What is the samprapti (pathogenesis) of endometriosis in the material?

• A. Vata pushing Kapha in Artava Dhatu
• B. Pitta causing Rakta
• C. Kapha causing Srotas blockage
• D. Vata and Pitta in balance

Answer: (A)

At play here is how the samprapti explains endometriosis in Ayurvedic terms. When Vata is aggravated, its tendency to move and disperse drives Kapha into Artava Dhatu, the tissue of the menstrual system. This Vata-driven influx of Kapha into Artava Dhatu leads to obstruction of the reproductive channels (Srotas) and the deposition or implantation of Kapha-rich material in abnormal locations outside the uterus. That combination—movement and deposition producing ectopic tissue and chronic symptoms—fits the pattern of endometriosis, where tissue behaves in a migratory, adhesive, and proliferative way.

The other ideas don’t align as well: Pitta causing Rakta would emphasize inflammatory bleeding rather than ectopic tissue growth; Kapha causing Srotas blockage alone accounts for obstruction but not the migratory implantation; a balanced Vata and Pitta represents health rather than disease.