Abstract

Dr. V. Aishwarya*, Dr. Papiya Jana and Dr. Chaitra N.

ABSTRACT

Phalini Yonivyapat is one among 20 enumerated Yonivyapat explained in Ayurvedic classics. It is a condition where the patient comes with a complaint of protruding mass per vagina. On examination, it reveals a bulge through the anterior vaginal wall which resembles almost like an egg. This can be corelated to anterior vaginal wall prolapse which is otherwise known as cystocele, happens due to the weakening of pelvic supports. About 50% of parous women develop pelvic organ prolapse, most of them require surgery, and about 30% of them require repeat surgery, there are also chances of POP occurring even after hysterectomy. This indicates that the current surgical management is far from satisfactory, due to which there is scope for conservative line of management in order to either avoid or to postpone surgery. Here is on such case of a women aged 36 years with complaints of excessive white discharge and mass per vagina since 2 years along with complaints of burning and increased frequency of micturition and discomfort while having coitus. She had not yet completed her family and was not ready for any kind of surgical interventions. Hence Yoni Abhyanga and Ksheera Sweda followed by Lajjalu Kalka Purana was planned along with oral medications for 7 days. At the end of the treatment, she showed marked improvement. The mass per vagina had regressed along with relief in the symptoms. The patient was asked to follow-up and continue the same treatment for the next two consecutive cycles in order to avoid the recurrence and any kinds of complications in her next pregnancy.