Infertility Ayurveda 28th Jan10

Infertility-AyurvedaInfertility-AyurvedaAyurvedaAyurveda Enhances FertilityEnhances Fertility

Dr.GayatrideviDr.GayatrideviAyurvedic ConsultantAyurvedic Consultant

Specialist in Gynaec and chronic Specialist in Gynaec and chronic diseasesdiseases

What is Infertility?What is Infertility?

Failure to conceive after one year of Failure to conceive after one year of regular sexual attempt with out regular sexual attempt with out contraception. contraception.

Sterility is the inability to conceive where Sterility is the inability to conceive where as infertility is the failure to conceive. as infertility is the failure to conceive. Infertility is relative term and sterility is Infertility is relative term and sterility is absolute. absolute.

Factors of Fertility Factors of Fertility

Acc. To AyurvedaAcc. To AyurvedaFour factors--Ritu, kshetra, ambu, bijaFour factors--Ritu, kshetra, ambu, bija

Ritu – phase of kapha (ovulation).Ritu – phase of kapha (ovulation). Kshetra –Healthy uterus and female genital Kshetra –Healthy uterus and female genital

tract which will facilitate the entry of sperm.tract which will facilitate the entry of sperm. Ambu – Nutritional elements and hormones.Ambu – Nutritional elements and hormones.

Bija – Ovum and sperm. Bija – Ovum and sperm.

Any problem in any of these four Any problem in any of these four factorsfactors infertility infertility

Disorders of RitukalaDisorders of Ritukala

Ritukala is a period of kapha -pitta Ritukala is a period of kapha -pitta predominance. If it is affected by vata or predominance. If it is affected by vata or pitta pitta sub fertility.sub fertility.

Disorders of AmbuDisorders of Ambu (nutritional fluids) (nutritional fluids)

Can cause infertilityCan cause infertility

After conception may cause amniotic After conception may cause amniotic fluid problems, nutritional insufficiencyfluid problems, nutritional insufficiency

Disorders of Bija Disorders of Bija (Ovum or sperm)(Ovum or sperm)

Artava dosa or sukra dosa can cause sub Artava dosa or sukra dosa can cause sub fertilityfertility

Disorders of kshetra Disorders of kshetra (female genital tract)(female genital tract)

Margavarodha (Obstruction in fallopian Margavarodha (Obstruction in fallopian tubes), Vyapanna yoni / garbhasaya tubes), Vyapanna yoni / garbhasaya (Uterine, cervical or vaginal pathology (Uterine, cervical or vaginal pathology causing hostility to spermatozoa).causing hostility to spermatozoa).

Primary-secondaryPrimary-secondaryIInfertilitynfertility

Primary--Conception has never occurred.Primary--Conception has never occurred. Secondary-- fail to conceive after having Secondary-- fail to conceive after having

produced a child or had an undoubted produced a child or had an undoubted miscarriage. miscarriage.

One-child infertility is relatively common. One-child infertility is relatively common.

Causes of infertility Causes of infertility

Male defectsMale defects 40%40% Female defectsFemale defects 50%50% Unexplained infertilityUnexplained infertility 10%10%

Causes of male infertility:Causes of male infertility:

Systemic defectsSystemic defects Coital dysfunctionCoital dysfunction Sperm defectSperm defect PathologicalPathological

1. Systemic defects1. Systemic defects

Old ageOld age ObesityObesity Tobacco (nicotine) smoking –leading to defective Tobacco (nicotine) smoking –leading to defective

spermatogenesisspermatogenesis Heavy alcoholism- leading to impaired sexual functionHeavy alcoholism- leading to impaired sexual function Diabetes mellitus- impotencyDiabetes mellitus- impotency Excessive heat Excessive heat defective spermatogenesis (furnace defective spermatogenesis (furnace

workers, tight under wears).workers, tight under wears). Immnunologic-. Presence of immobilizing or Immnunologic-. Presence of immobilizing or

agglutinating anti sperm antibodies. (not a common agglutinating anti sperm antibodies. (not a common factor)factor)

2. Coital dysfunction2. Coital dysfunction

Erectile impotencyErectile impotency

3. Sperm defect3. Sperm defect

Sperm defects - Oligozoospermia Sperm defects - Oligozoospermia Sperm defects can be because of Sperm defects can be because of

Systemic causes mentioned aboveSystemic causes mentioned above

Drugs like anti hypertensives, anti Drugs like anti hypertensives, anti

epilepticsepileptics

Endocrinal like hypothalamic Endocrinal like hypothalamic hypogonadism, hypothyroidism.hypogonadism, hypothyroidism.

