Abstract
AYURVEDIC MANAGEMENT OF UNEXPLAINED PRIMARY INFERTILITY IN ELDERLY WOMAN - A CASE STUDY
*Dr. Jayalaxmi M. Angadi, Dr. Anupama V. and Dr. Sowmya G.
ABSTRACT
Pregnancy at advanced maternal age (age >35 years old) is considered a risk factor for adverse maternal and
perinatal outcomes.[1] Yet, pregnancies of advanced maternal age have become more prevalent over the last few
decades. Fertility potential, quality and quantity of ovum decreases with the advanced age.[2] Ultimately the couple
is left with the only option of IVF with a donor egg. The cause of infertility is unexplained most of the times. In
Ayurveda proper functioning of Rutu (ovulatory period), kshetra (garbhashaya), Ambu (Nutrition), Beeja (Sperm or
Ovum) are prime factors for formation of Garbha.[3] Ayurveda explained wide range of protocols and medicines for
the management of Vandhyatva. Ayurvedic management gives a new hope in women by strengthening body’s own
self-healing and balancing mechanism and also helps to improve the quality of oocytes. In this case report patient
of aged 37 years suffered with primary infertility since 3 years of married life with regular menstrual cycle and no
comorbidities consulted for Ayurveda treatment. She also had complaints of multiple joint pain and stiffness since 6
years. From detailed history symptoms of agnimandya, ama and vata, pitta involvement noticed. Vata is the prime
factor for causing Vandhyatva. She had treated with Shodhana ie Udwartana, Virechana and Yoga Basti followed
by Shamana chikitsa concentrating for Garbha Sthapana. The outcome of Ayurvedic intervention was conception of
the patient within 6 months of treatment.
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