Ayurvedic Treatment for Pelvic Inflammatory Disease

Pelvic inflammatory disease is an infectious disease of the genital tract and reproductive system in women. It happens when the causative organism, mostly bacteria spread from the vagina upwards to the uterus, fallopian tubes or ovaries. It may occur naturally or it can be sexually transmitted. PID develops mostly in sexually active women in their reproductive age.

Apart from the discomforts it causes, PID is the leading cause of infertility for women in many countries. The severity of signs and symptoms may vary. Some women don’t experience any signs or symptoms. So, it gets diagnosed accidentally as a part of infertility treatment. Some cases can be showed up asking treatment for only a dull & chronic pelvic pain. At times, symptoms are confused with appendicitis, ectopic pregnancy, or ovarian cysts.  It can be diagnosed through pelvic ultrasound or laparoscopy. Treatment is done with antibiotics and antimicrobial agents. More than one cycle of treatment will be needed to clear PID completely in most cases.

Signs & symptoms

Some women will not have any symptom at all. Signs and symptoms can be mild or severe. They include:

  • Pain in the lower abdomen and hip
  • Abnormal or heavy vaginal discharge with unpleasant smell
  • Abnormal uterine bleeding, especially during or after intercourse
  • Pain during intercourse
  • Fever, sometimes with chills
  • Painful, frequent or difficult urination

Causes

Most common cause is infection from a bacterium like Gonorrhoea or Chlamydia

Risk factors

Sexually active, younger than 25 years old

Multiple sexual partners

Sexual relationship with a person who has more than one sex partner

Unsafe sex with direct contact

Regular use of douche, that alters the balance of good and harmful bacteria in the vagina

History of pelvic inflammatory disease or a sexually transmitted infection

Insertion of an intrauterine device (IUD).

Pathophysiology

Most cases of PID occur in 2 stages. One is acquisition of a vaginal infection. This infection is often sexually transmitted and may be asymptomatic. Second is direct ascent of germs from the vagina or cervix to the upper genital tract, with infection of more organs.

The mechanism of this ascend is unclear. Studies suggest that multiple factors are involved. Cervical mucus is a functional barrier against this spread, but the efficacy of this barrier may be lessened by vaginal inflammation or hormonal changes that occur during ovulation and menstruation. Antibiotic treatment of infections can alter the balance of endogenous flora in the lower genital tract. Opening of the cervix during menstruation, along with retrograde menstrual flow, may also help the ascent of microorganisms. Bacteria may also be carried along with sperm into the uterus and fallopian tubes.

In the upper genital tract, infection of the fallopian tubes initially affects the mucosa, but inflammation can quickly become transmural. This inflammation, can be more severe with subsequent infections. Inflammation may extend to uninfected parametrial structures, including the bowel. Infection may extend via spillage of purulent materials from the fallopian tubes or via lymphatic spread beyond the pelvis to produce acute peritonitis.

Diagnosis

No single test can accurately diagnose pelvic inflammatory disease. Instead, a any of the following methods will be used:

  • medical history including sexual habits
  • Signs and symptoms
  • A pelvic examination
  • Blood and urine tests
  • Ultrasound
  • Vaginal swab tests or pap smear tests
  • Laparoscopy.
  • Endometrial biopsy. 

Treatments

Proper medication can heal the infection. But any scar or such damage to the reproductive tract due to PID can’t be reversed. Treatment for PID most often includes:

  • Antibiotics. 
  • Treatment for partner is also important as it can be sexually transmitted. 
  • Temporary abstinence. 
  • Surgery is rarely needed, such as in cases of a ruptured abscess.

Prognosis

Prognosis is good in acute cases, but approximately 25% of patients diagnosed with acute PID develop long-term complications. Tubal factor infertility occurs in some women after one episode of PID.

Complications

Scar tissue and pockets of infected fluid (abscesses) developed in the reproductive tract. There are chances of permanent damage to the reproductive organs.

