Role of Uttar Basti with Jatyadi Ghrita Combined with Shamana Aushadh in the Management of PCOD

Abstract

Polycystic ovarian disease (PCOD) is a common endocrine disorder in reproductive-age women, often managed with conventional therapies that carry limitations. Ayurveda offers a holistic approach through Shodhana and Shamana interventions. To evaluate the effect of an Ayurvedic regimen combining Uttar Basti and Sanshamana Aushadhi in PCOD management. A 40-year-old female with PCOD, hypothyroidism, and secondary infertility, presenting with irregular cycles, hirsutism, acne and dysmenorrhea underwent a structured plan. This included Chitakadi Vati for 5 days, Rasnasaptakadi Niruha Basti and Sahacharadi Taila Anuvasana Basti on the 5^th–6^th day of the cycle, followed by Uttar Basti with Jatyadi Ghrita on the 7^th–9^th day for three consecutive cycles. Ovacare syrup and tablets were administered orally for three months. Outcomes were assessed clinically and with ultrasound. Significant improvements were noted: acne resolved, hirsutism reduced, hypomenorrhea improved, and menstrual cycles became regular. Ovarian volume reduced on ultrasound. The total symptoms score decreased from 9 to 4, with additional relief in dysmenorrhea, anxiety, and sleep disturbance. The integrative Ayurvedic protocol, especially Jatyadi Ghrita Uttar Basti, demonstrated promising results in PCOD management, suggesting a safe and holistic alternative requiring further validation.