Infertility, Ayurveda Perspective

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

REPRODUCTIVE HORMONES:

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.

OVULATION

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.

FERTILIZATION

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:

https://ayurvedaforwomen.wordpress.com/2011/12/12/endometriosis-an-ayurveda-approach/

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:

https://ayurvedaforwomen.wordpress.com/2012/03/25/polycystic-ovarian-syndrome-pcos-pcod/

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.

Astrological restriction:

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

Before:

  • 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.

After:

  • 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

  1. 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.
  2. 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.
  3. 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

  1. 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
  2. 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

  1. 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
  2. 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.

DISCLAIMER
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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51 comments on “Infertility, Ayurveda Perspective

  1. ur articles are very informative and logical..it gives a very good thought process and better understanding of the topic.thanx n keep it up

    • Hello

      well to understand it in a bit logical way, favorable and unfavorable concepts are with respect to society. Your astral chart represents your unique space in the universe [like an unique ip address in the internet]. Your body cells are afflicted with waves from planets in derivatives [like we do not realize the earth move but it does as we are too small in mass to feel it but if we sit in a rotating wheel we will as the mass is not that negligible]. This derivatives are mapped with positions of planets in various nakshatras and their afflictions noted. Hence use of certain herbs, amulets both internally and externally effect this waves which in turn synchronize the cells in our body to secrete or not secrete enzymes/hormones etc. However this must be done along with proper diet, timings and guidance . The whole concept of Garbhasanskara starting from Pusavan etc are all in accordance with Nakashatras and similar patterns on individual grounds.

      I have written an article on Vedic Astrology regarding the same which can be read on this blog

      https://ayurvedaforwomen.wordpress.com/2012/09/14/decoding-vedic-astrology/

      Hope this helps

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  3. Very informative, he looks like very helpful very down to earth ,humanity love to people caring and so on….I read all of the blogs and saw each and every album on his website . Where I was for last 3 years but thank GOD I found it now I love to read his blog as doctors don’t talk and tell you that much they love to use knife n scissor and a red pen to just prescribe u the pills and make u feel more worst .

  4. Pingback: Thyroid Function Disorders, Ayurveda Management | Ayurveda for Women

  5. Hello sir.
    My wife is 46 years old. We want baby. My age is 36 years old. Please suggest me some Ayuervedic medicine for my wife fertilisation.

    Thanks you

    • Hello

      Understand there are no pin point medicines for fertility as medicines have no intelligence. All meds work through a definite pathway which must be guided with proper diet and lifestyle. Fertility issue if new can be helped by certain medicines. You can try remedies along with diet mentioned in the article. Though considering your age, I would prefer you consult a good Ayurved physcian near you for quick results. Certain ayurved procedure like Uttarvasti along with medicines can help if taken with the right approach

      Best Regards

  6. Hi
    I came across this article and would be interested if you can suggest me an ayurvedic doctor in thane Maharashtra India.
    My issues are endometriosis and infertility.
    Thanks

  7. i have a thyriod and irregular period,endometrois,infertility and also thyriod,i am taking 125 mcg dosage for thyriod so please advice me something to get pregrant and loss weight…
    thank you so much reply me as soon as possible

    • Weight gain and loss with thyroid abnormalities along with diet also require strict lifestyle changes. Apart from this fertility and thyroid are two different issues though not mutually exclusive. There are women who in-spite of thyroid disorders do conceive. So I think instead of hasting please review your situation calmly and aim for good healthy pregnancy. No point in conceiving and going through miscarriages.
      Consult a god ayurved physician near you and get things sorted with long term plans. If you mail me your location I can suggest you few references

      Best regards

  8. Hi Dr. Sumit,

    This is very nice article, very helpful in understanding the medicines which I am currently on.
    Thank you for the article.
    Pink

    • Hello
      ovulation is a very generic term. there are many factors contributing to it. Though there are many herbs that may aid it if you want specific ovulation you need to do a follicular study and see if you are ovulating or creating luetinized cyst. I would not write any medications for ovulation as they must not be purchased over the counter., It is better to visit a good physician and evaluate your situation. Rest you can try remedies mentioned in the article which would surely assist your cause.

