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Dr. Vikram Chauhan - MD (Ayurveda)

Tuesday, January 7, 2020

Treatment of Endometrial Stromal Sarcoma in Ayurveda with Herbal Remedies

Endometrial Stromal Sarcoma: Overview

Endometrial Stromal Sarcoma (ESS) is a rare, malignant tumor which results from an abnormal and uncontrolled growth of cells in the uterus. It is an atypical kind of uterine cancer which affects women during the pre-menopausal period --- that is, women aged between 40 and 50 years.

ESS is the tumor of the endometrium (the innermost lining layer of the uterus). The tumor develops in the supporting connective tissue (stroma) of the uterus, the smooth muscle, or the endometrial stroma.

Endometrial Stromal Sarcoma – which was earlier called Endolymphatic stromal myosis – accounts for approximately 0.2% of all malignant uterine tumors. The condition is believed to affect 1- 2 women per million per year.

Endometrial Stromal Sarcoma

ESS can distinctly be graded into the following two categories, based on cell morphology and mitotic count:

  1. Low-Grade Endometrial Stromal Sarcoma (LGESS), in which the pace of growth of the tumor is quite slow, and the tumor is usually detected only after it has spread (metastasized) to organs outside the uterus.
  2. Undifferentiated Endometrial Stromal Sarcoma (HGESS), in which the pace of growth of the tumor is very rapid.

An early diagnosis of ESS is very crucial because it can improve the chances of survival of women affected by the condition.

Endometrial Stromal Sarcoma: Causes

Doctors presently do not know the exact underlying cause of ESS. In most cases, the condition occurs sporadically in affected women, without any family history of the condition. Nonetheless, the risk of ESS can be high for women if the uterus or pelvic area has been exposed to radiation in the past (between 5 and 25 years earlier), or if they have previously used medication which affect the estrogen hormone of the body.

Some scientific research also suggests that the development and progression of ESS and other stromal tumors is possibly linked to a chromosomal abnormality.

Endometrial Stromal Sarcoma: Symptoms

The common signs and symptoms of ESS are:

  • Abnormal uterine bleeding (which is not part of menstrual periods)
  • Heavy bleeding even after menopause
  • Pain in abdomen
  • Abdominal distension/swelling
  • Frequent urination
  • Pelvic pain
  • Swelling of the pelvis
  • Vaginal discharge that indicates a possible infection or some other benign condition.

Endometrial Stromal Sarcoma: Treatment

ESS can be managed effectively with the help of Ayurvedic products. Renowned herbal manufacturing company Planet Ayurveda offers some extremely beneficial herbal remedies such as Female Health Support, Punarnava Mandoor, Gandhak Rasayan, Kanchnaar Guggul, Manjistha Capsules, Swarna Bhasma and Graviola Capsules for managing the condition in a natural manner.

Herbal Remedies for Endometrial Stromal Sarcoma

Herbal Remedies for Endometrial Stromal Sarcoma

1. Female Health Support

For preparing these capsules, potent herbs like Shatavari (Asparagus racemosus), Ashok (Saraca indica), and Lodhra (Symplocus racemosa) are combined. The capsules are considered an excellent herbal product for overall female health.

The use of these capsules is beneficial for managing ESS symptoms because the capsules can regulate menstrual cycles, strengthen female reproductive system, treat leucorrhoea, regulate female hormonal system, and control vitiated Vata and excess Pitta.

2. Punarnava Mandur

The ingredients of these tablets include well-known herbs which include Punarnava (Boerhaavia diffusa), Mandur Bhasma (Ferric oxide calx), Amalaki (Emblica officinalis), Haritaki (Terminalia chebula), Shunti (Zingiber officinale), Haridra (Curcuma longa), Pippali (Piper longum), Maricha (Piper nigrum), Chitrak Mool (Plumbago zeylanica), Chavya (Piper chaba), and Vidanga (Embelia ribes).

These tablets can benefit ESS patients because the ingredients are known for their ability to improve the quality of blood, control cholesterol, remove toxins from the body, increase blood count, lower the elevated urea and creatinine levels, and manage several other health conditions.

3. Gandhak Rasayan

These tablets are prepared from a combination of Shuddh Gandhak (Purified Sulphur) and other herbal ingredients including Guduchi (Tinospora cordifolia), Amalaki (Emblica officinalis), Bibhitaki (Terminalia bellerica), Haritaki (Terminalia chebula), Cinnamon (Cinnamomum zeylanicum), Patra (Cinnamomum tamala), Nagakeshara (Mesua ferrea), Ela (Elettaria cardamomum), Shunti (Zingiber officinalis), Bhringaraja (Eclipta alba), Godugdha (Cow milk), and Sita (Sugar Syrup).

