Management of Garbhashaya Arbuda W.S.R. to Uterine Fibroid Through Lekhaniya Mahakashaya Taila Uttarbasti: A Case Study

Uterine fibroids are the most frequent solid benign tumours among women of reproductive age. Symptoms of uterine fibroids adversely affect physical and social functioning, women's health-related quality of life, and productivity at work. A 42-year-old female patient visited the outpatient department of Prasuti Tantra evam Stri Roga Vibhag in the government Ayurveda college with complaints of heavy and prolonged menses for 7-8 days with low back pain and lower abdominal pain for 8 months. An ultrasound scan showed an ill-defined heterogeneous lesion (Fibroid) of size 15x19mm in the posterior fundal myometrium of the uterus. Hormonal therapy and hysterectomy for the same were advised, but the patient refused to undergo the surgery and hormonal therapy, and the patient was looking for non-hormonal therapy. She was treated with the Ayurvedic line of treatment of LEKHANIYA MAHAKASHAYA TAILA UTTARBASTI ON GARBHASHAYA ARBUDA. Uttarbasti is given on the 8th, 9th, and 10th days after the cessation of the menstrual cycle. She was also given deepan and pachan drugs before starting the treatment from the outpatient department. Treatment was extended for 3 months with a follow-up once every 15 days, and a repeat scan showed a shrinking size of the fibroid and relief in symptoms. A follow-up scan also showed the disappearance of the fibroids. Throughout the period of treatment, the patient has not complained of any adverse effects with regard to the advancement of the disease nor with respect to the medications. An effort has been made to discuss the successful treatment of fibroids with non-hormonal medications in a mid-forties patient. This article aims to inspire confidence among Ayurveda practitioners about the safe, noninvasive, non-hormonal, cost-effective treatment of fibroids by Ayurvedic management.