Overview

Affects 1 in 10 women during reproductive years. Tissue responds to hormones and bleeds during menstruation, leading to inflammation, scarring, and adhesions.

Causes

• Exact cause unknown
• Retrograde menstruation
• Genetic and immune system factors
• Hormonal imbalances

Symptoms

• Painful periods (dysmenorrhea)
• Pain during intercourse
• Chronic pelvic pain
• Infertility
• Painful urination or bowel movements during periods

Treatment: Modern Medicine

• Diagnosis: Pelvic exam, Ultrasound, Laparoscopy (gold standard)
• Treatment:
  • Pain relief (NSAIDs)
  • Hormonal therapy (OCPs, GnRH agonists)
  • Laparoscopic surgery to remove lesions
  • IVF for infertility

Treatment: Traditional Medicine

• Ayurveda: Ashokarishta, Kanchanar Guggulu, Lodhra
• Siddha: Seenthil chooranam, Mathulai ilai thylam
• Unani: Habbe Hiltit, Qurs-e-Kisht
• TCM: Dan Shen, Dang Gui, acupuncture for pelvic qi stagnation
• Homeopathy: Sepia, Lachesis, Pulsatilla
• Nutraceuticals: Omega-3, Curcumin, Magnesium, Vitamin D

Caution

• Untreated cases can lead to infertility
• May mimic other pelvic disorders (IBS, PID)

Prevention

• Early diagnosis
• Hormonal control for symptom relief
• Regular gynecological check-ups