DEFINE INFERTILITY ?
Infertility primarily refers to the biological inability of a person to contribute to conception. Infertility may also refer to the state of a woman who is unable to carry a pregnancy to full term. For medical treatment, Infertility is the failure of a couple to become pregnant after one year of regular, unprotected intercourse.
WHAT ARE DIFFERENT TYPES OF INFERTILITY AS PER MODERN DATA ??
Primary Infertility : Couples who have never been able to conceive. This group excludes women who have conceived but nor carried the pregnancy full term
Secondary infertility: Related to couples who have difficulty in conceiving after already have conceived once [this includes full term pregnancy and also miscarriages, abortions etc]. However it excludes couples who have had change of partners.
Unexplained infertility: Couples who have no physiological anomalies and are pathologically healthy yet do not conceive. Almost 26% suffer from unexplained infertility.
Subfertility: Couples who have unsuccessfully tried conception for a year or more. Subfertile means less fertile than a typical couple with fecundability [reproductive] rate of 3-5%.
CAN U BRIEF US ABOUT FERTILIZATION AS PER MODERN STUDIES ?
Fertilization is a complex process however it can be summarized in the following steps
The hypothalamus (an area in the brain) and the pituitary gland regulate the reproductive hormones.
In women, six key hormones serve as chemical messengers that regulate the reproductive system:
The hypothalamus first releases the gonadotropin-releasing hormone (GnRH).
This chemical, in turn, stimulates the pituitary gland to produce follicle-stimulating hormone (FSH) and luteinizing hormone (LH).
Estrogen, progesterone, and the male hormone testosterone are secreted by the ovaries at the command of FSH and LH and complete the hormonal group necessary for reproductive health.
Onset of menses; the FSH stimulates several ovarian follicles to mature over a 2-week period until their eggs nearly triple in size but only one will become dominant during a cycle.
FSH signals this dominant follicle to produce estrogen, which enters the bloodstream and reaches the uterus. There, estrogen stimulates the cells in the uterine lining to reproduce, therefore thickening the walls.
Estrogen levels reach their peak mostly [not always] around the 14th day of the cycle from the first day of menses and eventually they trigger a surge of LH.
LH surge brings about ovulation by causing the dominant follicle to burst and release the egg into the fallopian tube [right or left] and waits fir fertilization.
If fertilization takes place , LH causes the ruptured follicle to develop into the corpus luteum. The corpus luteum provides a source of estrogen and progesterone during pregnancy.
The “fertile window” is of 6 days starting 5 days before ovulation and terminates with ovulation. The sperm survives for 3 days on entering the fallopian tube and the egg survives 12 – 24 hours unless fertilized by the sperm. If fertilized, the embryo exits the fallopian tube after 2 – 4 days and implants into the uterus to start its 9-month incubation period. Conversely if fertilization fails, the corpus luteum degenerates to corpus albicans leading to a fall in estrogen & progesterone levels which sloughs of the endometrial lining and brings about menstruation.
WHAT ARE THE CAUSES OF INFERTILITY IN WOMEN AS PER MODERN STUDIES ?
Pelvic inflammatory disease (PID) comprise of various infections that affect organs in the pelvic area. Most prominent is salpingitis , an infection of fallopian tubes.
Endometriosis is a condition in which cells that line the uterus grow in areas outside of the uterus, such as the ovaries causing prolonged bleeding. [read more about endometriosis in my article:
Polycystic ovarian syndrome (PCOS) is a condition in which the ovaries produce high amounts of androgens (male hormones), particularly testosterone. resulting in high levels of luteinizing hormone (LH) and low levels of follicle-stimulating hormone (FSH) which prevent follicles from producing a mature egg. [read more about PCOS in my article:
Premature Ovarian Failure (Early Menopause) is the early depletion of follicles before age 40, which, in most cases, leads to premature menopause.
Uterine Fibroids [Large] may cause infertility impairing the uterine lining, by blocking the fallopian tube, or by distorting the shape of the uterine cavity or altering the position of the cervix.
Elevated Prolactin Levels (Hyperprolactinemia) reduce gonadotropin hormones and inhibit ovulation. Hyperprolactinemia can be caused by an underactive thyroid gland or pituitary adenoma. (benign tumors that secrete prolactin.) Oral contraceptives and certain antipsychotic drugs, can also elevate levels of prolactin.Secretions from the breast not related to pregnancy or nursing (called galactorrhea) are a telltale symptom of high prolactin levels and should be investigated.
