I CAN UNDERSTAND HOW EXHAUSTING AND FRUSTRATING THIS CONDITION MUST HAVE BEEN FOR YOU ESPECIALLY WHEN THE PAIN IS CONSTANT ,AND NOT LIMITED TO YOUR MENSTRUAL CYCLE ,ENDOMETRIOSIS IS NOT JUST A GYNECOLOGICAL ISSUE IT IS A CHRONIC INFLAMMATORY AND HORMONE SENSITIVE CONDITION ,AND WHEN IT CONTINUES FOR MANY YEARS IT AFFECTS THE NERVES MUSCLES BACK AND EVEN EMOTIONAL WELLBEING.
THE FACT THAT YOU HAVE BILATERAL CHOCOLATE CYSTS ONE OF 3.2 CM AND THE OTHER OF 5.6 CM CM ALONG WITH CONTINUOUS PELVIC AND BACK PAIN INDICATES THAT THE DISEASE ACTIVITY IS STILL PRESENT ,AND NOT FULLY CONTROLLED BY PAIN MEDICATION ALONE PAIN KILLERS ONLY SUPPRESS SYMPTOMS THEY DO NOT CHANGE THE COURSE OF THE DISEASE.
FROM A HOLISTIC AND AYURVEDIC CLINICAL VIEW ,THIS TYPE OF ENDOMETRIOSIS IS USUALLY ASSOCIATED WITH LONG STANDING INFLAMMATION ,POOR PELVIC CIRCULATION ,HORMONAL IMBALANCE ,AND NERVOUS SYSTEM SENSITISATION, WHICH IS WHY PAIN CAN CONTINUE EVEN OUTSIDE THE PERIODS.
THERE IS DEFINITELY HOPE BUT MANAGEMENT NEEDS TO BE SYSTEMATIC AND PATIENT NOT AGGRESSIVE.
THE FIRST GOAL IS PAIN AND INFLAMMATION CONTROL, THE SECOND GOAL IS TO PREVENT FURTHER GROWTH OF THE CYSTS, THE THIRD GOAL IS TO SUPPORT HORMONAL BALANCE AND QUALITY OF LIFE.
KANCHANAR GUGGUL TWO TABLETS TWICE DAILY AFTER FOOD
ASHOKARISHTA FIFTEEN ML TWICE DAILY AFTER FOOD WITH EQUAL WATER
TRIPHALA CHURNA HALF TO ONE TEASPOON AT NIGHT WITH WARM WATE
FOR PAIN DASHMOOL KWATH TWICE DAILY CAN HELP WITH BACK AND PELVIC PAIN
AVOID DAIRY ,REFINED SUGAR ,FRIED FOOD ,RED MEAT AND PROCESSED FOODS AVOID COLD AND RAW FOODS, TAKE WARM COOKED MEALS
INCLUDE GHEE,TURMERIC, GINGER ,AND COOKED VEGETABLES AVOID LATE NIGHTS AND IRREGULAR MEALS.
YOGA AND STRETCHING FOCUS ON PELVIS AND LOWER BACK CAN HELP BUT ,AVOID INTENSE CORE OR BACK BENDS DURING PAIN PHASES.
IF THE RIGHT OVARIAN CYST CONTINUES TO GROW OR PAIN BECOMES UNBEARABLE SURGICAL OPINION SHOULD NOT BE AVOIDED . AYURVEDIC TREATMENT CAN WORK BEST WHEN STARTED EARLY OR AFTER SURGICAL CLEARANCE IN SELECTED CASES.
WITH COMBINATION OF MEDICINES ,DIET AND MONITORING YOU MAY EXPERIENCE PAIN REDUCTION AND STABILIZATION OF CYST SIZE . PLEASE DO NOT LOSE HOPE BUT DO REGULAR FOLLOW UP AND ULTRASOUND MONITORING.
