Cure Poly Cystic Ovaries With Ayurveda (Case Study with Clinical Findings)

Case study Poly Cystic ovarian syndrome (PCOS)

History: 28 years old unmarried girl history of delayed menses, additional hair growth in the face, weight gain, mental irritability since 2 years

Personal History

Diet	Vegetarian
Appetite	Good, Able to take little quantity, often feels hungry
Bowels	Normal
Urine	Normal
Sleep	Normal
Prakruti	Pitta and Kapha
Desired taste	Spicy, salty, warm foods and drinks

Patient details

Registration date	22.01.2010
Family history	No relevant family history (One girl child)
Disorder history	Diagnosed with PCOD with USG
Medication history	Ovaral –G (Combination of estrogen and Progesterone) – one tablet daily for 21 days with a gap of 7 days for six months. Menses were normal in this period but general health conditions were not improved.
Menstrual history	Menarche at the age of 12 years. Past MC – 4-5/ 28-30 day cycle; Moderate flow and mild pain Since last six month menstrual cycle – 2-3/ 40-45 days, scanty flow and sometimes pain Last menstrual cycle: 29.11.2009

Physical examination

General examination	Build & Nutritional status: satisfactory Pallor: Mild No evidence of thyroid enlargement BP 120/80 mm/Hg / Pulse 72 per minute Height: 156 cm Weight: 69 Kg Respiration rate 19 per minute
Systemic examination	Cardio Vascular system Heart sounds (S1, S2) – Normal, No added sound, HR-62 per minute Respiratory system Clear, equal air entry, no added sound Per abdomen Soft, No palpable mass and no organomegaly, No abnormality detected
Investigations	Hemoglobin – 12.6 mg/dl (11 – 14 gm/dl) TLC, DLC and ESR, within normal range
	Hormone profile Prolactin – 18.12 ng/ml (3.24-29.15 ng/dl) L H – 3.09 mIU/ml (1.00-18.00 mIU/ml in follicular phase) PSH – 6.34 mIU/ml (4.00 mIU/ml/ml in follicular phase)
	Thyroid profile TSH – 3.2 mU/ ml (0.49-4.67 mIU/ml) Thyroxin – 0.87 ng/dl (0.71-1.85 mg/dl) Tridothyrixine – 2.36 pg/ml (1.45-3.48 pg/dl) Insulin – fasting – 4.9qU/ml (0-9 qU/ml)
Radiology	USG – 20.12.2009 – Enlarged ovaries with multiple small follicles in peripheral distribution with increased stromal echogenecity suggestive of poly cystic ovaries Follicular study 29.11.2009 – Anovulatory cycle X Ray – PA view – No abnormality detected

Clinical evaluation of the patient on clinical and biochemical basis on frequent follow ups

Clinical findings	On registration date (22.01.2010)	2 nd follow up (07.03.2010)	5 th follow up (01.11.2010)
Lethargy	++++	++	Nil – Fresh and Energetic
Pallor	++	Nil	Nil
Irregular periods	Last menses on 29.11.2009 (3 days, scanty and painful)	On 40 th day (01.03.2010), 3-4 days	Every 30 th day, regular for 4-5 days
Amount of menses	Scanty	normal	normal
Weight	62 Kg	59.2 Kg	50 Kg (Unchanged since 4 months)
Investigations	07.03.2010	18.05.2010	25.10.2010
Hb gm%	11.6 gm/dl	12.1 gm/dl	14.6 gm/dl
Prolactin	16.12 ng/dl	18.11 ng/dl	15.46 ng/dl
LH	Normal	Normal	Normal
PSH	Normal	Normal	Normal
Free Testosterone	Normal	Normal	Normal
Thyroid profile	Normal	Normal	Normal
Ultra sound scan	Enlarged in volume, Increased number of cyst (Peripherally )	Ovaries enlarged with fair amount of cysts with mild stromal thickening	Ovaries normal, no visible cyst mass, No stromal thickening, Normal study
Follicular study	Anovulatory cycle	Anovulatory cycle	Ovalatory cycle, Ovulation occurs at Day 16

Diagnosis

Anemia and thyroid disorder are ruled out. Hormonal studies and USG exhibits Polycystic ovarian syndrome (PCOS)

Management Done

Food – Green gram, Red rice, wheat, Green, fresh vegetables, Milk etc
Avoid – spicy, salty, fermented foods and drinks, canned foods and drinks, curd
Exercises – 30 minutes walk every day with Pranayama and meditation for 10-15 minutes

Medicines advised

1. Saptasaram Kashayam Tablets
     3 tablets – with warm water 30 minutes before breakfast and Dinner
2. Kalyanaka Kshara (21)
     250 mg after food with curd water thrice daily after food
3. Satavari gulam
     5 gm at bed time followed by 200 ml of warm milk

Conclusion

In PCOS is a condition caused by abnormalities of hypothalamic – pituitary axis and ovarian or adrenal steroidogenic pathway. Ayurveda names this condition as ‘Arthava Dushti’ – means abnormalities in the functions elements of the menstrual cycle. This condition is termed under easily treatable disorders section.

At rVita we combine best of the ancient Indian systems like Ayurveda and Yoga with modern diet and nutrition plans with a unique personalization based on the bio energy or Prakriti analysis. This helps the person to attain the self healing in due course of time and the disease is cured permanently.

rVita currently enrolling patients for PCOD program (Women health) with unique Online patient Management system which enables to upload all the medical records and monitor health etc online. 

Call 9940079511/ Write to drkgowthaman@gmail.com for consultation and remedies for female infertility, Poly Cystic Ovaries (PCOD/ PCOS) etc