Ayurvedic Management of Infertility from Tubal Blockage and PCOD
Journal name: Ayushdhara
Original article title: Management of Infertility due to Bilateral Tubal Blockage, PCOD & Endometrial Polyp by Ayurvedic Regime: A Case Study
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
This page presents a generated summary with additional references; See source (below) for actual content.
Original source:
This page is merely a summary which is automatically generated hence you should visit the source to read the original article which includes the author, publication date, notes and references.
Prachi Gupta
PG Scholar, Department of Prasuti Tantra Evam Stri Roga, National Institute of Ayurveda, DU, Jaipur, Rajasthan, India
Poonam Choudhary
Assistant Professor, Department of Prasuti Tantra Evam Stri Roga, National Institute of Ayurveda, DU, Jaipur, Rajasthan, India
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Management of Infertility due to Bilateral Tubal Blockage, PCOD & Endometrial Polyp by Ayurvedic Regime: A Case Study
Year: 2022 | Doi: 10.47070/ayushdhara.v10i4.1000
Copyright (license): CC BY-NC-SA 4.0
Download the PDF file of the original publication
Summary of article contents:
Introduction
Infertility is a significant health issue affecting 10-15% of reproductive-aged couples. The condition can be classified into primary infertility, which refers to couples who have never conceived, and secondary infertility, which pertains to those who have previously conceived. In the realm of Ayurveda, infertility can be correlated with terms such as Anaptaya Vandhya and Apraja Vandhya. This case study discusses the successful Ayurvedic management of a 28-year-old female patient suffering from primary infertility due to bilateral tubal blockage, polycystic ovarian disease (PCOD), and endometrial polyps.
The Concept of Beejasamskara
Beejasamskara, a fundamental concept in Ayurveda, revolves around preparing a couple both physically and mentally for healthy progeny. This approach involves ensuring the quality of the reproductive entities, or "Beeja," is pristine, as any defects can lead to abnormalities in offspring. The process incorporates practices like Yoga, Nidana parivarjana (lifestyle modification), and Satvajaya (mental wellbeing). By enhancing both mental and physical health, Beejasamskara aims to improve the likelihood of conception and the overall health of the potential child. In this case study, Beejasamskara played a critical role in treating the patient's infertility, contributing to her successful conception after six months of treatment.
The Role of Uttar Basti
Uttar Basti is a therapeutic procedure in Ayurveda used to treat various gynecological conditions, including tubal blockages and irregularities in the reproductive system. In this case, Uttar Basti was administered using Apamarga Kshara tail and Shudah Bala tail, which helped to alleviate the patient's tubal blockages and improve uterine health. The treatment not only targeted the anatomical issues preventing conception but also worked synergistically to treat related conditions such as endometrial polyps. By incorporating Uttar Basti into the treatment plan, the holistic approach of Ayurveda addressed both the physical symptoms and the underlying causes of infertility.
Conclusion
The case study illustrates the efficacy of Ayurvedic treatments like Beejasamskara and Uttar Basti in managing complex infertility cases involving tubal blockage, PCOD, and endometrial polyps associated with hyperprolactinemia. After five months of tailored Ayurvedic interventions, the patient successfully conceived, leading to the healthy birth of a female baby. This outcome underscores the potential of Ayurvedic practices to provide comprehensive solutions for infertility and highlights the importance of holistic care during the antenatal period, contributing to overall maternal and infant health.
FAQ section (important questions/answers):
What is the Ayurvedic approach for managing infertility in women?
The Ayurvedic approach for infertility includes treatments like Beejasamskara, Uttarbasti, and specific oral medications. These methods aim to address underlying causes such as tubal blockage, PCOD, and hormonal imbalances to enhance fertility.
How long did the treatment take for this case study patient?
The patient received treatment for a total of six months, during which she followed a specific Ayurvedic regimen. After this duration, she successfully conceived and had a healthy pregnancy.
What were the main health issues leading to the infertility case?
The primary health issues included bilateral tubal blockage, polycystic ovarian disease (PCOD), an endometrial polyp, and elevated prolactin levels, all contributing to the patient's difficulty in conceiving.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Ayurvedic Management of Infertility from Tubal Blockage and PCOD”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Basti:
In Ayurveda, 'Basti' refers to a therapeutic procedure for cleansing and treating the colon. This method involves the administration of medicated oils, decoctions, or other medicinal substances into the rectum. 'Uttarbasti' specifically pertains to a procedure targeting the reproductive system [see source text or glossary: Basti].
