Role of ayurvedic treatment in bandhyatva (primary infertility)-a clinical study
Journal name: World Journal of Pharmaceutical Research
Original article title: Role of ayurvedic treatment in bandhyatva (primary infertility)-a clinical study
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Dr. Chandrashekhar Ghatge and Dr. Saroj Ahuja
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Role of ayurvedic treatment in bandhyatva (primary infertility)-a clinical study
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr20239-28363
Copyright (license): WJPR: All rights reserved
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Summary of article contents:
Introduction
Infertility, defined as the inability to conceive after 12 months of regular unprotected intercourse, is a growing global health concern affecting millions. Approximately one in six individuals experiences infertility during their lifetime. Ayurvedic texts identify four crucial factors for conception, termed as Garbha Sambhava Samagri: Ritu (menstrual cycle), Kshetra (health of reproductive organs), Ambu (uterine nourishment), and Beeja (health of gametes). Abnormalities in any of these areas can lead to infertility, termed as Bandhyatva in Ayurveda. This paper presents a case study where Ayurvedic treatment was employed in a patient who faced infertility issues.
Role of Ayurvedic Treatment
A 32-year-old female patient with a 12-year history of infertility sought Ayurvedic treatment after unsuccessful attempts with various allopathic medications, including recommendations for IVF. Upon detailed examination, her levels of Anti-Müllerian Hormone (AMH) were low, and she exhibited signs of Artav-vaha strotus dushti linked to vitiated Vaata dosha and Aartav-kshaya. Following Ayurvedic principles, the patient was treated with specific oral Ayurvedic medications like Shatavari Churna, Phala ghrita, and Pushpadhanva Ras, along with a local therapeutic procedure known as Uttar-basti, performed with Phala-ghrut.
Improvements and Treatment Outcome
After three months of treatment, the patient exhibited significant improvements, including increased AMH levels. Remarkably, she conceived after this period, as confirmed by both urine pregnancy tests and ultrasound examination. This outcome highlights the effectiveness of the integrated Ayurvedic treatment approach, which combined dietary management and lifestyle modifications, along with herbal medicines and local therapies, to address her underlying reproductive health issues.
Importance of Ayurvedic Remedies
The Ayurvedic medicines used in this case, particularly Shatavari and Phala ghrita, hold crucial roles in enhancing fertility. Shatavari, known for its properties of enhancing vitality and promoting gametogenesis, is believed to improve ovarian function. Phala ghrita specifically supports ovulation and the entire gametogenesis process, making it particularly effective for treating infertility. Moreover, the practice of Uttar-basti, where medicine is introduced directly into the uterine cavity, aims to improve the endometrial lining and promote embryo nourishment.
Conclusion
The successful outcome of this case highlights the potential of Ayurvedic treatment for resolving infertility issues classified under Bandhyatva. Through a comprehensive approach of medication, dietary recommendations, lifestyle adjustments, and local therapeutic procedures, the patient’s reproductive health was substantially improved, leading to conception. This case emphasizes the importance of integrating traditional Ayurvedic practices in the management of infertility, offering hope and alternative solutions to patients who may have exhausted other medical options.
FAQ section (important questions/answers):
What is considered infertility according to this study?
Infertility is defined as the inability to conceive after 12 months of regular, unprotected sexual intercourse. It affects both males and females and is a global health issue.
What Ayurvedic terms correlate with infertility in women?
In Ayurveda, infertility is referred to as 'Bandhyatwa.' The method of diagnosis and treatment is based on factors such as 'Ritu,' 'Kshetra,' 'Ambu,' and 'Beeja' that influence conception.
What treatment was given to the patient with infertility?
The patient received oral Ayurvedic medicines, including 'Shatavari Churna,' 'Phala Ghrita,' and 'Pushpadhanva Rasa.' Additionally, local treatments like 'Uttar-basti' were administered as part of her therapy.
How did the patient's condition improve after treatment?
After three months of Ayurvedic therapy, the patient's AMH levels gradually increased, her menstrual cycles became regular, and ultimately, she conceived as confirmed by a pregnancy test and ultrasound.
What is the significance of 'Uttar-basti' in this treatment?
