Abstract

AYURVEDIC MANAGEMENT OF POLYCYSTIC OVARIAN DISEASE ASSOCIATED TO INFERTILITY RESULTING IN NATURAL CONCEPTION: A CARE-GUIDELINE CASE REPORT

Dr. Smita Atul Deshmukh*

Abstract

Background: Polycystic ovarian disease (PCOD) is a common endocrine and metabolic disorder affecting women of reproductive age and is a leading cause of anovulatory infertility worldwide. The prevalence of PCOD ranges from 6– 20% depending on diagnostic criteria and population studied.[1] The condition is characterized by ovarian dysfunction, hyperandrogenism, and polycystic ovarian morphology. In Ayurveda, disorders similar to PCOD can be understood through the concepts of Artava-dushti, Vandhyatva, and Kapha-Meda dushti, which obstruct the normal functioning of the Artavavaha Srotas.[2] Ayurvedic management focuses on restoring metabolic balance, regulating menstrual function, and improving fertility. Case Presentation A 20-year-old married female presented with lower abdominal pain, back pain, burning micturition, and inability to conceive despite one year of married life. Ultrasonography revealed polycystic ovarian morphology with the right ovary measuring 37 × 22 mm(volume 15 cc) and the left ovary measuring 12 cc in volume. An incidental finding of 5 mm renal calculus with mild cystitis was also reported. The patient also experienced dysmenorrhea and lower abdominal discomfort before menstruation. Intervention: The patient received Ayurvedic treatment including Ashmaghatu, Rasapachaka Kwatha, Avipattikar Churna, Gokshura Guggulu, and Madhava Rasayana, along with procedures such as Nasya with Goghrita, Viddha Karma, and Swedana. Results: Progressive improvement was observed in urinary symptoms, abdominal pain, and menstrual health during follow-ups. After approximately three months of Ayurvedic treatment, the patient conceived naturally as confirmed by a weakly positive urine pregnancy test. Conclusion: This case highlights the potential role of Ayurvedic therapy in addressing PCOD-associated infertility by correcting metabolic and reproductive dysfunctions, ultimately resulting in natural conception.

Keywords: Polycystic Ovarian Disease; Infertility; Ayurveda; Artava-dushti; Tribulus terrestris; Case Report.