Management of infertility in ayurveda perspective

a single case report

| Posted in: Science

Journal name: World Journal of Pharmaceutical Research
Original article title: Management of infertility in ayurveda perspective
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Subtitle: a single case report

Original source:

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Author:

Dr. Varsha Singh, Dr. Sushila Sharma, Dr. Saval Pratap Singh Jadon


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Management of infertility in ayurveda perspective

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr20168-6572


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Summary of article contents:

Introduction

The article presents a case report detailing the management of infertility from an Ayurvedic perspective, specifically focusing on a 21-year-old female patient who was unable to conceive after one year of unprotected intercourse. The patient's diagnosis involved ovarian and tubal factors, notably polycystic ovarian disease (PCOD) and bilateral tubal blockage. This case highlights the application of Ayurvedic treatments to address the underlying issues contributing to infertility, showcasing a successful outcome where the patient conceived and gave birth to a healthy child after undergoing specific treatment protocols.

The Role of Ayurveda in Infertility

Ayurveda views infertility as a multifaceted issue influenced by various physiological factors. Central to successful conception are four critical components: Ritu (fertile period), Kshetra (reproductive system), Ambu (nourishing substances), and Beeja (gametes). These elements must work harmoniously for conception to occur. Furthermore, Ayurveda categorizes infertility according to the presence of various doshas which can impact the reproductive system. For example, Vata dosha is often linked to tubal blockage, while Pitta dosha may relate to conditions causing inflammation or infection. Understanding these interactions is fundamental in Ayurveda for creating treatment strategies for infertility.

Comprehensive Treatment Approach

In the case discussed, the patient received a combination of oral Ayurvedic medicines, including Pushpadhanva Rasa and Ashokarista, which were aimed at correcting hormonal imbalances, regulating menstrual cycles, and improving ovarian function. Additionally, Panchagavya Ghrita was administered through intrauterine treatments (Uttara Basti) to directly address the tubal factor. This multi-pronged approach allowed for simultaneous treatment of both the ovarian and tubal issues, an aspect that stands out in Ayurvedic practice where holistic care is prioritized.

Outcomes and Evaluation

After three cycles of Uttara Basti treatment, follow-up examinations revealed improved conditions. The right fallopian tube was confirmed to be patent, and subsequently, treatment continued to ensure both tubes were cleared of blockages. Eventually, the patient's menstrual cycle became regular, and she successfully conceived three months after completing the treatment. This positive outcome aligns with Ayurvedic principles of treating root causes rather than merely addressing symptoms, emphasizing the significance of tailored therapeutic interventions.

Conclusion

This case report illustrates the efficacy of Ayurvedic management in treating infertility with ovarian and tubal factors. Although modern medicine often views such cases as having poor prognoses, the holistic and individualized approach offered by Ayurveda can lead to favorable outcomes. Further research and larger sample sizes are necessary to validate these findings comprehensively; however, the results from this case offer promising insights into the potential of Ayurvedic treatments as a viable option for addressing infertility challenges.

FAQ section (important questions/answers):

What was the age of the female patient in the case report?

The female patient was 21 years old and presented with primary infertility after one year of unprotected sex.

What were the factors contributing to the patient's infertility?

The patient's infertility was attributed to ovarian factors, diagnosed as polycystic ovarian disease, and bilateral tubal blockage.

What Ayurvedic treatments were used to address the infertility?

The treatment included Pushpadhanva Rasa, Ashokarista, Phalaghrita, Liv-52, and Panchagavya Ghrita through Uttara Basti.

How did the patient's menstrual cycle change during treatment?

After treatment, the patient's menstrual cycle became regular, indicating improvement in reproductive health.

What was the outcome of the treatment after six months?

The treatment resulted in the patency of both fallopian tubes and the patient conceived after three months.

What type of child did the patient deliver?