    • Hello
      There is no direct evidence you can try but as said do not just rely on folk remedies. There is always a sustainable logic to each process. Life for most part is chemical in nature and it is influence of these chemicals that causes variations. You effectively get only 12 chances a year to conceive, do not waste them. Consult a few good vaidyas, understand their approach and move ahead. With this article i have given fair pointers as to what you need to achieve. How you do it leaves to your discretion
      There is no easy way out and i cannot comment on each folk remedy out there. I hope this helps your understanding and shows you the right light
      All the best

    • Flu has many manifestations. There are many home remedies, simple one is to boil 3 gms dried ginger or sunth, 2-3 pepper seeds and 10 coriander seeds in 150 ml water, reduce to 50 ml filter and drink.
      You can add the following herbs in entire firm to above
      GUDUCHI/ gulvel 4 gms if you can procure
      4-5 crushed Tulsi leaves if you have phlegm
      5-6 crushed Neem leaves if you have shivering

      However u can even add everything as above and take no harm. Just avoid bathing till flu persist , sponge body with water meducated with neem leaves if reqd and also be on rice water (with sunth). Yiu can add bit if saindhav salt to rice water.

      Also please post you NON ARTICLE related questions in the ABOUT page section. It helps other readers too.

  9. Hi Dr.
    How long this medicines needs to be taken for ovulation,fertility in PCOS.

    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.

    I have PCOS, no ovulation, prolonged bleeding. Currently my doc has given me above herbs. Will it also help in reducing/stopping bleeding?

    • Hello if you take this medicine along with the diet mentioned and timings it will show improvements in good egg production. However as mentioned in the article by doing this if your symptoms of acne, irregular menses , bleeding reduces than you are on right track. After this you must visit a good ayurved physcian near you for further treatment as each case requires different handling
      There is no time limit as such , but if you follow everything perfectly you may see results within 2-3 cycles

  10. Thank you doc… I am taking ayuvedic medicines for past 6 months… sign of improvement are acne has almost vanish, bleeding is under control, but only problem is bleeding not stopping from past 3 month, also I am not ovulating.
    This month have been given below mentioned dosage
    1) Ashoka + mochras 1 tsp twice a day with milk/water
    2) putrajivak 1 capsule twice a day before meal
    3) shatavari plus 2 capsule with breakfast.
    Will this also help me to stop the bleeding.

    Can I take transexamic acid tablet to stop the bleeding? for few days and then continue with above herbs
    will these cause any problem, I am low on progesterone.

    Hi Dr. Just a bit more info shatavari plus contains shatavari, ashwagandha, tribulus terristis and mucuna pruriens. All 125 mg. in a capsule.
    I would like to know the impact of these medicine

    • Hello

      Bleeding occurs due to anovulation and endometrial lining not stabilizing. See if you want to take TA consult your doctor as it must not hamper with your natural process of getting cured. The middle way is to do a CBC and if your hb levels are above 7-8 than okay do not worry. eat Figs etc. Also check your insulin levels to see if you have resistance and cut out all refined sugar and caffeine from your diet. This may help. But again just consult your doctor before you do so. From your explanation it seems you are responding well to treatment, just be patient and hopefully it will get okay.

      About your other question, again first consult your doctor if you can take tat in conjunction with your ongoing treatment. It is not advisable to keep on taking more herbs by reading here and there when one treatment is going well. Secondly I am personally not a fan of powders or capsules, but that’s me, I prefer entire herbs, However you can take them if your doctor permits and it helps

      • Hello,
        I want to share my experience and positive result with the help of ayurveda.
        I was suffering from PCOS and trying hard to conceive. My gynae in Max hospital told me that I would have to undergone Laparoscopic surgery due to cysts in PCOS. She said I can never conceive naturally.

