AYURVEDIC MANAGEMENT OF ASRIGDARA WITH UDAVARTINI YONIVYAPAD IN A CASE OF ADENOMYOSIS: A CASE REPORT

Menorrhagia, characterized by excessive or prolonged menstrual bleeding, is a prevalent gynecological disorder that adversely affects the physical and psychological health of women. When associated with dysmenorrhea (painful menstruation), the condition becomes more distressing, leading to significant impairment in daily activities and quality of life. Conventional management includes hormonal therapy and analgesics, which often provide symptomatic relief but may be associated with side effects and recurrence. In Ayurveda, Menorrhagia can be correlated with Asrigdara and dysmenorrhea with Udavartini Yonivyapad, primarily involving vitiation of Pitta and Vata dosha, along with dushti of Rakta dhatu and Artava vaha srotas.[1,5] The management principles focus on dosha shamana, rakta stambhana, vedana shamana, and restoration of normal artava pravritti.[2] This case report describes a 34-year-old multiparous female presenting with menorrhagia of six months’ duration and dysmenorrhea for one year. Detailed clinical assessment, including thorough menstrual history, was carried out for diagnostic evaluation. An integrative management approach was adopted with emphasis on individualized therapy. The findings highlight the importance of personalized treatment planning and demonstrate the potential role of cyclic therapy in regulating menstrual patterns and reducing symptom severity.