IJRAP International Journal of Research in Ayurveda and Pharmacy 2277-4343 Moksha Publishing House 10.7897/2277-4343.165162 AN AYURVEDIC APPROACH IN THE MANAGEMENT OF ADENOMYOSIS: A CASE REPORT Leela Ramakrishnan * Saranya Yuthika 11 -0001 21 24 Introduction: Adenomyosis is a benign Gynecological disorder condition characterized by ectopic endometrial glands and stroma within the uterine myometrium often associated with dysmenorrhea and heavy menstrual bleeding. Objective: To report a case of a 40-year – old women with adenomyosis successfully managed with Matra Basti. Methodology: In the PG departmentof Prasuti Tantra Evam Stri Roga a 40-year-old woman with a 10-year history of severe dysmenorrhoea and heavy menstrual bleeding was ultrasonography diagnosed adenomyosis. The patient underwent Matra Basti with Tiktaka Ghrita for three consecutive menstrual cycles, along with supportive Ayurvedic medications. Result: Marked clinical improvement was observed. Follow –up ultrasonography demonstrated regression of adenomyotic changes. Conclusion: This case suggests that Matra Basti with Tiktaka Ghrita may offer a promising, uterine preserving therapeutic approach for adenomyosis. Further studies are warranted to validate its efficacy in large cohorts. Adenomyosis Ayurveda Matra Basti Tiktaka Ghrita dysmenorrhea heavy menstrual bleeding