Hello, Thank you for sharing your situation so clearly. Given your age (36 years, unmarried) and the history of long-standing uterine prolapse with worsening over the last 2–3 months, your condition appears to be a chronic pelvic floor weakness that has now entered an active symptomatic phase.
The fact that lifting, pushing, or straining worsens the prolapse, and that rest and routine medicines have not helped, suggests that this is not an acute inflammation, but a structural + muscular support problem. In such cases, treatment must focus on pelvic floor strengthening, Vata pacification, tissue nourishment, and strict activity modification. Medicines alone are usually insufficient without supportive measures.
🧠 Understanding Your Condition (Important) Long-standing prolapse → ligaments and pelvic muscles are weakened Symptoms fluctuate because fatigue, strain, constipation, or stress worsen support Imaging (MRI) helps assess severity, but treatment response depends on strengthening Since you are unmarried, conservative (non-surgical) management is preferred first
🔎 Recommended Investigations (If not already done) 1.MRI pelvis – as advised by gynecologist (to grade prolapse, rule out associated defects) 2.Ultrasound pelvis – uterine position and pelvic floor status 3.CBC – anemia (can worsen weakness) 4.Vitamin D3 & Calcium
💊 Treatment Plan Phase 1 – 21 days (Symptom control + pelvic floor calming) 1.Chandraprabha Vati – 1 tablet twice daily after meals 2.Shatavari Churna – ½ tsp at night with lukewarm milk or water 3.Bala Capsule – 1 capsule at bedtime 4.Triphala Churna – ½ tsp at bedtime with warm water (only if constipation present) Prevents straining, very important
Phase 2 – 45 days (Strengthening + prevention of worsening) 1.Ashokarishta – 10 ml + equal water, once daily after lunch 2.Yograj Guggulu (low dose) – 1 tablet once daily after food 3.Brahmi Vati (plain) – 1 tablet at night
🌿 External & Supportive Therapies (Very important — do not skip) 1.Abhyanga (oil massage) Use Ksheerabala Taila or Bala Taila Gentle massage over lower abdomen, lower back, hips, thighs Daily or at least 5 days/week 2.Pelvic rest 3.Avoid lifting, pushing, squatting, or straining completely 4.Do not sit or stand continuously for long periods 5.Avoid strong heat therapies 6.No intense steam or hot fomentation over pelvis
🧘🏻♀️ Pelvic Floor & Postural Care (Only gentle – no force) Kegel exercises – very mild, 5–10 repetitions, twice daily Viparita Karani (legs up the wall) – 5–10 minutes daily Setu Bandhasana (supported, gentle) Avoid running, jumping, yoga poses with pressure or strain
🥗 Diet & Lifestyle Guidance ❌ Avoid Constipation-causing foods Excess spicy, dry foods Heavy physical work Prolonged standing Sudden movements or jerks
✅ Include Warm, nourishing meals Adequate fluids Fiber from fruits/vegetables (well cooked) Regular bowel habits (no straining)
Symptom reduction (heaviness, discomfort): 3–4 weeks Better pelvic control: 6–8 weeks Stabilization (prevent worsening): 2–3 months
Important truth: Long-standing uterine prolapse cannot be fully reversed with medicines, but progression can be stopped and symptoms significantly controlled with consistent conservative care. Surgery is considered only if conservative measures fail and symptoms are disabling.
🚨 When to seek urgent gynecologic review Sudden worsening or visible protrusion Difficulty in urination or bowel movements Persistent pain or new bleeding
You are still young, and many women at your age successfully manage prolapse conservatively with the right approach. Your condition fluctuating is expected — it does not mean failure.
If you wish, you can tell me: MRI report findings (if done) Whether constipation is present Any current medicines you are taking I can further refine this plan safely for you.
Warm regards, Dr.Sumi MS(Ayu)
Your condition is Vata-dominant prolapse – common in young women with strain. Rest + medicines help temporarily, but permanent strength needs pelvic floor rebuilding + Ayurvedic support.
