Vd. Triveni Dhopeshwarkar*


Infertility happens to be a matter of concern in the body due to organic or physiological defects. Organic causes sometimes being obsolete and are classified as congenital anomalies. The ones which are physiological refer to the basics of conception as quoted by Acharya Sushruta i.e. Rutu, Kshetra, Ambu and Beeja. Here comes the concept of Sarvadehik and local i.e. Trayavarta Yoni to be with Tridosha harmony. It’s the Pitta basically responsible for Shuddha Artava which originates from Rasa Dhatu. Out of Snigdhadi Gunas of Pitta, the Ushna is a significant factor which is seen to be the main cause, with reference to the Chikitsa. This increased Ushna Guna can cause female infertility as well as habitual abortions. Female infertility can be broadly classified into inability to hold sperm, inability to fertilize and/ or inability to implant and sustain the embryo. This Aushnya can be diagnosed by Sarvadehik Pitta Vruddhi Lakshane, Yoni Daha-redness and/ or Udar Ausnya. If there is Udar Aushnya, there may be Grahani Dosha which can definitely lead to Vandhyatva. Though Aartava is Aagneya Guna Pradhan, excessive heat definitely causes malfunctioning of Aartava. The principle modalities for the treatment of threatened abortion or Garbhasthapaka Dravyas are most likely of Sheeta Virya. This means Aushnya is one of the major factor causing Garbhasrava or infertility. The treatment for the same will be Madhura, Shita, Jivaniya Dravyas ultimately the Pittashamak Dravyas. These medications can be used internally, for Basti, Uttarbasti, Yonipichu, Udar Pichu.

Keywords: Infertility, Stree Vandhyatava, Ushna, Aushnya, Pitta, Agni, Aartava, Sarvadehik, Udar, Tryavarta Yoni

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