Chronic endometriosis with bilateral chocolate cysts Right ovarian cyst >5 cm → higher risk of pain persistence, torsion, rupture, ↓ ovarian reserve Pain irrespective of cycle → deep inflammatory
Surgical Opinion (Strongly advised) Indications present: Bilateral endometriomas Right cyst 5.6 cm Chronic pain despite long duration Preferred Laparoscopic cystectomy (ovarian tissue-sparing) Excision of endometriotic deposits Pre-surgery AMH (ovarian reserve) CA-125 Pelvic MRI (if deep infiltrating endometriosis suspected)
Ayurvedic Management Shamana (Pain + Inflammation) Kanchanara Guggulu 2 tabs BD Triphala Guggulu 2 tabs BD Dashamoola Kwatha 20 ml BD Ashokarishta 20 ml BD after food Guduchi / Rasna-Erandadi Kwatha 20ml bd for pelvic & back pain Yogabasti Anuvasana – Sahacharadi / Dhanwantaram Taila Niruha – Dashamoola-based
Reduces pelvic congestion, Vata-Kapha involvement Lifestyle
Avoid curd, cheese, fried foods, red meat Warm, anti-inflammatory diet
Hello I get how tough dealing with constant pelvic pain and endometriosis can be, especially when it doesn’t even care about your period. But don’t worry, Ayurveda has a solid, long-term plan to help with the pain, slow down cyst growth, and just make life better.
YOUR CONCERN
–28 years old –Pelvic Endometriosis for 5 years –The scans show: * Left ovary: 3.2 cm chocolate cyst * Right ovary: 5.6 cm chocolate cyst -What you’re feeling: * Bad ongoing pelvic pain * Ongoing back pain * Pain that’s there all the time, not just with your period
What you’re doing now: Only taking pain meds
AYURVEDIC UNDERSTANDING
In Ayurveda, endometriosis is kind of like a mix of internal imbalances, mostly involving:
–Vata dosha:This is linked to the bad, constant pain. –Kapha dosha: This is involved in forming those cysts. –Pitta involvement: This brings on inflammation and tenderness. –Manda Agni & Ama: Basically, weak digestion and built-up toxins, which lead to unhealthy tissue growth. –Artavavaha srotas dushti: Problems in the reproductive channels.
TREATMENT GOAL
* Less chronic pelvic and back pain * Balancing Vata and Kapha * Stopping cysts from getting bigger * Better blood flow in your pelvis * Helping with reproductive health and future chances of getting pregnant * Not needing painkillers as much
AYURVEDIC PLAN OF TREATMENT
1. Deep Cleaning (Shodhana) This is super important for long-term endometriosis.
Virechana (cleansing): To clear out Pitta-Kapha imbalances. Basti therapy (enemas): Great for pain. Anuvasana Basti: Oil-based, good for Vata pain. Uttara Basti: this can help with ovarian cysts.
Important: You should only do these at a proper Panchakarma center after a check-up.
INTERNAL MEDICATION
1. Kanchanar Guggulu: 2 tablets, twice a day after meals (Helps control cyst size and shrink growths.)
2.Triphala Guggulu: 2 tablets, twice a day ( Fights inflammation and helps clear toxins.)
3.Ashokarishta: 20 ml with equal water, twice a day after food (Helps balance hormones in the pelvis and eases pain.)
4. Dashmoolaristha 30 ml twice a day before food (Really good for pelvic and back pain.)
5. Shallaki (Boswellia) capsules 1 capsule, twice a day ( A natural way to reduce inflammation and pain.)
How long: At least 3 to 6 months. We’ll check in every 6 to 8 weeks.
EXTERNAL THERAPIES
Abhyanga (Oil massage) Oil: - Ksheerabala Taila or Mahanarayana Taila Where to put it: Lower belly, lower back, pelvic area How often: Daily, or at least 5 days a week.
Hot water bag / Nadi Sweda (steam) Use after you’ve put on the oil. Helps with stiffness and deep pelvic pain.