Kallmann syndrome (decreased functioning of glands that produce sex hormones due to deficiency of gonadotrophin-releasing hormones (GnRH) by hypothallamus.
Inborn genital tract abnormalities may cause infertility. Mullerian agenesis is a specific malformation in which no vagina or uterus develops.
Uterine or Abdominal Scarring.: Bands of scar tissue that bind together after abdominal or pelvic surgery or infection (called adhesions) can restrict the movement of ovaries and fallopian tubes and may cause infertility. Asherman syndrome, is scarring in the uterus that can cause obstructions and secondary amenorrhea. It may be caused by surgery, repeated injury, or unknown factors.
Genetic Factors: A Robertsonian translocation in either partner may cause recurrent spontaneous abortions or complete infertility.
Environmental Factors: Toxins such as glues, volatile organic solvents or silicones, physical agents, chemical dusts, and pesticides
DOES STRESS EFFECT FERTILITY?
The role is unclear, though elevated levels of stress hormones can shut down menstruation.
INFERTILITY AND AGE ?
It is accepted that fertility in women declines after 30 since with age, the ovaries produce less eggs with poor quality. Older women have a higher risk for eggs with chromosomal abnormalities, which increase the risk for miscarriage and birth defects.
INFERTILITY AND WEIGHT ?
Obesity is associated with PCOS which causes infertility. Conversely being underweight (10-20% < normal) may cause the reproductive process to shutdown. Women with eating disorders (anorexia or bulimia), low-calorie diet are at risk, especially if their periods are irregular. Strict vegetarians may be at risk if they lack important nutrients(vitamin B12, zinc, iron, and folic acid). Marathon runners, dancers, and others who exercise very intensely.
ALCOHOL, SMOKING AND INFERTILITY ?
Smoking harm ovaries depleting egg production. Smoking women attain early menopause comparatively. Similarly Alcohol and caffeine use may contribute to infertility.
HOW IS INFERTILITY DIAGNOSED AS PER MODERN MEDICAL SCIENCE ?
Medical History and Physical Examination
Laboratory Tests :Blood and urine tests are taken to evaluate hormone levels.
- High FSH & LH levels and low Estrogen levels suggest premature ovarian failure.
- High LH and low FSH may suggest PCOS or Luteal phase defect.
- High FSH and high Estrogen levels on the 3rd day of the cycle predict poor success rates in older women trying fertility treatments.
- LH surges indicate ovulation.
- Blood tests for Prolactin levels and Thyroid function are also measured. These are hormones that may indirectly affect fertility.
Clomiphene Challenge Test.
Clomiphene citrate (Clomid, Serophene), a standard fertility drug, is used to test for ovarian reserve (the number of follicles and quality of the eggs). FSH is measured on day 3 of the cycle. Patient takes clomiphene orally on days 5 and 9 of the cycle. FSH is measured on the tenth day. High levels of FSH either on day 3 or day 10 indicate a poor chance for a successful outcome.
Tissue Samples of the uterus
1- 2 days before periods may be taken to rule out luteal phase defect, premature ovarian failure, and absence of ovulation, & to determine if the corpus luteum is adequately producing progesterone. Cervix samples may be cultured to rule out infection.
Tests to rule out Autoimmune Disease
Hypo-Hyper thyroidism & Diabetes in women with recent ovarian failure not caused by genetic abnormalities.
Transvaginal sonohysterography uses ultrasound along with saline infused into the uterus, which enhances the visualization of the uterus.& considered an gold standard for diagnosing polycystic ovaries.
Hysteroscopy is a procedure used to detect endometriosis, fibroids, polyps, pelvic scar tissue, and blockage at the ends of the fallopian tubes.
Hysterosalpingography discovers possible blockage in the fallopian tubes and abnormalities in the uterus.
Laparoscopy is a surgical procedure performed under general anesthesia in an operating room.
IS THERE ANY SELF TESTS TO DIAGNOSE FERTILITY ?
Monitoring basal body temperature is accurate in determining if ovulation is actually taking place.
Cervical Mucus consistency must be tested by collecting some mucus between 2 fingers and stretching. Near ovulation time, the mucus stretches more than 1 inch before breaking.
Alternate home kits test saliva in place of mucus
Over the counter Urine test to detect LH surges helps determine ovulation period. Similar FSH test kits are available.
WHAT ARE AVAILABLE TREATMENTS IN MODERN MEDICINE ?
