GODHOOM & YAVA PINDA CHIKITSHA IN PRASRAMSINI YONI VYAPD (SECOND DEGREE UTERINE PROLAPSE WITH CYSTORECTOCELE)

Abstract

In modern era due to altered lifestyle and working motherhood, the rest needed for women during menstruation & during puerperal period is not available. Acharyas have been mentioned the importance of Rajahswalacharya and Sutika Paricharya in our classics. Protrusion of the pelvic organs into or out of the vaginal canal is known as Pelvic Organ Prolapse. It results from weakening or damage to pelvic supporting structures that maintain pel-vic organs' position in-situ. The problem unmasks after delivery and with age progression, due to injury/ laxity of pelvic supporting structures. Anything that increases intra-abdominal pressure can lead to pelvic organ prolapse e.g., chronic constipation, heavy weightlifting& strenuous exercises. Acharya Sushruta has mentioned that Prasramsini Yonivyapda occurs due to chronic irritation & difficult labor. Clinical features of Prasramsini Yonivyapda are Pitta and Vata dominant. According to WHO estimation the global prevalence of uterine pro-lapse is 2-20%. A non-surgical approach to relieve the symptoms is need of hour as surgical management is not a good option for a female of reproductive age group. Moreover, recto cystocele corrected by colpoperineorraphy sometimes doesn’t provide sustainable results. A female patient aged 42 years came to PTSR OPD with com-plaints of something coming out of her vagina for 6 months, heaviness and pain in lower back for 6 months. SthanikChikitsa (Local treatment) was advocated to her for three consecutive cycles after clearance of menses. Yoni Purana was done with medicated Yava, Godhuma Pind (by inserting in vagina) after local Snehan and Sve-dana. Pre and post POP-Q scale were used to assess the results. Patients got relief in her symptoms through this Ayurvedic approach.