Abstract

Abstract

Background: Estrogen dominance, an imbalance between estrogen and progesterone, is associated with gynecological disorders such as fibroids, endometriosis, menorrhagia, and premenstrual syndrome. Conventional management often relies on surgical intervention, with limited conservative strategies available. Methods: This paper presents an integrative eight-step Ayurvedic protocol designed to address estrogen dominance. The approach combines Ras?yana therapies, functional medicine principles, and psychological support, with emphasis on detoxification, diet tailored to Agni, stress regulation, and targeted herbal interventions. Results: Over the past years, several patients have been treated using this protocol. Two representative cases, for which complete clinical documentation is available, are described in detail. Both demonstrated significant improvement and successfully avoided hysterectomy. Conclusion: Estrogen dominance can be regarded as a lifestyle-related disorder that responds favorably to integrative Ayurvedic care. The proposed protocol offers a structured, non-surgical alternative that empowers women and may reduce the need for invasive treatment.