A Clinical Study to Evaluate the Efficacy of Snuhi Kshara and Kasisadi Tail Pichu in the Management of Karnini Yonivyapad WSR to Cervical Erosion

Karnini Yonivyapad is a gynecological disorder described in Ayurvedic classics, characterized by abnormal growth, erosion, discharge and chronicity involving the cervix and vaginal portion of the uterus. On the basis of clinical features and local pathology, Karnini Yonivyapad can be correlated with cervical erosion (cervical ectopy) described in modern gynecology. Cervical erosion is a common benign condition in women of reproductive age, often associated with excessive vaginal discharge, post-coital bleeding, dyspareunia and chronic cervicitis. Conventional management includes cauterization, cryotherapy or electrosurgical procedures, which may be associated with pain, recurrence and cervical scarring. Ayurveda offers conservative and effective local therapeutic measures such as Kshara Karma and Pichu Chikitsa. The present article describes the efficacy of Snuhi Kshara application and Kasisadi Tail Pichu in the management of Karnini Yonivyapad with special reference to cervical erosion, along with their probable mode of action based on Ayurvedic principles and available clinical evidence.