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Abstract

AYURVEDIC APPROACH TO FIRST DEGREE UTERINE PROLAPSE IN WOMEN AFTER CHILDBIRTH: A CASE STUDY

Dr. Bhavana G.*, Dr. Papiya Jana and Dr. Sowmya G.

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Abstract

Many women experience pelvic floor disorders, such as pelvic organ prolapse, urinary incontinence, and fecal incontinence, affecting about 25% of those who exert extra effort or undergo instrumental deliveries. Pregnancy and childbirth can exert significant pressure on the pelvic area, leading to muscle and tissue weakening or damage, especially in women who have had multiple children. A condition mentioned by Acharya Sushrutha is called Prasramsini yonivyapad, which occurs due to dukha prasava and is closely related to 1st and 2nd-degree uterine prolapse. This condition is commonly observed in women during the peri-menopausal or postmenopausal period, but even younger women who experience distress during labor may also be affected. Laxity of the vaginal canal and uterine descent is commonly seen in the perimenopausal age with a predominance of vata dosha. It is also observed as a complication of prolonged labor. According to Sushrutha, prasramsini is caused due to pitta dushti, and because the garbhashaya is in the apanavata sthana, we also notice the involvement of Apana Vayu dushti. Thus, the management requires correction of both pitta and vata doshas. Additionally, there is a necessity to improve the strength of pelvic tissues as they are the support point of the entire reproductive system. An attempt was made to treat Prasramsini yonivyapad. To treat this condition, we included medicines that balance the Vata and Pitta doshas and help strengthen the body. Sthanika Chikitsa, such as Yoni Prakshalana, Yoni Abhyanga, sweda, Veshawara bandha, and Yoni Pichu, along with the use of oral medications, were employed. Thus, the patient's symptoms were relieved, enhancing her overall quality of life.

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