Effect of Panchakarma in Ovarian Cyst - A Case Report

Abstract

Ovarian cysts are common, fluid-filled sacs that develop on or within a woman's ovaries. The symptoms largely depend on the size of the cyst. In allopathic medicine, treatment typically includes the use of combined oral contraceptive pills. If the cyst continues to grow after three months of medication, surgical options such as laparoscopy or laparotomy may be suggested. However, contraceptive pills can have several side effects. In Ayurveda, ovarian cysts can be compared to a condition called Granthi. The term Granthi is found in classical Ayurvedic texts like Sushrut Samhita, Madhavnidan, Bhavprakash, and Yogratnakar. According to Chakrapani, Granthi refers to a specific type of glandular or nodular swelling. This condition is understood to include various benign tumors or cysts. The treatment of Granthi - particularly the Vataja, Pittaja, and Medoja types that are inflamed or suppurated - involves specific Ayurvedic therapies. For Kaphaja Granthi, gentle massage is recommended to soften the swelling. These descriptions align closely with the characteristics of subcutaneous cysts, including ovarian cysts. A case study demonstrated the successful treatment of a simple hemorrhagic ovarian cyst measuring 3.2 x 2.8 x 2.7 cm using Ayurvedic methods. After four months of therapy, which included Panchakarma procedures like Basti Karma and Virechana Karma along with internal herbal medications, the patient experienced complete relief from symptoms and full resolution of the cyst.