DIET PLAN
✅ INCLUDE
* Warm, freshly cooked meals * Rice, wheat, moong dal * Ghee (1–2 teaspoons a day) * Cooked veggies (like bottle gourd, pumpkin, carrot) * Cumin, ajwain, turmeric
❌ AVOID
* Cold foods and drinks * Curd at night * Cheese, baked goods, junk food * Refined sugar * Too much tea/coffee * Eating late at night
How to Live Your Life:
Try to sleep by 10–10:30 pm. Don’t sit for too long. Gentle yoga: * Baddha Konasana (Bound Angle Pose) * Supta Baddha Konasana (Reclined Bound Angle Pose) * Viparita Karani (Legs-Up-The-Wall Pose) Breathing exercises (Pranayama): * Anulom Vilom (Alternate Nostril Breathing) * Bhramari (Humming Bee Breath – good for pain and stress)
–Endometriosis is a long-term thing, but you can manage it. –Painkillers are a quick fix; Ayurveda goes for the root cause. –If your cysts are over 5 cm, we need to keep a close eye on them. –Surgery isn’t always needed if your symptoms get better and cysts don’t get worse.
With a consistent Ayurvedic plan, your pain can really drop, your periods can get easier, and we can keep those cysts from growing.
Warm Regards Dr. Snehal Vidhate
I need medicine to dissolve chocolate cyst and pelvic endometriosis doctor
Medicines 1 Kumaryasava – 20 ml + 40 ml warm water after lunch & dinner 2 Kanchanar Guggulu – 2 tablets morning + 2 tablets night after food 3 Dashmoolarishta – 20 ml + 40 ml warm water after breakfast & dinner 4 Chandraprabha Vati – 2 tablets morning + 2 tablets night after food 5 Shatavari Kalpa – 10 gm night with warm milk
Local Application (must use daily) Warm Kumkumadi Taila + Castor oil and apply at lower abdomen massage nightly followed by hot water bag for 20 min
Diet Give only: moong khichdi + ghee, pomegranate, beetroot juice 100 ml, thin buttermilk + roasted jeera Avoid completely: dairy after noon, sugar, spicy/sour, maida, packaged food
Lifestyle 30-min gentle walk daily Vajrasana 10 min after meals Sleep 10 PM – 6 AM strictly
Regards Dr Gursimran Jeet Singh MD Panchakarma
No worries You can start with Kanchanar guggulu 1-0-1 Strirasayana vati 1-0-1 Asoka aristha 10-0-10 ml Dashamoola aristha 10-0-10 ml with warm water Do reg walking Avoid oily fried junk processed foods
HELLO,
You are 28 year old woman suffering from endometriosis for last 5 year with severe continuous pelvic and back pain and chocolate cysts In both ovaries -Left ovary= 3.2 cm -Right ovary= 5.6 cm
WHAT IS ENDOMETRIOSIS? Normally, the uterus has a lining that sheds during periods In endometriosis, this tissue grows outside the uterus- on ovaries, tubes, ligaments, or pelvic walls
Every month this tissue also reacts to hormones, but there is no outlet for the blood, leading to -inflammation -swelling -adhesions (organs sticking together) -chronic pain
WHAT ARE CHOCOLATE CYSTS? When endometriosis affects the ovaries, old trapped blood accumulates and forms dark brown cysts, called chocolate cysts
These cysts -increase pelvic pressure -cause constant pain even without periods -can affect fertility -can worsen over time if untreated
In Ayurveda, this condition mainly involves
1) VATA DOSHA= main cause of pain -controls movement and flow -when blocked or disturbed> severe, chronic pain
2) KAPHA DOSHA (cyst formation) -causes heaviness, growth, and stagnation -leads to granthi cyst formation
3) RAKTA DUSHTI (impure blood) -leads to inflammation, congestion and abnormal tissue growth
4) APANA VATA DISTURBANCE -Apana vata controls menstruation and pelvic organs -when disturbed-> pain, cysts, irregular tissue growth So your condition is mainly vata-kapha dominant when rakta involvement
WHY YOUR PAIN IS SEVERE AND CONTINUOUS -chronic obstruction of pelvic channels -long standing disease 5 years -bilateral ovarian involvement -large cysts on right ovary -only painkillers used so far
TREATMENT GOALS -reduce pain naturally without dependency on painkillers -correct apana vata -reduce cyst size/prevent further growth -reduce inflammation -improve pelvic circulation -preserve fertility -prevent recurrence