'Uttar-basti' is a local therapeutic procedure where medicine is directly administered into the uterine cavity. It enhances endometrial health and improves implantation, making it effective for treating infertility.
What are the components of Ayurvedic treatment for this patient?
The treatment included dietary management focusing on nutritious foods, herbal medications to enhance reproductive health, and lifestyle modifications to eliminate stress and improve overall well-being.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Role of ayurvedic treatment in bandhyatva (primary infertility)-a clinical study”. 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) Medicine:
Medicines encompass the various formulations and herbs used in Ayurvedic treatment. This term highlights the diverse range of natural substances implemented to restore health, particularly those addressing infertility. The emphasis is on holistic healing, where multiple medicines work synergistically to enhance reproductive capabilities.
2) Phala:
Phala refers to fruits or outcomes, particularly in Ayurvedic terminology where it signifies 'results' or therapeutic effects derived from medical treatments. In this study, Phala relates to medicinal formulations that enhance fertility and promote the health of the reproductive system, aiding in conception and successful pregnancy.
3) Basti:
Basti, in Ayurvedic practice, is a therapeutic enema that administers beneficial substances directly into the body. It is crucial for detoxifying and nurturing the reproductive system. In this study, Uttar-Basti, specifically delivers nourishment and healing agents to the uterus, enhancing fertility treatments for women experiencing infertility.
4) Karma (Karman):
Karma in Ayurveda denotes actions or therapeutic procedures performed to achieve specific health outcomes. In this context, it emphasizes the various treatment modalities employed to correct imbalances in a woman's body. It underscores the importance of these actions in the healing process, particularly in fertility treatments.
5) Madhyama:
Madhyama translates to 'medium' or 'moderate' and is frequently used in Ayurveda to describe a patient's body constitution or health status. It reflects a balanced state of doshas and is often considered optimal. In this study, recognizing the Madhyama state helps guide treatment strategies for infertility.
6) Ghrita (Ghrta):
Ghrita refers to clarified butter, a staple in Ayurvedic medicine, known for its nourishing properties. It plays a significant role in fertility treatments as it is believed to provide strength and nourishment to the reproductive system. Ghrita is used in various formulations to promote reproductive health.
7) Shatavari (Satavari):
Shatavari is a revered Ayurvedic herb known for promoting female reproductive health and enhancing fertility. It is recognized for its adaptogenic properties, supporting hormonal balance and ovarian function. In the study, Shatavari is a key ingredient of the treatment regimen used to address infertility.
8) Ayurveda (Ayus-veda):
Ayurveda is a traditional Indian system of medicine emphasizing balance between mind, body, and spirit. It employs natural herbs, dietary practices, and lifestyle changes to treat diseases. In the context of this study, Ayurveda offers a comprehensive approach to manage infertility through personalized treatments.
9) Study (Studying):
The study pertains to a clinical research investigation exploring the effectiveness of Ayurvedic treatments on infertility. It emphasizes observing patient outcomes, treatment methodology, and comparisons with traditional allopathic approaches, thereby contributing to the broader understanding of alternative medicine for addressing reproductive health issues.
10) Diet:
Diet refers to the nutritional intake that plays a crucial role in maintaining health and wellness. In the context of this study, dietary recommendations focus on enhancing fertility through nutritious foods that support reproductive health, including specific foods that align with Ayurvedic principles for balancing bodily energies.
11) Striroga (Stri-roga):
Stri-roga is the Ayurvedic term for women's diseases or disorders, particularly regarding reproductive health. This term underscores the focus on conditions affecting females, including infertility, and it highlights the need for specialized treatment approaches that address the unique physiological and emotional aspects of women.
12) Prasuti:
Prasuti refers to childbirth or obstetrics in Ayurvedic texts. It encompasses the methodologies and treatments concerning conception, pregnancy, and delivery. This study focuses on Prasuti in relation to Bandhyatva (infertility), addressing treatment for women seeking to conceive.
13) Prakrit (Prakrt):
Prakrit signifies the natural or inherent state of a person, including physical constitution and health conditions. In the Ayurveda context, understanding an individual’s Prakrit is essential for tailoring treatments that suit their unique physiological makeup, especially when addressing fertility issues.
