Efficacy of Polyherbal Ayurvedic Formulations in the Management of Endometrial Polyp and Associated Menorrhagia: A Case Report

The management of endometrial polyps, benign uterine growths commonly manifesting with abnormal uterine bleeding, has traditionally relied on hysteroscopic polypectomy as the gold standard intervention. This case report aims to demonstrate the remarkable efficacy of Ayurvedic medicine as a compelling alternative therapeutic approach. A 41-year-old multiparous woman suffering from persistent menorrhagia and intermenstrual bleeding for three months underwent an ultrasonographic evaluation, which revealed a substantial endometrial polyp measuring 41×20×13 mm and a concurrent simple left ovarian cyst. After a comprehensive assessment confirmed menorrhagia and constipation as the primary clinical manifestations, the patient embarked on a holistic Ayurvedic treatment protocol. The regimen consisted of sophisticated polyherbal formulations, including Kanchanar Guggul, Ashokarishta, Chandraprabha Vati, Arshakuthar Ras, and Mamsa Pachak Vati, administered over 90 days, complemented by tailored dietary modifications. The therapeutic response was profound and progressive; menstrual bleeding diminished significantly from 5-6 pads per day to 3-4 pads per day within just 30 days, normalising to two pads per day with regular cycling by day 60. By the conclusion of the treatment period, the patient experienced complete resolution of both menorrhagia and constipation, with follow-up imaging confirming normal pelvic architecture. This compelling case illustrates how Ayurvedic intervention, focussed on restoring dosha (body humor) equilibrium through carefully selected herbal compounds, successfully resolved a symptomatic endometrial polyp, thereby circumventing surgical intervention entirely. The results underscore the significant therapeutic potential of traditional Ayurvedic approaches in addressing endometrial pathologies, particularly in early-stage presentations.