Ayurveda Treatment Procedure For PCOS

The first step is that the symptoms were assessed before starting treatment using a case proforma, ultra-sonogram, and necessary lab investigations.

Snehana, or Oleation Therapy, is one of the most important therapies that prepare the body to receive specialized Panchakarma treatment.

It involves the application of medicated oils, ghee, and herbs to the body internally and externally.

• Snehana (Abhyanthara and Bahya Sneha) should be done after Deepana-Pachana. (The process of stimulation of Jaataragni is called Deepana. Pachana does the digestion of Ama but does not increase the Agni. Both Deepana-Pachana removes the Samaavastha and detaches the vitiated Doshas which are adhered to Srothases.) It gives Snigdhatha, Vishyanthatha, Mardavatha, and Kledatha of sareera. Ashtangahridyam describes the combination of Snehapana Pippalyadi Anuvasana Thaila as very suitable for the treatment of PCOS.
• Pippalyadi Thailam (Oil) is an herbal and Ayurvedic oil, used to treat PCOS with its external application. It also has Ayurvedic Panchakarma treatment called Anuvasana Basti. Pippali is considered as Pathya in Yonirogas. The drugs included in the Yoga are Kapha Vatha Samana Ushnavirya, Deepana, and Vathanulomana. The Vatha is considered as the cardinal Dosha vitiated in the Samprapthi of the PCOS.
• Virechana is another detoxifying Panchakarma that involves the removal of toxins by inducing purgation (increased bowel movements). Virechana is extremely effective in obesity, irregular or heavy periods, hormonal imbalances, skin pigmentation, and the multitude of other symptoms triggered by PCOS.
• Higuthriguna Thaila is used as the drug of choice for Virechana. As per Ayurveda Hinguthrigunathailam have immune-modulatory, antioxidant, anti-inflammatory, and free radical unfriendly properties. The combined effect of Snehana with Pippalyadianuvasana Thaila and Virechana with Hinguthriguna Thaila reveals that the treatment is very effective in reducing the menstrual interval. Deepana, Pachana, Kapha Vatahara, Srotoshodhakara and Vathanulomana properties of the combinations and treatment modalities help in normalizing the menstrual irregularities. Vata KaphaHara and Srothorodhahara property of the combinations also contributed to reducing the ovarian volume. Snehapana, Virechana, and diet restriction might have improved the body mass index.

Polycystic Ovarian Syndrome is the leading cause of female infertility and one of the top reproductive endocrine disorders in the world. The treatment modalities Snehana, with Pippalyadi Anuvasana Thaila and Virechana with Hinguthriguna that are found to effective in the management of PCOS especially in the normalizing menstrual interval, reducing the volume of ovaries and reducing the BMI(Body Mass Index)due to it Kaphavatahara, Srothoshodhahara, and Vathanulomana properties.