Ayurveda for cystocele, uterine prolapse, and weak pelvic floor

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Journal name: Journal of Ayurveda and Integrative Medicine
Original article title: Ayurveda management of cystocele, uterine prolapse and weak pelvic floor strength-A case report
The Journal of Ayurveda and Integrative Medicine (JAIM) is an open-access publication promoting collaboration between Ayurveda, traditional medicine, and biomedicine, publishing research on integrative health sciences
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Original source:

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Author:

Kasthoory Lekshmy Muraleedharan, Cinu Mithra Nisa Sushilal, Parvathy Unnikrishnan, Anjaly Muraleedharan, Hemavathi Shivapura Krishnarajabhatt


Journal of Ayurveda and Integrative Medicine:

(A monthly peer-reviewed publication)

Full text available for: Ayurveda management of cystocele, uterine prolapse and weak pelvic floor strength-A case report

Year: 2023 | Doi: 10.1016/j.jaim.2023.100775

Copyright (license): CC BY-NC-ND 4.0


Download the PDF file of the original publication


Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Ayurveda for cystocele, uterine prolapse, and weak pelvic floor”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Table:
Tables serve as organized collections of information, allowing for easy comparison and analysis of data relevant to the study on pelvic organ prolapse. They synthesize key statistical findings visually, facilitating understanding of treatment outcomes and patient histories, and highlighting changes in pelvic floor strength and endurance before and after therapeutic interventions.

2) Yoni (Yonin):
In Ayurveda, 'Yoni' refers to the female reproductive organ and symbolizes femininity and creativity. The concept emphasizes the importance of maintaining health and harmony within this domain, particularly during transitions like menopause, when women may experience issues such as pelvic organ prolapse that can significantly affect their quality of life.

3) Taila (Thaila):
Taila, or medicated oils, are pivotal in Ayurvedic treatments. They are often used in conjunction with techniques like 'Abhyanga' (oil massage) to nourish tissues, enhance circulation, and restore balance. In the context of pelvic health, taila can help rejuvenate the vaginal wall and strengthen pelvic muscles, thus alleviating symptoms associated with prolapse.

4) Labour (Labor):
Labor refers to the process of childbirth and is intricately linked to many women's health issues. Complications during labor, such as obstructed delivery, can contribute to pelvic floor dysfunction, resulting in conditions like prolapse. Understanding the relationship between labor and subsequent pelvic health is crucial for prevention and treatment strategies.

5) Drug:
In the context of the presented study, 'drug' pertains to Ayurvedic formulations and their therapeutic effects on pelvic organ prolapse. The proper selection of herbal medicines is key to managing symptoms, restoring strength, and enhancing overall health for women experiencing pelvic floor dysfunction and associated complications.

6) Pitta:
Pitta is one of the three Ayurvedic doshas representing heat, metabolism, and transformation. An imbalance of pitta can lead to various health issues, particularly during menopause. Understanding pitta's role is essential for developing effective treatment plans that address symptoms like burning sensations associated with pelvic organ prolapse.

7) Life:
Quality of life (QoL) is a crucial aspect of patient care and treatment outcomes. For women with conditions like pelvic organ prolapse, restorative interventions are aimed at improving QoL by alleviating symptoms, enhancing pelvic strength, and empowering women to lead healthier and more active lives free from discomfort.

8) Burning (Burn, Burned, Burnt):
The burning sensation is a significant discomfort experienced by women with conditions like urinary incontinence. It is crucial to identify and treat the underlying causes, which can include pitta imbalance and inflammation, particularly in postmenopausal women. Effective management can significantly improve the quality of life.

9) India:
India's cultural and healthcare practices have a unique approach to women's health, integrating ancient traditions like Ayurveda with modern medicine. The high incidence of conditions such as pelvic organ prolapse in Indian women emphasizes the need for culturally relevant interventions that address the nuances of women's health issues in the region.

10) Yashtimadhu (Yastimadhu, Yashti-madhu):
Yashtimadhu, or Glycyrrhiza glabra, is an important herb in Ayurvedic medicine known for its soothing and anti-inflammatory properties. In the context of pelvic health, it is used to alleviate symptoms such as burning sensations, enhancing overall comfort and function in women dealing with pelvic organ prolapse and related conditions.

11) Ayurveda (Ayus-veda):
Ayurveda is a holistic approach to health that considers physical, emotional, and spiritual well-being. Its focus on natural remedies and lifestyle adjustments provides a vital framework for treating ailments like pelvic organ prolapse, emphasizing individualized treatment plans and preventive care through diet, massage, and herbal therapies.

