Cervical polyps are common benign growths arising from the cervix, affecting nearly 2–5% of women,
particularly in the reproductive and perimenopausal age group. While many cases remain
asymptomatic, some women experience symptoms such as abnormal vaginal discharge, bleeding,
backache, or a protruding vaginal mass. Conventional management usually involves polypectomy, which
may carry the risk of recurrence and procedural discomfort.
A recent clinical case study conducted at R. A. Podar Ayurvedic Medical College, Mumbai, highlights the
successful management of a large cervical polyp using Ksharsutra therapy, a classical Ayurvedic para-
surgical technique described in the Sushruta Samhita. In Ayurveda, cervical mucus polyps are correlated
with Yoni Arsha, a condition managed through specialized surgical and para-surgical measures.
The 3 cases involves mulltiparous woman presenting with a protruding vaginal mass and backache.
Clinical examination and ultrasonography revealed a sizeable cervical polyp measuring approximately 9
× 7 × 5 cm. Following proper assessment and preparatory digestive therapy (Deepana and Pachana),
Ksharsutra ligation was performed. The medicated thread, coated with Apamarga Kshara, Snuhi latex,
and turmeric powder, was applied at the base of the polyp.
Over a period of seven days, the polyp showed progressive reduction in size, became necrosed, and
detached completely without pain, bleeding, or infection. To prevent recurrence and promote local
healing, Kshara Pratisarana was administered post-ligation, along with supportive oral Ayurvedic
medicines.
The procedure was conducted on an outpatient basis, required minimal resources, and allowed the
patient to resume daily activities without interruption. No post-procedural complications or recurrence
were observed during follow-up.
This case demonstrates that Ksharsutra therapy offers a safe, effective, minimally invasive, and cost-
effective alternative to conventional surgical polypectomy in selected cases of benign cervical polyps.
The findings emphasize the relevance of Ayurvedic para-surgical techniques in modern gynecological
practice and highlight the need for further clinical studies to validate and integrate these approaches
into mainstream women’s healthcare.
Authors:
Dr. Aarthi Stanly Nadar, BAMS, MS (Prasuti Tantra & Stri Roga – OBGY),
Final Year Postgraduate Scholar,
R. A. Podar Ayurvedic Medical College, Worli, Mumbai
Dr. Prashant Dalvi, BAMS, MS (Prasutitantra and Striroga)OBGY ,PhD (Ongoing),
Associate Professor,
R. A. Podar Ayurvedic Medical College, Worli, Mumbai
Dr. Manoj Gaikwad, BAMS, MS, PhD (Prasutitantra and striroga)OBGY
Professor and Head of Department,
R. A. Podar Ayurvedic Medical College, Worli, Mumbai
Dr. Rekha Kuwar, BAMS, MS (Prasutitantra and Striroga)OBGY, PhD (Ongoing),
Associate Professor,
R. A. Podar Ayurvedic Medical College, Worli, Mumbai