Case Studies: PCOD 14 Day

PCOD (Polycystic Ovarian Disease)

Outcome scales after 14 days of treatment:

Symptoms

Before treatment

After treatment

Menstrual irregularity

Amenorrhea (no periods for 3 months)

Withdrawal bleeding initiated

Lower abdominal pain

Moderate

Minimal

Acne

Mild

Minimal

Weight

68 kg

64.3 kg

Hair fall

Moderate

Reduced

After 14 days of inpatient treatment, the patient showed improvement in metabolic function and hormonal response, with initiation of withdrawal bleeding and reduction in associated symptoms. Continued treatment and lifestyle correction were advised for sustained results.

CASE STUDY

Patient Name: Ms. AP
Age/ Sex: 24 yrs / Female

Presenting complaints:

  • Absence of menstruation for 3 months
  • Lower abdominal heaviness and discomfort
  • Mild acne
  • Hair fall
  • Weight gain

     

H/O Presenting complaints:

A 24-year-old female patient presented with complaints of absence of menstruation for the past 3 months. She reported a history of irregular cycles for the past 1 year, which gradually progressed to amenorrhea.

She also experienced lower abdominal heaviness, weight gain, and mild acne. She had not taken any recent hormonal treatment but had a history of irregular diet and stress.

Vital Parameters:

BP: 110/70 mm Hg  Pulse: 74/min
Height: 158 cm  Weight: 68 Kg

General History:

Ahara: High intake of bakery items, sweets, and processed foods
Vihara: Sedentary work routine, minimal exercise
Appetite: Mandagni
Micturition: Normal
Bowel: Slightly constipated
Sleep: Irregular

General Systemic Examination:

Gait: Normal  GC: Normal  CVS: S1S2 heard
CNS: Oriented
RS: NVBS heard  PA: Soft, mild tenderness in lower abdomen

Clinical Examination:

  • Mild acne on forehead
  • Slight central obesity
  • No significant hirsutism
  • USG suggestive of polycystic ovarian changes

     

Dasavidha Pariksha:

Prakruthi: Kapha Vata
Vikrutha Dosha: Kapha Vata
Dushya: Rasa, Meda, Artava
Sara: Madhyama
Samhanana: Madhyama
Satva: Madhyama

Aharasakthi:

  • Abhyavaharanasakthi – Madhyama
  • Jaranasakthi – Mandya

Vyayamasakthi: Avara
Vaya: Youvana
Pramana: Madhyama

Ashtavidha Pariksha:

Nadi: Kapha Vata
Mala: Vibaddha
Mutra: Sadharana
Jihwa: Saam
Sabda: Sadharana
Sparsha: Snigdha
Drik: Sadharana
Akruthi: Madhyama

Nidana Panchaka:
  
          Nidana:

  • Excess sweets, bakery, processed foods
  • Lack of exercise
  • Stress and irregular routine

    Purvarupa:
  • Delayed cycles
  • Heaviness in body

    Rupa:
  • Amenorrhea
  • Acne, weight gain
  • Lower abdominal discomfort

    Upasaya:
  • Light diet, detox, regular routine

    Anupasaya:
  • Heavy food, daytime sleep

Samprapthi Gataka:

Dosha: Kapha Vata
Dushya: Rasa, Meda, Artava
Agni: Mandagni
Ama: Saama
Srotas: Artavavaha, Medovaha
Srotodushtiprakara: Sanga
Sadhyasadhyata: Krichrasadhya

Samprapthi Flow Chart:

Mithyaharavihara

Kapha Vata vriddhi

Agnimandya → Ama

Medo dushti

Artavavaha srotorodha

Artava kshaya (amenorrhea)

PCOD lakshanas

Diagnosis:

PCOD (Artava Kshaya – Kapha Vata predominant)

Treatments given:

The patient underwent 14 days of inpatient Ayurvedic treatment, focusing on restoring Artava function and reducing Kapha:

Shodhana (Preparatory & Mild):

  • Deepana-Pachana
  • Snehapana
  • Swedana
  • Mridu Virechana

Shamana Chikitsa:

  • Ayurvedic medicines for regulating Artava, improving Agni, and reducing Kapha

External Therapies:

  • Udvartana (for Kapha-Meda reduction)
  • Abhyanga and Swedana

Diet & Lifestyle:

  • Kapha-pacifying, low-calorie diet
  • Early waking and sleeping schedule
  • Yoga practices focusing on hormonal balance

Outcome scales after 14 days of treatment:

Symptoms

Before treatment

After treatment

Amenorrhea

3 months absent

Withdrawal bleeding initiated

Pain

Moderate

Minimal

Acne

Mild

Minimal

Weight

68 kg

66.8 kg

Hair fall

Moderate

Reduced

Conclusion:

This case demonstrates that even short-term Ayurvedic intervention (14 days) can initiate menstrual response and improve metabolic function in PCOD patients presenting with amenorrhea. Continued therapy is essential for full cycle normalization and prevention of relapse.