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A 32-year-old female patient complaints of scanty and irregular periods associated with painful menstruation for 1 year. There were no prior consultations or treatments. She approached Dr Tara, for Ayurvedic management. Her USG reports revealed Bulky uterus with adenomyotic changes and Bilateral Polycystic ovaries. Based on the investigation report and clinical examination, the Biomedical diagnosis was made as Adenomyosis and the Ayurvedic diagnosis was Vataja Yonivyapat. The line of treatment followed was Vata- pitta shamana and initiate the vatanulomana. After 6 months of treatment, the patient got significant relief from all the symptoms with normal menstrual cycle.  In the repeat USG, done at the endpoint, the uterus appears normal with homogenous myometrial echoes. This case report demonstrates the successful standalone ayurvedic management of Adenomyosis.