Abstract

ROLE OF STHANIK CHIKITSA IN YONISHAITHILYA-A REVIEW

*Dr. Snehal Ramchandra Pansare and Dr. Vijaykumar Nawale

Abstract

Yonishaithilya is one of the common clinical conditions met in day today gynecological practice especially amongst the parous women. It also has a significant impact on sexual function. According to Ayurveda Samhitas, yonishaithilya represents the signs symptoms of different yonivyapadas such as Phalini yoni, Prasamsrini yoni, Mahayoni etc. Yonishaithilya's etiology, signs, symptoms, is similar to vaginal laxity. It is a sensation of vaginal looseness which may develop after pregnancy and vaginal delivery and may be affected by prior pelvic surgery, menopause and aging. Vaginal childbirth may result in vaginal introital laxity, altered genital sensation during sexual intercourse, and reduced sexual satisfaction. It is still little discussed among patients and their physicians. In modern medical science for the treatment of vaginal laxity common procedures include surgical (e.g., vaginal tightening, labia minoraplasty, labia majoraplasty, clitoral hood reduction, clitoral unhooding, lipofilling, and hymen reconstruction) or nonsurgical (e.g., energy-based treatments, platelet-rich plasma interventions which are costly and may have some side effects. There is a need to evaluate non-surgical options that offer minimal adverse effects at lower costs for women with vaginal laxity complaints. Ayurveda explains many ways for curing Yoni Roga requiring local therapeutic measures, Sthanik Chikitsa is one of them. Yoni-dhoopana, Yoni-Lepana, yoni prakshalana etc. are common approaches of Sthanik Chikitsa which are useful in yonishaithilya. These non-surgical and less invasive techniques offers health benefits to retain reproductive health of female and does not imparts severe side effect.

Keywords: Yonishaithilya, Vaginal laxity, Sthanik chikitsa, Yonivyapada, Ayurveda.