The uterus is part of the female reproductive system. Uterine prolapsed occur when the uterus descends from its normal position into the vagina.
SIGNS AND SYMPTOMS OF UTERINE PROLAPSE
- CAUSES OF UTERINE PROLAPSE
- PATHOPHYSIOLOGY OF UTERINE PROLAPSE
- DIAGNOSIS OF UTERINE PROLAPSE
- TREATMENTS FOR UTERINE PROLAPSE
- PROGNOSIS OF UTERINE PROLAPSE
- COMPLICATIONS OF UTERINE PROLAPSE
- UTERINE PROLAPSE AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF UTERINE PROLAPSE
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF UTERINE PROLAPSE
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF UTERINE PROLAPSE
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF UTERINE PROLAPSE
- AYURVEDIC PROGNOSIS OF UTERINE PROLAPSE
- CHIKITSA- AYURVEDIC TREATMENT FOR UTERINE PROLAPSE
- AYURVEDIC SAMANA TREATMENT FOR UTERINE PROLAPSE
- COMMONLY USED AYURVEDIC MEDICINES FOR UTERINE PROLAPSE
- HOME REMEDIES FOR UTERINE PROLAPSE
- DIET AND BEHAVIOUR FOR UTERINE PROLAPSE
- YOGA FOR UTERINE PROLAPSE
- RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF UTERINE PROLAPSE
SIGNS AND SYMPTOMS OF UTERINE PROLAPSE
- Protrusion of cervix (lower part of the uterus ) through the vagina
- The feeling of downward pulling of something through the vagina
- Problems related to sexual intercourse
- Recurrent urinary tract infections
- Constipation
- Vaginal bleeding
- Back pain
CAUSES OF UTERINE PROLAPSE
- Complications in childbirth
- Heavy weight lifting
- Ageing
- Menopause
- Obesity
- Chronic cough
- Post-surgical complications
PATHOPHYSIOLOGY OF UTERINE PROLAPSE
The pathophysiology of uterine prolapse is based on the causative factor. Weakness of pelvic muscles due to ageing causes loss of support to the uterus leads to uterine protrusion. In case of chronic cough and heavy weight lifting the downward pressure causes protrusion of the uterus. Based on the severity it is subdivided into four degrees of protrusion.
DIAGNOSIS OF UTERINE PROLAPSE
- Proper history taking
- Physical examinations
- Diagnosis through clinical features
- Ultrasound scanning
- MRI scanning
TREATMENTS FOR UTERINE PROLAPSE
- Estrogen suppositories help to strengthen the pelvic muscles
- Surgical removal of the uterus – hysterectomy
- Vaginal pessary insertion
PROGNOSIS OF UTERINE PROLAPSE
- Surgical removal of the uterus is the best option in case of fourth-degree prolapse.
COMPLICATIONS OF UTERINE PROLAPSE
- Urinary retention
- Chronic constipation
- Adversely affect the daily activities of the person
UTERINE PROLAPSE AND AYURVEDA
- In Ayurveda uterine prolapse is managed based on the symptoms.
- It is known as “garbhasaya bhramsa” in Ayurveda.
- Irregular vaginal bleeding is one of the symptoms. it is managed based on the “asrigdhara chikilsa”.
NIDANA- AYURVEDIC CAUSES OF UTERINE PROLAPSE
- Excess consumption of unwholesome food
- Yoniroga
- Excess dosha vitiation in the uterus
- Suppression of natural urges
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF UTERINE PROLAPSE
- The feeling of something pulling through the vagina
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF UTERINE PROLAPSE
Due to the causative factors, excess vitiation of doshas occurs along with mamsa and raktadhatu .The vitiation of mamsa dhatu causes loss of strength of pelvic muscles. When the vitiated doshas reside in the uterus further aggravates rakta dhatu, irregular vaginal bleeding ( asrigdhara) manifested.
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF UTERINE PROLAPSE
- Katigraha – back pain
- Protrusion of garbhasaya (uterus) through yoni (vagina)
- Maidhuna asahishnutha – painful sexual intercourse
- asrigdhara – heavy bleeding
- vit vibandha – constipation
AYURVEDIC PROGNOSIS OF UTERINE PROLAPSE
- Krichra Sadya roga – symptoms are manageable with Ayurvedic medicines, the fourth-degree uterine prolapse needs surgical treatment.
CHIKITSA- AYURVEDIC TREATMENT FOR UTERINE PROLAPSE
AYURVEDIC SAMANA TREATMENT FOR UTERINE PROLAPSE
- Treatment for katigraha (back pain)
- Treatment for apana vayu vaigunya
- Treatment for raktakshaya
- Stambhana chikilsa
- Yoni pichu – cotton dipped in bala taila
- Yoni dharana
COMMONLY USED AYURVEDIC MEDICINES FOR UTERINE PROLAPSE
Internal administration
- Lajjalu kashaya
- Chiruvilwadi kashaya
- Pushyanuga churnam
- Vaiswanara Churna
- Avipattichurna
- Erandataila
HOME REMEDIES FOR UTERINE PROLAPSE
- Avoid heavy weight lifting
- Kegel exercise
- Avoid constipation
DIET AND BEHAVIOUR FOR UTERINE PROLAPSE
- Avoid food items that produce dosha imbalance like extreme sour, acrid, and dry food, hard to digest. Because dosha imbalance aggravates the symptoms.
- Take proper rest.
- Consume a balanced diet and fibre rich food
- Drink appropriate quantity of water
YOGA FOR UTERINE PROLAPSE
- Nadi Shuddi Pranayam – calms the mind and gets relief from the irritations associated with uterine prolapse
The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
- Savasana – relaxes body and mind
- Moola bandha
RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF UTERINE PROLAPSE
- Lajjalu treatment of uterine prolapse
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3151380/