The inner lining of the Uterus is made up of specific cells called endometrial cells. These cells are shed every month during menses. When these cells attach to the tissue outside the uterus they are known as endometrial implants and lead to a debilitating condition called endometriosis characterized commonly by pain and uncontrolled and prolonged bleeding. Endometrial implants are commonly found on ovaries and the Fallopian tubes but can found from vagina, cervix, urinary bladder and can also rarely occur in liver, old injury scars, lungs etc.
Endometriosis affects women in their reproductive years. Endometriosis is rare in postmenopausal women. Studies further suggest that endometriosis is most common in taller, thin women with a low body mass index (BMI). Delaying pregnancy until an older age is also believed to increase the risk of developing endometriosis.
Symptoms of Endometriosis:
- Pelvic pain - Mild to severe cramping that occurs on both sides of the pelvis,
- Dysmenorrhea- painful, menstrual cycles
- Dyspareunia - painful sex
- Dysuria- urinary urgency, frequency, and sometimes painful voiding
- Infertility- Many women with infertility have endometriosis as it produce scarring of the ovary and tubes so they cannot move freely.
- Heavy or long uncontrollable menstrual periods with small or large blood clots
- Premenstrual spotting
Ayurvedic Perspective to Endometriosis:
According to Ayurveda, most chronic disease, including Endometriosis, come about when toxins (ama) accumulate in tissues and start to disrupt the delicate balance of the tissues. Toxic build up can also obstruct the channels of circulation and elimination in the affected areas. This blockage prevents proper nutrition from reaching the tissues and also prevents the removal of the tissue waste. As a result of this toxic buildup, the natural defenses are lowered and the natural biological rhythms are disrupted
In Endometriosis the process of tissue formation at the uterus, its stability before and after periods and elimination of waste products to stimulate fresh tissue gets compromised. This compromise happens due to various factors which may range from lifestyle , food to congenital and acquired defects in terms of immunity and organ weakness.
All the three doshas are involved in this condition.Vata is involved in a number of ways.Most obvious sign of the role of Vata is the displacement of endometrial cells from their original location in the uterus to places outside. Painful nature of endometriosis can be attributed to vata. Involvement of blood, hormones, and menstruation as well as the inflammatory nature of the disease points towards the Pitta involvement.Kapha is responsible for increasing buildup of cells and their overgrowth like a tumor.