AYURVEDIC MANAGEMENT OF PMOS (POLYENDOCRINE METABOLIC OVARIAN SYNDROME): A SINGLE CASE STUDY

Abstract

Background Polyendocrine Metabolic Ovarian Syndrome (PMOS), previously known as Polycystic Ovarian Syndrome, is a common endocrine and metabolic disorder in women of reproductive age. It presents with menstrual irregularity, amenorrhea, hirsutism, weight gain, acne, disturbed sleep and psychological stress. In Ayurveda, PMOS can be correlated with Artava Kshaya, Anartava, Artava Dushti and Pushpaghni Yonivyapad. The main pathology involves Kapha Pradhana Tridosha Dushti, Agnimandya, Ama Utpatti, Meda Dhatu Vriddhi and obstruction of Artavavaha Srotas. Material and Method A 26-year-old unmarried female presented with amenorrhea for 6 months, irregular menstruation for 1 year, hirsutism for 6 months, mood swings for 2 months, disturbed sleep for 4 to 5 months and weight gain for 6 months. Detailed history, clinical examination, laboratory investigations and USG abdomen-pelvis were assessed. The patient was treated with Nidana Parivarjana, diet and lifestyle correction, counseling, Navayasa Loha, Arogyavardhini Vati, Latakaranja Vati, Medohara Vati, Triphala Churna, Ashokarishta, Nasya with Anu Taila and Shirodhara with Takra Dhara for 3 months. Observation and Result Before treatment, the patient had irregular menstruation with approximately 50-day cycle interval, amenorrhea history of 6 months, pain grade +++, weight 62 kg and BMI 27.2 kg/m². After 3 months of treatment, menstrual cycle became regular with 30-day interval, pain reduced to +, weight reduced to 60 kg and BMI reduced to 26.3 kg/m². USG findings showed reduction in right ovary volume from 16.0 cc to 7.5 cc and left ovary volume from 10.0 cc to 8.0 cc. Endometrial thickness reduced from 5.2 mm to 3.7 mm. Before treatment, bilateral polycystic ovarian changes were noted, while after treatment no significant abnormality was detected. Discussion The improvement may be due to correction of Agni, reduction of Ama, removal of Srotorodha, Kapha-Meda Shamana and regulation of Artava. Stress-relieving therapies like Nasya Karma and Takra Dhara helped in improving sleep, reducing stress and supporting neuroendocrine balance. Conclusion This single case study suggests that individualized Ayurvedic management may be useful in PMOS. After 3 months of treatment, menstrual cycle improved from irregular 50-day interval to regular 30-day interval, pain reduced from +++ to +, weight reduced by 2 kg, BMI reduced by 0.9 kg/m² and USG findings showed marked improvement.