Ayurveda management of cystocele, uterine prolapse and weak pelvic floor strength-A case report.

Pelvic organ prolapse (POP) is the downward displacement of pelvic organs. The condition is very common in women and negatively affects their quality of life. The aging process reflects in the form of structural and functional weakness of the pelvic floor which leads to pelvic floor dysfunction (PFD). The strength and endurance of the Pelvic floor muscles (PFM) decrease significantly by these dysfunctions. In the present study, Pelvic floor strength (PFS) and endurance were assessed with the help of a perineometer. The patient was diagnosed with cystocele, uterine prolapse and weak PFS was assessed with the Perineometer. Patient was treated with Ayurvedicsthanika chikitsa (local treatment)- Yoni abhyanga (vaginal massage) and improvement in PFS was assessed after treatment. The present article aims to assess the pre and post-outcome results of PFM by using the objective tool perineometer. Seven days of yoni abhyanga along with oral medication were given and on follow-up after three months, the patient showed increased strength and endurance on the perineometer. Early diagnosis and management of the PFD will help to improve the QoL (Quality of Life) and prevent further deterioration of PFS.

Ayurvedic Management of Hyperprolactinemia Secondary to Pituitary Microadenoma: A Case Report.

Hyperprolactinemia is a relatively common diagnosis to be expected in an adolescent age group with chronic menstrual disturbances. The present case report documents the efficacy of Ayurvedic management in a 21-year-old female with secretory pituitary microadenoma, which was found to be responsible for menstrual disturbances. The patient, with high prolactin levels with pituitary microadenoma, was subjected to an Ayurvedic management protocol, including Shamana nasya for 7 days followed by Shamana Cikitsa for 3 months. Patient follow-up was 6 months in duration. The clinical presentation of this case points towards the diagnosis of Asrgdara in Ayurveda. This is the first such case documented where Ayurveda was used as the intervention in a case of pituitary microadenoma with hyperprolactinemia, resulting in the complete absence of microadenoma and normalization of the prolactin level.

A comprehensive Ayurvedic treatment along with counseling in oligoasthenozoospermia with previous intrauterine insemination failure-A case report.

Male infertility contributes for 50% of infertility globally, and several etiological factors contribute to it. Oligoasthenozoospermia and anxiety, forms a vicious cycle, resulting in male infertility. A man advised for assisted reproductive techniques, even after correcting seminal parameters has poor success rate if the symptoms of anxiety is left untreated. The signs and symptoms of oligoasthenozoospermia can be compared with Kshina shukra of Ayurvedic classics. The present case report presents, the role of an indigenous combination of drugs in improving the quantity and quality of semen, along with the reduction in anxiety levels through counseling. The patient with low sperm motility and volume was subjected to Ayurvedic management protocol of initially Counseling, followed by Shodhana treatment and then administration of Mashadi choornam for 90 days. A marked improvement was observed in seminal parameters and anxiety levels and patient could undergo natural conception, a few months after the treatment, thus focusing on an integrative approach.

An Ayurvedic treatment protocol to improve anti-mullerian hormone: A prerequisite for assisted reproductive technique- A case report.

Anti-Mullerian hormone (AMH) produced by granulosa cells of preantral and antral follicles acts as a potential marker for ovarian reserve useful in predicting ovarian response to controlled ovarian stimulation. A woman undergoing in vitro fertilization (IVF) with low AMH has poor success rate and ultimately the couple is left with the only option of IVF with a donor egg. The signs and symptoms of a patient with low AMH level can be compared to Dhatukshayajanya Vandhyata. The present case report documents the efficacy of an Ayurvedic treatment protocol in improving the AMH value, which is a prerequisite for assisted reproductive technique (ART) without a donor egg. The patient with low AMH level was subjected to Ayurvedic management protocol including Shamana for 3 months and Shodhana procedure for 21 days. The follow-up was done for 3 months. A marked improvement in the AMH level was noted in the first 3 months and also after the follow-up period, thus making her eligible for ART with her own egg.