The patient delivered a full-term female child following successful treatment for infertility.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Management of infertility in ayurveda perspective”. 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) Dosha (Dosa):
In Ayurveda, Doshas are the three fundamental biological energies that govern physiological processes and psychological functions in the body. They are Vata, Pitta, and Kapha, and an imbalance among them can lead to health issues, including infertility. Understanding Doshas is crucial for diagnosis and treatment in Ayurvedic medicine.

2) Ghrita (Ghrta):
Ghrita refers to clarified butter or ghee used extensively in Ayurvedic formulations. It is believed to enhance the absorption of nutrients, nourish tissues, and improve the efficacy of herbal medicines. Ghrita’s properties make it particularly beneficial for treating gynecological issues and enhancing reproductive health.

3) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine originating from India, focusing on holistic health through balance in the body, mind, and spirit. It emphasizes the use of natural herbs, diet, and lifestyle practices to maintain health and treat diseases, including infertility, through personalized approaches.

4) Vata:
Vata is one of the three Doshas in Ayurveda, characterized by qualities such as dryness, lightness, and coldness. It governs bodily functions related to movement, circulation, and communication. In the context of infertility, an imbalance in Vata can lead to dysfunctions in reproductive health.

5) Vatadosha (Vatadosa, Vata-dosha):
Vata-dosha represents the specific manifestation of the Vata element in an individual's constitution. It influences various physiological and psychological aspects, including reproductive functions. Recognizing an imbalance in Vata-dosha is critical for Ayurvedic practitioners in managing conditions like infertility and other gynecological disorders.

6) Picu:
Pichu refers to a therapeutic process in Ayurveda that involves applying a medicated cloth to a specific region of the body, often used to treat conditions affecting the female reproductive system. It can aid in alleviating inflammation, purifying the area, and enhancing treatment outcomes.

7) Garbhashaya (Garbhasaya, Garbha-ashaya):
Garbhasaya translates to the female reproductive system in Ayurveda. Understanding Garbhasaya is essential for diagnosing and treating infertility, as it encompasses organs and functions vital for conception, pregnancy, and childbirth. Care for Garbhasaya focuses on improving reproductive health and correcting any dysfunctions.

8) India:
India is the birthplace of Ayurveda, a traditional system of medicine that promotes natural healing methods. Infertility treatments in India often combine Ayurvedic wisdom with modern techniques, reflecting the rich history of herbal medicine and holistic health practices prevalent throughout the country's cultural heritage.

9) Rasa (Rasha):
Rasa refers to the essence or taste of a substance in Ayurveda, encompassing both the sensory experiences and the therapeutic qualities of herbs and foods. It plays a significant role in determining the appropriate use of various Ayurvedic medicines, including those targeting reproductive health.

10) Prakshalana (Praksalana):
Prakshalana denotes a cleansing or purifying process in Ayurveda, typically involving the washing out of the internal organs. In the context of infertility treatment, Prakshalana may be used to cleanse the reproductive tract, eliminating toxins and promoting a healthier environment for conception.

11) Striroga (Stri-roga):
Stri-roga translates to diseases related to women's health in Ayurveda. It encompasses a wide range of conditions affecting the female reproductive system, including menstrual irregularities and infertility. Understanding Stri-roga is crucial for effective diagnosis and treatment in Ayurvedic practice.

12) Prasuti:
Prasuti means childbirth or the process of delivery in Ayurveda. This concept is essential for providing comprehensive care to women during pregnancy and postpartum to ensure safe delivery and healthy outcomes for both mother and child, as well as addressing infertility when necessary.

13) Tantra (Tamtra, Tantrism):
Tantra refers to the methodologies or techniques employed in Ayurveda for diagnosis, treatment, and therapy. In treating conditions like infertility, Tantra may involve specific protocols that integrate herbal medicine, dietary recommendations, and lifestyle adjustments to harmonize the individual’s health.

14) Jaipur:
Jaipur is the capital of the Indian state of Rajasthan, home to the National Institute of Ayurveda, where Ayurvedic education and research thrive. The city plays a significant role in promoting traditional Indian medicine while integrating modern healthcare practices and treatments for conditions like infertility.

