Abstract

FROM STAGNATION TO CREATION – ROLE OF UTTARBASTI IN ANOVULATORY INFERTILITY

Dr. Veena Jawale, Dr. Sonal Nitave*

Abstract

Anovulatory infertility, a leading cause of female subfertility, often stems from disruptions in the hypothalamic-pituitaryovarian (HPO) axis, resulting in hormonal imbalances and failure of ovulation.[1] While modern treatments such as hormonal therapy and assisted reproductive technologies have shown efficacy, they are frequently accompanied by adverse effects and high costs.[2] Ayurveda, with its holistic and individualized approach, offers Uttarbasti—a specialized therapeutic procedure involving the intrauterine or vaginal administration of medicated oil or ghee—for managing gynecological disorders including Vandhyatva (infertility), Artava Dushti (menstrual irregularities), and Yonivyapad.[3,6] This paper explores the integrative potential of Uttarbasti in addressing anovulatory infertility by bridging Ayurvedic principles with contemporary biomedical insights. According to Ayurveda, anovulation is primarily caused by Avarana of Apana Vata, and imbalances in Rasa and Artava Dhatus. Uttarbasti, being Sthanik (localized) and Shodhana (purificatory), acts directly on the reproductive system, facilitating Srotoshodhana, restoring Dosha balance, and promoting Artava Utpatti (ovulation).[3] Modern perspectives suggest that intrauterine administration of lipophilic medicated oils may enhance endometrial receptivity, improve ovarian blood flow, and regulate local hormonal activity through neuro-endocrine modulation.[4] Additionally, emerging research indicates its potential to influence levels of FSH, LH, and estrogen, thereby aiding in follicular development and ovulatory cycle restoration.[5] This paper reviews clinical and experimental evidence to assess the efficacy of Uttarbasti in reactivating ovarian function. It positions Uttarbasti not merely as a traditional remedy but as a promising, integrative therapy for anovulatory infertility that supports natural conception.

Keywords: Vandhyatva, Anovulatory Infertility, Uttarbasti, Hypothalamic-Pituitary-Ovarian (HPO) Axis, Apana Vata, Artava Utpatti Srotoshodhana.