Ayurvedic approach of Polycystic ovary syndrome- a case study

Abstract

Polycystic Ovary Syndrome (PCOS) is a prevalent endocrine disorder characterized by hyperandrogenism, insulin resistance, and hypothalamic-pituitary-gonadal (HPG) axis dysregulation. This multifaceted pathology results in diverse clinical manifestations, including reproductive and metabolic abnormalities, and is associated with psychosomatic challenges. Ayurvedic medicine, which emphasizes a holistic understanding of disease pathology, interprets PCOS as a santarpanajanya vikara (disorder from over-nourishment) with imbalances in kapha dosha and disturbances in rasa and medo dhatus. An in-depth analysis of the pathogenesis and symptomatology of the patient was conducted through Ayurvedic principles, which revealed predominant kapha and vata imbalances, manifesting as metabolic and reproductive irregularities. Existing Ayurvedic literature on related disorders—prameha (Diabetes mellitus), sthoulya (obesity), and vandhya (infertility)—was reviewed to formulate a comprehensive treatment approach. Symptomatic relief obtained in the patient suggests that the Ayurvedic approach, including langhana and srotoshodhana, can alleviate srotorodha (channel obstruction) and regulate vata.