Abstract

SUCCESSFUL MANAGEMENT OF UNEXPLAINED INFERTILITY WITH AYURVEDIC INTERVENTION IN A MIDDLE-AGED WOMANA CASE REPORT

*Dr. Aarati Patil, MS (Streeroga and Prasutitantra), Dr. Kshitija Berde, MD (Dravyaguna Vigyan)

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Abstract

Infertility is defined as the inability to conceive within one or more years of unprotected coitus. Worldwide, infertility is estimated to affect approximately 12% of couples in the reproductive age. Out of these, 15% cases of infertility do not have any identified cause. Such cases fall under the category of unexplained infertility. Since no anatomical or physiological abnormality is detected in such patients, it becomes difficult to manage their infertility. According to Ayurveda, infertility is referred to as Vandhyatva. Ayurvedic herbs like Putranjeevak, Shivlingi, Shatavari, etc. are known to support fertility in women by inducing ovulation, maintaining healthy endometrium and preventing early pregnancy loss. The present case report is of a 32-year-old woman with all the diagnostic workup clear but unable to conceive for 5 years post-marriage. Since menarche, her menstrual cycle has been regular with moderate flow. No evidence of uterine, cervical or vaginal abnormalities were observed on clinical examination and ultrasonography. She was ovulating timely. Her husband‟s semen analysis was normal too. Hence, she was diagnosed as a case of primary unexplained infertility. Her gynecologist posted her for intrauterine insemination twice, but failed. With no significant outcome of the conventional treatment that she underwent for 5 years, she turned up to Ayurveda with a hope of conception in April 2022. She was thoroughly examined for understanding diet, lifestyle, vitiated doshas and the affected dhatus. A treatment protocol was designed to boost all the factors that support fertility. She was prescribed a non-hormonal Ayurvedic proprietary medicine „Jeehv‟ to support fertility. During the course of treatment, she was advised to track ovulation monthly with an ovulation detection kit. She conceived in the fourth month of treatment which was confirmed on ultrasonography, after which the medicine was discontinued. She had a smooth full-term pregnancy and delivered a healthy baby via Caesarean section in April 2023. This case report is an explicit example of the potential of Ayurveda in boosting female fertility and achieving conception without having to undergo invasive procedures.

Keywords: Case report, Unexplained infertility, Jeehv, Ayurveda.