Ayurveda management of primary infertility associated with endometriosis - A case report

Endometriosis is one of the most important causes of female infertility. This is a case report of a couple who presented with primary infertility after 10 years of marriage. On clinical evaluation and investigations, the wife, aged 32yrs, was found to have endometriosis. She took various treatments including hormonal therapies and multiple attempts of Assisted Reproductive Techniques of IUI, ICSI, and IVF-ET, but in vain. In Ayurvedic terminology that case was diagnosed as Vandhyatva (infertility) due to Vatiki Yonivyapad associated with Paripluta.Internal medicines and Sodhana (bio-cleansing therapy) therapies which included Virechana (Therapeutic Purgation), Basti (Therapeutic enema), and Uttarabasti (intra uterine douching) were the treatment modalities done with the aim of providing Vatasamana, Lekhana (Therapeutic Scraping), Srothosodhana (cleansing of functional channels), and Garbhasthapana (proper implantation and stability of embryo). Her 5 months of Ayurvedic intervention resulted in the conception and she delivered a full-term female baby weighing 2.8 kg through lower segment caesarean section.