Non-Operative Management of Endometrial Polyp Through Ayurvedic Lekhana and Shamana Therapy

Abstract

This case study outlines the effective non-operative treatment of an endometrial polyp in a 40-year-old woman who sought care in October 2025 for severe, prolonged menstrual bleeding (menorrhagia and dysmenorrhea) lasting 10 days each cycle since 4 months. Physical exams and ultrasound identified an 8 × 15 mm polyp in the uterine fundus along with an enlarged uterus. Although hysteroscopic polypectomy is the typical treatment for symptomatic polyps, the patient received a comprehensive Ayurvedic regimen. Therapy involved localized Sthanika Chikitsa through Yonidhavana (vaginal irrigation) with Triphala-Musta-Haridra decoction and Yonipichu (medicated vaginal tampon) using Kshara Taila, combined with oral remedies like Saraswatarista, Praval Panchamruta, Kamdudha, and Dashmularista with Eranda Taila to regulate Vata. After three months, symptoms markedly resolved, and a January 2026 ultrasound verified full polyp disappearance. The results demonstrate the value of Ayurvedic Lekhana (scraping) and Shamana (pacifying) approaches as viable non-surgical options for benign uterine polyps.