2) Diet:
A balanced 'diet' is crucial in Ayurvedic treatment. In this text, advising a patient to avoid cold water, consume wholesome foods like Patol, Methi, Palak, and fruits such as pomegranate, reflects Ayurveda's principle of aligning one's diet with healing objectives for conditions like infertility.
3) Samskara:
'Samskara' in Ayurveda represents a variety of purification and preparative processes. 'Beeja Samskara' refers to preparing parents physically and mentally for healthy progeny, involving rituals, diet, yoga, and mental health practices to eliminate defects and improve reproductive health.
4) Apamarga:
'Apamarga' is a plant used in Ayurvedic medicine for its healing properties. In this study, 'Apamarga Kshara Tail' is a medicated oil made from the plant, used for its scraping and cleansing action in treatments like Uttarbasti to address tubal blockages and endometrial polyps.
5) Kshara (Ksara):
'Kshara' refers to an alkaline preparation used in Ayurvedic medicine, known for its caustic and cleansing properties. 'Apamarga Kshara Tail' employs this method to treat blockages and polyps, utilizing Kshara's penetrating and cleansing capabilities to clear obstructions in the reproductive system.
6) Phala:
'Phala' in this context refers to 'Phala Ghrita,' an Ayurvedic formulation used for its beneficial effects on reproductive health. It contains herbs like Manjistha, Kustha, and Triphala, promoting fertility, nourishing the body, and supporting healthy conception and pregnancy outcomes.
7) Bala:
'Bala' refers to an Ayurvedic herb known for its strengthening and balancing properties. 'Bala Tail' is used in treatments like Uttarbasti to pacify Vata and promote reproductive health. It is cited for its effectiveness in treating gynecological issues and supporting fertility.
8) Vati:
'Vati' refers to a tablet or pill formulation in Ayurveda. 'Aarogyavardhani Vati' mentioned in this study is an Ayurvedic compound used for its therapeutic properties to treat conditions like PCOD. The vati format allows for easy administration and dosage control [see glossary: Vati].
9) Triphala (Tri-phala):
'Triphala' is a traditional Ayurvedic herbal blend consisting of three fruits: Amalaki, Bibhitaki, and Haritaki. It is used for its detoxifying and rejuvenating properties. In this study, Triphala tail was used in basti treatments to support reproductive health by cleansing and nourishing the system.
10) Ghrita (Ghrta):
'Ghrita' is clarified butter or ghee used as a base for various Ayurvedic medicinal formulations. 'Phala Ghrita,' for instance, is a medicated ghee prepared with specific herbs that enhance fertility and reproductive health, performing functions such as nourishing the reproductive organs and supporting overall health.
11) Artava:
'Artava' in Ayurveda refers to the menstrual blood or reproductive tissue. Corrections to 'Artava dhatu' are crucial for treating menstrual irregularities and infertility. This study correlates irregular menses with Artavadushti, necessitating treatments like Stanyashodhak Gana Kwatha to equilibrate Artava.
12) Rasa (Rasha):
'Rasa' refers to one of the six tastes in Ayurveda but also means essence or vital fluid. In the context of treatment, the rasas (like Katu or Tikta) of ingredients influence their therapeutic effects, contributing to overall digestive health and the balance of bodily systems [see source text or glossary: Rasa].
13) Yoga:
'Yoga' involves physical postures, breath control, and meditation. In the context of this study, practices such as Kapalabhati, Anuloma-Viloma, and Suryanamaskara were recommended as part of 'Beeja Samskara' to enhance physical fitness, mental well-being, and reproductive health.
14) Ayurveda (Ayus-veda):
'Ayurveda' is the ancient Indian system of medicine that emphasizes holistic healing and the balance of body, mind, and spirit. Treatments involving dietary changes, herbal medications, and practices like Yoga and Basti is grounded in Ayurvedic principles to treat conditions like infertility.
15) Vandhya (Vamdhya):
'Vandhya' refers to infertility in Ayurvedic texts. It is classified into types such as 'Anapatya Vandhya' (never conceived) and 'Apraja Vandhya' (conceives only after treatment). This study treats primary infertility as per these classifications, targeting underlying causes like tubal blockage and PCOD.
