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Dr. Vikram Chauhan - MD (Ayurveda)

Wednesday, September 28, 2016

Ayurvedic Treatment for Asherman's Syndrome

Asherman's Syndrome, a rare condition of intrauterine adhesions which is characterized by variable scarring inside the uterine cavity /or the cervix. The adhesions can be thick or thin, spotted in location, or confluent. This problem mostly develops after uterine surgery which can lead to uterine inflammation.

In certain cases the front and back of the uterus may get adhere together, the opening to the fallopian tubes scarred shut, or the cervix covered over with scar tissue.

The outcome of scarring can be lighter periods or no periods at all in almost every women affected or infertility. In case Asherman reaches to severe condition there may occurs complete blockage of menstrual blood (endometrial lining) from being shed naturally each menses which further can progress to the formation of endometriosis, another painful and debilitating fertility issue.

Depending on the range and thickness of the adhesions Asherman's Syndrome can be;

  • Mild Asherman's Syndrome - where the adhesions are thin and flimsy and easily torn with a thin instrument.
  • Moderate Asherman's Syndrome - The adhesion is thicker in this grade with strands of muscular tissue mixed with the fibrous tissue.
  • Severe Asherman's Syndrome - The adhesions are thick, and there is extensive damage of the endometrium

AYURVEDIC VISION OF ASHERMAN'S SYNDROME

Ayurvedic View is that disturbed Vata causes irregular and painful menstruation and disturbed "Pitta-the thermal energy" which when Increases can lead to heavy bleeding, hot flushes and irritable condition.

WHAT CAUSES OF ASHERMAN'S SYNDROME?

  • The general reason of Asherman Syndrome is repeated dilatation and curettage (D&C) procedures done after Pregnancy
  • In Non Pregnancy cases Intrauterine surgery performed to discard fibroids, or repair structural defects, or defects caused due to the use of IUD birth control devices
  • Sporadic inflammation of the mucous membrane lining the uterus (endometriosis), or endometriosis caused by a pelvic tuberculosis infection or certain other infectious diseases or even certain STDs
  • Radiotherapy as a part of cancer treatment inside or around the uterus can be also a reason to cause damage and adhesion formation.

WHO ALL ARE AT RISK OF DEVELOPING ASHERMAN' SYNDROME?

A risk factor elevates the probability of getting a condition compared to an individual without the risk factors.

  • Congenital defects of the uterus, like septate uterus or bicornuate uterus, increase the risk for Asherman Syndrome
  • Repetitive miscarriages, leads to repeated D&C procedures
  • Having any uterine surgery can raise the chances.

WHAT ARE THE SIGNS AND SYMPTOMS OF ASHERMAN' SYNDROME?

  • There is Menstrual Irregularities, scanty or absence of menstrual flow.
  • There is Painful mensuration which includes increased cramps and abdominal pain or Infertility.
  • Cyclic pelvic pain may occur if scar tissue blocks the outflow of the menstrual blood.
  • The affected person may suffer from recurrent miscarriages or infertility.

AYURVEDIC TREATMENT FOR ASHERMAN'S SYNDROME



HERBAL REMEDIES FOR ASHERMAN'S SYNDROME



Asherman Syndrome, Herbal Remedies, Ayurveda, Ayurvedic treatment

1. BOSWELLIA CURCUMIN

Boswellia-Curcumin Capsules are preparation of Planet Ayurveda is pure herbal amalgamation of Curcumin and Boswellia herbs holding therapeutic properties which brings reduction in inflammation and relieves pain. The effects of combination of these herbs are long lasting and permanent in any inflammation. Boswellia serrata and Curcuma longa are well known for their anti-microbial activity. All the medicinal features of this product has made it available for people as a right Ayurvedic Treatment for Asherman's Syndrome.

Herbs used in theses capsules are:

Curcumin (Curcuma Longa) - Curcumin is the main active constituent of rhizome of Curcuma longa. Curcumin extract is potent herb in reducing the inflammation and pain. Its use has been made since ages in Ayurveda to increase immunity and combat any inflammation. It acts on all the three doshas, but specific to reduce mucus or Kapha. Curcumin has Cancer prevention, anti-inflammatory, anti-oxidant, hepato-protective properties activities.

Shallaki (Boswellia serrate) - Boswellia serrata is a tree which in Ayurveda, is known as "salai guggul".. Boswellia is having anti-tumor, anti-carcinogenic,anti-inflammatory and immunomodulatory activities. Ayurvedic medicine has considered it from ages as useful remedy in relieving pain, acting as a natural alternative medicine to NSAIDs (Non steroid anti-inflammatory drug) as it contains Boswellic acids which brings about pain relieving effects

Dosage: 1 capsule twice daily, after meals with plain water.

