A CASE STUDY ON PRASRAMSINI YONIVYAPAD: EVIDENCE-BASED AYURVEDIC APPROACH TO PELVIC ORGAN PROLAPSE

Prasrasramsini Yoni Vyapada, described in Ayurvedic classics, is downward displacement or laxity of the vaginal wall structures accompanied by symptoms such as urinary incontinence, incomplete bladder emptying, lower abdominal heaviness and discomfort. It can correlate with conditions like uterine prolapse, cystocele and pelvic floor weakness. This case study presents the Ayurvedic clinical management of a 50-year-old female patient presenting with urinary incontinence, sensation of incomplete bladder emptying and white discharge P/v associated with lower abdominal heaviness and low back ache and on per vaginal examination, signs of anterior vaginal wall laxity noted and diagnosed as 2nd degree Cystocele and 1st degree uterine prolapse. Yoni Prakṣhalana with Nimbamritadi kashaya and Yoni Pichu with Nalpamaradi and Changeryadi gritham was administered for seven days. Complete resolution of significant symptoms was observed, along with improvement in objective parameters. This report highlights the scope of Ayurvedic interventions in managing Prasramsini Yonivyapad (Pelvic organ Prolapse).