14) Tantra (Tantrism, Tamtra):
Tantra, in Ayurvedic terminology, often relates to the underlying principles or techniques employed in treatment modalities. It suggests an intricate understanding of health concepts and the related practices necessary for restoring balance, particularly in managing conditions such as infertility.
15) Shakti (Sakti):
Shakti represents power or energy in Ayurveda, often referring to a person’s vital energy or life force. In treating infertility, the concept of Shakti emphasizes rejuvenation and restoration of reproductive vitality, aiming to enhance the overall fertility potential of individuals.
16) Uttara:
Uttara means 'upper' or 'above' and is often associated with treatments focused on the reproductive organs, specifically related to the placement or administration of therapeutic agents. In this study, Uttar-Basti denotes the targeted administration of medicine to the uterine cavity to improve fertility.
17) Blood:
Blood plays a vital role in overall health and is essential in the reproductive system for nourishing the embryo and maintaining hormonal balance. In the context of infertility treatment, evaluating blood parameters helps ascertain health status and inform treatment options.
18) Roga:
Roga translates to 'disease' or 'disorder' in Ayurveda. It underscores the focus on understanding various health conditions, including infertility, and developing tailored Ayurvedic treatment strategies to address these issues effectively while taking the body’s holistic state into account.
19) Rasa (Rasha):
Rasa means 'essence' or 'taste' in Ayurveda, often referring to the taste or therapeutic effect of medicinal formulations. It highlights the importance of understanding how different Rasa can influence the body's functions, especially in treatments aimed at enhancing fertility.
20) Shri (Sri, Sr):
Shri is an honorific title denoting respect and reverence in Indian culture. In this context, it might refer to the Ayurvedic college or individuals involved in the study, emphasizing their expertise and commitment to using traditional knowledge in addressing health concerns.
21) Life:
Life, in the context of this study, pertains to the well-being and vitality of individuals seeking fertility treatments. It encompasses holistic health perspectives, emphasizing not just the physiological aspects but also emotional and spiritual dimensions necessary for improving reproductive health.
22) Bastikarman (Bastikarma, Basti-karman, Basti-karma):
Basti-karma refers to the therapeutic procedure involving the administration of herbal preparations through enema. In the study, this method is specialized for treating female reproductive disorders, helping to nourish the uterus and restore proper functionality, ultimately enhancing chances of conception.
23) Purvakarma (Purva-karman, Purvakarman):
Purva-karma denotes preparatory actions in Ayurvedic treatments. It signifies steps taken to prepare the body for therapeutic procedures, ensuring optimal conditions for treatment efficacy. In fertility treatments, this phase is key to enhance the body’s readiness for medicinal interventions.
24) Balataila (Bala-taila):
Bala-taila refers to medicated oil derived from the Bala herb, known for nurturing properties. In Ayurvedic treatments for infertility, this oil is used in therapeutic procedures to support reproductive health and improve the vitality of the uterine environment.
25) Shambhava (Sambhava):
Sambhava translates to 'capable of being born' or 'conception.' In the context of infertility, it underscores the medical and holistic considerations necessary to facilitate successful conception, emphasizing therapeutic efforts aimed at enhancing fertility outcomes.
26) Pariksha (Pariksa):
Pariksha means 'examination' or 'assessment' in Ayurveda. It relates to the diagnostic processes employed to evaluate health conditions, including the assessment of reproductive health and fertility factors, which informs the overall treatment strategy for individuals facing infertility.
27) Marriage:
Marriage in this context indicates the social construct that often includes expectations regarding reproduction. Infertility can be a significant concern for couples, and addressing these challenges through Ayurvedic treatments can be vital for fulfilling familial and societal roles related to childbirth.
28) Vitiation (Vitiated):
Vitiated refers to an imbalance or disturbance in body energies (doshas) in Ayurveda. In the study, vitiated dosha are implicated in cases of infertility, necessitating interventions that aim to restore equilibrium within the body to enhance reproductive health.
29) Kshetra (Ksetra):
Kshetra means 'field' or 'place,' often referring to the area or environment necessary for fertility and conception. In Ayurveda, Kshetra emphasizes the health status of reproductive organs and surrounding tissues, critical for ensuring successful implantation and pregnancy.
