An Ayurvedic Management of Menorrhagia with Huge Leiomyoma in Perimenopause: A Case Report

Abstract

Introduction

Perimenopause is a transition phase towards physiological shut down of cyclical menstrual bleeding, thus, also a phase of hormonal shift, variations, and turbulences which may lead to physical and behavioral alterations adding to the already occurring psychological and physical stress. Menorrhagia (HMB) is one such frequently encountered gynecological complaint in perimenopausal woman (40-50 years of age) accounting for more than 70% of all gynecological consultations and one of the most common causes of hysterectomy in this age group.

Material & Methods: This paper presents a case study of a patient in perimenopause (40-50 years) who came to Gynaecology OPD of All India Institute of Ayurveda suffering from rajovriddhi of severe grade according to Menstrual Pictogram severely affecting her day-to-day activities successfully treated with Rajonivrittikar Yoga, a classical ayurvedic preparation. Assessment for bleeding P/V was done using Menstrual Pictogram and quality of life by Menopause Rating Scale. Routine blood investigations, hormonal profile and USG Colour Doppler Pelvis were also done. Oral intervention was given for three months follow up was done every 15 days for consecutive three months.

Results & Observations: There was extremely significant improvement in bleeding as assessed on Menstrual Pictogram from first month of treatment followed by absence of bleeding in subsequent months which was continued in and after follow up. Size of her huge leiomyoma decreased significantly while smaller ones were completely resolved. Improvement in Quality of Life and mild improvement in anemia was also noticed.

Conclusion: Ayurveda has immense potential in treatment of Rajovriddhi or HMB and AUB in perimenopause which is safe, effective and could be an alternative before surgery in certain cases.