Adenomyosis: A Contemporary Clinical Review with Ayurvedic Perspectives on Etiopathogenesis and Management

Silma Priya P S; Pramodini J Patil

doi:10.36948/ijfmr.2026.v08i05.88159

Adenomyosis: A Contemporary Clinical Review with Ayurvedic Perspectives on Etiopathogenesis and Management

Author(s)	Dr. Silma Priya P S, Dr. Pramodini J Patil
Country	India
Abstract	Adenomyosis - once regarded as a disease of multiparous women in the fifth decade, is increasingly recognized in younger women of reproductive age, with a prevalence of 20-35% in the general population and 20-65% among women undergoing hysterectomy, causing significant physical, psychological, reproductive and socioeconomic burden through menorrhagia, dysmenorrhoea, chronic pelvic pain and subfertility. This review summarizes its definition, etiopathogenesis, risk factors, classification, clinical features, diagnosis and management while integrating an Ayurvedic perspective, as adenomyosis has no direct one-to-one equivalent in classical texts. Modern theories implicate endometrial invagination, tissue injury and repair at the endo-myometrial junctional zone, altered steroidogenesis and chronic inflammatory-angiogenic changes; diagnosis relies mainly on transvaginal ultrasonography and MRI, with histopathology as the gold standard. Within Ayurveda, adenomyosis may be interpreted as a Yonivyapad-Upadrava with clinical and pathological features showing conceptual parallels with Asrigdara, Gulma and Granthi, rather than being equated directly with any single classical disease. A predominantly Vata-Pitta pathology with secondary chronic Kapha-Mamsa involvement can be considered, affecting Rasa, Rakta, Artava and Mamsa Dhatu and involving Artavavaha, Rasavaha and Raktavaha Srotas. The proposed Samprapti involves Dosha-Dushya Sammurchana, Srotosanga and subsequent Vimarga Gamana at the Yoni-Garbhashaya, accounting for abnormal uterine bleeding, dysmenorrhoea, pelvic pain and uterine enlargement. Management follows the principle of Samprapti Vighatana through individualized Shamana, Shodhana and Sthanika Chikitsa, supported by classical formulations with potential anti-inflammatory and antioxidant actions. An integrated modern and Ayurvedic understanding may provide a comprehensive framework for symptom control, disease management, fertility preservation and improved quality of life alongside modern gynaecological care.
Keywords	Adenomyosis; Yonivyapad Upadrava; Asrigdara; Gulma; Granthi; Samprapti; Apana Vata Anulomana; Uttarabasti.
Field	Medical / Pharmacy
Published In	Volume 8, Issue 5, September-October 2026
Published On	2026-09-20
DOI	https://doi.org/10.36948/ijfmr.2026.v08i05.88159

View / Download PDF File

About IJFMR Fees & Payment Current Issue Publication Archive	Submit Research Paper Track Submission Status Publication Guidelines Publication Ethics Peer Review & Plagiarism	Join as a Reviewer Editors & Reviewers Reviewer Referral Program Get Reviewer Membership Certi.	Website/Journal Policies Usage Policy Content Policies Privacy Policy

Contact Us		+91-9687-828-838	editor@ijfmr.com

International Journal For Multidisciplinary Research

A Widely Indexed Open Access Peer Reviewed Multidisciplinary Bi-monthly Scholarly International Journal

Adenomyosis: A Contemporary Clinical Review with Ayurvedic Perspectives on Etiopathogenesis and Management

Share this