Infertility (in Woman): Natural Treatment
In Ayurveda, if the breasts, ovaries, and uterus are not well developed and the patient cannot ovulate, then it is considered primary infertility (shandi yoni). Women with this condition cannot conceive due to a genetic defect. The monthly cycle may or may not be regular in such women. Decreased fertility (vandhyatva), which is also primary infertility, can be treated. Secondary infertility is known as kakavandhya according to Ayurveda.
There are four major causes for primary infertility: systemic (dosadhatu mediated), congenital (beejadosa), vaginal and organic defects (yonivyapat), and idiopathic (daiva). Conventionally, infertility is attributed equally to both factors, male and female. In the female factor, congenital and acquired structural abnormalities, ovulatory defects, and a hormonal imbalance should be investigated. The psychological factor is a very important precipitating factor and needs to be considered.
The infertility can be primary or secondary. Primary infertility refers to those who have never conceived. Secondary infertility applies to those who have conceived in the past.
Ayurvedic treatment differs according to etiopathogenesis. When infertility is due to congenital or idiopathic causes, it cannot be treated. It is clearly mentioned in the classical texts that when a woman has any local defect, she cannot conceive. Those disorders should be treated first and her menstrual cycle should be regular. Cleansing therapies are carried out using herbs and formulas that have a penetrating capacity (e.g., Triphala/Trikatu kwatha, kshara taila). The jeevaniya gana, rasayana, and vajikarana group of formulations not only enhance strength and vigor, but improve the internal environment of the reproductive system. Formulas such as ashokarishta, phala ghrita, and shatavari kalpa give excellent results. Amalaki, guduchi, bala, and ashwagandha are some of the uterine and ovarian tonics which promote fertility.
If infertility is due to anovulation, then using clomiphene citrate alone or in combination with some steroids or human gonadotrophins will be the best choice.
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