Efficacy of Palashadi taila Yoni pichu with Moolabandha yoga therapy in women with Pelvic floor muscle weakness” – An open label clinical trial

Pelvic floor muscle weakness is a common condition that results in pelvic floor dysfunction having a serious negative impact on women’s lives presenting with a series of symptoms covering different degrees of pelvic organ prolapse, urinary incontinence, sexual dysfunction, fecal incontinence, chronic pelvic pain, etc which can present separately or co-exist.

Reduced pelvic floor strength is seen in women who experienced vaginal delivery and had episiotomy or instrument or traumatic delivery. Vaginal deliveries can cause morphological alterations along with levator ani muscle injuries in 13-36% of women increasing the risk of urinary incontinence and uterine prolapse.

57.7% of women were identified to have the risk of pelvic floor dysfunction. Studies have shown 93.2% of women reported pelvic pain followed by 82.4% having urinary incontinence and 1.4% had reported pelvic organ prolapse.

According to a study done in Karnataka state, the prevalence was reported to be 21%, with 19.02% of women experiencing urinary incontinence and 1.99% having pelvic organ prolapse. Studies have shown an increasing prevalence rate of such conditions in developing countries like India.

Women’s sexual health is affected by many factors which include pregnancy and childbirth along with biological, psychological, and social changes in women’s bodies which affect quality of life and sexual function. Severe perineal trauma has shown effects on sexual functions according to studies done.

Urinary incontinence is defined as ‘’the complaint of any involuntary urine leakage’’ by the International Continence Society (ICS). The prevalence of urinary incontinence among women ranges from 25% to 45% according to previous studies. Pregnancy, labor, vaginal delivery, and other surgeries are predominant contributing factors.

Compared to vaginal delivery, C- section is also not completely protective.

Women after experiencing these symptoms are hesitant to seek medical care due to lack of awareness or embarrassment. Targeted educational interventions that empower women to prioritize their pelvic health are needed so that women feel more comfortable in discussing their symptoms and seeking appropriate care.

Due to the reasons mentioned earlier, its implication in public health, and its far-reaching benefits for the overall well-being of women and to improve the quality of life of women this research work has been taken.