15) Roga:
Roga refers to diseases or ailments in Ayurveda. Understanding Roga is essential for effective diagnosis and treatment planning, particularly in the context of infertility, where various underlying health issues may contribute to a couple's inability to conceive.

16) Nimbapatra (Nimba-patra):
Nimba-patra refers to the leaves of the Neem tree, known for their medicinal properties. In Ayurvedic practice, Nimba-patra is used for its anti-inflammatory, antifungal, and antibacterial effects, making it beneficial for treating various reproductive health issues, aiding in purification processes.

17) Shubhra (Subhra):
Shubhra is an Ayurvedic term often associated with clarity and purity. In the context of treatment, it can refer to the use of pure and potent medicinal formulations that enhance therapeutic efficacy, particularly in gynecological health and infertility management.

18) Jatyadi:
Jatyadi is a blend of herbal ingredients used in Ayurvedic medicine to promote healing and reduce inflammation. Commonly applied in external treatments, it may be utilized in conjunction with Pichu therapies to treat conditions related to the reproductive organs.

19) Uttara:
Uttara signifies processes related to the upper body or internal organs in Ayurveda, particularly focusing on treatments applied to the reproductive system. The term is key in designating specific therapies, like Uttara basti, that concentrate on intrauterine treatments for female infertility.

20) Pitta:
Pitta is one of the three Doshas in Ayurveda, characterized by qualities associated with heat, intensity, and transformation. It governs metabolism, digestion, and hormonal balance. An imbalance in Pitta can lead to various health issues, including inflammation and complications in reproductive health.

21) Kapha:
Kapha is the third Dosha in Ayurveda, characterized by qualities like heaviness, wetness, and stability. It governs the structure and lubrication of bodily tissues. Excess Kapha can lead to congestion or stagnation, affecting reproductive functions and overall health.

22) Taila (Thaila):
Taila refers to oil in Ayurveda, often used for therapeutic applications including massage and medicinal preparations. Selected oils can enhance treatment efficacy for specific conditions, including those affecting women's reproductive health, contributing to nourishment and detoxification.

23) Patra:
Patra translates to a 'leaf' or 'plate' in Ayurveda, often relating to the use of herbal leaves in treatments. In Ayurvedic practices, the properties of different Patras can aid in healing processes, improving conditions related to reproductive health.

24) Basti:
Basti refers to the Ayurvedic treatment that involves administering medicated substances into the rectum or uterus. It is a key procedure in gynecological therapy, especially in managing reproductive health issues and disorders affecting fertility.

25) Nimba:
Nimba is another term for Neem in Ayurvedic medicine, known for its powerful therapeutic properties. It is recognized for its antibacterial and anti-inflammatory effects, making it beneficial in treating various conditions, including reproductive health issues.

26) Rasadhatu (Rasa-dhatu):
Rasadhatu signifies the nutritional essence or plasma in Ayurveda. It is responsible for the nourishment and sustenance of all other bodily tissues. Proper formation and balance of Rasadhatu are crucial for maintaining reproductive health and ensuring successful conception.

27) Triphala (Tri-phala):
Triphala is a well-known Ayurvedic formulation composed of three fruits. It is celebrated for its detoxifying properties, promoting digestive health and rejuvenation. Triphala can play a supportive role in enhancing overall well-being, which is essential for fertility.

28) Medicine:
Medicine in the context of Ayurveda encompasses herbs, formulations, and treatments aimed at restoring health. Ayurvedic medicine is distinct from allopathic approaches, focusing on holistic healing, prevention of disease, and personalized treatment strategies, particularly for infertility and reproductive health.

29) Vitiation (Vitiated):
Vitiation indicates the alteration or disturbance of the natural state of the body's Doshas. In Ayurveda, vitiation can lead to various disorders, including infertility. Understanding vitiation is key to developing appropriate therapy and restoring balance within the body.