30) Garbha:
Garbha translates to 'womb' or 'embryo' in Ayurveda, relating to concepts of pregnancy and fetal development. In the study, Garbha emphasizes the importance of having a healthy womb environment to facilitate conception and support fetal growth during pregnancy.
31) Family:
Family refers to the social unit that often supports individuals dealing with infertility. In this context, considering family history and dynamics can provide insights into the causes of fertility issues, impacting treatment approaches and emotional support provided to the individual.
32) Taila (Thaila):
Taila means 'oil' in Ayurvedic terms, indicating its use in therapeutic treatments. In this study, Taila, specifically medicated oils, are integral to procedures aimed at enhancing fertility, providing nourishment to reproductive organs and aiding in the efficacy of treatments.
33) Purva:
Purva means 'previous' or 'initial' and refers to actions taken prior to main therapeutic procedures in Ayurveda. In the context of fertility treatments, Purva-karma plays a crucial role in preparing the body for effective healing and restoration of reproductive health.
34) Picu:
Pichu denotes a tampon soaked in medicated oils for therapeutic use. In the study, Pichu is utilized within the context of Uttar-Basti procedures to provide localized treatment to the reproductive organs, ensuring better absorption of medicinal properties to enhance fertility.
35) Wall:
Wall indicates barriers or structural aspects of organs, likely in a gynecological context relating to uterine health. In infertility treatments, maintaining healthy tissue integrity is vital for successful implantation, making the condition of uterine walls significant in treatment outcomes.
36) Bala:
Bala refers to strength or health, particularly in relation to Ayurvedic approaches towards children's and women's health. It highlights the importance of promoting vitality and resilience in treatment protocols, especially in enhancing reproductive capabilities and overcoming fertility challenges.
37) Ritu (Rtu):
Ritu translates to 'season' or 'cycle,' particularly referring to the menstrual cycle in females. Understanding Ritu is crucial in Ayurvedic practice to identify the optimal times for conception as well as recognizing any irregularities that may affect fertility.
38) Nadi (Nadin):
Nadi signifies channels or pathways of energy and circulation in Ayurveda, crucial for understanding bodily functions. It relates to how blood and nutrient flow impact various organs, including the reproductive system, highlighting the importance of unobstructed pathways for overall health and fertility.
39) Ambu:
Ambu translates to 'water' or 'fluid,' often alluding to nourishment and circulation within the body. In terms of reproductive health, Ambu is essential for proper blood flow and nourishment to the uterus, which is vital for creating a conducive environment for conception.
40) Vaha:
Vaha refers to the carriers or channels within the body, indicating pathways through which vital energies and nutrients travel. In Ayurveda, it is essential to ensure free passage for bodily fluids and health status, particularly in relation to reproductive and menstrual health.
41) Line:
Line relates to a systematic or sequential approach to treatment in Ayurveda. In the context of infertility, it refers to the structured methods and sequences of therapies used to enhance reproductive health, ensuring protocols are followed for optimal results.
42) Milk:
Milk is a fundamental food item rich in nutrients, vital for overall health and particularly considered beneficial in Ayurvedic diets. It provides strength, nourishment, and promotes fertility, forming an essential component of dietary recommendations for women undergoing treatment for infertility.
43) Male:
Male refers to the other partner in the reproductive process, highlighting that infertility can affect both genders. The study acknowledges male contributions to fertility and importance of comprehensive approaches in treatment focusing on both partners for achieving conception.
44) Quality:
Quality emphasizes the attributes or characteristics of reproductive components, critical for successful conception. Ensuring high quality in sperm, ovum, and uterine conditions is essential to fertility management, necessitating focused treatments aimed at improving these specific factors.
45) Pradhana-karma:
Pradhana-karma refers to the main therapeutic actions performed in Ayurveda. It highlights the central techniques and procedures employed during treatments, particularly crucial for addressing infertility and managing women's reproductive health through direct interventions.
46) Vyayamashakti (Vyayamasakti, Vyayama-shakti):
Vyayama-shakti denotes the strength or ability to exercise. In this study, it emphasizes the importance of maintaining physical fitness and health, suitable exercise routines that support the body’s reproductive capabilities and enhance overall wellness as part of fertility management.