12) Medicine:
The term 'medicine' encompasses a variety of therapeutic approaches, including traditional Ayurvedic practices and modern pharmacological treatments. In managing pelvic organ prolapse, the integration of both methods can enhance treatment effectiveness, ensuring comprehensive care tailored to individual patient needs and health profiles.

13) Writing:
Writing in the medical context is essential for documenting case reports, sharing research findings, and influencing clinical practice. Detailed writing in studies allows for the dissemination of knowledge regarding effective treatment protocols for conditions like pelvic organ prolapse, thus advancing both clinical understanding and patient care.

14) Quality:
Quality in healthcare pertains to providing optimal patient care and outcomes. In relation to pelvic organ prolapse, continuous assessment of treatment effectiveness helps determine the quality of life improvements achieved through Ayurvedic interventions, ultimately guiding practitioners toward better therapeutic strategies.

15) Rules:
In the healthcare context, rules refers to the established protocols and guidelines governing clinical practice. Adherence to these guidelines ensures patient safety, effective treatment delivery, and the standardization of procedures, particularly in the assessment and management of conditions such as pelvic organ prolapse.

16) Post:
The term 'post' is relevant in the context of postpartum care, highlighting the need for adequate support and monitoring after childbirth. Proper post-care practices are vital in preventing complications such as pelvic organ prolapse, thereby enhancing recovery and maintaining pelvic floor health for new mothers.

17) Burning sensation:
The burning sensation often represents discomfort in the urogenital region, affecting many women suffering from conditions like pelvic organ prolapse. Understanding its causes, including inflammation or infection, is critical for formulating effective treatment plans that aim to alleviate pain and improve overall quality of life.

18) Performance:
Performance relates to the functional efficacy of pelvic floor muscles, especially post-treatment. In studies addressing pelvic organ prolapse, measuring performance improvements through strength and endurance metrics aids in evaluating treatment success, ensuring interventions effectively restore pelvic health.

19) Kshirapaka (Ksirapaka, Kshira-paka):
Kshirapaka is an Ayurvedic preparation involving the boiling of milk with medicinal herbs to enhance its therapeutic properties. This method is often utilized in managing reproductive health issues, providing nourishment and restoring balance in the body, which is particularly beneficial during the menopausal transition.

20) Vitiation (Vitiated):
When describing 'vitiated' doshas, it refers to states of imbalance that can lead to disease. In pelvic organ prolapse, recognizing vitiated vata is critical for diagnosis and treatment, guiding practitioners in selecting appropriate interventions to restore balance and health in affected individuals.

21) Prakopa:
Prakopa denotes the aggravation or increase of dosha imbalances. In Ayurveda, understanding and controlling prakopa is crucial for managing conditions like pelvic organ prolapse, as the progression of symptoms often correlates with the exacerbation of underlying imbalances, particularly during transitional life stages.

22) Wall:
In the context of pelvic organ prolapse, 'wall' usually refers to the vaginal walls, which may become weakened or compromised. The integrity of these walls is essential for maintaining pelvic organ position; thus, restoring strength is a primary focus in the Ayurvedic management of prolapse conditions.

23) Milk:
Milk is a vital dietary component in Ayurveda, but in the context of this study, it's used to prepare kshirapaka, where it serves as a base to enhance the bioavailability of herbs, nourishing the body, especially in treatments focused on women's reproductive health post childbirth.

24) Glycyrrhiza glabra:
Glycyrrhiza glabra, commonly known as Yashtimadhu, possesses anti-inflammatory and soothing properties, widely used in Ayurvedic medicine. Its applications in managing symptoms such as burning sensations in pelvic organ dysfunction highlight its significance in holistic treatment approaches aimed at restoring balance and comfort.

25) Reliability:
Reliability in medical assessments ensures consistent and accurate measurements of parameters like pelvic floor strength. Utilizing reliable tools and methods is crucial for evaluating treatment success, especially in research contexts where outcomes of pelvic organ prolapse interventions are documented and analyzed.

26) Science (Scientific):
Scientific methods are essential in evaluating the efficacy of treatments and interventions in healthcare. The application of scientific principles in researching Ayurvedic approaches to conditions like pelvic organ prolapse validates traditional practices through rigorous data collection, analysis, and peer-reviewed results, supporting holistic healing methods.