30) Kshetra (Ksetra):
Kshetra signifies the 'field' or locus in which fertilization occurs, specifically referring to the female reproductive system in Ayurveda. Understanding Kshetra is critical for diagnosing and treating infertility, as it encompasses all anatomical and physiological structures vital for conception.

31) Quality:
Quality in Ayurveda refers to the effectiveness and potency of herbs and treatments. High-quality formulations can significantly impact treatment outcomes, particularly in infertility cases where the health of reproductive organs and overall wellness is paramount for conception.

32) Disease:
Disease denotes a state of abnormal physiological functioning in the body. In Ayurveda, understanding the nature and underlying causes of diseases, including infertility, is essential for developing appropriate treatment plans and exploring holistic healing options.

33) Varsha (Varsa):
Varsha is a common Indian name, as seen with Dr. Varsha Singh in the context of this case report. It also means 'rain' in Sanskrit, symbolizing nourishment and fertility, which aligns with themes of growth and renewal in Ayurveda, particularly in reproductive health.

34) Ushna (Usna):
Ushna means 'hot' or 'heating' and is an important quality in Ayurveda, particularly in the context of certain herbal treatments. Ushna properties can aid in stimulating circulation and metabolism, which may be beneficial in treating conditions like infertility due to poor circulation.

35) Dhatu:
Dhatu refers to the seven fundamental tissues or bodily elements in Ayurveda (Rasa, Rakta, Mamsa, Meda, Asthi, Majja, and Sukra). Each Dhatu has specific functions related to health and vitality, and their proper composition and balance are critical for reproductive health and fertility.

36) Ritu (Rtu):
Ritu refers to the seasonal or cyclical nature of bodily functions in Ayurveda. It is crucial in understanding fertility cycles, as well as optimal times for conception and treatment planning, emphasizing the importance of timing in achieving pregnancy.

37) Pesi (Peshi):
Pesi refers to canal-like structures in Ayurvedic literature, often compared to fallopian tubes. Understanding Pesi is essential in gynecological contexts, particularly in diagnosing and treating conditions related to infertility caused by blockages or damage to these structures.

38) Vati:
Vati refers to medicinal tablets in Ayurveda that are formulated for specific therapeutic purposes. In the context of infertility, Vati may be used to deliver concentrated doses of beneficial herbs that support reproductive health and balance the body's energies.

39) Ambu:
Ambu translates to 'water' in Ayurveda, symbolizing nourishment and purification. It represents the fluid aspect of the body essential for sustaining life and health, highlighting its importance in treatment strategies aimed at enhancing fertility and overall wellness.

40) Drug:
Drug in the context of Ayurveda encompasses various herbal medicines and formulations prescribed for therapeutic purposes. Ayurvedic drugs are tailored to the individual’s constitution and health needs, with a focus on natural substances that promote healing and balance.

41) Male:
Male refers to one of the two genders and plays a crucial role in reproduction. Understanding male factors of infertility is essential in addressing overall fertility issues for couples, emphasizing the need for a holistic approach that includes both partners in treatment plans.

42) Berberis aristata:
Berberis aristata, known as 'Indian barberry,' is a medicinal plant used in Ayurveda for its anti-inflammatory, antibacterial, and antioxidant properties. It may be employed in treating various ailments, including digestive issues and infections, potentially influencing reproductive health positively.

43) Plumbago zeylanica:
Plumbago zeylanica, commonly known as leadwort, is used in Ayurveda for its therapeutic properties. It's believed to treat various conditions including inflammation and has potential implications for reproductive health, enhancing overall well-being.

44) Acorus calamus:
Acorus calamus, or sweet flag, is an aromatic herb used in traditional medicine for various health benefits. In Ayurveda, it's recognized for its ability to stimulate digestion and circulation, which can be crucial in addressing reproductive health and fertility.

45) Inflammation:
Inflammation is the body's response to injury or infection, often presenting as swelling, redness, and pain. In Ayurveda, inflammation can indicate imbalances within the body’s Doshas, requiring targeted treatment strategies to restore equilibrium and promote healing, especially in reproductive health.