        But nothing is impossible. Impossible itself says I m possible. Ayurveda medicines helped me a lot. Tablet hyponid, Kachnar, Metformin worked for me and walk with healthy diet. I lost my weight gradually and my periods became regular and I conceived in the month of Nov 2013. Now I’m blessed with a lill princess and I also had normal delivery without any problem.

        I convey my regards and heartily thanks to Sumit sir for giving me the right guidance through his blogs and emails and suggesting me a good ayurvedic doctor.

        I’m enjoying my motherhood now and this would have been possible mainly because of you.

        Thanks
        Shruti

  11. Sir,my wife age 23 allopathy drs diagnosed infertility pcos then we start metformin folic acid. Clomiphene but not get results, the tried IUI then pregnancy resulted but ectopic pregnancy. Then operated and sacrifice rt tube. Now single tube remains after hsg another Lt tube also block at cornu. Drs says it may be spasm not sure due to fear. Sir now help help on this condition. Line of Treatment and diet. Also this type of case successful in ur practice

    • Consult a good ayu doc. Under his/her guidance treatments like uttarbasti internal medication, yoga and diet over period of 2-3 months may definitely help. Do not panic and take decisions in haste. Always consult 2-3 people before going under the knife or popping a hormonal pill

      • Thank you for your wonderful writings and calm balanced responses. Author sounds humane, balanced, compassionate. may they be blessed.

  12. Sir i am suffering from thyroid and on 25mcg medication.and my fertility growth is vry poor.i am 24 years old,so please suggest me some medication or ayruvedic physician near my locality.i am living in patna,bihar.

  13. Hello sir
    I am 35 yrs old suffering frm pcos n obesity.trying to conceive frm 12 yrs bt no success. Plz suggest me sm ayurvedic medicine to regulate my period n improving egg quality

    • Hello
      the entire treatment and probablities have been discussed through the article and comments section. Plesae try a sample protocol given along with diet for 2-3 months. If it helps consulta good ayu physician for long term benefits

  14. Hello Doctor,

    Can you provide any treatment for tendonitis? My mother 58 years old has pain in her foot which radiates from heel to base of the foot. I have consulted with doctors and physiotherapists. All they can suggest is rest and cold pack, but it has been 6 months now and she is still suffering from high pain and stiffness in her foot. She is also a diabetic since 16 years with controlled status. Can you help with this?

    Thanks.
    Jaspreet

    • Hello
      In Ayurveda there is a treatment called Agnikarma. A good Ayurveda physician can do it well for you. if done well it provides complete cure. However it must be done in conjunction with the Hb1Ac levels coming under control so may require proper diet. There are no straight up meds in ayurveda nor should one fall into that folly. Get a complete treatment where all her problems get cured and she leads a good life

    • Hello
      SE generally occurs post C-Section as the tissue converts into scar [immune system becomes confused]. Generally the symptoms of pain etc during menses etc can be relived by following a proper lifestyle and remedies mentioned here. Do follow the lifestyle advice in the audio lecture mentioned. However in certain cases if the scar is well defined and limited surgeries also relive the symptoms. Do try the remedies. If not contact a good ayurveda physician near you . Keep surgery as a last option

  15. I hate my husband his touch and the sex. He has harassed me a lot both physically and mentally. I do not even know or experienced what an.orgasm is or how it feels. with this mental.baggage my inlaws are.expecting a kid and he has sex with me but i derive no pleasure. is it impossible to get pregnant without orgasm.

    • Well if you do not enjoy physical relationship, you must review your marital status. You have to think whether you want to mother a kid. Only creating a kid is not the deal, you have to look ahead for its growth and sustainability which can only come if you are affectionate towards motherhood. Having a kid for in-laws etc may turn out to be a burden. All these things you have to first introspect
      Technically if you do not enjoy sex or unable to conceive and have done all reports, then you can try ART techniques for conception. Think about all these factors though before taking a step and get some good strong advice from your trusted physician

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