Initial steps are corrective in terms of Lifestyle measures (healthy lifestyle, planning sexual activity with ovulation cycle, managing stress and emotions)
Second step consist of fertility drugs to induce ovulation. Fertility drugs can be divided into 3 main categories:
DRUGS FOR OVARIAN STIMULATION
- Clomiphene (Clomid, Serophene)
- Letrozole (Femara)
- Follicle stimulating hormone (FSH) [Follistim, Gonal-F, Bravelle]
- Human Menopausal Gonadotrophin (hMG) [Humegon, Repronex, Menopur]
- Luteneizing hormone (LH) [Luveris]
DRUGS FOR OOCYTE [EGG] MATURATION
- Human chorionic gonadotropin (hCG) [Profasi, APL, Pregnyl, Novarel, Ovidrel]
DRUGS TO PREVENT PREMATURE OVULATION
- GnRh agonists (Lupron and Synarel)
- Gn RH antagonists (Antagon, Cetrotide).
WHAT ARE COMPLICATION OF DRUG TREATMENTS ?
Overproduction of follicles (Superovulation) can lead to ovarian enlargement. This event increases the risk for multiple births.
Ovarian Hyperstimulation Syndrome (OHS) is serious complication with super ovulation associated with enlarged ovary which can result in dangerous fluid and electrolyte imbalances and endanger the liver and kidney. OHS also associated with a higher risk for blood clots can prove fatal in some cases.
Superovulation if unchecked can lead to Bleeding and Rupture of Ovarian Cysts.There are concerns that Clomiphene and Gonadotrophins may increase the risks for ovarian and breast cancer. Conversely some studies suggest that clomiphene, which is chemically related to the breast cancer drug tamoxifen, may actually decrease the risk for breast cancer.
WHAT IS ARTIFICIAL INSEMINATION [AI] ?
Artificial insemination (AI) involves placing the sperm directly in the cervix (called intracervical insemination) or into the uterus (called intrauterine insemination, or IUI). IUI is the standard AI procedure which involves placing washed sperm into the woman’s uterine cavity through a long, thin catheter. The procedure is performed when a woman is ovulating and is used for patients whose tubes are not blocked from endometriosis or scarring.
If AI fails, the woman may be a candidate for ASSISTED REPRODUCTIVE TECHNOLOGIES (ART)
WHAT IS ASSISTED REPRODUCTIVE TECHNOLOGIES (ART) ?
ART performed at special fertility clinics refer to treatments, which promote fertility by external manipulation of both egg and sperm. They involve procedures such as
- In vitro fertilization (IVF)
- Intracytoplasmic sperm injection (ICSI)
WHAT IS IVF ?
IVF is a process by which egg cells are fertilized by sperm outside the womb in a laboratory [in vitro]. It is popularly known as test tube baby. IVF can be performed with a woman’s own eggs and sperm, or with donor eggs and sperm. IVF is used when both eggs and sperms are of low quality.
WHAT IS Intracytoplasmic Sperm Injection (ICSI) ?
ICSI is used for couples when male infertility [low sperm count, low quality, impotency]is the main problem. It involves injecting a single sperm [partners / donors] into an egg obtained from IVF.
SUCCESS RATES OF ART ?
Not all IVF cycles result in pregnancy, and not all IVF-achieved pregnancies result in live births. Data indicate that the chances of IVF resulting in live birth are about:
40% for women younger than age 35
30% for women ages 35 – 37
20% for women ages 38 – 40
10% for women ages 41 – 42
Some women try Acupuncture during an IVF cycle to increase their chances for pregnancy success. While acupuncture is not harmful, there is no conclusive evidence that it boosts success rates.
WHAT ARE THE COMPLICATIONS OF IVF ?
IVF may occasionally result in genetic abnormalities but they are subjective to the sperm and egg. The main risk is Multiple pregnancies with risks of premature delivery and low birth weight which can cause heart & lung problems & developmental disabilities
HOW COMMON IS INFERTILITY IN WOMEN ?
About a third of infertility problems are due to female infertility, and another third are due to male infertility. In the remaining cases, infertility affects both partners or the cause is unclear.
WHAT ARE CAUSES OF MALE INFERTILITY ?
- Oligospermia (Low sperm count)
- Azoospermia (No sperm production)
- Low sperm motility
- Illness like cystic fibrosis which cause damage to sperms
- Other disorders [Auto Immune, Diabetes, TB]
- Varicocele is a common offender. The veins on a man’s testicle expand or become large which heats up the testicles resulting in low sperm count or low quality sperms. This can be treated surgically
- Birth defects [Male Hypospadias]
- German scientists have reported that a virus called Adeno-associated virus might have a role in male infertility, though it is otherwise not harmful.
