometrial glands and stroma beneath the endometrial –myometrial interface. Due to the absence of submucosa, endometrial glands are in direct contact with the myometrium. It forms nests deep within the myometrium leading to myometrial hyperplasia around the endometriotic foci. Trauma to the deeper endometrium is also an etiological factor.
Diagnosis
- History taking, signs, symptoms
- Pelvic Examination- uniform enlargement of the uterus.
- Ultrasound imaging and color doppler
- MRI of uterus
- In some cases endometrial biopsy
Treatments
The symptoms usually subside by menopause. The treatment choice includes,
- Hormone regulators – Estrogen- progesterone pills, hormone-containing vaginal rings, Levonorgestrel releasing IUS, etc helps to improve menorrhagia and dysmenorrhea.
- Anti-inflammatory drugs to control pain
- Surgical management includes Adenomyomectomy, Hysterectomy- in severe conditions if no relief is found with medications.
Prognosis
It is a benign but progressing condition. They are likely to have endometriosis, uterine fibroids and may lead to infertility.
Complications
They are likely to have endometriosis, uterine fibroids and may lead to infertility.
Preterm labor and premature rupture of membranes.
Disease and Ayurveda
The symptoms of Adenomyosis resembles to the symptoms described for Vaatiki yoniroga and also in Asrigdhara.
Nidana- Causes
The cause of yoni rogas is said as,
- Vishamangasayana (inappropriate postures during coitus)
- Excess sexual acts
- The menstrual blood if vitiated with Vata, pitta, kapha doshas
- Sexual acts using foreign materials.
- Irregularities of semen and ova
- Excessive pitta vitiating diet may cause Asrigdhara(Menorrhagia)
Purvaroopam- Premonitory Symptoms
No premonitory symptoms were described.
Lakshana Signs and Symptoms
- Pricking pain in vagina, numbness, crawling like pain.
- Hardness in vagina
- Bleeding resembling blackish frothy blood
- Pain in the pelvic region
- In Asrigdhara there will be excessive bleeding may be associated with clots.
Prognosis
Difficult to cure the disease if it is chronic. Timely treatment can help to control the symptoms.
Chikitsa- Treatment
Vata samana Oushadhas followed by Snehapana, Swedana (sudation), Vasthi (enema) can be used in the management.
Discontinuation of the causes of disease are also necessary.
Commonly used medicines
- Sukumaram kashayam
- Saptasaram Kashayam
- Pachanamrutham Kashayam
- Hinguvachadi Churna
- Vyoshadi Guggulu
- Eranda Sukumaram
- Vasaguluchyadi Kashayam
- Asokarishta
- Sukumaram ghrita (snehapana)
- Bala thaila – for paana and vasthi (enema)
- Pushyanuga choorna with honey in case of excess bleeding
- Musalee khadiradi kashaya can also be given in excess bleeding
Brands available
- Kottakal Aryavaidya saala
- Vaidyaraatnam Oushadhasaala
- SNA Oushadhasaala
Home Remedies
- Mild heat in the abdomen and pelvis to prevent pain during maturation
- Turmeric is good to prevent inflammation
- Water boiled with fenugreek seeds, cumin seeds are good
- Light easily digestible and hot food is desirable.
Diet
Brown rice, wheat, oats, Apple, papaya, pineapple, cabbage, cucumber, green leafy vegetable, carrots, etc. are to be consumed.
Maida, frits like mango, watermelon, citrus fruits, onion, garlic, etc. are to be avoided.
Yoga
Yoga posture which helps in maintaining the health of pelvis organs can be chosen.
- Upavistha konasana
- Navasana/naukasana…
- Viprit karni.
- Anulom viloma pranayama
Research articles link.
http://www.iamj.in/posts/2019/images/upload/2341_2345.pdf
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4649577/
These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake.
Expert,
Ayurveda Medicine, India
Please consult Dr. Rajesh Nair for Adenomyosis here-
https://www.ayurvedaforall.com/online-consultation.html
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Writer:
Dr. Rajesh Nair, the co-founder and chief consultant of Ayurvedaforall.Com, is a graduate of prestigious Vaidyaratnam Ayurveda College (affiliated with the University of Calicut), Kerala, India. Additionally, he holds a Postgraduate Diploma in Yoga Therapy from Annamalai University.
Dr. Nair offers consultation at two busy clinics in and around Haripad, Alleppey, Kerala, the southern state famous worldwide for authentic ayurvedic treatment and physicians. While offering consultation on all aspects of ayurvedic treatments Dr. Nair has a special interest in Panchkarma, Yoga, and Massage.
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