Patient Details
- Patient Name: Nimisha
- Duration of Treatment: 21 Days
- Type of Care: In-patient Ayurvedic Treatment
Background
Nimisha approached our Ayurvedic hospital with complaints associated with uterine fibroid, including pelvic discomfort, menstrual irregularities, abdominal heaviness, and general fatigue. After clinical evaluation and diagnostic review, uterine fibroid was confirmed.
A comprehensive Ayurvedic treatment plan was designed based on her prakriti (body constitution), disease stage, and overall health status. The objective of the treatment was to reduce fibroid-related symptoms, support natural regression, improve pelvic circulation, and restore hormonal balance—without invasive procedures.
Treatment Protocol
Nimisha underwent a 21-day structured Ayurvedic treatment regimen, combining Shodhana (detoxification) and Shamana (pacifying) therapies. The following treatments were administered under expert medical supervision:
1. Udwarthanam
A therapeutic herbal powder massage aimed at improving metabolism and circulation.
Benefits:
- Reduces pelvic congestion
- Improves lymphatic drainage
- Helps correct metabolic imbalance contributing to fibroid growth
2. Lepam (Herbal External Application)
Medicated herbal pastes were applied locally over the lower abdomen.
Benefits:
- Reduces localized inflammation
- Improves blood circulation in the pelvic region
- Supports gradual reduction in fibroid-related discomfort
3. Vaidharana Vasti
A specialized medicated enema therapy indicated in gynecological and pelvic disorders.
Benefits:
- Helps detoxify accumulated toxins (ama)
- Regulates Apana Vata, a key factor in uterine disorders
- Supports reduction of fibroid size and symptoms
4. Kashaya Vasti (Decoction Enema)
Administered to cleanse and nourish the reproductive system.
Benefits:
- Balances hormonal activity
- Improves uterine tone
- Prevents recurrence tendencies
5. Abhyanga (Medicated Oil Massage)
Full-body massage using uterine-supportive medicated oils.
Benefits:
- Relieves stress and muscular tension
- Enhances circulation and tissue nourishment
- Supports overall hormonal balance
6. Internal Ayurvedic Medications
Customized herbal formulations were prescribed to address fibroid pathology.
Benefits:
- Helps regulate estrogen dominance
- Supports natural shrinkage of fibroid tissue
- Improves digestion and metabolism
Outcome: Before and After Assessment
Before Treatment (First Report)
- Uterus size: 13 × 9.4 × 7 cm (bulky uterus)
- Posterior intramural fibroid with subserosal extension: 8.3 × 6.1 cm
- Left antero-lateral subserosal fibroid: 2.2 × 2 cm
- Endometrial thickness: 11 mm
- Impression: Bulky uterus with fibroids
After Treatment (Second Report)
- Uterus size: 11 × 7.9 × 6.6 cm (near normal size)
- Posterior intramural fibroid: 6.2 × 5.4 cm
- Anterior left lateral wall fibroid: 2.5 × 2.4 cm
- Endometrial thickness: 9.2 mm
- Impression: Fibroid uterus (moderate size)
Fibroid Summary
| Parameter | Before | After |
|---|---|---|
| Uterus Size | 13 cm length | 11 cm length |
| Largest Fibroid | 8.3 × 6.1 cm | 6.2 × 5.4 cm |
| Fibroid Type | Intramural + Subserosal | Intramural Extension |
| Endometrium | 11 mm | 9.2 mm |
Ovaries Comparison
Before
- Right ovary: Normal
- Left ovary: Obscured (likely due to bulky uterus or fibroid pressure)
- Dominant follicle present (normal ovulatory finding)
After
- Both ovaries: Normal
At the end of the 21-day treatment program, Nimisha showed significant positive improvement, as evidenced by clinical evaluation and comparative reports:
- Reduction in fibroid-related symptoms
- Improved menstrual comfort and regularity
- Decrease in pelvic heaviness and discomfort
- Enhanced energy levels and overall well-being
The before-and-after reports clearly indicated positive therapeutic progress, validatingthe effectiveness of the Ayurvedic approach in managing uterine fibroids holistically.
Conclusion
This case highlights the potential of classical Ayurvedic therapies in the non-surgical management of uterine fibroids. Through a personalized treatment plan, detoxification procedures, and supportive internal medicines, Nimisha experienced notable relief and improvement within a short duration of 21 days.Ayurveda focuses not only on symptom relief but also on addressing the root cause, restoring doshic balance, and enhancing long-term reproductive health.