47) Abhyantara (Abhyamtara):
Abhyantara means 'internal' in Ayurveda, referring to treatments that operate within the body. This term isconnected to the deep, internal therapies used to heal and restore reproductive health by addressing imbalances affecting fertility from within.
48) Ashtavidha (Astavidha, Ashtan-vidha):
Ashtavidha translates to 'eightfold,' illustrating a classification system used in Ayurveda for assessment and diagnosis. This method plays a key role in evaluating a patient's overall health status and tailoring fertility treatments based on comprehensive understandings of their unique needs.
49) Anti-aging:
Anti-aging signifies treatments or practices aimed at delaying or reversing the effects of aging. In Ayurvedic contexts, it typically includes natural herbs and dietary practices which contribute to maintaining reproductive vitality and hormonal balance over time, essential for enhancing fertility.
50) Discussion:
Discussion refers to the analytical evaluation of results, findings, and implications derived from the study. It allows for a deeper understanding of treatment methodologies, outcomes, and their relevance in the context of infertility management through Ayurveda.
51) Abhyanga (Abhyamga):
Abhyanga refers to oil massage, an important practice in Ayurveda known for promoting relaxation, improving circulation, and enhancing overall wellbeing. It is considered beneficial for women facing fertility challenges by reducing stress and improving bodily functions pertinent to reproductive health.
52) Pradhana:
Pradhana conveys the concept of 'primary' or 'main' in therapeutic contexts. This term emphasizes the focal point of treatment strategies, identifying crucial factors and interventions that directly enhance fertility outcomes in cases of infertility.
53) Rasayana (Rasa-ayana):
Rasayana refers to rejuvenation therapies within Ayurveda that enhance vitality and longevity. This form of treatment aims at renewing the body and restoring health, playing a vital role in fertility enhancement by promoting overall reproductive health and wellness.
54) Sthanika:
Sthanika points to localized or external treatments specifically targeting an area of the body. In this study, Sthanika techniques, including local treatments like Uttar-Basti, are utilized to directly enhance the function of the reproductive organs and support fertility.
55) Prakriti (Prakrti):
Prakriti indicates a person's natural constitution or inherent traits in Ayurveda. Understanding Prakriti is pivotal for personalized treatment approaches in managing fertility, allowing practitioners to tailor therapies that resonate with an individual’s unique biological and physiological makeup.
56) Nirgundi (Nirgumdi):
Nirgundi refers to a medicinal herb with therapeutic properties, often utilized in Ayurvedic treatments. It is recognized for its anti-inflammatory and analgesic characteristics, contributing to the overall health of patients by alleviating conditions that may hamper reproductive functions.
57) Vrishya (Vrsya):
Vrishya denotes substances or therapies that promote sexual health and fertility, enhancing reproductive capabilities. In Ayurveda, Vrishya indicates treatments that nourish and support the reproductive system, crucial for addressing infertility and optimizing reproductive health.
58) Vyayama:
Vyayama translates to 'exercise' in Ayurveda, emphasizing the importance of physical activity for maintaining overall health and vitality. Regular Vyayama is particularly important for individuals undergoing fertility treatments, as it promotes hormonal balance and supports reproductive functions.
59) Anushna (Anusna):
Anushna translates to 'gradual change and resilience' in Ayurvedic terms. It emphasizes the importance of restoring health through sustained practices and interventions, particularly relating to lifestyle changes that enhance female reproductive functions and overall wellbeing.
60) Dharana:
Dharana signifies the practice of concentration or focus, essential for mental and emotional health. In the context of fertility, fostering Dharana can be beneficial for women undergoing treatment as it promotes mental clarity and resilience during challenging times.
61) Sparsha (Sparsa):
Sparsha translates to 'touch' or 'feeling' in Ayurvedic terminology, often referring to sensory inputs that influence health. Understanding Sparsha can help practitioners gauge a patient’s condition through tactile assessments, which assists in the overall evaluation during fertility treatments.
62) Snigdha:
Snigdha refers to substances that are unctuous or oily, known for moisturizing and nourishing properties. In the context of fertility, Snigdha attributes in foods and medicinal preparations are considered beneficial for supporting the reproductive system and enhancing overall health.
