IJRAP International Journal of Research in Ayurveda and Pharmacy 2277-4343 Moksha Publishing House 10.7897/2277-4343.17242 CONSERVATIVE RESOLUTION OF HYDROSALPINX THROUGH AYURVEDA: A CASE REPORT Pallavi Narwade * LV Rathnakar Leela Ramakrishnan 11 -0001 9 12 Introduction: Hydrosalpinx, the accumulation of fluid in the fallopian tube due to distal tubal obstruction, is a significant cause of pelvic pain and secondary infertility. Conventional management often necessitates salpingectomy. This case report documents the successful management of Hydrosalpinx using a conservative Ayurvedic protocol. Case Presentation: A 49-year-old female presented with severe left lower abdominal pain, fever, vomiting, and constipation. Ultrasonography (USG) revealed a left adnexal hydrosalpinx measuring 4.9 x 2.2 cm. The condition was managed with a multi-modal Ayurvedic approach including oral administration of Kanchanara Guggulu, Maha Tiktaka Kashaya, Chandraprabha Vati, and therapeutic procedures like Avagaha Sweda (Sitz bath). Results: Over a treatment period of approximately 2 months, the patient reported complete relief from symptoms. Serial USG monitoring showed a progressive reduction in the cyst size from 4.9 cm to 1.7 cm, and finally to near-complete resolution (0.45 cm). Conclusion: This case demonstrates the efficacy of Srotoshodhaka (channel clearing) and Lekhana (scraping) therapies in resolving hydrosalpinx, offering a viable non-surgical alternative. Hydrosalpinx Avagaha Sweda Case report Kanchanara Guggulu Sahacharadi Taila