Medicines Ashwagandha Lehyam – 10 gm morning + night with warm water Shatavari Kalpa – 10 gm morning + night with warm milk Dashmoolarishta – 20 ml + 40 ml water after lunch & dinner Gokshuradi Guggulu – 2 tablets morning + night after food Chandraprabha Vati – 2 tablets morning + night after food
Oil Warm Dhanwantaram Taila + Bala Taila (1:1) massage on lower abdomen + lower back massage nightly followed by hot water bag 15 min
Daily Must-Do Kegel exercises – 50 reps × 3 daily (hold 5–10 sec) – this alone strengthens pelvic floor dramatically Legs elevated on wall (Viparita Karani) 10–15 min twice daily No heavy lifting, pushing, straining – use help for household work Squat toilet if possible (Western toilet worsens prolapse)
Diet Give daily: moong khichdi + ghee, pomegranate, coconut water, 4 soaked almonds + 2 dates Avoid completely: constipation-causing foods (maida, bakery), cold drinks
Repeat gynae check after 3 months If sudden severe bulge/pain – consult immediately
Regards Dr Gursimran Jeet Singh MD Panchakarma
Hello Thanks for reaching out. I get how tough uterine prolapse can be, especially when you’re 36 and not married yet. But seriously, don’t worry too much! We are here to help you out 😊
YOUR CONCERN AND AYURVEDIC UNDERSTANDING
In Ayurveda, uterine prolapse is called Yoni Bhramsha. It mostly happens because:
–Vata is out of whack (Apana Vata dushti): This essentially means your body’s wind energy isn’t flowing right. –Weak muscles: Your pelvic muscles and the stretchy tissues holding things up are weak. –Past issues:Maybe you’ve lifted heavy things, had constipation, a chronic cough, lost a lot of weight, or didn’t eat well. –Stress: Mental stress makes Vata worse too.
You mentioned: * You’ve had this prolapse for a while. * It’s gotten worse in the last two months. * Physical activity makes it worse.
All of this points to Vata being super active and your tissues being a bit weak.
Ultrasound was normal=This is great news! No weird lumps, fibroids, or tumors.
MRI recommended: – This is just to get a better look at your pelvic floor muscles and how much everything has dropped. Go ahead and do it, it’ll give us a clearer picture.
For young, unmarried women, surgery isn’t usually the first choice unless the prolapse is really bad and can’t be pushed back in.
AYURVEDIC PLAN OF TREATMENT
TREATMENT GOAL –Calm down that overactive Vata. –Make your pelvic floor and uterine supports stronger. –Stop things from dropping further. –Make your life better!
INTERNAL MEDICATION
1.Ashokarishta: 15–20 ml with equal water, twice a day after meals. This helps your uterus get stronger and balances hormones.
2. Lodhrasava: 15 ml twice a day. This helps tone up your pelvic tissues.
3. Shatavari kalpa 1 tsp twice a day with warm milk. It’s for your uterus and nourishes your tissues.
4.Yograj Guggulu: 1 tablet twice a day after meals. This fixes Vata and supports your ligaments.
EXTERNAL CARE
1.Abhyanga (Oil Massage): Daily massage your lower belly, lower back, and thighs. Use Bala Taila.I you can even do a local Yoni Abhyanga.
2.Pichu Therapy: Soak a cotton ball in Bala Taila and insert it for 30–60 minutes daily. This is super good for making your vaginal and uterine support stronger.
DIET MODIFICATION
✅INCLUDE * Eat warm, wholesome foods. * Have milk, ghee, rice, wheat, dates, figs, and soaked almonds. * Get enough rest. * Keep your bowel movements soft (no straining!).
❌AVOID * Lifting heavy things. * Standing or squatting for too long. * Too much walking or exertion. * Constipation. * Dieting for weight loss. * Cold, dry, packaged foods.
Pelvic Floor Care (Be Gentle!) * Do mild Kegel exercises (only if you can push the prolapse back in). * Avoid forceful yoga poses. * Do simple breathing exercises like Anulom Vilom. Don’t do advanced yoga or core workouts without someone guiding you.
Tests You Might Need: – Pelvis MRI (as your doctor suggested). –Hemoglobin. – Vitamin D. –Thyroid profile.
–At your age, Ayurveda and changing your lifestyle can really make a huge difference. – Lots of women avoid surgery and live perfectly fine. – But, if you ignore rest and things that make Vata worse, it will get worse.
