MANAGEMENT OF SLAISHMIKI YONI VYAPAT (VULVO VAGINAL CANDIDIASIS) WITH MILD CERVICAL DYSPLASIA: A CASE REPORT

Abstract

In this present era, due to changes in their life style, modern dietary habits like junk foods, untimely foods etc., having a sedentary and stressful life. women are facing multitudes of health problems from menarche to menopause and postmenopausal. Among them the commonest problem which was observed in the married women was Slaishmiki yoni vyapat which resembles the clinical features of vulvovaginal candidiasis. Specific screening measures like Pap smear and wet vaginal swab when employed appropriately revealed the cervical pathology ranging from inflammatory smear to low grade squamous intraepithelial lesion(LSIL) or dysplastic /CIN1/HPV or associate changes. Aims and objectives of the study was the clinical evaluation of Slaishmiki Yoni vyapat (vulvo vaginal candidiasis) and to evaluate the role of ayurvedic management by Triphaladi Varti. Women aged 29 years with complaints of whitish discharge per vagina and itching in the vulvovaginal region was screened and examined at the OPD of Department of Prasuthi Tantra and Stree Roga; Sri Dharmasthala Manjunatheswara College of Ayurveda and Hospital, Hassan. On examinations investigations revealed LSIL with Vulvovaginal candidiasis. Intervention with Triphaladi Varti was carried out for 7 days and followed up for next 7 days. Acetic acid and Lugols Iodine staining and screening after that trial revealed improvement in cervicitis. There was substantial relief of symptoms like whitish discharge per vagina, the vaginal swab was negative for pseudohyphae and pap smear was recorded as inflammatory smear. Thus, the Triphaladi Yoni Varti was found to be effective in the management of early phase of LSIL and chronic cervical erosion with vulvovaginal candidiasis.