Ayurvedic management of infertility due to polycystic ovaries and tubal block: A case study

Abstract

Introduction: Various factors responsible for Vandhyatva (infertility) are explained by Acharya Charaka, such as yonidosha (gynecological disorders), Mansika-Abhitapa (mental stress), Shukra-Artavadosha (disorders of sperm and ovum), Ahara-Vihara Dosha (food- and lifestyle-related disorders), Akalyoga (inappropriate timing), Bala-Kshaya (decreased strength). Two major factors which are associated with fertility problems are anovulation and defect in tubal patency. In the present article, there is a case study of ayurvedic management of infertility due to bilateral polycystic ovaries along with the bilateral tubal block. Main Clinical Finding: A 29-year-old female patient reached the hospital with the complaint of wants issues for 2 years, she also had increased intermenstrual interval and weight gain for 2 years. Diagnosis: Her ultrasonography finding revealed bilateral polycystic ovaries, delayed ovulation in the follicular study, and hysterosalpingography findings showed bilateral fallopian tubal block. Interventions: Ayurveda treatment, including a combination of oral medications (Ashwagandha Ksheerapaka, Shatpushpa churna, Avipattikara churna, Pittantaka churna, tablet Leptaden, tablet Aloes compound, Phalasarpi, Pushpadhanva rasa, and Balabeej churna) at different stages of menstrual cycle and Sthanika Chikitsa by Yonipichu (Dhanvantaram taila) application, was planned for 3 months. Outcome: The patient missed her period after 2 months of treatment and urine pregnancy test was found positive. Conclusions: Timely ovulation and tubal patency are important factors for successful fertilization and conception. Hence, oral medications consisting of Aagneya and Vatanulomaka drugs along with Yonipichu with Dhanvantaram taila are effective in correcting both of these factors.

Keywords

• infertility
• polycystic ovary syndrome
• tubal block
• vandhyatva
• yonipichu