Complications from this damage might include:

  • Ectopic pregnancy. 
  • Infertility. 
  • Chronic pelvic pain. 
  • Tubal or ovarian abscess

Disease & Ayurveda

        Diseases of female genital tract are described under the heading Yonirogas. Manifested cases of PID can be compared with features described under Paripluta yoniroga.

Nidana

        Holding of sneezing and belching during coitus (by woman with Pitta constitution or Pitta dominance

Purvaaroopa

                    Not mentioned

Samprapti

                When a woman with Pitta dominance indulges in coitus holding the urge for sneezing and belching, the Vaata along with Pitta get vitiated, reach her vagina and produce the disease.

Lakshana

        Swelling/inflammation in the vagina

            Tenderness in vagina

            Painful bleeding with yellow or bluish tinged discharge

            Severe pain in the hip, inguinal area, and lower back

            Fever

Divisions

        Not mentioned

Prognosis

            Kashtasadhya

Chikithsa

            Ayurvedic treatment of Paripluta is managing the imbalanced Pitta and Vaata considering not to vitiate Kapha. Therapies are needed to reduce inflammation and to bring normalcy of all the three doshas locally and in the whole body. Wholesome diet and regimens along with proper dinacharya & ritucharya are also advised for complete cure.

Samana

After proper aamapaachana & agnideepana, santarpana (nutritive diet) is advised. Lepanam with sothahara dravyas

Parisheka with thriphala/naalpamara kwatha

Swedanam

Yonipichu – tampoons with medicated oils

Sodhana

Virechana

Kashayavasti

Snehavasti

Uttaravasti

Commonly used medicines

        Varanadi kashayam

            Guggulupanchapalachoornam

            Kanchanaraguggulu

            Saptasaram kashayam

            Guduchyadi kashaym

Brands available

AVS Kottakal

AVP Coimbatore

SNA oushadhasala

Vaidyaratnam oushadhasala

Home remedies

Practice safe sex. Use protective measures/physical barriers.

Use safe methods of contraception.

Get regular screening tests if you are prone to PID

Avoid douche. 

Diet

  • To be avoided

Heavy meals and difficult to digest foods – cause indigestion.

Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine

Carbonated drinks – makes the stomach more acidic and disturbed digestion

Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)

Milk and milk products – increase kapha, cause obstruction in channels and obesity

Curd – causes vidaaha and thereby many other diseases

  • To be added

Light meals and easily digestible foods

Green gram, soups, sesame oil, cow’s ghee

Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc

Behaviour:

Protect yourself from extreme climate changes.

Better to avoid exposure to excessive sunlight wind rain or dust.

Maintain a regular food and sleep schedule.

Maintain proper personal hygiene, especially private parts.

Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc.

Avoid sedentary lifestyle.

Yoga

Regular stretching and mild cardio exercises are advised. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended.

Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health.

 Yoga can maintain harmony within the body and with the surrounding system.

Pavanamuktasana

Nadisudhi pranayama

Bhujangasana

Simple exercises for lungs and heart health

All the exercises and physical exertions must be decided and done under the supervision of a medical expert only.

Research articles

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3843151/

https://pubmed.ncbi.nlm.nih.gov/12179634/

*These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake. Ayurveda Supplement with GMP Certification from India.

Writer:
Dr. Rajesh Nair, the co-founder and chief consultant of Ayurvedaforall.Com, is a graduate of prestigious Vaidyaratnam Ayurveda College (affiliated with the University of Calicut), Kerala, India. Additionally, he holds a Postgraduate Diploma in Yoga Therapy from Annamalai University.

Dr. Nair offers consultation at two busy clinics in and around Haripad, Alleppey, Kerala, the southern state famous worldwide for authentic ayurvedic treatment and physicians. While offering consultation on all aspects of ayurvedic treatments Dr. Nair has a special interest in Panchkarma, Yoga, and Massage.

Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India.

Dr. Nair is a regular speaker at Ayurveda-related conferences and has visited Germany to propagate Ayurveda. You can write directly to him-
rajesh@ayurvedaforall.com

Whatsapp – +91 9446918019, +91 8075810816

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