Ayurvedic Management of Amenorrhea Associated with Hypoplastic Uterus

Abstract

Amenorrhea associated with hypoplastic uterus presents a therapeutic challenge, as conventional hormonal therapies often show limited effectiveness. Ayurveda provides a holistic approach aimed at correcting Dosa imbalance, nourishing reproductive tissues, and restoring Artava Pravṛtti (menstrual function). Integrating Panchakarma procedures with targeted oral medications may enhance therapeutic outcomes. Objective: To evaluate the efficacy of a combined Ayurvedic protocol- including sequential Panchakarma therapy and oral formulations such as Ashwagandha Ksheerapaka, Shatapushpa Churna and Abhipattikar Churna- in the management of amenorrhea associated with hypoplastic uterus. Methods: A 20year-old nulligravid female with amenorrhea and ultrasonographically confirmed hypoplastic uterus underwent Vamana Karma, followed by Niruha Vasti with Dashamula Kwatha for three days, Uttaravasti with Phala Ghṛita for five days, and Matra Vasti with Balashvagandha Taila. Concurrently, she received oral medications throughout the treatment. The protocol was repeated for three consecutive cycles. Outcomes were assessed through menstrual pattern, uterine dimensions, endometrial thickness, and subjective wellbeing. Results: Progressive improvement was observed in uterine size, endometrial development, and menstrual regularity, with normal menstruation restored by the third cycle, without adverse effects. Conclusion: Sequential Panchakarma therapy combined with specific Ayurvedic oral medications shows promising effectiveness in restoring menstruation and enhancing uterine development in hypoplastic uterus.