An Ayurvedic Approach to Improving Anti-Mullerian Hormone: Essential Preparation for Assisted Reproductive Technique

Low levels of Anti-Mullerian Hormone (AMH) are often associated with hormonal imbalances that lead to reduced ovarian reserve and infertility. This condition is commonly marked by increased follicle-stimulating hormone (FSH), diminished AMH, and a decreased antral follicle count (AFC), which collectively lower the chances of conception. AMH, produced by granulosa cells within preantral and antral follicles, is a key indicator of ovarian reserve and an important predictor of how the ovaries respond to stimulation. Its strong link to follicle development makes it a valuable tool for assessing fertility potential. Women with low AMH levels undergoing in vitro fertilization (IVF) often experience poor outcomes, and many are left with the option of donor egg IVF as their only choice. Ayurvedic medicine provides holistic treatment options for infertility, by enhancing the body’s natural ability to restore hormonal balance, improve ovarian health, and boost oocyte quality, offering hope to those facing fertility challenges. The present case report document the efficacy of an Ayurvedic treatment protocol in improving the AMH value. The patient had undergone Shamana and Sodhana therapies and on follow up marked improvement in AMH level was found making her eligible for ART with her own egg

Ayurvedic Management of Endometriosis

Endometriosis is a painful and chronic condition that affects women of reproductive age, marked by the growth of endometrial-like tissue outside the uterine cavity. It is accompanied by debilitating pelvic pain, infertility, and potentially malignant transformations, significantly impacting quality of life. Endometriosis affects an estimated 1 in 10 women of reproductive age worldwide. The ovaries and pelvic peritoneum are the most common sites for developing endometriotic lesions. This is the case report of a 24year old unmarried female, who presented with irregular menstrual cycles with heavy menstrual bleeding and severe dysmenorrhea associated with giddiness, vomiting. On USG she was diagnosed with right ovarian endometriotic cyst. Based on the clinical features presented by the patient, medications possessing Amapachana, Agnideepana, Kaphapittasamana, Vataanulomana, Granthihara and Lekhana properties were administered. After seven months of internal medications symptoms reduced considerably and there was no ovarian endometriotic cysts in USG

Application of Adhikarana and Yoga Tantrayukthi in Ashtanga Sangraha Sutrasthana Based on Neelamegha’s Definition

Tantrayukthi is defined as the methodology and technique which enable one to compare and interpret scientific treatises correctly and intelligently. Only through the study and contextual application of these techniques, one can comprehend Ayurvedic principles completely. Ashtanga Sangraha of Acharya Vagbhata is an ancient authoritative text on Ayurveda, studied since many centuries by students, scholars and practitioners of Indian medicine. Because of its archaic style of composition and terse language, certain amount of difficulty is being experienced. Since all the Tantrayukthis cannot be done as a single work, this study is an attempt to find out the application of Adhikarana and Yoga Tantrayukthi in Asthanga Sangraha Sutrasthana based on Neelamegha’s definition

An Ayurvedic Approach in the Management of Female Infertility Caused due to Uterine Factor

Infertility due to multiple factors is one of the predominant health issues faced by married couples nowadays. It is common in 10-15% of couples. Both male and female factors contribute to the infertility. Ayurvedic approach is helpful in these steps to improve the overall health of the women. Shodhana therapy like Virechana and Basti work as the Garbha Adhana Shodhana procedure in the female and brings the Doshas in the Sama Avastha which will eventually help in conception. Materials and Methods: The case presented in the study is of a married couple who have been anxious to conceive for 9 years. She was started on Ayurvedic Shamana therapy to regularize her menstrual cycles last year. Later, she was admitted to the IPD for the Virechana and Yoga Basti procedure. Results: During the treatment, the patient regained regular menstrual cycles. She also has initiation of regular ovulation and has improvement in endometrial proliferation and layering. Conclusion: It is a case of infertility that includes multiple female factors such as uterine fibroids, uterine synechiae, irregular menstrual cycles, anovulation, and low AMH levels. Based on the parameters of Ayurvedic science this case was diagnosed as Vandhyatwa (infertility) The treatment included Shamana therapy to suppress the vitiated Vata and Kapha Dosha, and Shodhana to improve the Stroto Shuddhi for ovulation indication and adequate formation of endometrial layering. Hence, Ayurveda treatment can be used in patients with infertility with better outcomes

Effect of a Selected Ayurveda Treatment Protocol on Multiple Sclerosis

Multiple Sclerosis (MS) is a progressive neurodegenerative disease characterized by demyelination and plaque formation and having manifestations in multiple systems of the body. Signs and symptoms depend on the site of lesion. Prevalence of MS is estimated to be 2.8 million cases worldwide, the mean age being 20 to 40 mostly affecting females. Genetic factors also contribute greatly. Considering the etiological factors, pathogenesis and symptoms it can be correlated to different types of Avarana. A cluster of symptoms seen in different types of Avarana can be observed here. Along with Avarana the treatment principles of Jwara, Vatavyadhi, Vatashonita, Manasika vyadhis can also be adopted in this condition at different stages. The present work is a case report of a 22 year old male diagnosed with MS and treated effectively. This work is done in an effort to understand MS in terms of the basic principles of Ayurveda and to discuss the effectiveness of Ayurvedic treatment protocol in MS