27) Shatavari (Satavari):
Shatavari, or Asparagus racemosus, is revered in Ayurveda for its rejuvenating and restorative properties, particularly for women's health. It is used in formulations to balance hormonal fluctuations, support fertility, and ease menopausal symptoms, making it integral in managing conditions like pelvic organ prolapse.

28) Madhura:
Madhura refers to sweetness in Ayurveda, a taste that is often associated with soothing, nourishing properties. It plays an important role in treatments aimed at calming pitta imbalances, helping alleviate symptoms such as burning sensations in conditions like pelvic organ prolapse.

29) Avastha:
Avastha indicates a state or condition of being. Understanding a woman's avastha—whether reproductive, menopausal, or postpartum—provides insight into the unique health challenges she may face. This ensures tailored interventions that address specific needs related to pelvic health and overall well-being.

30) Amrita (Amrta):
Amrita, translating to 'immortal' or 'nectar,' evokes the concept of holistic well-being in Ayurveda. It represents the pursuit of health through balance, prevention, and personalized care, highlighting the significance of addressing issues like pelvic organ prolapse with a comprehensive approach that fosters rejuvenation and vitality.

31) Gupta:
Gupta is often associated with authors or researchers in medical literature. In the context of the study, it signifies contributors to research on women's health, emphasizing collaboration in documenting findings surrounding conditions like pelvic organ prolapse and the effectiveness of Ayurvedic interventions.

32) Balya:
Balya signifies strengthening properties, foundational in Ayurvedic therapy, particularly for rehabilitating damaged tissues. It aligns with treatments for pelvic organ prolapse, helping restore muscle strength and function, which is crucial for women experiencing weakness following childbirth or hormonal changes during menopause.

33) Blood:
Blood parameters like glucose levels are critical in assessing a patient's overall health, particularly for those managing chronic conditions like hypertension. Understanding the interplay between blood health and pelvic organ function is essential for comprehensive care and appropriate interventions in women’s health.

34) Study (Studying):
A study represents a systematic investigation into a specific health condition, such as pelvic organ prolapse. Detailed documentation of patient responses, interventions, and outcomes contributes to broader knowledge, advancing the understanding of effective Ayurvedic treatments and their impact on women's health.

35) Sida (Shida):
Sida, particularly Sida cordifolia, is an important herb in Ayurveda, known for its rejuvenating properties. Used in formulations like kshirapaka, Sida enhances treatments for pelvic health by nourishing tissues and promoting overall vigor and strength in women, particularly during vulnerable transitional phases.

36) Roga:
Roga refers to disease or illness in Ayurveda. Understanding the nature of roga is essential for diagnosis and treatment, particularly concerning women’s health issues like pelvic organ prolapse. This term underscores the importance of addressing both symptoms and underlying causes in therapeutic practices.

37) Bala:
Bala, referring to strength or vitality, is essential in Ayurvedic medicine, particularly in managing women's health. Strong pelvic floor muscles contribute to the prevention and management of conditions like pelvic organ prolapse, emphasizing the need for effective interventions that promote overall strength and wellness.

38) Dang:
Dang is likely mentioned as part of author affiliations or references in the context of scientific documentation. This highlights the collaborative nature of research in women's health, where multiple authors contribute to the understanding and treatment of conditions like pelvic organ prolapse through evidence-based studies.

39) Food:
Food is a vital component in Ayurvedic philosophy, with dietary choices greatly influencing health. Nutritional interventions play a crucial role in managing conditions like pelvic organ prolapse, addressing underlying imbalances, and supporting overall wellness through properly balanced diets tailored to individual needs.

40) Diet:
Diet in Ayurveda encompasses not just food choices but encompasses lifestyle habits that promote balance. Tailoring dietary interventions can help manage pelvic organ prolapse by addressing inflammation, promoting muscle strength, and ensuring an overall state of well-being that forms a cornerstone of treatment strategies.

41) Peer review:
Peer review represents a fundamental process in academic publishing that ensures the credibility and quality of research. It emphasizes the importance of rigorous evaluation of studies related to pelvic organ prolapse, allowing for enhanced evidence-based practices and better treatment guidelines in clinical settings.

42) Asparagus racemosus:
Asparagus racemosus, also known as Shatavari, is a cornerstone herb in Ayurveda revered for its ability to promote women’s reproductive health. It supports hormone balance, alleviates menopausal symptoms, and nourishes the body, making it a vital ingredient in managing conditions like pelvic organ prolapse.

43) Tribulus terrestris:
Tribulus terrestris is recognized in Ayurveda for its potential benefits in enhancing reproductive health and vitality. It may support the management of symptoms related to conditions like pelvic organ prolapse, amplifying treatments through strength revitalization and overall wellness improvements for women.

