Effect of Khadira suppository in the management of Upapluta Yoni Vyapath vis-a-vis vulvovaginitis in pregnancy-An open label standard controlled clinical study

Vulvovaginitis can be understand in Ayurveda with reference to Upapluta Yonivyapad. Itis one among 20 Yonivyapad described by Acharya Charakaand both Vagbhata. Meaning of word Upapluta means over flowed, invade or afflicted.According to Ayurveda if women during pregnancy take Kapha aggravating Ahara and Vihara excessively and suppresses the urges of vomiting and respiration, the vitiated Vayu carries Kapha  to genital tract and affect the same, because of this, white mucus discharge along with pain occurs. There is prevalence of Kapha and Vata Rogas, termed as Upapluta Yonivyapad.

Vulvovaginitis or vaginitis, is frequently cited as the most common reason that women visit their   primary care providers for a gynecologic-related diagnosis. It is defined as inflammation or infection of vagina, Vaginitis presents a spectrum of symptoms, including itching, burning, irritation, dyspareunia, vaginal odor, and abnormal vaginal discharge. The most common causes are Bacterial vaginosis, Vulvovaginal candidiasis, and Trichomoniasis.

Pregnancy is a immunocompromised state where there will be high chances for inflammation including vulvovaginitis. It occurs frequently during pregnancy because of altered vaginal flora. Vaginal infections are risk factors for premature rupture of membranes. Hence treating vaginal infections should done in priority along with regular antenatal care. Modern science has good treatment for Vulvovaginitis (local and oral). There is a need of good approach through Ayurveda.

Acacia catechu commonly known as Catechu is a medicinal plant used for varied purposes. The bark  of this plant is strong, antioxidant, astringent, antibacterial, anti-fungal, anti-viral and anti-inflammatory in nature.

Becomes because of its Tikta and Kashaya Rasa acts as Sthambhana, Kushtaghna and Krimighna.

Bark of Khadira has Kushtaghna and Kandughna properties.

Mainly used in Pradara and Yonishaithilya.

Khadira exhibits anti-bacterial and antifungal attributes, effectively impending the proliferation of bacteria and fungi, responsible for skin problems. The application or washing of affected area with Khadira Kwatha contributes to reducing inflammation and arresting bleeding, this is attributed to its Kashaya, Ropana and Krimighna properties.