Ayurvedic management of Tubal Block Infertility Associated with Polycystic Ovarian Syndrome: A Case Study

Abstract

Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder in women of reproductive age, characterized by hormonal imbalances that cause irregular menstruation and ovarian cysts. A significant but often overlooked complication of PCOS is its association with tubal infertility, resulting from issues such as tubal blockages or dysfunctions, making conception more challenging. Infertility affects roughly 1 in 6 people globally, with about 70% of women with PCOS experiencing infertility, and tubal factor infertility accounting for 25-35% of female infertility cases. This case study examines the management of tubal blockage and PCOS through Ayurvedic treatments. A 36-year-old married woman with a history of PCOS reports no significant issues over the past six years of marriage, with irregular menstrual cycles. Clinical findings from a USG revealed bilateral polycystic ovaries, and an HSG indicated a blockage in the right fallopian tube. This infertility case was treated with a combination of Shodhana and Shamana Chikitsa was given to resolve the underlying Samprapthi from 10/7/2022 to 26/7/2023. After 12 months of treatment, the tubal blockage was resolved, PCOS had decreased, and epileptic attacks were reduced. Additionally, the absence of Reidel's lobe of the liver was noted, and the fatty liver decreased from Grade II to Grade I. The patient received a positive urine pregnancy test result on July 26, 2023, and gave birth on June 6, 2024. In this instance, Ayurveda demonstrated its reliability in treating infertility and PCOS, offering effective and holistic methods for managing these conditions.