4. Pathological causes4. Pathological causes

Causative factor may be in the testes or Causative factor may be in the testes or in the duct.in the duct.

Mumps, orchitis,Mumps, orchitis, ChromosomalChromosomal Streak testes (azoospermia)Streak testes (azoospermia) Ductal occlusionDuctal occlusion

To improve the To improve the spermatogenesisspermatogenesis

general hygiene general hygiene exerciseexercise spacing of coitusspacing of coitus high protein and high vitamin diethigh protein and high vitamin diet limit the consumption of alcohol and tobaccolimit the consumption of alcohol and tobacco take cold water or tepid water bath instead of hot take cold water or tepid water bath instead of hot

water bathwater bath discard tight underwear, electric blanket and discard tight underwear, electric blanket and

excessive bed clothes.excessive bed clothes.

Follow proper food habits and timingsFollow proper food habits and timings Drink boiled waterDrink boiled water Lose weight if obese and gain weight if Lose weight if obese and gain weight if

very thin.very thin. Quit smoking and alcoholQuit smoking and alcohol Do meditation to get relief from mental Do meditation to get relief from mental

tension and anxietytension and anxiety

Management of Male Management of Male InfertilityInfertility

Panchakarma Panchakarma MedicationMedication

Herbs Herbs

Sukra sodhana gana (drugs which help in Sukra sodhana gana (drugs which help in purification of semen or sperm)-- Kustha, purification of semen or sperm)-- Kustha, elavaluka, katphala, samudra phena, kadamba elavaluka, katphala, samudra phena, kadamba niryasa, iksu, kanda iksu, iksuraka, usiraniryasa, iksu, kanda iksu, iksuraka, usira

Sukra janana gana (drugs which help in Sukra janana gana (drugs which help in formation of semen or sperm)--jivaka, formation of semen or sperm)--jivaka, rsabhaka, kakoli, ksirakakoli, mudgaparni, rsabhaka, kakoli, ksirakakoli, mudgaparni, masaparni, meda, vriksaruha, jatila, kulinga, masaparni, meda, vriksaruha, jatila, kulinga, Aswagandha, kapikacchuAswagandha, kapikacchu

MedicinesMedicines

Sukumara ghritam, Amritaprasam, Sukumara ghritam, Amritaprasam, Asvagandhadi ghritam, Mamsa sarpis, Asvagandhadi ghritam, Mamsa sarpis, Kusmanda ghritam, Vastyamayantakam Kusmanda ghritam, Vastyamayantakam ghritm, Kalyanaka ghrtam, Asvagandhadi ghritm, Kalyanaka ghrtam, Asvagandhadi lehyam, Satavari lehyam, Madana lehyam, Satavari lehyam, Madana kameswari, Chyavanaprasam, Silajit kameswari, Chyavanaprasam, Silajit rasayanam, Dasamularistam, rasayanam, Dasamularistam, Draksaristam, Asvagandharistam, Draksaristam, Asvagandharistam, Chandra prabha Vati, Kalyana gulam, Chandra prabha Vati, Kalyana gulam, Abhraka bhasma, Swarna bhasma.Abhraka bhasma, Swarna bhasma.

