Ayurveda Approaches for Management of Chronic Secondary Amenorrhoea Complexed with Hormonal Replacement Resistance, PCOD, and Thyroid Dysfunction: A Comprehensive Case Analysis

Ayurvedic protocols offer a holistic approach in managing Female pathologies by targeting the underlying imbalances in the HPO axis. In gynecological practices, hormonal therapy is a common approach for management of secondary amenorrhea associated with Polycystic Ovary Disease (PCOD), thyroid dysfunction, which interfere with endocrinal system and hypothalamic-pituitary-ovarian (HPO) axis. The present case involves secondary amenorrhea, which has persisted for 8-10 years, compounded by resistance to hormonal replacement therapy, thyroid dysfunction and polycystic ovary Disease (PCOD) present from 10-11 years. Initially, the menstrual cycle interval increased to 4-5 months, then over a period natural menstruation ceased and remain responsive to withdrawal bleeding for about 2 years but later patient become irresponsive to withdrawal bleeding even after usage of hormones. The Ayurvedic approach emphasizes individualized treatment plans that address both the symptoms and the root causes of these conditions. The treatment regimen included Shodhana Chikitsa, specifically Basti and Nasya, in conjunction with oral medications. Over the course of one year, the patient experienced gradual improvement. Initially, menstruation resumed naturally after a 6-month interval, followed by 2 months, and eventually at interval of 35-40 days with improved regularity and quality of bleeding. This transition marked a shift from amenorrhea and withdrawal bleeding to irregular and then to regular menstrual cycles by Ayurveda treatment. Keywords: Amenorrhoea, Ayurveda, Basti, Nasya, Hormonal therapy, Withdrawal bleeding