E-ISSN:2456-3110

Case Report

Female Infertility

Journal of Ayurveda and Integrated Medical Sciences

2024 Volume 9 Number 2 November
Publisherwww.maharshicharaka.in

An Ayurvedic perspective of Female Infertility - A Case Study

Verma S1*, Saxena A2, Gupta D3
DOI:10.21760/jaims.9.2.47

1* Sheela Verma, Post Graduate Scholar, Dept of Prasuti Tantra and Stri Roga, Govt Ayurvedic Pg College and Hospital, Varanasi, Uttar Pradesh, India.

2 Anjana Saxena, Reader, Dept of Prasuti Tantra and Stri Roga, Govt Ayurvedic PG College and Hospital, Varanasi, Uttar Pradesh, India.

3 Deepika Gupta, Assistant Professor, Dept of Prasuti Tantra and Stri Roga, Govt Ayurvedic PG College and Hospital, Varanasi, Uttar Pradesh, India.

Infertility is an emerging health problem that has profound socioeconomic and health implication on both the individual and society. Unexplained Infertility is defined as the inability to conceive even after one year with routine investigations of infertility showing no abnormality; with overall incidence of 10-30%. Ayurveda assures normal pregnancy by proper maintenance of Garbha Samgraha Samagris and normalcy of mind. All the causes of female infertility come under the imbalance of Garbha Samgraha Samagri and Manasika factors. In this case report patient suffered from primary infertility since years, after allopathic consultation came for Ayurvedic treatment. From detailed history involvement of vitiated Vata, Agnimandhya and stressful mind was noticed. The line of treatment followed in this case was Virechana, Basti, Nasya, Vatanulomana, Garbhastapana Aushadhis and psychological assurance that favours conception in this couple.

Keywords: Unexplained infertility, Primary infertility, Vandhyatva, Conception

Corresponding Author How to Cite this Article To Browse
Sheela Verma, Post Graduate Scholar, Dept of Prasuti Tantra and Stri Roga, Govt Ayurvedic Pg College and Hospital, Varanasi, Uttar Pradesh, India.
Email: 		Verma S, Saxena A, Gupta D, An Ayurvedic perspective of Female Infertility - A Case Study. J Ayu Int Med Sci. 2024;9(2):296-299.
Available From
https://jaims.in/jaims/article/view/3113

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2023-12-14 2023-12-24 2024-01-03 2024-01-13 2024-01-19
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
None declared Nil Yes 24.88

© 2024by Verma S, Saxena A, Gupta Dand Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

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Sheela Verma et al. An Ayurvedic perspective of Female Infertility

Introduction

Ayurveda is a science, having its own method of diagnosis & treatment based on it. According to Ayurvedic classics infertility is failure achieve a child rather than pregnancy as Garbha Strava (repeated abortions) & Mrutvatsa (having repeated still births) is also included in types of infertility.

Important factors of constituents of Garbha (foetus) are 1) Rutu (fertile period), 2) Kshetra (reproductive organs), 3) Ambu (nutritive fluids), 4) Beej (Ovum) - Also healthy psychological status, normal functioning of Vata (one of the governing factor of body according to Ayurveda), Shadbhava (Six factors mother, father, Atma, Satva, Satmya, Rasa). Any abnormality in these factors causes infertility. In Ayurvedic classics six type of Vandhyatva are noted, which seems to be specific clinical features,

Garbha Kosh Bhanga (injury to uterus), Kakvandhya (one child sterility or secondary infertility), Anapatya (no child or primary infertility), Garbhastravi (repeated abortions), Mrutvatsa (repeated still births), Balakshaya (loss of strength). Prognosis of infertility (cited by classics) depends on the cause, in Beejdosha - (developmental abnormalities of reproductive organs) is incurable, Anapatya & Kakvandhya can be treatable. In Ayurveda main cause of any abnormal function in body is Agnimandya & Tri Dosha Dushti (vitiation of three governing factors of body).

Case Report

Presenting Concerns

A couple named Mr X and Mrs Y, aged 26 years and 30 years respectively came to the OPD of RAC Chaukaghat Hospital, Varanasi on 01/07/2023, to conceive for 2 years of married life. Both are non-alcoholic, non-smokers with no history of HTN/DM. The female patient had a history of delayed menses at the interval of 4-6 months since menarch.

Clinical Finding

The female patient was examined thoroughly, and physical examination did not reveal any abnormal findings. Her BP wants 120/80mm of Hg, pulse rate 70/min, body mass index 33 kg/m.[1] P/V and P/S examination showed a nulliparous cervix without significant abnormality. She is of Kapha-Vuta Prakruti

with Madhyama Satva Mrudu Koshta and Mandagni. The male patient was also stable with not clinical examinational findings with BP 120/80 mm of Hg, pulse 74/min, body mass index 28 kg/m. He is of Pitta Prakruti with Pravara Satva Madhayama Koshta and Teekshnagni.