INTERNAL MEDICATIONS
1) YOGARAJ GUGGULU= 1 tab twice daily after meals =best for chronic pelvic pain,paicifies vata, reduces stiffness, back pain, deep pelvic pain
2) KANCHANAR GUGGULU= 2 tabs twice daily after meal =specifically reduces cysts, nodules, helps in chocolate management, prevents further enlargement
3) DASHMOOLA KASHAYA= 20 ml twice daily after meals with warm water =powderful anti inflammatory, deep vata pacification, reduces pelvic congestion and back pain
4) VARUNADI KASHAYA= 20 ml + equal water twice daily before meals =works on ovarian cysts, reduces kapha stagnation, improves pelvic metabolism
5) ASHOKARISHTA= 20 ml twice daily after meals with warm water =strengthens uterus, regulates hormones, reduces pelvic heaviness and pain
6) SHATAVRI KALPA = 1 tsp with warm milk at night =nourishes reproductive system, anti inflammatory, supports fertility, calms vata
PANCHAKARMA (very important) Medicines alone are often not sufficient in chronic cases
-BASTI THERAPY= gold standard treatment basti is the best treatment for vata disorders =directly corrects apana vata, significant pain relief, helps reduce cyst progression, improves pelvic blood flow, reduces recurrence
-KATI BASTI= warm medicated oil retained over low back =reduces back pain, relaxes pelvic muscles, improves circulation
EXTERNAL TREATMENTS -Oil massage with SAHACHARADI TAILA -local fomentation
DIET -warm, freshly cooked food -rice, wheat, moong dal -ghee small amount -cooked vegetables -warm milk with turmeric -herbal teas - jeera, ajwain
AVOID -cold food and drinks -curd at night -cheese, pizza, bakery -fried food -sugar exces -red meat -carbonated drinks Cold heavy and processed foods worsen kapha and cysts
LIFESTYLE CHANGES -avoid late nights -do not suppress natural urges -avoid prolonged sitting -manage stress -gentle walking daily
YOGA ASANAS -supta baddha konasana -bhujangasana -pawamuktasana -setu bandhasana
PRANAYAM -nadi sodhana -bhramari -deep abdominal breathing
Avoid intense yoga during pain days
HOME REMEDIES -warm castor oil pack on lower abdomen 2-3 times/week -turmeric milk at night -ajwain water for bloating
INVESTIGATION NEEDED -Pelvic ultrasound ever 3-6 months -CA-125 -Hemoglobin chronic pain ma cause anemia
DURATION OF TREATMENT -pain relief= 4-6 weeks -Quality of life improvement= 2-3 months -cyst stabilisation/reduction= 3-6 months -long term management required
Endometriosis is chronic but manageable Ayurveda aims to -reduce pain naturally -avoid repeated surgeries if possible -preserve fertility -improve overall health
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
To help dissolve the cyst: Start with Kanchanar guggul 1-0-1 after food with water Vriddhivadhika vati 1-0-1 after food with water Tablet M2TONE 1-0-1 after food with water will help balance your hormones. Do pranayam lom -vilom bhastrika bhamri 5-10mins twice daily. Follow up after 1 month.
How to consult u personally mam,?!
We are not supposed to give personal contact details, can approach this platform will help you. Thank you for your support 🙏
1.Kanchnar guggulu 2 tab twice daily with water after meals 2.Ashokarishta 20 ml with 20 ml water twice daily after meals 3.Shatavari kalp 1 tsp twice daily with warm milk after meals 4.Triphala churna 1 tsp at bedtime with warm water
🍲 Diet -Eat anti-inflammatory foods: fruits, leafy greens, whole grains, flaxseed, walnuts. -Use light proteins: lentils, beans, sprouts, moderate dairy. -Avoid caffeine, sugar, fried/oily foods, processed snacks, and red meat. -Drink warm water and herbal teas (ginger, fennel, coriander). -Include iron-rich foods: spinach, beetroot, dates, jaggery.
🧘 Lifestyle -Ensure 7–8 hours of sleep and rest during pain episodes. -Gentle yoga: Supta Baddha Konasana, Balasana, Setu Bandhasana. -Walking and light stretching for circulation. -Meditation and pranayama (Anulom Vilom, Bhramari) for stress relief. -Warm compress on abdomen/back for pain.
Warm Regards Dr. Anjali Sehrawat