- Mutation that alters human DNA adversely can cause infertility, the human body thus preventing the tainted DNA from being passed on.
WHATS AYURVEDA PERSPECTIVE ON INFERTILITY ?
Ayurveda gives a strong example of a “crop” when describing reproduction.
To obtain a good crop, the contributing factors like seed, soil, atmospheric conditions , harvest time and season must be ideal similarly for a good offspring the seed[egg and sperm], soil [uterus], harvest time [intercourse during ovulation] and season [ovulation] must be optimum. Imbalance of any of these features leads to infertility. Treatments are focussed to correct these imbalances.
WHAT AYURVEDA MEDICINES ARE USED ?
Medicines are selected on the basis of imbalances. They can be classified as
QUALITY-QUANTITY PROMOTING [“vrushya” ][eggs and sperms]
This medicines mostly belong to the Vajikarana stream of Ayurveda which specializes in reproductive and sexual health. The drugs may range from
- HERBS : Ashwagandha [Withania somnifera], Shatavari [Asparagus racemosus], Safed Musali [Asparagus adscendens/ Chlorophytum sp.]
- METALS: Vang [tin], Suvarna[gold], Parad [Mercury], Yashad [Zinc]
- MINERALS: Shilajit, Suranjan.
- GEMS: Emerald, Sapphire.
- FORMULATIONS: Pushyanuga churna, Vrushya vati, Makardhwaja, Suvarnamalini Vasant.
DRUGS WITH CORRECTIVE FUNCTION [“shukrashodan, dhatvaagnivardhan”]
This drugs manipulate the Dhatvaagni [the micro metabolic fire between Dhatus [refined entities]. Shukra Dhatu [the reproductive entity] is considered as a refinement of all previous 6 entities. Malformation of Shukra is mostly due to the imbalance in the metabolism of its or concerned Agnis. These drugs generally act on the Agni and after their corrective action act as Geriatrics [Rasayana]. These medicines are also aimed at correcting the underlying causes which inhibit infertility by treating them first. These causes can be correlated to various disorders like PCOS, Endometriosis etc.
- HERBS: Gulvel [Tinospora glabra], Arjun [Terminalia cuneata], Pipli [Piper longum], Bhallatak [semecarpus anacardium]
- METALS: Raupya [Silver], Suvarnamakshik, Loh [Iron], Vang[Tin]
- MINERALS: Abrakh [Mica], Shilajit.
- GEMS: Praval [Coral], Mauktik [Pearl], Blue sapphire.
- FORMULATIONS: Chandraprabhavati, Elaadi vati, Trivang Bhasma, Suvarnarajvangeshwar
FERTILITY INFLUENCING DRUGS[“vayasthapan, raktashodhan, jeevaniya, garbhasthapan”]
These medicines help bring about congenial environment for fertlization. The medicines also influence or promote fertilization by their usage during the time of intercourse. This drugs are also used as a part of GARBHADHAN SANSKARA
- HERBS: Nagkesara[Mesua ferra], Kesar [Crocus sativus], Palas [Butea monosperma], Vad [Ficus benghalensis], Laxmana [Solanum sp.], Rudravanti [Cressa cretica], Kavach beej [Mucuna pruriens], Agaru [Aquillaria sp.]
- METALS: Raupya [Silver], Vajra [Diamond], Suvarna [Gold].
- MINERALS: Kanta Loha [Lodestone], Shilajit.
- FORMULATIONS: Phalaghrita, Rasasindoor.
It is difficult to pinpoint an exact mode of treatment. The protocol is decided by the Ayurveda physician taking in account the symptoms and conditions
More information about the above mentioned medicines can be found at www.nlam.in [National Library of Ayurveda Medicine]
WHAT IS THE ROLE OF PANCHAKARMA ?
Panchkarama protocol helps to high degrees to clear many pathologies which cause an direct inhibition to fertility. Their usefulness to treat PCOS, Endometriosis have been already discussed.
- Basti treatment proves very beneficial. Since Basti is targeted at regulating the Apana Vayu it facilitates timely release of ovum and also good production of sperms.
- Uttar Basti [enema through vagina], is helpful to strengthen the uterus and help implantation.
- Purificatory process of Vamana and Virechana also help in patients with high imbalance of Dosha.
- Nasya [nasal errhines] is an important Karma to promote fertility. Nasya with Phalaghrita [Ayurveda formulation] or simple cow’s ghee is very benficial in women for timely release of egg, as Nasya is claimed to act directly on the hormonal apparatus.
