Ayurvedic management of female infertility due to tubal blockage

Abstract

Objectives Secondary Infertility is a major concern worldwide, accounting for about 40% of female infertility due to lifestyle factor. Secondary Infertility is having a close proximity to a disorder Vandhyatwa explained in Ayurvedic classics, due to a variety of causes. Several Ayurvedic interventions are advised such as Panchakarma (∼purification therapy) for vitiated Doshas in female reproductive organs, Snehapana (∼oral intake of medicated oil) followed by Virechana (∼purgation) to produce quality ovum. Other internal medications like Phalaghrita, Ashokarishta, Kanchanara guggulu etc. have a probable mode of action with enhancing the perceptibility of endometrium for implantation. Correlating fallopian tubes with the Artavavaha Srotas, its block is compared with the Sanga Srotodushti (obstructive pathology occurring in channels)of this Srotas. By virtue of the purification therapy and internal medication working synergistically might remove the Srotodustht. Case presentation A 30 year old female with a history of eight years post marital infertility was treated with Panchakarma along with Ayurvedic medicines after being diagnosed as infertility due to tubal blockage for a period of 16 weeks. Conclusions After 16 weeks of treatment, she reported with amenorrhoea and found Urine Pregnancy Test positive. Subsequently, confirmed the pregnancy by USG, as single live intrauterine foetus of Sonic Gestational Age – 8 weeks 5 days.

Effectiveness of Ayurveda Intervention in the Management of Infertility: A Systematic Review

“…The selected articles included original studies and case reports published from 2013 to 2023. A detailed representation of the included studies is depicted in Table 2 [ 13 - 26 ].…”

“…Among the 14 studies included, which covered a total of 248 patients, two were randomized controlled clinical trials [ 13 , 14 ], three were open-label studies [ 15 , 16 , 18 ], one was a parallel-arm study [ 17 ], and eight [ 19 - 26 ] were case reports. The selected studies were carried out in India, Pakistan, and Germany (n=14).…”

Fertility Improvement of Hysteroscopy with Chromopertubation in the Management of Infertile Women with Hysterosalpingography Evidence of Abnormal Tubal Patency: A Prospective Comparative Study

“…Approximately 25% of couples actively attempting to become pregnant suffer from infertility in China. 1 Given that tubal pathology is one of the main causes of female infertility, with a prevalence of up to 30%, [2][3][4] evaluation of the fallopian tubes is a standard part of the fertility work-up. Currently, hysterosalpingography (HSG) is considered the first-choice tubal patency test in the work-up of infertile couples.…”

Comparison of Hysterosalpingography With Laparoscopy in the Diagnosis of Tubal Factor of Female Infertility

“…Many factors can result in infertility, including disorder in fallopian tubes, anovulation, and pelvic adhesion leading to pelvic microenvironments. Among the factors mentioned above, disorders of the fallopian tube account for 30-45% of the reasons for infertility (2,3). Hence, screening for tubal occlusion is one of the first essential steps of infertility assessment.…”

“…Hence, screening for tubal occlusion is one of the first essential steps of infertility assessment. In recent years, with the development of endoscopic techniques, the diagnosis and treatment of female infertility have made significant advances (3,4).…”