Journal of Research in Ayurvedic Sciences

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VOLUME 2 , ISSUE 4 ( October-December, 2018 ) > List of Articles

CASE REPORT

Conservative Management of Young Age Onset Pelvic Organ Prolapse through Ayurvedic Management: A Case Report

Emy S Surendran, M Akash Lal, KM Pratap Sankar

Keywords : Pelvic organ prolapse, Yoni pichu, Yoni prakshalana,Ayurveda,Prasramsini

Citation Information : Surendran ES, Lal MA, Sankar KP. Conservative Management of Young Age Onset Pelvic Organ Prolapse through Ayurvedic Management: A Case Report. J Res Ayurvedic Sci 2018; 2 (4):254-258.

DOI: 10.5005/jp-journals-10064-0066

License: CC BY-NC 4.0

Published Online: 00-00-0000

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Pelvic organ prolapse (POP) is a condition characterized by the descent or herniation of pelvic organs from their normal site of attachment. It is common in postmenopausal women. Rarely does it develop in the younger age group as a complication of pregnancy. Prolapse may be persisting or relapsing after labor. If left untreated, it will progress into procidentia and ulcer formation. Hysterectomy and pelvic floor repair are the conventional methods for the management of this condition. Prasramsini is a paithika yoniroga characterized by the displacement of uterus and excessive vaginal discharges. Ladies having a history of duprasava or difficult labor are more prone to develop Prasramsini. Acharyas have explained abhyanthara and sthanika chikitsas aiming at the conservative management of this condition. A 26-year-old married lady came to the out patient department (OPD) with complaints of mass per vagina along with increased per vaginal discharge and difficulty in urination. She had been diagnosed with the second degree uterine prolapse, grade II cystocele and grade II rectocele, and was suggested for hysterectomy by a gynecologist. An attempt was made to manage the case conservatively by the treatment principles of Prasramsini yonivyapath. Sthanika chikitsas like yoni kshalana, yoni pichu dharana along with internal administration of medicines were tried. These were found to be effective in managing the symptoms and reducing the protrusion of mass per vagina. Ayurvedic treatment principles can be utilized as a conservative method of management in uncomplicated and early stages of POP. Hysterectomy and associated morbidities can be avoided, especially in patients of a younger age group.


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