A CLINICAL EVALUATION OF PRASRAMSINI YONIVYAPAT

Pelvic organ prolapse[1] is a frequent gynaecological condition among parous women resulting from weakness of pelvic structural supports. The global prevalence is 2 to 20% under 45 years of age, In India it is affecting nearly 40% of multiparous women above 35 years of age; 30% of these women need additional surgery due to prolapse recurrence. The major symptoms include mass per vagina, urinary incontinence, overactive bladder, and faecal incontinence. Globally, the prevalence is estimated at 2–20%, with a higher incidence of hysterectomy in older women. In Ayurveda, Yonivyapadas such as Prasramsini[2], Andini and Phalini correspond to pelvic organ prolapse, marked by muscular protuberance. The pathology involves mainly Vata dosha along with Pitta and Kapha, and treatment aims at Vata shamana, Brimhana, Sandhana, and Balya to strengthen pelvic musculature. Modern management includes Kegel’s exercise, pessaries, and surgery, which often cause erosion, infection. YoniPichu, one of the Sthanika Chikitsa, is advantageous as the vaginal wall is highly vascular and retains the medicine longer. Lodhra has Kashaya and Tikta rasa, Sheeta virya, Katu vipaka; Tumbiphala possesses Tikta rasa, Katu vipaka and is Mamsa vivardhana; Lajjalu is Tikta-Kashaya rasa, Sheeta virya, Yoniroganashana, promoting Yonidrudhikarana study evaluates and compares their efficacy as Yoni Pichu in pelvic organ prolapse.