The use of these tablets is beneficial for managing ESS because the herbal ingredients have proven anti-inflammatory, antiviral, antimicrobial antibacterial, and antipruritic properties. The tablets can treat fungal infections, purify the blood, treat chronic fever, and relieve several skin problems like itchiness of skin, acne/pimples, and burning sensation on skin.

4. Kanchnaar Guggul

The preparation of these tablets involves combination of several useful herbs, including Kanchnaar (Bauhinia variegate), Amalaki (Emblica officinalis), Haritaki (Terminalia chebula), Bibhitaki (Terminalia bellerica), Black pepper (Piper nigrum), Pippali (Piper longum), Varuna (Crataeva nurvala), Ginger (Zingiber officinale), and Guggulu Resin (Commiphora mukul).

Women suffering from ESS can benefit from the use of these tablets because the herbal components can manage several disorders like Cancers/Tumors, Polycystic ovarian syndrome, Liver cysts, Obesity, Polycystic kidney disease, Fistula, and Hypothyroidism. The tablets are also useful in managing skin diseases, maintaining healthy cells, and balancing Vata, Pitta and Kapha doshas.

5. Manjistha Capsules

Standardized extract of 'Manjistha' herb (Rubia cordifolia) is used for preparing these capsules. The herb is known for its anti-inflammatory, anti-bacterial, anti-microbial, astringent, antispasmodic, immunity-enhancing and blood-purifying properties.

The use of these capsules is beneficial for ESS patients because of Manjistha's proven ability to treat gynaecological conditions, cure skin disorders, eliminate toxins from the body, manage blood disorders, support healthy functioning of the urinary system, and pacify Pitta dosha.

6. Swarna Bhasma

The preparation of these tablets involves the use of purified gold for making 'Swaran Bhasma' (Gold ash). The tablets are considered an excellent dietary supplement which can be helpful in managing several disorders.

The tablets can benefit women affected by ESS because Swaran Bhasma can manage cancers and tumors, treat sexual health problems, promote heart health, purify the blood, support the immune system, enhance memory, maintain healthy blood sugar levels, and balance Vata, Pitta, and Kapha doshas.

7. Graviola Capsules

Natural extracts of 'Graviola' herb (Annona muricata) are used for preparing these capsules. The herb has anticancer, antiviral, antibacterial, anti-parasitic, antispasmodic, antitumor, anti-inflammatory, anticonvulsant, astringent, and analgesic properties. It can work as a supportive therapy for cancer.

The use of these capsules can benefit ESS patients because the capsules can reduce tumour growth, kill cancer cells, manage bacterial infections, strengthen the bones, boost immunity, control high blood pressure, and pacify vitiated Pitta.


The herbal products available from Planet Ayurveda for managing Endometrial Stromal Sarcoma (ESS) are prepared from 100% pure and natural herbal components. The products do not contain any artificial colors, chemicals, additives, preservatives, fillers or binders. The products are completely safe to use. However, it is recommended that women suffering from ESS should use the herbal products after consulting an experienced Ayurveda practitioner.


1. At which site does Endometrial Stromal Sarcoma (ESS) develop?

Ans: ESS develops in the supporting connective tissue (stroma) of the uterus.

2. Why is early diagnosis important for ESS patients?

Ans: Early diagnosis is important for ESS patients because it can ensure a higher chance of survival (up to 99%).

3. What percentage of reproductive organ cancers does ESS accounts for?

Ans: ESS accounts for less than 1% cases of reproductive organ cancers.

4. What kind of screening tests should women experiencing ESS symptoms ask for?

Ans: Women experiencing ESS symptoms should ask for screening tests known as endometrial sampling tests.

5. How is ESS usually diagnosed by doctors?

Ans: ESS is usually diagnosed by doctors upon the examination of endometrial cells collected during a D&C (dilation and curettage) procedure.

6. What is the common age of women affected by ESS?

Ans: The common age of women affected by ESS is between 42 and 58 years.

7. What is the mean age of women diagnosed with Low-grade ESS?

Ans: The mean age of women diagnosed with Low-grade ESS is 39 years.

8. What is the mean age of women diagnosed with High-grade ESS?

Ans: The mean age of women diagnosed with High-grade ESS is 60 years.

9. Does ESS involve the endometrial (uterine) glands?

Ans: No. ESS does not involve the endometrial glands; it involves the connective tissue of the endometrium.

10. How is ESS different from other uterine cancer in terms of the age of the patients?

Ans: ESS is different from other uterine cancers because it affects women in the pre-menopausal age, while other uterine cancers affect women in the post-menopausal age.

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