Ayurvedic Management of Uterine Fibroid with Documented Improvement in Quality of Life : A Case Report

Abstract

Uterine fibroids, also termed uterine leiomyomas (ULs), are monoclonal benign tumours arising from the smooth muscle cells of the uterine myometrium¹. Although histologically benign, ULs constitute a significant public health concern due to their substantial impact on women’s quality of life. While the majority of affected women remain asymptomatic, nearly 25% experience clinically significant morbidity. Approximately one-third of women with uterine fibroids experience significant symptoms, such as abnormal uterine bleeding, pelvic pain or pressure, low backache, increased urinary frequency, constipation, and infertility, often necessitating therapeutic intervention². Despite the high prevalence of uterine leiomyomas, there is currently no definitive long-term, cost-effective treatment that effectively preserves fertility³. A woman aged 39 presented with painful menstruation associated with low back pain and increased menstrual bleeding for 6 months. The condition was diagnosed as uterine fibroid and managed with Samana oushadhi like Mahathiktakam kashayam, Varanadi kashayam, Gandharva eranda tailam, and Asokarishtam, for 4 months. The Uterine Fibroid Symptom and health-related quality of life(UFS-QOL) questionnaire⁴was administered pre and post Ayurvedic intervention to assess the effectiveness of treatment. Treatment results show a significant enhancement of quality of life and a notable reduction in fibroid dimensions