Literature Review of Garbhashay Grivagat Vraṇa with Special Reference to Cervical Erosion

Abstract

Introduction: Cervical erosion is a common gynecological condition associated with chronic vaginal discharge, contact bleeding and recurrent infections. Ayurveda explains similar pathological entity under Garbhashayagrivagata Vraṇa, caused by dosha duṣṭhi, yoni srotodushti and local ulcerative changes. This study aims to correlate cervical erosion with Ayurvedic concepts and evaluate available therapeutic measures through a literature review. Methods: This study is a narrative literature review. Classical references along with Modern literature on cervical erosion reviewed to draw parallels and highlight the clinical relevance of Ayurvedic interventions. Aim : To critically analyse the Ayurvedic concept of Garbhashayagrivagat Vran and its correlation with modern cervical erosion. Results: The review shows significant conceptual overlap between Garbhashayagriva gata vraṇa and cervical erosion in terms of etiology, symptomatology and pathological changes. Ayurvedic therapies such as yoni dhavana, yoni pichu, vrana shodhana, vrana ropana and kshara karma demonstrate potential benefits in reducing inflammation, promoting epithelial healing, preventing infection and minimising recurrence. Several clinical studies report improvements in symptoms like discharge, cervical congestion and erosion size following Ayurvedic treatment. Discussion: The findings suggest that Ayurveda provides a holistic and minimally invasive approach to managing cervical erosion by addressing both local pathology and systemic dosha imbalance. The vrana management principles shodhana and ropana align closely with modern wound-healing mechanisms. The integration of Ayurvedic protocols with modern diagnostic tools can enhance treatment safety, efficacy and patient compliance. However, more standardized clinical trials are needed to establish evidence-based guidelines.