According to Ayurveda, common gynecological conditions are referred to as Yonivyapad, which is caused mainly by Vata. Our Acharyas have provided a detailed explanation of pelvic organ displacement or prolapse under the heading of different yonivyapad such as Prasramsini, Phalini/ Andini, and Mahayoni yonivyapad.  As per Acharya Sushrut, any irritation causes excessive vaginal discharge or displacement and labour is difficult or abnormal along with that features of pitta vitiation are present. Dalhana explained that, syandate means sravati (vaginal discharge), kshobhita means sanchalita (irritation or displacement), duhprasuscha means dukhena prasuyate (difficult labour) and lakshana of pitta vitiation. Madhav Nidan, Bhava Prakash and Yoga Ratnakar explained that when there is displacement, excessive discharge, difficult labour and pitta vitiation features.Arunadatta and Indu comments Srasta means descending from its place or descend outward. Hence, it may be correlated to 1^st & 2^nd degree uterine prolapse.

Globally, Pelvic Organ Prolapse (POP) affects approximately 19.7% of women. Another study estimated a 4.8% prevalence in a specific population. India has witnessed a significant increase in cases of pelvic organ prolapse (POP) over the years. Women tend to be reluctant to seek help for this known disease due to their misinformation, potential embarrassment, cultural, and personal silence about it, despite being symptomatic for a long duration. Therefore, adopting an effective management strategy that is simple, easily available, and easy to administer for initial stages of prolapse is crucial to avoid further complications.

Previous studies focused mostly on veshavara pindadharan, kalka dharan, and yonipichu. Yoni lepana increases the surface area available for drug absorption and improves the drug’s bioavailability by covering the entire prolapsed part. In Bhaishajyaratnavali Yonivyapad Chikitsa, there is a reference to Madanaphaladi yonidrudhikarana lepa, which encompasses Madanaphala, Yashtimadhu, Karpura, and Madhu. The contents of this yoga, which include pittashamak, vatashamak, raktaprasadan, balya, vrishya, and laghu guna, help to strengthen the pelvic floor muscles, improve blood circulation, and minimize related issues.

Study will be conducted on 60 diagnosed patients of Prasramsini Yonivyapad. Written consent will be taken. An initial assessment will be done. Patients treated with interventional group Madanaphaladi Lepa and control group Palashaudumbaradi yonipichu. Patients will be assessed at follow-ups. Observation and Results will be noted and Statistical analysis, Discussion and conclusion will be drawn.