I am Dr. Aarati Kulkarni, practising ayurvedic gynaecologist in Thane. Today we are going to discuss about much talked gynaecological disorder which is PCOD and Endometriosis. So before we know about PCOD and Endometriosis lets know about something about menstrual cycle. So when the woman is menstruating for the first three to four days of her cycle, basically seven to eight follicles, cohort follicles is introduced in the periphery of ovary and after ten to twelve days one dominant follicle gets selected and it ruptures under some influence of hormones. When it gets ruptured, the tube picks up the outside that is female egg, and then if at all there is intercourse happens at that time or if the sperms are present in the cavity, the fertilisation occurs in the fallopian tube and the pregnancy gets attaches to the Endometrium.
If at all there is no pregnancy, then the whole bed, the Endometrium which is prepared for the pregnancy sheds off as a menstrual cycle. So again the cycles happen. Then what happens in PCOD? Basically no dominant follicle is selected and because of unovulation, because of hormonal imbalance, because of irregular ovulation, those follicles attain around 10 to 12mm size and gets collected in the periphery of the ovary and gives the ovary appearance of polycystic. So this is called as polycystic ovary. Then what is polycystic ovary and polycystic ovarian syndrome? So when the PCO hampers the hormones and hampers the metabolic system, it is called as PCOS.
Then what is the syndrome? Irregular periods, obesity, then Hirsutism, weight gain, Acanthosis Nigricans, insulin digestion, infertility and if at all pregnancy happens risk of miscarriage, then acne, scanty or heavy bleeding, these are all the symptom of PCOD. Then this is Hirsutism and Acanthosis Nigricans. So what is the investigation to diagnose about PCOD? Not just sonographic evaluation but it also needs the blood investigation, hormonal as in sugar levels and serum insulin levels. Then this is all about PCOD. Then we will know about the Endometriosis. What is Endometriosis? Basically the inner lining of the uterus is called as Endometrium.
But when this Endometrium grows abnormally outside the Endometrium, it is called as Endometriosis. It can grow on bladder, on tube, on intestine on scar etc. But when it grows in the ovaries in the cystic form, it is called as chocolate cyst or endometrioma or when it grows in the muscular layer of uterus, it is called as adenomyosis which is seen in elderly women. So what are the symptoms? Symptoms are pain while menstruation, pain while intercourse, pelvic pain, adagents and infertility. Say because of abnormal growth of Endometrium on tube or inside the peritoneal cavity, there are androgens formed and because of these androgens tube cannot move properly or its normal movement gets hampered and that’s why it become unable to catch the o site timeline and hence infertility. So how can we diagnose? It can be diagnosed by sonography, by laparoscopy.
Adagents can be diagnosed by laparoscopy and the blood tests CA125. Then what forms the basis of the ayurvedic treatment of PCOD? Basically to correct the hormonal imbalance and maintenance of biological clog of menstruation and if at all if there is any obesity or hirsutism or insulin resistance, the treatment of the same. Then what forms the basis of Endometriosis? That is basically the reduction of pain, the aim of treatment is to reduce the pain while menstruation and to stop the recurrence of Endometriosis. Then ayurvedic treatment consists of what factors is a diet. You should consult the ayurvedic physician or a gynaecologist and get the diet plan according to your constitution and the disease.
Then lifestyle modification and exercise. You should learn the exercise from a proper trainer only and a best way is to avoid exercise during the menstruation because it again can cause Endometriosis. So what are the exercise- suryanamaskar, kapalbhati, gomukhasana, paschimottanasana, vajrasana, sarvangasana, halasana etc. so then ayurvedic treatment. Basically the reproductive system is under the influence of fata and again the subtype of fata is apanvayu. So the best treatment for vested apanvayu is basti. So what is basti? Basti is basically the enima of medicated oil or decoction. So it forms the proper treatment for Endometriosis as well as PCOD. Then ayurvedic medicines for example satyapushpa, satyavari, nirgundi, musta etc can be used than panchakarma. Panchakarma that is vamana that is induced vomiting, virechana that is induced purgession and nasya that is instilation of sterile oil or ghee in the nostrils. So these are the proper treatment or ayurvedic treatment for Endometriosis and PCOD. If you want to know more please contact me through lybrate.