2. PUNARNAVA MANDOOR

Punarnava Mandoor are pure Ayurvedic herbal Tablets prepared in Planet Ayurveda with combination of various herbs having properties which makes these tablets a very helpful Ayurvedic Treatment for Asherman's Syndrome. This formulation has beneficial therapeutic actions like it can improve blood count and its quality, detoxify the blood, removes accumulation of fluid in the body tissues and good for anemia. It is efficient in case of generalized swelling and Asherman's syndrome also.

Herbs used for its formation are:

Punarnava (Boerhaavia diffusa) - The roots are effective in reducing swelling and accumulated fluid. It also possesses anti-inflammatory, anti-convulsant and anti-fibrinolytic properties.

Shunti (Zingiber officinale) - This herb has stimulant and carminative effects and even relieves nausea. It can reduces swelling and reduce the fluid accumulation.

Pippali (Piper longum) - Pippali is herb with anti-inflammatory, anti-bacterial and calming effects.

Maricha (Piper nigrum) - It aids in alleviating pain along with this it is a good herbal remedy to reduce swelling and inflammation.

Amalaki (Emblica officinalis) - It is anti-bacterial, carminative, hypoglycemic, stomachic, hypotensive and astringent in action. It has anti-oxidative, anti-hepatotoxic, immuno-modulator and resistance building properties. It is rich in Vitamin C.

Haritaki (Terminalia chebula) - It is an astringent, anti-inflammatory and anti-spasmodic herbal agent.

Chavya (Piper chaba) - It is anti-microbial, analgesic, anti-inflammatory, diuretic and anti-diarrheal.

Curcumin (Curcuma longa) - It has anti-bacterial properties as well as it also acts as blood purifier and inflammation and useful for wound healing. It also reduces swelling, edema and helps to get rid of excessive fluid accumulation.

Vidanga (Embelia ribes) - This herb has useful effects like reducing weakness of the body.

Chitrak Mool (Plumbago zeylancia) - This herb has features of reducing inflammation, swelling and fluid accumulation.

Ferric Oxide (Mandoor bhasma) - It prepared by purifying and calcinating iron rust. It's purified form and use of its mild dose mixed with other herbs makes it safe to use. It is a very useful ingredient in managing the conditions like anemia, amenorrhea, menorrhagia dysmenorrhea, edema, intestinal worms. It is also helpful in removing toxins from the blood, reduces edema, swelling, fluid accumulation in the body.

Dosage: 2 tablets twice daily with plain water or as directed by the physician.

3. KAISHORE GUGGUL

Kaishore Guggulu are herbal Tablets prepared in Planet Ayurveda that specifically efficient in lowering the accumulation of pitta. This herbal product blended with of various amazing herbs that are filled with many medicinal properties.

All herbs used in its preparation are given below:-

  • Amalaki (Emblica officinalis),
  • Bibhitaki (Terminalia bellirica),
  • Haritaki (Terminalia chebula),
  • Guggul (Commniphora mukul),
  • Guduchi (Tinospora cordifolia),
  • Ginger (Zingiber officinale),
  • Black pepper (Piper nigrum),
  • Long pepper (Piper longum),
  • Vidanga (Embelia ribes),
  • Red Physic nut (Baliospermum montanum),
  • Indian jalap (Ipomoea turpethum)

Kaishore guggul is formulation which is mixture of various herbs which in natural way benefits in the problem Asherman's syndrome. These herbs all together acts to maintain the balance among three doshas in body (vata, pitta and Kapha).

Dosage: 2 tablets two times in a day.

4. PRADRANTAK CHURNA

Pradrantak Churna is an effective classical herbal preparation of Planet Ayurveda that can balances Kapha Dosha. It is totally herbal preparation, much useful in Female health problems as Premenstrual Syndrome, Uterine fibroids. Especially effective in painful menstruation, irregular menses and maintains the proper menstrual cycles. It has been found to be a potent Ayurvedic Treatment for Asherman's Syndrome. Pradrantak Churna comprises Pushyanug Churna and powder of Saraca indica bark. It is blended with herbs that are found to be have beneficial effects to enhance Female Health.

Herbs Used:

Lodhra (Symplocos racemosa) - This is an herb that can maintain Pitta and Kapha balance in the body. It's Bark of is good to be used in excessive bleeding during menstrual cycle by relaxing Uterine Tissues. Also useful in Asherman's syndrome.

Ashok (Saraca indica) - Asoka an amazing herbal plant that can help to relieve symptoms of dysmenorrhea and depression in females. This advantageous herb in case of female genitourinary such as menorrhagia (scanty menstrual bleeding), dysmenorrhea (painful menses), leucorrhoea, heavy bleeding, uterine fibroids and considered as a uterine tonic.

Udumbur (Ficus glomerata) - In Ayurveda this herb has been explained providing widely manages excessive menstrual bleeding.

Arjuna (Terminalia arjuna) - Arjuna is the natural herb that pacifies Kapha and Pitta dosha. An efficient herb in to use in uterus problems and regulates the hormones.

Dosage: 1-2 teaspoonful twice daily, with water after meals.

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