Abstract

Wakkumbura H.P.*, Deepthika S.H.K. and Fernando K.A.B.

ABSTRACT

Subfertility is the failure to conceive within one year of unprotected regular sexual intercourse. Main causes for subfertility are ovulation disorders, seminal fluid defects, tubal damage, endometriosis and fibroids. Among those causes tubal and peritoneal factors are the second most contributory cause. The tubular obstruction may occur from pelvic inflammation due to various infections. In this case report, a 37-year-old female patient was reported with bilateral tube blockage and moderate secondary dysmenorrhea due to pelvic inflammation. She was treated with shodhan therapy followed by Shamana Ayurvedic formula. Punarnawashtaka churna, Pippalimula churna, Maduyashtadi churna, Shariwan trivruth churna, Kaishora guggulu, Gokshuradi guggulu, Arogyawardhani vati and Sudarshana vati formulae were administered for 6 months followed by 7 days of Nirgundyadi oil application and Nadi sweda after cessation of menstrual periods. There was a gradual improvement of dysmenorrhea. At the end of treatment, no dysmenorrhea or fallopian tube blockage was observed. No adverse effects were noted during the treatment period. The patient conceived during the follow-up period concurrent to the treatment action. The present case study concluded that above formulae is very effective in the treatment of subfertility secondary to tubal block.