DOES VEDIC ASTROLOGY HELP ?
Many references to infertility have been found in Vedic astrology. Vedic astrology states that couple with same Nadi [Nadi is segregated into Aadhya, Madhyam and Antya for each individual as per his natal chart] most prominently do not conceive. If they do conceive the child is born of low immunity. The influence of Saturn in Nakshatras [stellar] corresponding to Leo [Simha] & 12th house also influence fertility.
However this are general rules and must be evaluated properly by an Ayurveda physician. The effects are countered by intake of medicines mostly made of gems.
Nilam [ Blue sapphire], Praval [coral], Mauktik [pearl], Padmaraga[Emerald] are effectively used in terms of internal medicine [Bhasma, Pishti] or externally.
More information about gemstone preparations at the National Library of Ayurveda Medicine [www.nlam.in]
WHAT ARE GARBHADHAN SANSKARAS ?
Garbhadhan Sanskar is first of the sixteen Vedic sanskars. It is a set of procedures to have a healthy baby with good karma. The sanskar [procedure, act] is highly based on Vedic astrology and starts by selecting an appropriate period for intercourse to conceive. Though this procedures are aimed at Pusavana Sanskara[to get a desired sex child] they are used to promote fertility
MUHURTA [auspicious time]
Lunar days are an important determinant in considering muhurat for Garbhadhan sanskar. This sanskar is performed on the first sixteen nights after the first menses following marriage [or whenever a couple plans for a baby]. This period is referred to as the Rutu period (Rutukal). Excluding the first four, 11th and 13th nights, the remaining 10 nights are considered suitable for this Sanskar. According to some, the 4th day should also be included. It is said that one who wishes that a son be born to him should have intercourse with his wife on the days with an even number (4-6-8-10-12-14-16) and one who desires a daughter, on odd number days (5-7-9-11-15). The sanskar of Garbhadhan is forbidden on the 4th(chaturthi), sixth (shashthi), eighth (ashtami), fourteenth (chaturdashi), new moon (amavasya) and full moon (pournima) dates (tithis) of the Hindu lunar calendar.
NAKSHATRA [auspicious stellar]
Nakshatra or lunar mansion is one of the 27 divisions of the sky, identified by the prominent star(s) in them. There is an additional 28th intercalary nakshatra, Abhijit between Uttarasharha and Sravana.
Uttraphalguni [Denebola], Uttrasadha [Saggittarii], Uttrabhadrapada [gamma Pegasi to alpha Andromeda], Rohini [Aldebaran], Mrigashirisha [Orionis], Anuradha [Scorpionis], Hasta [Corvi], Swati [Arcuturus], Shravan [Aquilae], Ghanistha and Shatataraka [Aquaril] Nakshatras are very auspicious to bond for conception. The moon stays in each makshatra for one day
VARA [auspicious day]
Wednesdays, Thursdays and Fridays are very auspicious for Garbhadhan sanskar. Monday can also be a favorable day in this respect. Rest of the week days should strictly be avoided by aspiring parents.
LAGNA [auspicious acendent]
Muhurat of Garbhadhan sanskar should have a strong and auspicious Ascendant. The muhurat kundli should have beneficial planets on the centre houses (1, 4, 7, and 10) and triangular houses (5, 9) and a malefic planet on the 3rd, 6th or 11th houses. Muhurat is excellent if Sun, Mars or Jupiter aspect the Ascendant and Moon is situated on the odd navamsha.
A woman should not get impregnated when the transition of moon is on the 4th, 8th houses from the moon sign of the woman. Besides this tara dosha on 3rd, 5th or 7th houses and Bhadra dosha should be avoided during Garbhadhan sanskar muhurat.
WHAT ARE AYURVEDA SUGGESTIONS ON THE INTERCOURSE ?
Ayurveda [Kamasutra] advises the missionary position [women lying on back] as the best for conceptions. However the positions differ as per constitution and physical make up. An Ayurveda expert is the best one to advise a position for each couple. There are certain points Ayurveda advises before and after intercourse
- The couple must have not had physical strenous activity
- The couple must not be hungry, thirsty
- The couple like wise must not have over eaten
- The couple must have consumed light and replinishig food made from milk, ghee which promotes the release of vital fluids.
- The couple must be in a happy mood
The couple must be longing for each other first on physical attributes and not just mate for conception. This is an important point because Ayurveda says that shukradhara kal [one that hold the prime refine fluids of creations are located in each cell]. Superficial sex only releases from them from the reproductive organs but bonding with passion helps release them from the entire body and accumulate in the reproductive organs which promote fertility.
