Trividha aushadha in the management of infertility a holistic approach due to bilateral tubal blockage and abnormal en-dometrium receptivity along with the prevention of congeni-tal anomaly:

Summary of article contents:

Introduction: Infertility is the failure to naturally conceive a child even after one or more years of regular unprotected coitus. Primary infertility (absence of prior conception) and secondary infertility (infertility following at least one previous conception) are two categories under which infertility can be classified. Here, it is the case of secondary infertility caused by tubal and endometrial factors. Tubal factor and Endometrial factor come under four essential factors for conception described by Acharya Sushruta, i.e. Ritu, Kshetra, Ambu, Beeja as if the Kshetra is not formed correctly, it causes vandhyatva . In this case study, Ayurvedic management successfully treated secondary infertility caused by tubal and endometrial factors Main clinical finding: A married Hindu female patient of 29 years of age visited OPD of the National Institute of Ayurveda, Jaipur, on 3 March 2021 with a chief complaint of wants issue since 1-year Diagnosis: Her HSG scan on 25 Feb 2021 suggestive of bilateral fallopian tube blockage. Her USG scan is suggestive of a simple cyst in her right ovary of size 31 x 19 mm and endometrium thickness of 4 mm on the 12 th day of menses. Interventions: Treatment given was Daivavyapashraya, Yuktivyapashraya ( Ksheera basti , Uttarbasti and Yoga basti along with oral medication), and Satvavajaya . Outcome: She conceives after taking 20 months of treatment and delivered a healthy male child of weight 3.04 kg on 21 July 2023 without any congenital anomaly. Conclusion: This case study shows the efficacy of Uttar Basti for treating bilateral tubal blockage and Ksheera Basti for enhancing endometrial receptivity. It also highlights the significance of Daivavyapashraya, Yuktivyapashraya , and Satvavajaya Chikitsa in the management of infertility and the prevention of congenital anomalies Keywords: Tubal block, Daivavyapashraya, Yuktivyapashraya, Satvavajaya, Ksheera Basti, Uttar Basti INTRODUCTION Infertility is a widespread reproductive illness