The desire of a woman for children is usually stronger than self-interest in beauty and maybe stronger than claims of her career. Childlessness may be a tragedy for married women and can be a cause of marital upset as well as personal unhappiness and ill health
Infertility is a common global problem, failure to conceive over one-year periods of continuous exposure to normal unprotective coitus regularly during the appropriate period of the menstrual cycle is considered infertility. In conventional medicine, there are treatments like clomiphene citrate for ovulation induction, but most of these have side effects.
Within the changing times, the angle with which the digital problem is visualized has changed. Professional and career orientation among women has made them deliberately postpone marriage and childbearing time. The postponement of childbearing and the option for planning a child with the help of contraceptives and termination of the unwanted to the problem.
Science has given a glimpse of hope and the field of infertility with the invention of new techniques of assisted reproductive technologies. But the success rate of these is very much debatable. These methods are also expensive, many a times or prolonged use of hormones gives rise to many more physiological disturbances in reproductive physiology. Ayurveda has the potential to treat many causes of infertility, thus providing success to couples.
In ayurveda “sapraja” or “avandhya” words are used to denote the delay in conception despite having the capacity to procreate. Late authors specified the term vandhya for complete sterlits, apovaj as primary infertility and sapraj as secondary infertility.
As harit said boalya, garbhakoshaya are the videns for vandhya. Kakavandhya (one child infertility), anopetya (inability to conceive), garbhasravi (habitual abortion), mritovatsa (repeted still births and IUDs), balakshaya, garbhasaya, sankocha and injury to bhaga are the six types.
He has also told that the frequency of menstrual disturbances more in infertile bodies due to filling of ksheeranadi with vata instead of ksheera.
Incidence of infertility in the general population ranges from 10 to 15%. In the etiological factors for infertilits around 35 to 40% are seen in female , 35% in male and ansthus, 10 to 20% are combined.
Cervical factors affecting fertility
Yonivyapat ace to ayurveda
- Antarmukhi – i.e. retroversion
- Pholini/prasramsivi – prolapse
- Suchimukhi – pinhote oscongenital or post cauterization or amputation of cervix.
- Pittaj/kaphaj yonivyapat – erosion
Other factors may be:
Uterine factors – fibroids, pelvic inflammatory conditions
Tubal factors – PCOs (post cystic ovaviar syndrome)
Ayurvedic approach in management of infertility:
Local treatments or varieties of sthawik chikitsa are two best choice in these cases based in doshes predominance. When pitta lakshans are more, panchavalka kwath avageh or yonidhawan along with putrangarawe, usherseva, chavikasava, gandhek rasayan may be selected. In case of kaphavata dosh in kandu pradha to dashmool and triphala dhavan along with intake of abhyorisht, varunadi kashaya, doshmoola kashaya, nimbadi squllu may be advised.
Herbs beneficial in female infertility:
- Ovulation disorder – ashoka, dashmool, shatavari, aloes gugqulu, hirebal etc.
- PCOs – latakaraj, varana, kenchanaat, jeevanti, punernava etc.
- Pelvic inflammatory diseases – kaishor gugqulu, triphala gugqulu, guduchi, kuteki, punernawa, etc.
- Underdeveloped uterus or cervix – shatavari, ashwagandha, viderikand, bele, naqbale, srungataka, etc.