16) Nidana:
'Nidana' involves diagnosing and understanding the root cause of diseases. In this study, 'Nidana Parivarjana' refers to eliminating the causative factors for infertility. Identifying and avoiding Apathya ahara (unwholesome diet) and Vihara (harmful lifestyle habits) are emphasized for effective treatment [see glossary: Nidana].
17) Katu:
'Katu' refers to the pungent taste in Ayurveda, known for its stimulating and digestive properties. Herbs with Katu rasa are used in treatments to improve digestion and metabolism. For example, Katu rasa herbs in Stanyashodhak Gana Kwatha help in balancing Rasa dhatu and treating menstrual irregularities.
18) Milk:
'Milk' in this study context is used as a vehicle for administering certain Ayurvedic formulations like 'Phala Ghrita.' Milk enhances the absorption and efficacy of these medicated ghee preparations, supporting reproductive health and overall nourishment [see source text or glossary: Milk].
19) Disease:
'Disease' in this context refers to conditions affecting reproductive health. Infertility is treated through Ayurvedic medicine, involving diagnosing diseases like tubal blockages, PCOD, and endometrial polyps, and applying treatments such as Basti, herbal medications, and dietary adjustments [see source text or glossary: Disease].
20) Stanya:
'Stanya' refers to breast milk. 'Stanyashodhak Gana Kwatha' is used to purify breast milk and Artava, as both are Upadhatus of Rasa dhatu. Correcting one can influence the other, making it a relevant treatment for menstrual irregularities in this case study [see glossary: Stanya].
21) Tikta:
'Tikta' is the bitter taste, one of the six essential tastes in Ayurveda. Tikta rasa is known for its deep-cleansing and detoxifying properties. Herbs with Tikta rasa in Stanyashodhak Gana Kwatha aid in metabolic processes and are used to correct Artava dhatu disorders [see source text or glossary: Tikta].
22) Ushna (Usna):
'Ushna' refers to the hot potency of substances in Ayurveda. Medications with Ushna (hot) properties are used to counter Kapha and Vata imbalances. For instance, Arogyavardhini Vati has Ushna guna, making it effective in treating PCOD by balancing the body's doshas [see source text or glossary: Ushna].
23) Dhatu:
'Dhatu' refers to the bodily tissues in Ayurveda. Balanced dhatus are crucial for health. The study focuses on Artava dhatu (reproductive tissue) and its correction using treatments like Stanyashodhak Gana Kwatha to address infertility by ensuring the proper formation and function of the reproductive tissues [see source text or glossary: Dhatu].
24) Vata:
'Vata' is one of the three primary doshas in Ayurveda, representing movement and energy. Imbalances in Vata can lead to various health issues. In this study, Bala Tail used in Uttar Basti helps pacify Vata disorders, improving reproductive health and addressing issues like tubal blockages [see source text or glossary: Vata].
25) Anuvasanabasti (Anuvasana-basti):
'Anuvasana-basti' involves the administration of medicated oils via the rectum to pacify Vata dosha and nourish the body. In this study, Triphala tail was used for Anuvasana Basti as part of a regimen to treat reproductive conditions like tubal blockages and support overall reproductive health [see source text or glossary: Anuvasana-basti].
26) Anuvasana:
'Anuvasana' is a type of Basti treatment involving the use of medicated oils. It is essential for pacifying Vata disorders and nourishing bodily tissues. In this study, Anuvasana Basti with Triphala tail was used to support the overall treatment of reproductive health issues like infertility [see glossary: Anuvasana].
27) Madhura:
'Madhura' refers to the sweet taste in Ayurveda, known for its nourishing and anabolic properties. Sweet tasting herbs and foods, such as those in 'Phala Ghrita', are used to promote tissue building and strengthen the reproductive system, aiding in the management of infertility [see source text or glossary: Madhura].
28) Harita:
'Harita' refers to 'Harita Samhita,' an ancient Ayurvedic text. According to Aacharya Harita, infertility (Bandhyatwa) includes conditions like Anapatya (never conceived). These classifications guide the treatment strategies, including identifying underlying causes and applying appropriate Ayurvedic interventions [see source text or glossary: Harita].
29) Jaipur:
'Jaipur' is the city in Rajasthan, India, where the National Institute of Ayurveda is located. This institution played a significant role in the case study, providing both the clinical setting and expertise for treating the patient’s infertility using Ayurvedic methods [see source text or glossary: Jaipur].