Causes for Female Causes for Female InfertilityInfertility

SystemicSystemic Sexual dysfunctionSexual dysfunction AnovulationAnovulation Pathological defectsPathological defects

Systemic Systemic

Age – above 35 yearsAge – above 35 years ObesityObesity Tobacco smokingTobacco smoking Psychological- mental disharmony Psychological- mental disharmony

between wife and husband and fear between wife and husband and fear Immunological- presence of antisperm Immunological- presence of antisperm

antibodies in the cervical mucus (an antibodies in the cervical mucus (an uncommon factor)uncommon factor)

Sexual dysfunctionSexual dysfunction

Lack of libidoLack of libido Infrequent sexInfrequent sex VaginismusVaginismus DyspareuniaDyspareunia ExhaustionExhaustion

AnovulationAnovulation

Endocrine factors:Endocrine factors: AmenorrhoeaAmenorrhoea Skipping mensesSkipping menses DUBDUB PCOsPCOs HypothyroidismHypothyroidism Hyper prolactinaemiaHyper prolactinaemia Hyper androgenismHyper androgenism Premature menopausePremature menopause

Drugs:Drugs: Anti epilepticsAnti epileptics Antipsychotic drugsAntipsychotic drugs

Pathological defects:Pathological defects:

Vaginal causes: tight/ tender hymen Vaginal causes: tight/ tender hymen Cervical causes: cervical stenosis, intracervical Cervical causes: cervical stenosis, intracervical

fibrous obstruction, cervical polyp.fibrous obstruction, cervical polyp. Uterine causes: Hypoplasia of the uterus, anomaly of Uterine causes: Hypoplasia of the uterus, anomaly of

the uterus, submucus fibroid/polyp or endometrial the uterus, submucus fibroid/polyp or endometrial polyp., T.B. Endometritispolyp., T.B. Endometritis

Tubal cause: inflammatory blockTubal cause: inflammatory block Ovarian causes: endometriosis,, chocolate cyst, Ovarian causes: endometriosis,, chocolate cyst,

Turner syndrome (chromosomal) Turner syndrome (chromosomal)

Causes of secondary Causes of secondary infertility:infertility:

More or less the same as that of primary More or less the same as that of primary infertility. infertility.

some more causes some more causes Scars and adhesions in the reproductive systemScars and adhesions in the reproductive system Endometrial tuberculosisEndometrial tuberculosis Pelvic endometriosisPelvic endometriosis Vaginal and cervical stenosisVaginal and cervical stenosis Post MTP cornual blockPost MTP cornual block TubectomyTubectomy

Male defect-vasectomyMale defect-vasectomy

TreatmentTreatment

Take nutritious dietTake nutritious diet Drink boiled waterDrink boiled water Do de wormingDo de worming Take iron and folic acid if Hb% is <11gmTake iron and folic acid if Hb% is <11gm Gain weight if thin and lose weight if obeseGain weight if thin and lose weight if obese Do meditation for half an hour daily to de Do meditation for half an hour daily to de

stress the mindstress the mind Stop tobacco or alcohol consumptionStop tobacco or alcohol consumption

Management of Female Management of Female infertilityinfertility

1. Sodhana (Purification therapy).1. Sodhana (Purification therapy).2.  Samana (Pacification therapy).2.  Samana (Pacification therapy).

Medicines Medicines

Medicated ghees and oils.Medicated ghees and oils.Narayana tailam, satapuspa tailam, phala Narayana tailam, satapuspa tailam, phala sarpis, kalyanaka ghrta, dadimadi ghrta, sarpis, kalyanaka ghrta, dadimadi ghrta, kalyana gulam are commonly used. kalyana gulam are commonly used.

Ushna, kaphavatahara treatment is given Ushna, kaphavatahara treatment is given for cystic ovarian disease (PCOS). for cystic ovarian disease (PCOS).

Ayurveda, the ancient Indian system of Ayurveda, the ancient Indian system of medicine—helps couple to have healthy medicine—helps couple to have healthy children.children.

Thank youThank you

Dr.Gayatridevi, B.A.M.S.Dr.Gayatridevi, B.A.M.S.

Senior Ayurvedic consultantSenior Ayurvedic consultant

ArogypeethamArogypeetham

Mumbai-HyderabadMumbai-Hyderabad

Ph: 9820257440Ph: 9820257440