Warm Regards Dr. Snehal Vidhate
WHAT YOU ARE EXPERIENCING IS A CLASSIC CHRONIC CONDITION WHERE SUPPORT STRUCTURES OF THE UTERUS HAVE BECOME WEAK OVER TIME IN AYURVEDA THIS IS CONSIDERED APANA VATA DUSHTI WITH DHATU KSHAYA MEANING DOWNWARD MOVING ENERGY IS DISTURBED AND MUSCLE LIGAMENT AND CONNECTIVE TISSUE STRENGTH HAS REDUCED
THE REASON YOUR CONDITION SOMETIMES FEELS BETTER AND SOMETIMES WORSE IS BECAUSE APANA VATA FLUCTUATES BASED ON STRAIN PRESSURE STRESS CONSTIPATION COUGHING AND PHYSICAL EFFORT WHEN YOU LIFT PUSH OR STRAIN THE PRESSURE DIRECTLY AGGRAVATES APANA VATA AND THE PROLAPSE FEELS WORSE REST ALONE WITHOUT STRENGTHENING AND VATA BALANCING WILL NOT GIVE RESULTS THAT IS WHY YOU ARE NOT SEEING IMPROVEMENT DESPITE REST AND MEDICAL CONSULTATION
AYURVEDA DOES NOT PROMISE SUDDEN REVERSAL BUT IT WORKS ON THREE IMPORTANT LEVELS VATA SHAMAN CALMING THE DOWNWARD FORCE DHATU POSHAN NOURISHING MUSCLE AND LIGAMENTS STHANA BALYA IMPROVING LOCAL SUPPORT
BASED ON YOUR SENSITIVITY AND LONG STANDING ISSUE TREATMENT SHOULD BE COOLING NOURISHING AND STRENGTHENING NOT HEATING
INTERNAL MEDICINES THAT ARE GENERALLY USED IN SUCH CONDITIONS ASHOKARISHTA AFTER FOOD DAILY LODHRASAVA AFTER FOOD DAILY SHATAVARI GHRITA IN SMALL QUANTITY DAILY PRAVALA PISHTI WITH MILK AT NIGHT IF THERE IS BURNING OR WEAKNESS
THESE MEDICINES SUPPORT UTERINE TONE WITHOUT CAUSING HEAT AND ALSO HELP REDUCE STRESS RELATED VATA AGGRAVATION
LOCAL AND LIFESTYLE MEASURES ARE EQUALLY IMPORTANT NO HEAVY LIFTING NO STRAINING DURING STOOLS AVOID LONG STANDING AND FAST WALKING SIT AND REST WHENEVER PRESSURE IS FELT USE SOFT SUPPORT WHILE COUGHING OR SNEEZING
DAILY PRACTICE OF GENTLE PELVIC FLOOR AWARENESS IS IMPORTANT BUT NOT FORCEFUL EXERCISE STRONG KEGELS DONE WITHOUT GUIDANCE CAN SOMETIMES WORSEN THE CONDITION IN VATA DOMINANT CASES
DIET SHOULD BE WARM SOFT EASY TO DIGEST AVOID DRY COLD RAW FOODS AVOID EXCESS TEA COFFEE USE RICE DAL COOKED VEGETABLES SOUPS MAINTAIN REGULAR SOFT BOWEL MOVEMENT
MENTAL STRESS DIRECTLY AFFECTS APANA VATA FEAR AND CONSTANT WORRY ABOUT CONDITION CAN MAKE SYMPTOMS FEEL HEAVIER SO CALMING ROUTINE AND REGULAR SLEEP IS PART OF TREATMENT NOT OPTIONAL
THIS CONDITION DOES NOT HEAL IN WEEKS IT NEEDS CONSISTENT CARE FOR MONTHS IF FOLLOWED PROPERLY MANY WOMEN EXPERIENCE SIGNIFICANT FUNCTIONAL RELIEF EVEN WITHOUT SURGERY BUT DISCIPLINE IS ESSENTIAL
IF YOU FEEL ANY BURNING HEAT ACIDITY OR INTOLERANCE TO ANY MEDICINE IT SHOULD BE MODIFIED IMMEDIATELY AYURVEDIC TREATMENT MUST ALWAYS MATCH YOUR PRAKRITI AND TOLERANCE
1.Ashokarishta 20 ml with 20 ml water twice daily after meals 2.Shatavari churna 1 tsp with warm milk twice daily after meals 3.Lodhra churna 1/2 tsp twice daily with water or honey
🍲 Diet & Lifestyle - Include: Moong dal, leafy greens (lightly cooked), pomegranate, sesame seeds, milk with ghee (if tolerated). - Avoid: Heavy, oily, spicy foods; constipation (strain worsens prolapse). - Hydration: Warm water, herbal teas (ginger, tulsi).
🧘 Gentle Practices - Pelvic floor strengthening: Gentle Moola Bandha (pelvic contraction exercises) under guidance. - Yoga: Viparita Karani (legs up the wall), Supta Baddha Konasana — both relieve pelvic pressure. - Rest: Avoid lifting, pushing, or straining. - Daily routine: Regular sleep, stress reduction with pranayama (Anulom Vilom, Bhramari).
Adv: Kindly consult with a nearby Ayurvedic Gynecologist for better management
For Uterine prolapse, ayurvedic medicine cannot get it back to place permanently. You start these medicines Vriddhivadhika vati 1-0-1 after food with water will help improve the muscle prolapsed Kanchanar guggul 1-0-1 after food with water will prevent further prolapse Ashokarist 10 ml twice daily after food with water, will help strengthen your uterus Try these medicines 2 months if you see improvement then continue,or else,see the doctor for further treatment.
