Abstract

AYURVEDIC MANAGEMENT OF DYSPAREUNIA DUE TO ATROPHIC VAGINITIS (GENITOURINARY SYNDROME OF MENOPAUSE) IN A POSTMENOPAUSAL WOMAN: A CASE REPORT

Dr. Vaikhari Gadpal*, Dr. Pranali Dandekar

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Abstract

Atrophic vaginitis, now termed genitourinary syndrome of menopause (GSM), is a common cause of vaginal dryness, burning, and painful intercourse in postmenopausal women. Conventional therapy relies on local estrogen, but many women seek effective non-hormonal options. Ayurveda offers simple local and systemic approaches that may be beneficial. A 50-year-old postmenopausal woman presented with two years of dyspareunia, persistent dryness, burning, and itching. Baseline findings showed elevated vaginal pH, marked mucosal atrophy, and high symptom scores. She was treated with Shatavaryadi taila yoni pichu (vaginal tampon therapy) for 14 days, supported by oral Shatavari kalpa, Ashwagandha ghanvati, and Triphala guggulu, along with dietary advice and lifestyle modification. Within two weeks, pain and dryness reduced significantly and burning/itching subsided completely. Objective markers also improved: vaginal pH normalized and mucosa appeared healthy. No adverse effects were observed.

Keywords: Atrophic vaginitis, Genitourinary syndrome of menopause, Dyspareunia, Ayurveda, Shatavaryadi taila, Yoni pichu.