AN AYURVEDIC APPROACH TO TUBAL BLOCKAGE WITH SHODHANA AND UTTARABASTI: A CASE REPORT

Abstract

Introduction: Infertility is a multifactorial condition that affects the physical, emotional, and social well-being of women. Tubal factor infertility contributes to nearly 25–30% of infertility cases. In Ayurveda, this condition may be correlated with Vata–Kapha dosha dushti (vitiation of Vata and Kapha) involving the Artavavaha Srotas (channels responsible for menstrual and reproductive functions). Classical Ayurvedic texts describe Shodhana (pu­rification therapy) and Uttarabasti (intrauterine administration of medicated oil or ghee) as therapeutic measures in Vandhyatva (infertility) due to tubal factors.Objective: To document the clinical outcome of Ayurvedic Shodhana therapy followed by Uttarabasti in a case of tubal factor infertility.Case Report:  A 28-year-old woman (OPD No. L31203) with primary infertility was diag­nosed with left-sided tubal blockage with a slow spill in the right tube based on hysterosal­pingography. The patient underwent Virechana (purgation therapy) as Shodhana, followed by Anuvasana Basti and Uttarabasti using Phala Ghrita (medicated ghee) and Kasisadi Taila (herbal medicated oil) administered for three consecutive days per cycle. The proce­dure was repeated for three treatment cycles along with Mustadi Yapana Basti (medicated enema). Post-intervention hysterosalpingography demonstrated bilateral tubal patency.Conclusion: This case suggests that Ayurvedic interventions, including Shodhana therapy and Uttarabasti with Phala Ghrita and Kasisadi Taila, may have a role in improving tubal patency in tubal factor infertility. The conception outcome remained under follow-up at the time of reporting.