Management of chocolate cyst with application of leeches (Jaluka): A case study

This case study presents a 24-year-old unmarried female patient with abdominal pain localized to the left iliac fossa during menstruation, diagnosed with a chocolate cyst (endometrioma) of 3×2 cm on the left ovary via ultrasound on 7/8/2024. The patient’s Prakruti is identified as Pitta. She reported no abnormalities in her thyroid profile, CA-125 levels, complete blood count (CBC), or blood sugar levels (BSL). Clinical findings included tenderness in the left iliac fossa with a blood pressure of 110/70 mmHg, pulse of 88/min, and SpO2 of 98%. The treatment plan involved the application of leeches (Jaluka) to the mid-point between the pubic symphysis and anterior superior iliac spine on the left side for two consecutive days each month over three months. Additionally, oral Ayurvedic medicines—Kamdhuda Vati 2 tablets twice daily and Avipatikar Churna 3 gm twice daily before meals—were administered. Post-treatment ultrasound on 28/10/2024 revealed complete resolution of the chocolate cyst and significant reduction in menstrual pain. This case highlights the effectiveness of Ayurvedic management, combining Jaluka therapy and oral medications, in treating ovarian endometriomas and alleviating dysmenorrhea.