Case Studies: PCOD 30 Day
PCOD (Polycystic Ovarian Disease)
Outcome scales after 30 days of treatment:
Symptoms | Before treatment | After treatment |
Menstrual irregularity | Cycles delayed (45–60 days) | Regularized (30–35 days) |
Acne | Moderate | Minimal |
Weight gain | BMI: 29 | BMI: 27 |
Hair fall | Severe | Mild |
Lower abdominal pain | Moderate | Absent |
After 30 days of inpatient treatment, the patient showed significant improvement in menstrual regularity, reduction in acne and hair fall, and better weight management. Advised to continue medications, diet, and lifestyle correction for 2–3 months for sustained hormonal balance.
Introduction:
PCOD (Polycystic Ovarian Disease) is a common endocrine disorder affecting women of reproductive age. It is characterized by irregular menstruation, ovarian cyst formation, weight gain, acne, and hormonal imbalance.
In Ayurveda, PCOD can be correlated with Artava Kshaya, Nashtartava, and Granthi conditions involving Kapha-Vata imbalance, Agnimandya, and Ama accumulation, affecting Artavavaha Srotas.
CASE STUDY
Patient Name: Ms. SR
Age/ Sex: 26 yrs / Female
Presenting complaints:
- Irregular menstrual cycles since 2 years
- Weight gain and difficulty losing weight
- Acne over face and chin
- Hair fall and mild hirsutism
- Occasional lower abdominal discomfort
H/O Presenting complaints:
A 26-year-old female patient visited our hospital with complaints of irregular menstruation for the past 2 years, with cycles ranging between 45–60 days. She also reported gradual weight gain, acne, and excessive hair fall.
She had previously taken hormonal pills which regulated cycles temporarily, but symptoms recurred after discontinuation.
Vital Parameters:
BP: 118/76 mm Hg Pulse: 78/min
Height: 160 cm Weight: 74 Kg
General History:
Ahara: Mixed diet with frequent junk and dairy intake
Vihara: Sedentary lifestyle, irregular sleep
Appetite: Mandagni
Micturition: Normal
Bowel: Vibaddha
Sleep: Disturbed
General Systemic Examination:
Gait: Normal GC: Normal CVS: S1S2 heard
CNS: Oriented
RS: NVBS heard PA: Soft, mild lower abdominal tenderness
Clinical Examination:
- Acne present over cheeks and jawline
- Mild hirsutism noted
- Central obesity present
- USG reports suggestive of polycystic ovaries
Dasavidha Pariksha:
Prakruthi: Kapha Pitta
Vikrutha Dosha: Kapha Vata
Dushya: Rasa, Rakta, 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: Sthula
Nidana Panchaka:
Nidana:
- Excess intake of junk food, dairy, sweets
- Lack of exercise
- Stress and irregular sleep
Purvarupa:
- Mild irregularity in cycles
- Weight gain
Rupa:
- Irregular menstruation
- Acne, hair fall
- Obesity, ovarian cysts
Upasaya:
- Exercise, light diet, detox therapies
Anupasaya:
- Sedentary lifestyle, heavy and oily food
Samprapthi Gataka:
Dosha: Kapha Vata
Dushya: Rasa, Rakta, 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 dushti
↓
PCOD lakshanas (irregular cycles, acne, obesity)
Diagnosis:
PCOD (Artava Dushti / Kapha-Vata predominant condition)
Treatments given:
The patient underwent 30 days of inpatient treatment, including:
Shodhana:
- Virechana (therapeutic purgation) after Snehapana & Swedana
Shamana Chikitsa:
- Herbal formulations for hormone balance, metabolism correction, and detox
External Therapies:
- Udvartana (powder massage) for obesity
- Abhyanga and Swedana
Diet & Lifestyle:
- Strict Kapha-pacifying diet
- Yoga and exercise regimen
- Stress management practices
Outcome scales after 30 days of treatment:
Symptoms | Before treatment | After treatment |
Menstrual irregularity | 45–60 day cycles | 30–35 days |
Acne | Moderate | Minimal |
Weight | 74 kg | 70 kg |
Hair fall | Severe | Mild |
Bloating | Frequent | Occasional |
Conclusion:
The case demonstrates that Ayurvedic management focusing on Dosha balance, Agni correction, Ama removal, and Srotoshodhana can effectively manage PCOD. Sustained results require continued adherence to diet, lifestyle, and medications.
