Uterine prolapse, especially post-pregnancy, can be concerning but it is manageable with proper care and guidance. In your situation, the prolapse you describe, at 2.5 cm, is noticeable when seated and reduces somewhat when standing. While it appears that initial oral medication and yoni pichu (a medicinal tampon treatment) haven’t significantly altered the status yet, it’s important to recognize that improvements can take time and consistent effort.
Complete cure is sometimes challenging, but symptom management and reduction certainly are possible. Since you’ve only been using the yoni pichu for two days, it’s wise to allow more time for any benefits to manifest. Generally, several weeks to months of continual treatment, including pelvic floor exercises and ayurvedic approaches, might be necessary.
For future pregnancy plans, a Cesarean section could potentially reduce the immediate physical stress on your pelvic floor compared to vaginal delivery, but it doesn’t guarantee complete resolution of prolapse issues. Regular practice of mula bandha (root locks), a type of pelvic exercise, coupled with herbal treatments like ashwagandha or shatavari might help strengthen the supporting muscles and tissues.
Also, focusing on balancing your doshas is essential. Given your history, there might be a vata imbalance affecting the apana vayu, leading to the prolapse. Address this by keeping warm, consuming nourishing oils like sesame or ghee, and including grounding foods such as root vegetables.
Do ensure to maintain open discussions with a healthcare provider familiar with both modern obstetric care and ayurvedic principles, especially as you plan for another pregnancy. If symptoms worsen or do not improve with these approaches, consultation for more specialized care is advised.