46) Pittadosha (Pittadosa, Pitta-dosha):
Pitta-dosha is a specific manifestation of the Pitta element that influences metabolic processes. An imbalance in Pitta may cause conditions related to heat, inflammation, and hormonal changes, necessitating Ayurvedic interventions aimed at normalizing Pitta to restore reproductive health.

47) Kaphadosha (Kaphadosa, Kapha-dosha):
Kapha-dosha represents the accumulation of earth and water elements influencing structure and stability in the body. An imbalance in Kapha may lead to stagnation and congestion, affecting reproductive functions. Ayurvedic treatments often focus on balancing Kapha to restore health and vitality.

48) Ashvagandha (Asvagandha, Ashwagandha, Ashvagamdha, Ashva-gandha):
Ashwagandha is an adaptogenic herb in Ayurveda known for its stress-relieving properties and ability to enhance vitality. It's often recommended in treatments for infertility to improve reproductive function, regulate hormonal levels, and support overall well-being.

49) Yashtimadhu (Yastimadhu, Yashti-madhu):
Yastimadhu, or Licorice root, is used in Ayurveda for its soothing effects on the body. It possesses anti-inflammatory and hormonal balancing properties, making it a valuable herb in treating gynecological issues, particularly those related to infertility and menstruation.

50) Raktapitta (Rakta-pitta):
Raktapitta refers to a condition in Ayurveda characterized by excessive bleeding or hemorrhage. Understanding Raktapitta is significant in the context of female fertility, as menstrual health is crucial for conception and overall reproductive wellness.

51) Vandhyatva:
Vandhyatva translates to infertility in Ayurveda. It encompasses various factors that contribute to an inability to conceive. Proper assessment and treatment of Vandhyatva are crucial in the Ayurvedic approach to enhancing fertility and addressing reproductive health issues.

52) Discussion:
Discussion in the context of medical reports refers to the analysis and interpretation of findings, providing insights into treatment outcomes and implications. It is essential to contextualize the results of case studies to draw meaningful conclusions about effective practices in managing infertility.

53) Substance:
Substance refers to any material or herbal product utilized within Ayurvedic practices for treatment purposes. The right substances play a vital role in creating effective herbal formulations that address specific health issues, particularly those impacting fertility and women’s health.

54) Kashyapa (Kasyapa, Kashya-pa, Kashyapanamdana):
Kashyapa is a significant figure in Ayurvedic literature. He is known as one of the ancient sages who contributed to the knowledge of medicinal plants and treatments. His teachings inform current practices, especially in the realm of reproductive health and fertility treatments.

55) Rasayana (Rasa-ayana):
Rasayana refers to a branch of Ayurveda focused on rejuvenation and longevity. Rasayana therapies aim to enhance quality of life and health, promoting overall vitality and well-being, which is crucial for individuals seeking to improve reproductive health and fertility.

56) Mandagni (Manda-agni, Mamdagni):
Mandagni indicates a weak or sluggish digestive fire in Ayurveda. Mandagni is associated with poor metabolism and health issues, including reproductive problems. Strengthening Mandagni through dietary and herbal interventions is key to restoring balance and improving fertility.

57) Shatavari (Satavari):
Satavari, known as Asparagus racemosus, is an important herb in Ayurveda recognized for its benefits to female reproductive health. It nourishes the tissues, supports hormonal balance, and improves fertility, making it a valued component in infertility treatments.

58) Goghrita (Goghrta, Go-ghrita):
Goghrita or cow's ghee is an important substance in Ayurveda known for its nourishing and rejuvenating properties. It is often used in therapeutic preparations to enhance digestion, stamina, and overall health, including benefits for reproductive health and fertility.

59) Godugdha:
Godugdha refers to cow's milk in Ayurveda, considered a wholesome and nourishing substance. It plays a crucial role in various Ayurvedic formulations and therapies, especially those targeting reproductive health, nourishing tissues and supporting female physiological processes.

