LITERATURE REVIEW ON VANDHYATVO W.S.R TO ANOVULATION
Infertility is defined as a ‘Disease of the reproductive system’ and is the inability of sexually active, non-contraceptional couples to achieve pregnancy in one year. It has got many etiological factors; one among them is anovulation. Anovulatory cycles are described as menstrual bleeding without preceding ovulation and no corpus luteum formation. It may be present in otherwise normal menstrual cycle or may be associated with oligomenorrhea or amenorrhea. It may be due to a disturbance in the HPO axis or ovary. There are various scattered references available for anovulation as Beejopaghata, Pushpopaghata and Abeejatva. The pathology may be due to Sroto Sanga, Vata-Sanskhobha and Dhatukshaya. Acharya Kashyapa has given a description of a woman who menstruates at regular intervals but her menstruation is fruitless i.e. she is unable to conceive which is called as Pushpaghni. There is an association of hair growth in the cheeks and neck. Pushpaghni is a curable type of Jataharini. Anovulation may be due to a complication of Artava Dushti or Artava vaha Sroto Dushti. Vandhya Yonivyapad given by Acharya Sushruta describes Nastaartava (anovulation) leading to Vandhyatvo (infertility). Acharya Kashyapa has mentioned Beejopaghata due to administration of Tikshna Sodhana to Mridu Kosthi. He has also given references of Alpa Pushpa, Nashtapushpa, Nashta Beeja and Akarmanya Beeja which relates to anovulation. Infertile women should be prescribed Snehana, Swedana, Vamana, Virechana, Asthapana and Anuvasana Basti in consecutive order along with the use of UttaraBasti. Nasya with medicated oil & Shamana Aushadha having Ushna, Tikshna and Vatanulomana property can be of good help in anovulation.
KEYWORDS: Anovulation, Infertility, Nastaartava, Pushpaghni Jataharini, Vandhyatva