BACKGROUND: We report a refractory case of oligohypomenorrhea, treated successfully using an integration of Ayurveda and yoga management. The classical Ayurveda lexicons have a detailed description of menstruation, its related pathologies and its management. Based on the same principle of management, treatment was planned in this case which not only resulted in relief of symptoms but also achieving conception.

CASE PRESENTATION: The case reported in this study is a 25 year old female showed up to Prasuti OPD, NIA hospital complaining of delayed menses, scanty menses and severe pain during menstruation for which she has been treated by allopathy medicine since last two years. The patient also was a known case of erythema nodosum and on the regular allopathic medicine for the same. Considering the etiological factors & symptoms and correlating with Ayurveda, a diagnosis of artavakshaya was made. Treatment plan included shamana therapy with the use of agneya dravya (hot potency drug). The patient started experiencing improvement in symptoms within 2 cycles of treatment and in the end she conceived miraculously. The patient is now visiting NIA, OPD for ANC.

CONCLUSION:

An integrative approach of Ayurveda and yoga is successful in treating artavakshaya. Same integrative approach can be thought of in various gynecological disorders which will help avoiding taking hormonal pills and its side effects in women. A same protocol may be used for the larger sample sizes that will assure the strong quality of evidence.

KEYWORDS: Ayurved, Artavakshaya, Oliohypomenorrhea, Aama