MANAGEMENT OF SECONDARY INFERTILITY DUE TO TUBAL BLOCK AND CHRONIC ANOVULATION WITH AYURVEDIC REGIMEN: A CASE STUDY

Abstract

Infertility or Vandhyatava has been a long-standing problem of the human community from the ancient period to the modern era. Modern science classifies infertility into two types; primary and secondary. According to WHO, primary infertility refers to a condition in which a woman has never conceived before. and secondary infertility is the incapability of a couple to conceive who have had at least one see successful conception in the past. Charaka Acharya has explained Vandhyatva as having an incurable congenital or acquired abnormality resulting in absolute sterility.(14) Charak while describing 'Vajikaran therapy' in chikitsa adhyaya 2 exquisitely describes infertility as an unwanted and unfair condition. He has also classified vandhya into three types vandhaya, Apraja and Sapraja. Apraja is considered as primary infertility and Sapraja as secondary infertility.Maharishi Harita describes six types of infertility among which 'kakvandhaytva ' refers to a condition of sterility after one child. The case represented through the current study is with bad obstetric history and disturbed menstrual history with anovulatory cycles she also had right-sided Salpingectomy done due to tubal conception and had h/o one missed abortion. The examination of excised tube showed the presence of Koch's of tubes and HSG revealed blockage at Lt tube. After taking AKT for 6 months she had preferred allopathic treatment for conception for one year. After taking Ayurvedic treatment and proper pathya and Apathya management for 1 year she conceived successfully.