AYURVEDIC MANAGEMENT OF CHRONIC PID ASSOCIATED WITH CERVICAL INTRAEPITHELIAL NEOPLASIA - A CASE REPORT

Pelvic inflammatory disease (PID) is the inflammatory condition of uterus, and associated structures, which are often sexually transmitted. Human Papilloma Virus (HPV) infection is the most prevalent sexually transmitted infection as well as the most important risk factor for Cervical Intraepithelial Neoplasia (CIN) and Invasive Cervical Carcinoma (ICC). CIN are dysplastic changes taking a long period to progress into true cancer. Currently treatment is not recommended for CIN 1&2 lesions as they are said to regress in some cases. According to Ayurvedic principles, Garbashaya Mukha Sopha, can be managed with Vranaropana-Ojovardhaka drugs. The symptomatic management with anti-inflammatory and immune-modulatory drugs along with Sthanika chikitsa, together gave promising results even in cytological level. A 43-year-old lady presented with thick yellowish discharge per vagina along with lower abdominal pain & low back ache. On examination, hypertrophied and eroded cervix was noticed along with positive cervical motion tenderness. She was sent to Regional Cancer centre, Trivandrum for cytological evaluation, which revealed LSIL (Low grade Squamous Intraepithelial lesion) with Koilocytic atypia. She was managed with oral medication and Sthanika chikitsa and got relieved from symptoms which was consistent even after the follow up period. The cytology revealed negative for intraepithelial lesion or malignancy. Ayurvedic modalities proved to be effective in management of Chronic PID with CIN.