Ayurvedic Management of Paripluta Yonivyapad (Pelvic Inflammatory Disease)-A Case Report

Abstract

ABSTRACT Pelvic inflammatory disease (PID) is a polymicrobial upper genital tract infection and having common complaint among reproductive age women. In Ayurveda, the disease is correlated with Paripluta Yonivyapad. A 32-year-old female was diagnosed with Paripluta Yonivyapad (PID), with the main symptom being profuse purulent per vaginal discharge with foul smell, fever, pelvic pain, and dyspareunia. Pseudomonas aeruginosa was present in her vaginal smear. Fluid in Pouch of Douglas and a prominent pelvic vein was present in (~ultrasonography [USG]). C-reactive protein (quantitative) was elevated in her biochemical examination. The patient was treated with Punarnavadi guggulu orally and Panchavalkaladi taila yonipichu (~medicated vaginal tampoon) for 2 months. Bimanual examination, the microbiological, and biochemical outcomes were measured before and after treatment. Adopted treatment plan has given favorable result with the absence of microorganism in vaginal smear, normal pelvic USG, and biochemical investigation. The present case signifies the fruitful outcome of Ayurvedic treatment in PIDs.