Menarche: at the age of 14 year

LMP: 17/05/23

Interval: 4 -5 months / Irregular cycles

Duration of bleeding: 0-1 days

Associated complaints: Pain in abdomen during menses

Medical History: No History of DM, HTN, TB/any major illness

Asthvidha Pariksha

Nadi: 74/min

Mootra: Prakrut

Mala: Prakrut

Jihva: Saam

Shabda: Spashta

Sparsh: Anushnashit

Drik: Prakrut

Aakriti: Madhyam

Internal Examination

P/S: White mild discharge with healthy cervix

P/V: Uterus anteverted, Normal in size, No fornix tenderness.

Lab Investigation

Mrs. Y

(8/12/21)

Hb% - 10.7 gm/ dl %

RBS - 102 mg/dl

Lipid Profile - WNL

Normal thyroid profile

LFT - WNL

KFT - WNL

HCV - NR


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HIV I, II - NR

VDRL - NR

HBsAg - NR

Sr. LH - 25.32mIu/ml

Sr. FSH - 10.53 mIm/ml

Sr. PRL - 25.32mlu/ml

AMH - 2.167ng/ml

USG (8/07/23)

  • Mild hepatospleenomegaly
  • Ut - normal (7.3×3.8×3.0cm)
  • ET - 8.4mm
  • Right ovaries normal
  • Left ovary shows a complex cyst of size 25x30 mm with internal echoes and septations & no obvious internal vascularity.
  • Left Ovarian Complex Cyst-Likely Hemorrhagic Cys

jaims_3113_01.JPG

Mr. X - Normal semen analysis.

Anuvasana Basti

Sahachar Tail 60ml

Erand Tail 20 ml

Uttarbasti

Shatpushpa oil: 5ml

Exercise (Yoga, Suryanamaskar, Pranayam)

Internal Medicines

SNDateTreatmentDrugs
1.21/07/23RookshanaTriphala Phanta, barley diet
2.27/07/23Deepan PachanAaragvadh + Panchtikta Ghritta
3.27/07/23Shodananga SnehpanaVarunasigru Kwatha
4.05/08/23Internal medicationsChandraprabha Vati,
Saptamrita Lauha,
Yogaraj Guggulu
5.05/08/23Virechana Eranda Taila

During the course of medicines, it was observed that, her menstrual cycles were regularized. We advised her to continue the same medicines for another one month.

Result

Patient come with LMP 17/05/23. She got her UPT positive on 04/10/23. On her first scan on single live intrauterine gestation approximately corresponding to 06 weeks 04 days + 10days has noted. In further follow up Abhra Lauha, Aamalaki Churna & Bilwadi Churna etc. with appropriate Garbhini Paricharya for the lady.

jaims_3113_02.JPG

Bilvadi Churna - 2gm

Amalaki Churna - 3gm

Giloy Satva - 500mg


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Sankh Bhasma -250mg

Tav Abhra Lauha - 2tab BD

Discussion

According to Acharya Kashyapa Virechana helps the Beeja to become efficacious Beejam Bhavati Karmukam, Because of the involvement of Vata Dosha next Basti was planned. Uttara Basti probably will be helping in increasing the endometrial receptivity by helping in increasing endometrial thickness, and uterine artery flow. It helps in maintaining the healthiness of the endometrium, uterine contractility, and circulation. It helps in the nourishment of the reproductive system, and it will give a good environment for ovulation. After this in the next cycle Anuvasana Basti. As mentioned in Bhaishajya Ratanavali Shatapushpa Taila is Yoni Dosha Hara and helps in conception Shatpushpa Nasya was administered which helped in stimulating the hypothalamus pituitary axis. In Kashyapa Samhitha Shatapushpa Tail has been mentioned as Arthavajanana and its Brumhana properties increase Bala of the person, it does Shodhana of Yoni and it is said to be Putra Pradayini, Pushpa Utpannakari. All the internal medication given helped in normalizing the Doshas and Agni and helped her to conceive.

Conclusion

Infertility is a relatively common reproductive health concern. More over no significant pathology was detected in both partners. But according to Ayurveda, conception takes place due to healthy sperm, healthy ovum, and a healthy uterus. According to Charaka, abnormalities of Yoni, psychology, Shukra, Artava, diet and mode of life, coitus at improper time and loss of strength causes delay in achieving conception in an otherwise fertile woman. Here in this case important consideration was given to Vata Anulomana, because proper functioning of Vata Dosha is necessary in every aspects of fertility. Thus, the treatment was planned for ensuring Vata Anulomana and Agni. Initially she was given Deepana Pachana Chikitsa and Virechana was done.

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