TYPES -(4-harit samhitanusara)

1. Kak badhyata (one child sterlity due to infection T.B./gonorrhea)

2. Anapatya (absolute sterility)

3. Garbhasravi (habitual abortion)

4. Mritvatsa (still birth-28 week death child delivary)

1

LAKSHANA

Infertility is the term used for women who are unable to conceive after at least one year of regular unprotected coitus. 

2

NIDANA

- Mithya ahara-vihara
- Artava dushta
- Artav nasta
- Beeja dosha
- Garbhashya nija & agantuja vikara
- Dhatu kshaya & dourbalya-raktkshaya, pandu, jaravastha
Causes –
- Physical problems with uterine wall
- Hormonal imbalance
- Uterine fibroids
- Stress
- Poor diet
- Being overweight or underweight
- Smoking, drugs, and alcohol
- Blocked fallopian tubes due to endometriosis, PID, or surgery
- Genetic conditions
- Other health problems, such as STD  

3

LABORATORY

Haemogram, Urine routine micro, Serum estrogen, progesterone, FSH, LH, Prolactin, Thyroid Profile. Husband Semen Analysis.
USG for ovulation study, HSG for tubal patency, Endometrial biopsy, Laproscopy hysteroscopy. Husband Scrotal sonography.
Diagnosis
1.Anovulatory cycles by USG
2. Block tubes by HSG
3. EB for endometrial tuberculosis
4. Laproscopy-Endometriosis
5. Scrotal sonography-Varicocele,
6. Serum FSI-I level for premature ovarian failure
7. Progesterone-Corpus luteum .insuHiciency
8. Prolactin-Prolactinoma  

4

PRICIPAL OF CHIKITSA 

- Roni vyapad roga me varnit chikitsa
- Sadhya yoni me doshanushar snehan etc chikitsa,visesha uttar basti
- Bhavprakasanusar snehana, uttar basti, abhyanga, pariseka, pralepa, picchu dharana
- Bala,khanda,atibala,madhuk, vatankur, nagkesar sabhi ka curna madhu,ghrita, ksheer ke sath sevana
- Jisme ritushrav na ho daily fish sevana,kanji,tila,udad, dadhi sevana
- Ashvagandha kvatha se ksheerpaka vidhi se godugdha siddha karke ghrita k sath ritu snana k baad sevan se garbh dharan hota h
- Katsariya ki jada, dhaye puspa, vatavrikha ankura & neelkamai sabhi ko dugdha se pine per garbh dharan hota h
- Paras pippal ko jeera & sveta sarpunkha k sath pine se garbh dharan hota h
Principles of Treatment
Uterine Tonics, restoration of normal physiology, Vatanulomana
Simple remedies
1.Take 3tsf powder prepared from Asparagous reccmosus,Anethum graveolens and Saraca Ashoka 2 times day.
2.Take 20ml decoction of Asparagous recemosus and Saraca Ashoka 2 times day.  

1. Snehana-- abhyanter sneha phala ghrita, kalyanghrita, bala taila se karna chahiye

2. Svedana- nadi,sanker,praster sveda ,Bashpa Sveda

3. Virechana-Trivrit Leha 30gm,Gandharvahastadi Taila 30ml with warm water.

4. Sansodhana-mridu vaman & sneha yukta virechana

5. Utter basti-(jeevaniya gana)ganbhari,kutaj, dasamula kvatha me ghee & taila milaker.

6. Garbhashayagata Uttara basti with ShatpushpaTaila 5ml (reference Kashyap Samhita kalpasthana shatapushpa shatavari kalpadhyaya ).

7. Madhutailika Basti (SnehaPhala Ghrita)-- 8 days

8. Yoni Pichu-Dashamula taila.   

CHIKITSA PATRA 1

1. Pushpadhanva rasa- 250mg +

Pradarantak loha- 125mg +

Praval bhasma-250mg +

Puspanuga curna-2gm (2 times with madhu)

2. Kumaryasava-20ml + Ashokarista-20ml (2 times with 40ml water)

3. Chandraprabha vati-2 vati (3 times with water)

4. Phalaghrita-20ml (2times with milk)

CHIKITSA PATRA 2

1. Dashmoolarishta + Ashokarishta -20ml (3 times with water)

2. Shatavari choorna-2gm

Shatpuspa churna-2gm +

Pushpadhanva rasa-250mg

Nashtapushpantaka rasa-250mg +

Shuddha shilajatu-250mg (2 times with Ghrita & honey)

3. Phala kalyanaka ghrita-2tsp (Shamana sneha kala 2 times)

4. Tab. Leptaden (jeevanti+kamboji)-2tab (Adhobhakta 2 times with water)

DIET AND LIFESTYLE

Pathya(DO):

Mudga, shali, godhuma, tila, fruits and green vegetables.

Apathya(DON’T):

Abhishyandi, Guru, Viruddha Ahara, fish, curd, heavy, fried food, stress.

Pranayama-

- Anuloma-Viloma

Asana:

- Padmasana

- Sarwangasana (3 minutes

- Shavasana (when needed) 

RASODHI/BHASMA/PISTI-(120-250MG WITH MADHU/USHNODAKA)

- Nasta puspantak rasa-(kajjali,loha,vanga,abhrak)

- Laxmanadi loha-(laxmana,hastikarna,palash)

- Puspadhanva rasa-(rasasindura,naga,loha)

- Punarnava mandura-(punarnava,nisoth,mandura)

- Pradarantak rasa-(kajjali.banga,rajat)

- Tribanga bhasma-(naga,banga,yasad)

VATI-(250-500MG WITH USHNA JALA/MADHU/KSHEER)

- Arogyavardhani vati-(kajjli,tamra,loha,kutki)

- Rajapravartani vati-(kumari,tankan,ulatkambal)

- Chandraprabha vati-(shilajatu,guggulu,loha)

CURNA-(3-6GM WITH MADHU/USHNODAKA)

- Ashvagandhadi curna-(ashvagandha,vidarikand,gokshura)

- Pushyanug curna-(patha,mochrasa,anantmula)

KAVATH/ASAV/ARISHTA-(20-40ML WITH SAMABHAG WATER)

- Dasamula kvatha-(laghu & bhihad panchmula)

ASHAV/ARISHTA-(20-40ML SAMBHAGA WATER)

- Kumaryasava-(kumari,tejpatra,dalchini)

- Dasamularista-(dasamula,chitrakmula,lodhra)

- Ashvagandharista-(ashvagandha,musali)

- Ashokarista-(ashika,nagarmotha,sunthi)

- Sarasvatarista-(Brahmi,Satavari,Vidarikand)

GHRITA-(10-20ML WITH KSHEER)

- Phalaghrita-(mulethi,shatpuspa,dantimula)

- Ashok Ghrita-(ashok,jeerak,jeevaniyagana)

- Kamdev ghrita-(kuth,kayaphal,vidarikand)

- Kalyanghrita-(indrayan mula,triphala,kumari)

PAKA/AVLEHA-(10-20GM WITH KSHEER)

- Kesarpaka-(trikatu,talamkhana,kesar)

- Konchpaka-(kevach,naga,vanga)