44) Madhurarasa (Madhura-rasa):
Madhura-rasa, or the sweet taste, is significant in Ayurvedic nutrition and treatment. It is considered comforting and nourishing, often used to balance pitta imbalances that may lead to symptoms like burning sensations, offering therapeutic effects in managing conditions affecting women's reproductive health.

45) Balataila (Bala-taila):
Bala-taila, or oil processed with the herb Bala, is a strengthening agent in Ayurvedic medicine, particularly in treatments for women's health. Its application in procedures such as yoni abhyaṅga aids in restoring pelvic tone and enhancing overall vitality and resilience in individuals facing prolapse issues.

46) Discussion:
Discussion is a critical component of clinical studies, as it interprets the findings in the context of existing knowledge. Analyzing treatment outcomes for pelvic organ prolapse fosters understanding of effective strategies and informs future research directions, ultimately enhancing care practices in women's health.

47) Shivapura (Sivapura, Shiva-pura):
Shivapura likely refers to an author or contributor to the research presented. Individuals like Dr. Hemavathi Shivapura Krishnarajabhatt enhance the credibility and expertise of the study on pelvic organ prolapse, emphasizing collaboration in advancing the field of Ayurvedic women's health.

48) Striroga (Stri-roga):
Stri-roga refers to the field of women's diseases in Ayurveda. An understanding of stri-roga is essential for effectively diagnosing and treating conditions such as pelvic organ prolapse, ensuring that care is tailored to the unique physiological and emotional needs of women.

49) Yoniroga (Yoni-roga):
Yoni-roga refers specifically to diseases of the female reproductive system. Addressing yoni-roga in Ayurveda involves holistic approaches that consider physical, emotional, and spiritual health, ensuring that treatments for conditions like pelvic organ prolapse integrate multiple dimensions of well-being.

50) Suffering:
Suffering encompasses the physical and emotional struggles women face due to conditions like pelvic organ prolapse. By addressing suffering through appropriate interventions, healthcare providers can improve quality of life and empower women to regain control over their health and well-being.

51) Realising (Realizing):
Realizing emphasizes the importance of awareness in women's health. Understanding the implications of conditions like pelvic organ prolapse enables women to seek timely interventions, fostering a proactive approach to managing their health and addressing issues that may arise during different life stages.

52) Hemavati:
Hemavathi, as referenced, likely refers to one of the authors contributing expertise to the study. The inclusion of qualified professionals in the research indicates a commitment to integrity and quality in exploring Ayurvedic approaches to women's health, particularly in managing pelvic organ prolapse.

53) Abhyanga (Abhyamga):
Abhyanga, similar to abhyaṅga, refers broadly to the concept of self-massage or external healing through oil application. In women's health contexts, such techniques are instrumental for improving muscle tone, circulation, and relaxation, especially for those experiencing disorders like pelvic organ prolapse.

54) Brimhana (Brmhana):
Brimhana refers to nourishing properties in Ayurvedic terms, promoting strength and stability. It plays a vital role in treatment plans for women suffering from conditions like pelvic organ prolapse, where restoring muscle integrity and vitality is crucial for healing and long-term wellness.

55) Kashyapa (Kasyapa, Kashya-pa, Kashyapanamdana):
Kashyapa likely alludes to an influential figure in Ayurvedic medicine, whose teachings contribute significantly to understanding women's health issues. Referencing Kashyapa emphasizes the knowledge base upon which modern treatments for conditions like pelvic organ prolapse are built, drawing on centuries of wisdom.

56) Sukshma (Suksma, Shukshma):
Sukshma refers to the subtle or minute aspects in Ayurvedic treatments, emphasizing detailed attention to individual patient needs. This concept is particularly important when considering treatment approaches for pelvic organ prolapse, which may require personalized interventions tailored to the specificities of each case.

57) Koshtha (Kostha):
Koshtha relates to the gastrointestinal system and its health implications in Ayurveda. Understanding a patient's digestive health is crucial for managing pelvic organ prolapse, as issues such as chronic constipation can exacerbate pelvic floor dysfunction, necessitating comprehensive treatment strategies.

58) Prasuti:
Prasuti focuses on obstetrics and women's reproductive health in Ayurveda. It guides practitioners in addressing conditions associated with childbirth, including pelvic organ prolapse, emphasizing the need for adequate care during pregnancy and postpartum periods to prevent complications.