30) Kapha:
'Kapha' is one of the three doshas in Ayurveda, representing stability and structure. Imbalances in Kapha can lead to conditions like polycystic ovarian disease (PCOD). Treatments like Apamarga Kshara Tail and herbal formulations aim to balance Kapha to restore reproductive health [see source text or glossary: Kapha].
31) Ahara:
'Ahara' refers to diet in Ayurveda. Maintaining a proper diet ('Pathya ahara') and avoiding unwholesome foods ('Apathya ahara') are crucial parts of treatment. Foods like pomegranate and barley preparations were recommended to improve the patient's reproductive health and support fertility [see source text or glossary: Ahara].
32) Gupta:
'Gupta' refers to Prachi Gupta, the primary author of the case study. As a PG Scholar at the National Institute of Ayurveda in Jaipur, she investigated and documented the management of infertility in this study, contributing significant clinical knowledge and expertise [see source text or glossary: Gupta].
33) Yoni (Yonin):
'Yoni' refers to the female reproductive system in Ayurveda. Treatments like 'Uttarbasti' aim to directly address conditions affecting the Yoni, such as tubal blockages and polyps, to improve reproductive health and facilitate conception [see source text or glossary: Yoni].
34) Guna:
'Guna' refers to qualities or properties in Ayurveda. These properties, such as 'Ushna' (hot) or 'Laghu' (light), influence the therapeutic effects of herbs and treatments. For instance, Arogyavardhini Vati's Laghu guna aids in managing PCOD by balancing the body's doshas [see source text or glossary: Guna].
35) Gana:
'Gana' refers to a group or category of herbs in Ayurveda classified for specific therapeutic purposes. 'Stanyashodhak Gana Kwatha,' for instance, includes herbs known for their ability to purify breast milk and also Artava, thereby treating menstrual and reproductive issues [see source text or glossary: Gana].
36) Rasadhatu (Rasa-dhatu):
'Rasa-dhatu' refers to the plasma or primary nourishing fluid in Ayurveda. It is fundamental for the formation of other tissues, including reproductive tissues (Artava). Correcting Rasa-dhatu imbalances is crucial for addressing disorders like infertility, as seen with treatments aimed at improving digestion and assimilation [see source text or glossary: Rasa-dhatu].
37) Lekhana:
'Lekhana' refers to the scraping action of an Ayurvedic formulation. 'Apamarga Kshara Tail' possesses Lekhana property, making it effective in treating conditions like endometrial polyps by removing obstructive tissues and cleansing the reproductive channels [see source text or glossary: Lekhana].
38) Utpatti:
'Utpatti' in Ayurveda refers to the generation or production of dhatus (bodily tissues). Proper Utpatti of Rasa dhatu is important for overall health, including reproductive health, ensuring the healthy formation of Artava and other utdatuts [see source text or glossary: Utpatti].
39) Mantra (Mamtra):
'Mantra' refers to sacred chants or hymns used for spiritual and mental well-being. In this study, chanting Mantras like 'Santana Gopal Mantra' was part of Garbhsamskara, intended to create a positive mental state and bond between mother and baby during pregnancy [see source text or glossary: Mantra].
40) Bhasma (Bhasman):
'Bhasma' refers to calcined powders or ashes used in Ayurvedic medicine. 'Tankan Bhasma' was used in this study to address menstrual irregularities and support fertility by balancing doshas and enhancing the body's natural functions [see source text or glossary: Bhasma].
41) Vihara:
'Vihara' refers to lifestyle practices in Ayurveda. Maintaining 'Pathya vihara' (wholesome lifestyle) and avoiding 'Apathya vihara' (unwholesome habits) is crucial. Recommendations like avoiding day sleep and maintaining a balanced daily routine support treatment outcomes [see source text or glossary: Vihara].
42) Vipaka:
'Vipaka' in Ayurveda refers to the post-digestive effect of a substance. It influences how a herb or food affects the body after digestion. For example, Arogyavardhini Vati has a Katu (pungent) Vipaka which helps in balancing Kapha and Medha doshas [see source text or glossary: Vipaka].
43) Tankan:
'Tankan' is an Ayurvedic calcined preparation, often of borate compounds, used for its therapeutic properties. 'Tankan Bhasma' was prescribed in this case to address menstrual irregularities and support the overall treatment plan for infertility by its heating and cleansing actions [see source text or glossary: Tankan].
