Ayurvedic Management of Poly Cystic Ovarian Syndrome with Clinical and Biochemical Androgen Excess and Oligo-ovulation – A Case Study

Polycystic Ovarian Syndrome (PCOS) is an endocrine disorder affecting 15-20% of women, often leading to irregular menstruation, hyperandrogenism, obesity, and infertility. Though not directly mentioning PCOS, Ayurveda describes conditions with similar clinical features, such as Nashtartava Ksheenarthavadushti, and Anapathya, and offers treatment focused on balancing Doshas, improving metabolism, and restoring hormonal balance. This study aims to explore the role of Ayurveda in managing PCOS with biochemical androgen excess and oligo-ovulation through a case study. A 24-year-old female presented with irregular menstruation (cycle interval >45 days), excessive hair growth on the face and chest, and hair fall for 1.5 years. Laboratory investigations confirmed elevated testosterone, luteinizing hormone (LH), and follicle-stimulating hormone (FSH). She had previously tried hormonal therapy with temporary relief and opted for Ayurvedic treatment. The patient underwent a two-phase Ayurvedic treatment plan over nine months on an OP basis, focusing on Agnimandya (digestive impairment) correction, metabolic stabilization, and hormonal balance. Medications were given based on menstrual phases, along with dietary and lifestyle modifications. By the end of the treatment, her menstrual cycle normalized, androgen levels reduced, excessive hair growth decreased, and hair fall stopped. This case highlights Ayurveda’s potential in managing PCOS through individualized treatment, dietary guidance, and lifestyle changes. Early diagnosis and systematic Ayurvedic management can offer effective, natural, and safer alternatives for PCOS treatment. Keywords: PCOS; Hyperandrogenism; Oligoovulation; Hirsutism; Nashtarthva