Abstract

AYURVEDIC MANAGEMENT OF YONISHAITHILYA (WEAK PELVIC FLOOR STRENGTH) BY ABHYANTAR EVUM STHANIK CHIKITSA IN GERIATRIC AGE GROUP – A CASE STUDY

Dr. Diksha Pandharipande*, Dr. Seema Mehere and Dr. Durgeshwari Anil Raut

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Abstract

Yonishaithilya is a prevalent gynecological issue affecting women of geriatric age group. This is serious business that can have a negative impact on a woman's quality of life. According to Brihatrayi, Yonishaithilya is not a distinct illness; rather, it manifests as a symptom of Mahayoni Yonivyapada, Vatala Yonivyapada, Phalini Yonivyapada, and Karnini Yonivyapada. Yonishaithilya's etiology, sign, symptoms, and course of treatment are similar to those of perineal laxity. The condition known as perineal laxity occurs when the female pelvis' supporting structure loosens, allowing one or more pelvic organs to descend through the slack vaginal introitus. Ayurveda gives various Abhyantar and Sthanik chikitsa like local application of Pichu, which are economical, easy and nonsurgical which gives an eminent result in Yonishaithilya. Untreated Yonishaithilya may produces complications like pelvic organ prolapse, urinary incontinence and may convert into 2nd or 3rd-degree prolapse where conservative treatment is not beneficial. A case study of 82 yrs female patient who came to opd with c/o feeling of mass, Burning and frequent micturition, Vulvar itching with p/v examination suggestive of 1st degree prolapse. She was not able to tolerate allopathic medicines. With 3 months of AYURVEDIC medicine and PANCHAKARMA, significant improvement was seen. Aim: To establish relevant ayurvedic treatment for Yonishaithilya and associated complaints in Geriatric Age. Objectives: To provide comprehensive Ayurvedic medicinal care through both oral and local routes. Methedology: Both Abhyantar Chikitsa(Vishtinduk Vati, Chandraprabha vati, Syp Neeri) as well as Sthanik Chikitsa (Yoni dhawan – Triphala kwath f/b Ashwagandha tail Yoni pichu and Kegel exercise) were given for 3 months. Result: Results were drawn from the observations of objective parameters that defined significant reduction of symptoms. Conclusion: Ayurveda is effective in treating Yonishaithilya along with associated symptoms in Geriatric Age.

Keywords: Geriatric care, Yonishaithilya, Yoni dhawan, Yoni pichu.