Infertility is failure to conceive within one or more years of regular married life i.e. no contraceptive is used by the couple. The term primary infertility is used for the couple who have never conceived and if after one pregnancy or child birth she is unable to be pregnant it is considered as secondary infertility. The problem may be in male, female or both but usually female partner is always considered responsible for infertility irrespective of male factor or female factor. Common causes of infertility in male are lower semen volume, low sperm count, defective seminal fluid, defective sperms failure to deposit in high in vagina –obstruction in the passage i.e. seminal vesicular system.
1. Ovarian factors: Non moving production of egg, non rupturing of egg, P.C.O.D. i.e. polycystic ovarian disease in which multiple follicles are formed but non of them matures to its full size and as a result no ovulation occurs..
2. Tubal factors: Normally the fimbrial end of the fallopian tube pick up the ova released from the ovary and passes through the fallopian tube on its way through the tube union with the spermatozoa occurs. Any obstruction in the fallopian tube or defect in the pick up of egg and improper tubal motility which leads to infertility.
3. Uterine factors: There may be congenital malformation of uterus like septum in the cervix of uterus, fibroids of uterus, in adequate growth of endometrium in the uterus. Uterus should be of normal size, shape and bed i.e. endometrium should be properly developed because it is here only where fertilized eggs is attached and embryo is formed.
4. Cervical factors: Anatomical defects of cervix, long size of cervix, prolaps of uterus leading to low level of cervix retroverted uterus, pin hole cervix and polyps of cervix usually leads to infertility.
5. Vaginal factors: Atresia of vagina septum in vagina, inflammatory contains and infections of vagina usually lead to infertility.
Treatment: In uttaravasti various decoctions of medicines, ghrit and oils are used which cleans and tone up the genital tract. Very good results are found of uttarvasti given in cavity of uterus in cases of endometrial tubal blockage and habitual abortions.
6. Combined factors i.e. of male and female are:
• Age above 35 years.
• Intercourse without knowledge of timing and technique
• Low immunity are some factors which usually lead to infertility.
Plants containing phytoestrogens are used to correct ovulation and growth of endometrial lining. Commonly used herbs are Ashoka, Shatavari, Kumari, Tulasi, Lodhra Churna etc. are used. For causes of tubal blockage, Uttar Vasti is done, which is vaginal as well uterine. Panchkarma is proved to be result oriented in case of P.C.O.D. and hormonal imbalance.
A success report has been listed below.