AYURVEDIC MANAGEMENT FOR PRIMARY INFERTILITY DUE TO TUBAL BLOCKAGE- A CASE STUDY
Introduction: Tubal factor infertility occurs when a blockage in the fallopian tubes will not allow the egg and sperm to meet. Tubal factor infertility accounts for about 25-30% of all cases of infertility. Case study: A 32-year-old female, reported at the OPD of Prasuti Tantra Evum Streeroga, NIA, Jaipur had complaints of failure to conceive since 5 years. She had an active married life of 5 years. Her menstrual history revealed scanty menstrual flow for 2 days with pain and clots with the interval of 28 days. Patient had past history of Hysterosalpingography (HSG) report dated 13.01.2018 showing left sided distal tubal blockage and right sided minimal free spillage. Her ultrasonography report was normal. She had undergone intra uterine insemination (IUI) once. Patient was treated with Uttaravasti with Shudha Bala Tail 5 ml on the 5th, 7th, and 9th days after menstruation for three cycles. Simultaneously Yonipichu (tampon) was advocated to apply daily from 5th day to 9th day of menstrual cycle for 2 months. Abhyantara Chikitsa included Triphala Guggulu 250 mg, BD, Ashwagandha Churna 10 ml with milk orally before meal for 30 days and Ashokaristha 10 ml BD orally with equal amount of water before meal for 30 days. Patient reported amenorrhoea after completing the course, UPT conducted was positive. Conclusion: It can be concluded that the in-situ treatment is giving encouraging results in cases of tubal block and perhaps Uttaravasti and Yonipichu and trial drug Shudha Bala Taila along with oral medications might have worked in synergy in removing the block in fallopian tubes and achieve conception. However, to confirm this observation, further large-scale evaluation is required.
KEYWORDS: Bala Taila, Tubal block, Uttarabasti, Vandhyatva, Yoni Pichu.