44) Laghu:
'Laghu' refers to lightness in Ayurvedic terminology. Medicinal formulations with Laghu guna, such as those in Arogyavardhini Vati, help in balancing doshas by promoting digestion and metabolism while being easy on the digestive system [see source text or glossary: Laghu].
45) Roga:
'Roga' means disease or ailment in Ayurveda. The study focuses on treating various 'Stri Roga' (female reproductive diseases) such as infertility caused by tubal blockages, PCOD, and endometrial polyps through Ayurvedic methods like herbal medications and Basti [see source text or glossary: Roga].
46) Drug:
'Drug' here refers to the herbal medications and formulations used in Ayurvedic treatment. Examples from the study include Arogyavardhini Vati and Phala Ghrita, which are used to treat conditions like PCOD and support fertility by balancing doshas and nourishing reproductive tissues [see source text or glossary: Drug].
47) Mental health:
Mental health is crucial in Ayurvedic treatment for infertility. Practices like 'Satvajaya Chikitsa' (mental health practices) and Yoga are incorporated under Beeja Samskara to reduce stress, improve mental well-being, and thereby enhance reproductive health [see source text or glossary: Mental health].
48) Saindhavalavana (Saindhava-lavana, Saimdhavalavana):
'Saindhava-lavana' refers to rock salt, known for its therapeutic properties in Ayurveda. It is recommended in place of common salt due to its balancing nature, aiding digestion and reducing Kapha dosha, which are crucial for treating conditions like infertility [see source text or glossary: Saindhava-lavana].
49) Prajasthapana (Praja-sthapana):
'Prajasthapana' refers to stabilizing and supporting fertility treatments in Ayurveda. In the study, formulations like Phala Ghrita, which have Prajasthapana properties, are used to support conception and maintain pregnancy by nourishing and balancing the reproductive system [see source text or glossary: Prajasthapana].
50) Tridoshahara (Tridosahara, Tridosha-hara):
'Tridoshahara' refers to substances that balance all three doshas - Vata, Pitta, and Kapha. Apamarga Kshara Tail and other formulations used in this study have such properties, aiming to correct multiple imbalances that contribute to conditions like infertility [see source text or glossary: Tridoshahara].
51) Purification:
'Purification' in Ayurveda often involves rituals and treatments like Panchakarma to cleanse the body's systems. This study uses purification processes like Basti and dietary changes to eliminate toxins and prepare the body for better reproductive health and successful conception [see source text or glossary: Purification].
52) Pomegranate:
'Pomegranate' is recommended in the patient's diet for its nutritional and health benefits. In Ayurveda, it is considered balancing for all three doshas (Tridoshahara) and supports reproductive health by providing vital nutrients and antioxidants [see source text or glossary: Pomegranate].
53) Kapikacchu (Kapi-kacchu):
'Kapikacchu,' or velvet bean, contains natural L-DOPA, a dopamine precursor. It is used in Ayurvedic medicine to treat hyperprolactinemia by increasing dopamine levels, thereby reducing prolactin and improving ovulatory functions as seen with Cap Konch in this study [see source text or glossary: Kapikacchu].
54) Katurohini (Katu-rohini):
'Katurohini,' or Picrorhiza kurroa, is used for its bitter taste and therapeutic properties. It acts as a hepatoprotective, immunomodulatory, and digestive agent. Included in formulations like Stanyashodhak Gana Kwatha, it helps balance doshas and support overall health [see source text or glossary: Katurohini].
55) Bhaishajya (Bhaisajya):
'Bhaishajya' refers to medicinal treatments or drugs in Ayurveda. In the context of the study, 'Bharata Bhaishajya Ratnakara' is cited for describing the use of kshara-tail for treating female reproductive diseases, guiding the application of Apamarga Kshara Tail in treating infertility [see source text or glossary: Bhaishajya].
56) Vajikarana:
'Vajikarana' refers to aphrodisiac and reproductive health treatments in Ayurveda. It involves herbal formulations and dietary recommendations to enhance fertility, sexual health, and vitality, contributing to the overall goal of Beeja Samskara to prepare a couple for healthy progeny [see source text or glossary: Vajikarana].
[Note: The above list is limited to 75. Total glossary definitions available: 122]