Menstrual resumption following a two-week Shakti Bandha asana intervention in polycystic ovarian syndrome: a case report

A. Mrinalinee; Keerthana Anandakumar; Surya Manoharan; Gayathri Annamalai

doi:10.18203/2320-1770.ijrcog20261641

Authors

A. Mrinalinee Department of Yoga, International Institute of Yoga and Naturopathy Medical Sciences, Chengalpattu, The Tamil Nadu Dr. MGR Medical University, Tamil Nadu, India
Keerthana Anandakumar Department of Yoga, International Institute of Yoga and Naturopathy Medical Sciences, Chengalpattu, The Tamil Nadu Dr. MGR Medical University, Tamil Nadu, India
Surya Manoharan Department of Yoga, International Institute of Yoga and Naturopathy Medical Sciences, Chengalpattu, The Tamil Nadu Dr. MGR Medical University, Tamil Nadu, India
Gayathri Annamalai Department of Yoga, International Institute of Yoga and Naturopathy Medical Sciences, Chengalpattu, The Tamil Nadu Dr. MGR Medical University, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20261641

Keywords:

Menstruation, Polycystic ovary syndrome, PCOS, Secondary amenorrhea, Shakti Bandha Asana, Yoga

Abstract

Polycystic Ovarian Syndrome (PCOS) has a global prevalence of 4-20% and is a leading cause of secondary amenorrhea and infertility. Conventional management options are increasingly less preferred by some women warranting the exploration of integrative, non-pharmacological strategies such as yoga for more comprehensive and sustainable management. The main objective of this case report was to evaluate the effect of Shakti Bandha Asana (SBA) in the management of PCOS-associated secondary amenorrhea. A 22-year-old female, previously diagnosed with PCOS, presented with amenorrhea for the past six months following the self-discontinuation of hormonal therapy. She was instructed to practice SBA for a duration of two weeks, following which menstrual resumption was observed. Improvements were noted in C-reactive protein levels and Polycystic Ovary Syndrome Questionnaire scores, while ovarian morphology and lipid profile showed mixed results. These findings suggest that a two-week SBA intervention may facilitate menstrual resumption, reduce inflammatory status and improved health-related quality of life in patients with PCOS-associated secondary amenorrhea.

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References

SR, RT. A clinical study on the gynaecological parameters pertaining to polycystic ovarian syndrome (PCOS). RGUHS J Med Sci. 2022;12(3). DOI: https://doi.org/10.26463/rjms.12_3_5

Shrivastava R, Mishra S, Singh R, Shrivastava P. Effect of integrated approach of yoga and naturopathy on polycystic ovarian syndrome: a case study. J Fam Med Prim Care. 2022;11(4):1525-7. DOI: https://doi.org/10.4103/jfmpc.jfmpc_651_21

Panjawatanan P, Riahi S, Chaidarun SS. FRI398 a case of secondary amenorrhea: is it only PCOS to blame?. J Endocr Soc. 2023;7(1):bvad114.1591. DOI: https://doi.org/10.1210/jendso/bvad114.1591

Ch RD, N JR. Impact of yoga therapy on hormonal imbalance in women with polycystic ovarian disease. Int J Ayurvedic Med. 2023;14(1):206-12. DOI: https://doi.org/10.47552/ijam.v14i1.3357

Shukla A, Rasquin LI, Anastasopoulou C. Polycystic ovarian syndrome. In: StatPearls. Treasure Island (FL): StatPearls Publishing. 2025.

Singh D, Chaturvedi KK, Singh S, Kandan SL. Effect of yoga on management of polycystic ovarian syndrome (PCOS): a systematic review. J Complement Altern Med Res. 2022:1-18. DOI: https://doi.org/10.9734/jocamr/2022/v20i4420

Ganie MA, Vasudevan V, Wani IA, Baba MS, Arif T, Rashid A. Epidemiology, pathogenesis, genetics and management of polycystic ovary syndrome in India. Indian J Med Res. 2025;150(4):333-44. DOI: https://doi.org/10.4103/ijmr.IJMR_1937_17

Godara P, Sharma S, Pathak A. Yoga: a safe and effective treatment for PCOS. World J Pharm Med Res. 2021;7(10).

Saraswati SS. Asana Pranayama Mudra Bandha. 4th ed. Munger, Bihar, India: Yoga Publications Trust. 2009;60-73.

Ramu K, Muniyappan S, Annamalai G. The Impact of Shakti Bandha Asanas on Primary Dysmenorrhea Adolescents: A Case Series. Int J AYUSH Case Rep. 2024;8(4):584-93. DOI: https://doi.org/10.70805/ija-care.v8i4.630

Cronin L, Guyatt G, Griffith L, Wong E, Azziz R, Futterweit W, et al. Development of a health-related quality-of-life questionnaire (PCOSQ) for women with polycystic ovary syndrome (PCOS). J Clin Endocrinol Metab. 1998;83(6):1976-87.

Cronin L, Guyatt G, Griffith L, Wong E, Azziz R, Futterweit W, et al. Development of a health-related quality-of-life questionnaire (PCOSQ) for women with polycystic ovary syndrome (PCOS). J Clin Endocrinol Metab. 1998;83(6):1976-87. DOI: https://doi.org/10.1210/jc.83.6.1976

Shameem DI, Khatoon DR. An overview of polycystic ovarian disease associated secondary amenorrhoea in Unani system of medicine. Int J Sci Res. 2016;7(10).

Kumari D, Kumar M, Tiwari P, Mahey R, Malhotra N, Mishra R, et al. Impact of yoga in polycystic ovary syndrome. Int J Ayurveda Res. 2023;4(3):132. DOI: https://doi.org/10.4103/ijar.ijar_133_23

Kavuri V, Raghuram N, Malamud A, Selvan SR. Irritable bowel syndrome: yoga as remedial therapy. Evid Based Complement Alternat Med. 2015;2015:398156. DOI: https://doi.org/10.1155/2015/398156

Mittal A, Krishna NR, Singh D, Kavuri V, Mittal A, Krishna NR, et al. Study protocol for a yoga-based lifestyle modification program for leucorrhea disorders. Cureus. 2025;17(1). DOI: https://doi.org/10.7759/cureus.78294

Metangale AR, Mishra BR. Therapeutic Yoga for the management of polycystic ovarian syndrome - A Review. J Ayurveda Integr Med Sci. 2024;9(11):276-82. DOI: https://doi.org/10.21760/jaims.9.11.39