63) Vikriti (Vikrti):
Vikriti signifies the 'altered state' or imbalances within one's health, crucial for diagnosing diseases in Ayurveda. Understanding a patient's Vikriti allows for tailored treatments that address specific imbalances and contribute to improving fertility outcomes.
64) Pradhan:
Pradhan means ‘main’ or ‘important’ in Ayurvedic contexts. It highlights the central focus of treatment strategies aimed at addressing infertility by identifying pivotal factors and interventions that significantly enhance reproductive outcomes.
65) Samana (Shamana):
Shamana refers to soothing or pacifying treatments aimed at alleviating discomfort or disturbances within the body. In the context of fertility, Shamana therapies seek to harmonize bodily processes and relieve stressors that may hinder reproductive health.
66) Raising:
Raising in this context relates to the improvement or enhancement of health parameters, particularly those associated with fertility. The objective of treatments is often to raise the levels of hormones, gamete quality, and overall reproductive health, facilitating successful conception.
67) Disease:
Disease refers to any dysfunction or disorder affecting a person's health. Understanding the intricacies of various diseases, especially those related to infertility, is vital for developing appropriate Ayurvedic treatments that restore balance and promote reproductive health.
68) Catching (Catch, Catched):
Catched refers to the capturing or realization of health imbalances in patients. In Ayurvedic diagnostics, recognizing issues early enables practitioners to implement necessary interventions promptly, crucial for addressing infertility and promoting successful treatment outcomes.
69) Science (Scientific):
Science refers to the systematic study of the world through observation and experimentation. In this context, it applies to the scientific exploration of Ayurvedic principles and their applications for treating infertility, merging traditional knowledge with modern medical understanding.
70) Pramana (Pramanas):
Pramana translates to 'measurement' or 'standard' in Ayurveda, referring to the assessment criteria used to evaluate health and treatment efficacy. It underscores the importance of systematic evaluation in diagnosing and treating infertility, ensuring targeted therapeutic approaches.
71) Dravya:
Dravya denotes an individual substance used in treatments. Recognizing the unique qualities of each Dravya helps practitioners formulate therapies targeted at specific conditions, especially in addressing the complexities of infertility through holistic and personalized approaches.
72) Shabda (Sabda):
Shabda translates to 'sound' or 'verbal communication' in Ayurvedic terminology, emphasizing the importance of proper communication between practitioner and patient. Clear Shabda facilitates understanding treatment processes and encourages patients to engage actively in their healing journeys.
73) Mishra (Misra):
Mishra means 'mixed' or 'combined'. In the context of Ayurveda and infertility treatments, it indicates the combination of different herbs, methods, or therapeutic approaches. Utilizing Mishra strategies aims to provide a more holistic and effective treatment regimen.
74) Satmya:
Satmya translates to 'adaptation' or 'suitability' in Ayurveda, referring to the body's ability to adapt to certain diets or therapies. In fertility treatments, understanding Satmya assists practitioners in tailoring diets and medications for optimal effectiveness in promoting reproductive health.
75) Kshaya (Ksaya):
Kshaya refers to depletion or loss, often indicating a reduction in health or reproductive capabilities. In infertility, addressing Kshaya involves implementing treatments that restore balance and encourage vitality, ensuring individuals regain their overall health and fertility potential.
[Note: The above list is limited to 75. Total glossary definitions available: 98]
Other Science Concepts:
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Kshetra, Ambu, Shatavari, Ritu, Phalaghrita, Vatadosha, Dietary management, Therapeutic Procedure, Ayurvedic medicine, Ayurvedic treatment, Clinical study, Primary infertility, In Vitro Fertilization, Infertility treatment, Menstrual history, Nidana Parivarjana, Case history, Oligomenorrhea, In Vitro Fertilization (IVF), Ayurvedic protocol, Garbha Sambhava Samagri, Aartava-kshaya, Hypomenorrhea, Beeja, Sthanika Chikitsa, Uttar Basti, Intra-cytoplasmic sperm injection, AMH levels, Shatavari churna, Pushpadhanva Ras, Gametogenesis.