Successful Ayurveda Management of Maha Yoni (Uterine prolapse) - A Case Study

Abstract

Aging is the most frequently reported risk factor for POP (Pelvic Organ Prolapse-Maha Yoni), followed by parity and obesity. It is reported that the proportion of women aged 70–79 seeking medical consultation due to symptomatic POP is the highest, as high as 18.6/1,000. Modern management of uterine prolapse often involves surgical intervention, but Ayurveda treatments offer a non-invasive alternative aimed at balancing doshas, strengthening the vaginal wall and pelvic floor, and improving overall health. The therapies focus on internal and external treatments, including oral medications, local applications, and specific procedures like Vasti (medicated enemas) to pacify Vata and Yoni pichu (Vaginal Tampon), Yoni purana (Vaginal Packing) to rejuvenate and increase the tone of local tissues. This case report explores the comprehensive Ayurveda management of a 64-year-old woman with third-degree uterine prolapse. In this case the administration of Matra Vasti with Narayana Taila and Ashwagandha Taila. Yoni Avagaha with Pancavalkala Kashaya and Yoni Purana (Vaginal Packing) with Nisha, Vacha, Madanapala, Udumbara, and Ashwagandha Churna mixed with Narayana oil were used for local therapeutic effects. Trikatukadi kwatha, Vammuthu Suwadahota Kashaya, Guduchi Churna, Chandrabrabha Vati and other Vata Shamana and Rasayana drugs were given orally for 10 to 20 days accordingly. Through tailored treatment protocols, significant improvements were observed, highlighting the potential of Ayurveda therapies in managing severe uterine prolapse without surgical intervention.