Comparative clinical evaluation of Jeevantyadi Yamaka Matra Basti and Uttara Basti in Bandhyatva (Anovulation)

Abstract

Introduction: Infertility is presently a leading and longstanding gynaecological issue affecting approximately 15% of the couples in reproductive age group around the globe while 10-15% in Indian population. Ovulatory dysfunctions form the major cause of female infertility, out of which Anovulation accounts for 40%. Anovulation can be interpreted as Abeejotsarga or Abeejata. Panchakarma plays an important role in the management of Infertility. Thus, the present study aimed at evaluating the ovulation inducing effect of Jeevantyadi Yamaka through Matra Basti and Uttara Basti. Methodology: The study was conducted on 40 female subjects, diagnosed of anovulation with either primary or secondary infertility, fulfilling the inclusion and exclusion criteria and were randomly allocated into two groups with 20 subjects in each. But only 33 patients completed the trial with 18 patients in Group A and 15 patients in Group B. Group A received Jeevantyadi Yamaka Matra Basti while Group B were administered with Jeevantyadi Yamaka Uttara Basti for a period of three menstrual cycles. The assessment of results was done by follicular study conducted from 9th day of menstrual cycle till 20th day of every cycle for consecutive three cycles. Results: Both the groups showed significant improvement in assessment parameters. Although the number of patients were less in Group B than Group A but Ovulation was observed in 5.5% of subjects in Group A and 40% of subjects in Group B. Discussion: Jeevantyadi Yamaka Matra Basti and Uttara Basti both are equally effective in increasing the size of follicles and other assessment parameters. But in overall, Jeevantyadi Yamaka Uttara Basti was more effective in achieving Ovulation due to its local effect. As, this study was only for three months so no result was seen on Conception.