59) Sharira (Sarira):
Sharira is the Sanskrit term for the body, emphasizing the holistic approach of Ayurveda in treating various health conditions. Understanding the physical body's health and how disorders like pelvic organ prolapse affect overall functionality is essential to developing effective treatment plans.

60) Disease:
Disease indicates a disruption of normal physiological functions within the body. In the context of Ayurveda, recognizing diseases such as pelvic organ prolapse requires a comprehensive understanding of underlying dosha imbalances, guiding appropriate interventions that restore health and function.

61) Tantra (Tamtra, Tantrism):
Tantra refers to the teachings and practices that encompass various aspects of health, wellness, and spirituality in Ayurveda. It guides approaches to maintaining balance in the body, particularly in relation to reproductive health, ensuring women receive holistic care during transitions.

62) Reason:
Reason underlines the motivations behind specific treatments and interventions in healthcare. In managing conditions like pelvic organ prolapse, understanding the reasons for symptoms allows practitioners to tailor solutions that effectively address individual patient needs and improve outcomes.

63) Mitra:
Mitra may refer to an authorship or scholarly contribution in the research context. Collaborators like Dr. Cinu Mitra enhance the quality of studies exploring effective Ayurvedic methodologies for managing women's health issues, ensuring diverse perspectives contribute to the understanding of pelvic organ prolapse.

64) Karma (Karman):
Karma represents the actions and their effects that influence health outcomes in Ayurveda. Understanding the karma associated with a patient's lifestyle choices, particularly related to childbirth and physical health, is essential for devising effective treatments and fostering balance in the pelvic region.

65) Sugar:
Sugar levels are critical in assessing overall health and managing chronic conditions. Monitoring blood sugar is particularly relevant for women experiencing pelvic organ prolapse, as metabolic factors can influence healing and overall well-being, guiding dietary and therapeutic recommendations.

66) Pulse:
Pulse is a vital sign that indicates heart rate and overall health. In the context of Ayurveda, pulse diagnosis provides insights into an individual's dosha balance, aiding practitioners in understanding patients' health conditions comprehensively, including those related to pelvic organ prolapse.

67) Visit:
A visit refers to the interactions between patients and healthcare providers. Regular visits play a crucial role in monitoring progress in managing conditions like pelvic organ prolapse, allowing for timely adjustments to treatment plans based on changing symptoms or health conditions.

68) Jara (Jara°, Jará):
Jara refers to aging in Sanskrit, a critical concept in Ayurveda impacting women's health, particularly during menopause. Understanding the process of jara is essential as it influences the management of conditions like pelvic organ prolapse, requiring holistic approaches to mitigate age-related changes.

69) Kara:
Kara can signify actions or aspects contributing to health or disease in Ayurveda. When examining pelvic organ prolapse, understanding the kara factors helps practitioners address contributing elements and develop comprehensive strategies tailored to restore balance and function in women's health.

70) Vaya:
Vaya indicates age and its significance in health and disease. In Ayurveda, age influences dosha balance and health conditions. In studying pelvic organ prolapse, recognizing a woman's age can guide treatment approaches, particularly in the context of menopause and post-childbirth issues.

71) Rasa (Rasha):
Rasa represents taste and nutritional essence in Ayurveda, which is integral in defining dietary practices. Tailoring diets based on rasa is crucial in managing health conditions like pelvic organ prolapse, as specific tastes can influence bodily functions and contribute to healing processes.

72) Vati:
Vati refers to herbal tablets or formulations in Ayurveda, often used to deliver therapeutic effects in concentrated doses. When addressing conditions like pelvic organ prolapse, vati might be utilized for their potent benefits, providing targeted treatment while ensuring ease of administration.

73) Vara:
Vara signifies excellence or superiority, often linked with the quality of care provided to patients. In the context of managing pelvic organ prolapse, striving for vara in treatment approaches guarantees an emphasis on effective, holistic, and personalized strategies that enhance patient outcomes.

74) Vata:
Vāta is one of the three doshas in Ayurveda representing movement and is crucial in understanding health issues. Imbalances in Vāta may dramatically contribute to conditions like pelvic organ prolapse, where therapies focused on balancing this dosha can empower effective healing and restoration.

75) Arya:
In the Ayurvedic context, Arya often refers to noble or virtuous principles that guide health practices. Integrating Arya into healthcare emphasizes ethical considerations and holistic approaches that promote well-being, particularly in treating women's health conditions like pelvic organ prolapse.

[Note: The above list is limited to 75. Total glossary definitions available: 78]

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