Management of Mahayoni with Sthanik Chikitsa in Procidentia: A Case Report

Abstract

Introduction: Vata Dosha plays a critical role in disorders related to female reproductive system. If the woman sleeps in a Vishama posture or on an uncomfortable bed during sexual intercourse, then the Vayu gets aggravated to cause dilatation of the openings of her uterus and vagina. Since the dilated openings do not get closed, she suffers from Vedana and Ruksha, Phena mixed Srava of blood from the Yoni is produced. There will be protuberance of the Masah, and she suffers from Shoola in the joints and Vakshana Pradesha.

Diagnosis intervention and outcome: On the basis of symptoms and genitourinary examination the diagnosis of Mahayoni Vyapada was made and Sthanik Chikitsa Yoni Prakshalan, Yoni Abhyanga, Yoni Parishek and Yoni Pichu was done for 10 days twice daily. Assessment was done using pelvic organ prolapse distress inventory questionnaire, urinary distress inventory, colorectal anal distress inventory And pelvic organ prolapse quantification. Patient got remarkable relief in the span of 10 days which was notable in primary complaints and assessment criteria.  

Conclusion: Ayurveda explains many methodologies for treating gynaecological disorders Sthanik Chikitsa holds great significance in Prasuti Tantra and Stree Roga. Sthanik Chikitsa possess very promising results in the management of various gynaecological disorders. Thus, it can be concluded that Sthanik Chikitsa can be used combined with oral drugs to provide symptomatic relief in patients who may not be fit for surgical correction or do not opt for surgery.