- Couple is advised to take a cool bath or shower
- Consume warm milk with saffron.
ROLE OF YOGA
Yoga in all auto-immune disorders helps immensely as it changes glandular and hormonal functions. Yog done without use of Bandhas is of no use and hence I would recommend patients to undertake Yogic exercises under supervision of an Ayurveda consultant as Yoga is a part of ayurveda and it requires proper knowledge of body functions and Marma points. Do not undertake exercises advertised or from word of mouth as testimonials. What works for others may not work for you. More importantly understand what one is trying to achieve and combine it with proper lifestyle and medication under expert guidance so that the overall quality of life increases. As project of NLAM, elite Hatha Yog sequences of therapeutic nature are being taught under the Marma Yog cluster. Yog Teachers who wish to gain the knowledge can know more about it at [www.marmayog.in] A lecture on general dinacharya has been uploaded on the youtube channel. I am embedding it here.
CAN YOU SUGGEST SOME HOME REMEDIES TO IMPROVE FERTILITY ?
It is difficult to list out remedies because of many manifestations involved. I would list some remedies as per provisions.
TO IMPROVE EGG PRODUCTIONS AND STRENGTHEN UTERUS
- 5gms Ashwagandha [Withania somnifera] tubers, 3gms Shatavari [Asparagus racemosus var. javanica] tubers, 3 gms Putrajivak [Drypetes roxburghii] seeds. Crush them in 3 cups of water and 1 cup of cow’s milk. Boil the mixture till milk remains. Filter and drink empty stomach. This aids fertility.
- 50gms Pipal [Ficus religiosa ] fruits, 50gms Vad [Ficus benghalensis] fruits, 30gms Shivlingi [Bryonopis sp.] seeds. Dry and pulverise them to fine powder. Intake 3 gms of this mixture with cow’s milk 2 times a day.
- Pomegranate juice [hand squeezed] 50ml + 2 cardamoms + 1gms cumin powder + sugar. Intake of this mixture for a period of 4 months promotes fertility.
TO PURIFY BLOOD, IMPROVE HEALTH AND PREVENT MISCARRIAGES
- Chopchini [Smilax china] 40gms, Manjishta[Rubia cordifolia] 10gms, Saptrangi [Salacia chinensis] 20gms. Mix these powders, Consume 3 gms of this mixture with cow’s milk sweetend with sugar 2 times a day. This is very good remedy to check uncontrolled bleeding, immunological problems and it promotes fertility and full term pregnancy
- Boil 5gms Arjun[Terminalia cuneata] bark, 5gms Shatavari [Asparagus racemosus] and 3gms Vidarikanda [Pureria tuberosa] in 4 cups of water and 1 cup of milk till milk remains. Filter and drink every morning empty stomach.
TO IMPROVE SPERM COUNT AND QUALITY
- Safed Musali [Chlorophytum sp.] 40gms, Kali Musali [Curculigo orchoides] 30gms, Chopchini 20gms , Kavach Beej [Mucuna pruriens] 20gms, Gokhru [Pedalium murex]20gms . Pulverise this mixture. Intake 3gms with milk 2 times a day
- Soak 2 figs and 1 date in water in seperate silver vessels during bedtime. On rising eat the figs follow it with the water. Do the same with the date . This must be done as the first thing as soon as the patient rises. Follow this with a cup of warm milk boiled with 2 cardamoms and sugar. Doing this on regular basis improves sperm quality and aids fertility
Apart from this use of minerals like shilajit and other formulations under supervision proves to be very effective treatment towards an healthy pregnancy with alleviation of all disorders from the root.
The Ayurveda treatment is in high contrast with the modern approach which emphasis on egg and sperm production with manipulation of hormones. The treatment though with average success rates leaves many ill effects on the patients with secondary disorders like weight gain, bone density loss . Ayurveda gives a more complete approach and not only emphasis on fertilization but also complete healthy growth of the child and mother through all pregnancy term and also caters to good breast milk production and child care after delivery.The treatment is however individualized and I urge readers to only take this article as a guide and consult an authentic Ayurveda physician for more detailed and complete treatment.
The information mentioned here is for educational puposes only. Do not try and use all in conjunction. Follow proper diet , timings, pick a safe remedy and employ. Observe over 20-45 days & if found relief consult a good Ayurveda physician for long term gain. Do not self-medicate. Do not pass on remedies through social media irresponsibly. It causes more harm than good
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