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Abstract

UTTARABASTI: A HOLISTIC AYURVEDIC APPROACH TO INFERTILITY MANAGEMENT WITH SPECIAL EMPHASIS ON ENDOMETRIAL FACTORS IN ART

Vidyashri S. Vadagali* and Anupama V.

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Abstract

Infertility is a multifactorial condition that affects nearly 15% of couples worldwide and is increasingly becoming a public health concern due to lifestyle changes, environmental influences, and delayed conception attempts. Within the broad spectrum of causes, uterine receptivity — particularly endometrial thickness and biochemical responsiveness — plays a pivotal role in the success or failure of embryo implantation, especially in the context of Assisted Reproductive Technologies (ART). Modern reproductive medicine has made significant advancements in techniques like In Vitro Fertilization (IVF); however, implantation remains a limiting step, with up to 65% of IVF failures attributed to poor endometrial receptivity. Traditional Ayurvedic science provides a unique intervention in the form of Uttarabasti — an intrauterine therapeutic procedure aimed at restoring uterine health and functionality.[1,2] The procedure, grounded in the principles of Vata shamana and dhatu poshana, has shown promising outcomes in correcting Artava Kshaya (Endometrial deficiency) and enhancing implantation success. This article explores the therapeutic relevance of Uttarabasti in the context of ART and thin endometrium, integrating classical Ayurvedic insights with contemporary reproductive physiology.

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