Management of Yauvanapidika Through Shamanaushadhi

The face is universally recognized as an essential element of emotional expression and personal identification. The presence of acne can notably impact an individual’s self-esteem, especially in social interactions. In Ayurvedic literature, Yauvana Pidika, as described by various Acharyas, exhibit features similar to acne vulgaris. Yauvanapidika, due to its minimum causative factors, signs and symptoms and less severity is mentioned as one of the Kshudrarogas in Ayurveda Samhitas. A 23-year-old female patient who was apparently normal before six months developed multiple pus-filled acne on her forehead and both cheeks associated with pain and redness had consulted the outpatient department. She was having regular tea consumption twice a day, a mixed diet, and excess consumption of sugars, oily, and junk food. She consulted other contemporary medical systems as well, but didn’t find any relief. She was under Ayurvedic management for one month and felt very satisfied with the results. In this paper, successful management of this case with Shamana modalities is highlighted, which will be documented evidence for future case studies

An Ayurvedic Approach in the Management of Hirayama Disease

Hirayama disease is a self limiting condition affecting the motor component of distal upper limbs without any sensory impairment. It mainly affects young males of Southeast Asia with an increased prevalence in India and Japan. Clinical findings and Diagnosis: A 32 year old male patient approached the OPD with a known case of Hirayama disease for the past 5 years. By analyzing the condition and Dosha involved Ayurvedic treatment, both internal medication and external treatments were developed. Outcome: After a course of 28 days treatment divided into 9 and 19 days with a gap of 1 week, the patient showed significant improvement in the clinical signs and symptoms. Conclusion: Hirayama disease can be correlated to Vatavyadhi spectrum disorders like Bahusosha (a Vataja nanatmaja vyadhi). The main aim of treatment is to relieve the vitiated Vata and nourish the depleted Mamsa dhatu

Ayurvedic Management of Garbhasravi Vandhya

Vandhyatwa is not only the inability to conceive but also the failure to produce a viable offspring. Garbhasravi vandhya is one among the six types of Vandhyatwa described in Harita Samhita. Ectopic gestations may result in Garbhasrava. An ectopic pregnancy is one in which the fertilized ovum is implanted and develops outside the normal endometrial cavity. Approximately 10-15% of couples, with various contributing factors like age, health conditions, and lifestyle choices suffer with Vandhyata. In the present case, a 27 year old married woman complaints of inability to beget a viable child even after 2 years of unprotected sexual life. She had history of 2 ectopic gestations 1 year apart. She came to our OPD for pre conceptional care and underwent IP management for 2 months. The case was managed through a combination of medications and procedures such Udwarthana, Choorna pinda sweda, Virechana and Matravasthi which were Srotosodhana, Agnideepana, and Vatakaphahara in properties. On discharge the patient was advised to take Vatasunga with milk for Puthrolpatha sthithi pradam (for conception and proper implantation of Garbha). The patient got conceived and delivered a full term live female baby through LSCS

Add on Effect of Sthanika Chikitsa in Second Degree Uterine Prolapse along with Standard Conservative Management, Pelvic Floor Exercise

Uterine prolapse is a type of pelvic organ prolapse where the supporting pelvic structures of the uterus weakens and result in the descent of the uterus from its normal position. This condition may arise from the gradual failure of the supporting and suspensory structures of the uterus and vaginal wall over time. Most important conservative management involves pelvic floor exercises. When conservative management fails, surgery is the only treatment option. Yonirogas which show features of pelvic organ prolapse are Prasramsini, Andini, Phalini, Mahayoni and Vatiki. Among them, Prasramsini can be most suitably correlated with 1st and 2nd degree uterine prolapse[1]. The management principle of pelvic organ prolapse includes Vathika yoni roga chikitsa along with Sthanika chikitsa. Treatment mainly aims at Vathasamana, Brimhana, Sandhana, Balya and strengthening of pelvic floor musculature. This case report explores the add-on effect of Sthanika chikitsa particularly Yoni abhyanga, Yoni pichu dharana and Matra vasti with Dhanwantharam thailam and Avagaha with Dasamoola kwatha in second degree uterine prolapse with standard conservative management, pelvic floor exercise. Symptomatic relief and functional improvements were observed after 3 months of combined therapy, suggesting the additive benefits of integrating Sthanika chikitsa into standard conservative management

Role of Jalauka Avcharana and Ayurvedic Management in Dadru Kushtha

A massive increase in incidence of skin problems can be seen in tropical and developing countries like India. Dadru (Tinea corporis) is one of the most encountered skin diseases occurring due to unhygienic conditions, poverty, poor sanitation, sun exposure etc. Dadru is described under Kshudra kushtha in Charaka Samhita, which if left untreated it seeps into deeper tissues and becomes difficult to cure. For present study, a male patient of 15 yrs age visited department of Shalya tantra at Uttarakhand Ayurved University Gurukul Campus Haridwar with complaint of widespread patches and severe itching over back side of neck from 6 months. He also had on and off constipation from 15 days, disturbed sleep for 2 months and loss of appetite. There was no significant past history of any other chronic disorder. The patient was diagnosed with Dadru kushtha (Tinea corporis) on the basis of clinical symptoms and investigations. Patient was treated with Ayurvedic para surgical process (Jalaukavchran) along with oral Ayurvedic medicines like Arogya vardhni vati, Nimbadi churna, Gandhak bhasma, Trikatu churna, Khadirarishta, Triphala churna for 45 days. A significant response was observed over clinical symptoms, healing and recovery of Dadru