60) Painting:
Painting in Ayurveda may refer to the preparatory steps before therapeutic applications, ensuring a sterile and conducive environment for treatments, especially during procedures involving the reproductive system. It symbolizes care and attention to hygiene.

61) Pregnant:
Pregnant refers to the condition of carrying a developing fetus within the womb. Understanding the physiological and psychological aspects of pregnancy is essential in Ayurveda, where treatments focus on promoting healthy gestation and managing any complications that may arise.

62) Purusha (Purusa):
Purusha refers to the male counterpart in Ayurvedic texts, highlighting the importance of understanding male reproductive health. It is crucial to evaluate both partners when addressing infertility issues, recognizing that both contribute to the success of conception.

63) Prameha:
Prameha encompasses a group of metabolic disorders characterized by excessive urination and related symptoms. Understanding Prameha is essential for treating conditions that may indirectly affect reproductive health, particularly through its influence on body metabolism and hormonal levels.

64) Vrishya (Vrsya):
Vrishya denotes aphrodisiac or fertility-enhancing properties in Ayurveda. Herbal substances labeled as Vrishya are believed to enhance sexual health and reproductive capabilities, making them valuable in infertility treatments for both men and women.

65) Trikatu (Tri-katu):
Trikatu is a well-known Ayurvedic formulation consisting of three pungent herbs, often used to improve digestion and metabolic functions. It may play a supportive role in overall health, including enhancing fertility by optimizing digestive health and nutrient absorption.

66) Gomutra (Go-mutra):
Gomutra refers to cow's urine, which is revered in Ayurveda for its purifying and healing properties. It is utilized in various treatments aimed at detoxifying the body and addressing health issues such as infections impacting reproductive health.

67) Anupana:
Anupana indicates the substance used to facilitate the absorption of herbs and medicines in Ayurveda. It plays a vital role in enhancing the effectiveness of treatment regimens, especially in managing conditions like infertility by ensuring proper nutrient assimilation.

68) Pradara:
Pradara refers to abnormal vaginal bleeding in Ayurveda. Identifying and treating Pradara is essential in the management of women's health issues, particularly in relation to conditions that may lead to infertility or complications in pregnancy.

69) Vandhya (Vamdhya):
Vandhya is another term for infertility in Ayurveda, encapsulating various causes for a couple's inability to conceive. Understanding Vandhya is crucial in guiding Ayurvedic practitioners toward effective therapeutic approaches and treatments to restore fertility.

70) Tikshna (Tiksna):
Tikshna means 'sharp' or 'pungent' in Ayurveda and is often associated with certain herbal properties that stimulate digestion and metabolism. Tikshna herbs may be employed in treatments for various conditions, including those affecting reproductive health and fertility.

71) Samana (Shamana):
Shamana refers to the therapeutic approach in Ayurveda aimed at pacifying or calming imbalances within the body. This principle is significant in treating conditions like infertility by reinstating harmony among the Doshas, thereby promoting overall wellness and reproductive health.

72) Sharira (Sarira):
Sharira refers to the physical body in Ayurveda. Understanding the intricacies of Sharira is vital in devising treatment plans addressing various health concerns, including infertility, by ensuring that all bodily systems function harmoniously.

73) Vikara:
Vikara refers to the state of imbalance or disease within the body. In Ayurveda, recognizing Vikara is essential for diagnosing health issues, guiding effective treatment strategies, particularly for conditions like infertility that may stem from various underlying imbalances.

74) Gomaya:
Gomaya means cow dung in Ayurveda, used for its purifying properties in traditional medicine. Though primarily known for external applications, it symbolizes the holistic concepts of purification and detoxification relevant in adapting to treatment strategies, including those for reproductive health.

75) Samaya (Shamaya):
Samaya refers to timing or appropriate periods in Ayurvedic treatments. Recognizing the right Samaya for therapies, especially those related to fertility and reproductive cycles, is crucial for enhancing the chances of successful conception and maintaining reproductive health.

[Note: The above list is limited to 75. Total glossary definitions available: 105]

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