Description

• Benign invasion of the endometrium into the myometrium due to hyperplasia of the endometrial basal layer producing a diffusely enlarged uterus (Endometriosis internal)
• Both glandular and stromal components of the endometrium are involved
• Associated with myometrial hypertrophy and may be either diffuse or focal
• Peak incidence at 35-50 years

Types

• Dysmenorrhoea
• Heavy menstrual bleeding
• Prolonged bleeding cycles
• Chronic pelvic pain
• Severe and increasing abdominal pain throughout the month
• Back pain
• Dyspareunia
• Infertility

Investigation

• Clinical diagnosis
• Pelvic examination –reveals an enlarged, tender, and boggy uterus
• Ultrasonography (TVS) - Focal or diffuse myometrial bulkiness, typically of the posterior wall
• Myometrial Biopsy
• CA-125 (elevated in adenomyosis)
• MRI

Treatments

• Surgical
• Progestins or cyclic oestrogen and progestin 
• Definitive treatment - Total hysterectomy, with or without ovarian conservation

Ayurvedic Treatment

Internal Medicines

• Varunadi Kashaya
• Kanchanara Guggulu
• Dhanwanthara Gutika
• Maha Narayana Taila
• Hingu Triguna Taila
• Avipathi Choorna
• Kalyana kshara + Gritha

Procedures

• Virechana
• Lekhana vasthi
•  Yoni Pichu- Apamarga Kshara Taila, Dashamoola Taila
• Uttara Vasti - Apamarga Kshara Taila, Dashamoola Taila 

Department

Prasoothi & Stree Roga