Introduction: One of the most underappreciated reproductive health problems in developing countries is the high rate of infertility. Grave’s disease is the most common cause of hyperthyroidism. It is an autoimmune disease in which immune system attacks the thyroid, causing it to grow and release too much hormone. Menstrual changes associated with hyperthyroidism are unpredictable, ranging from menstrual irregularities to even infertility. Ayurveda doesn’t emphasize the exact nomenclature of disease but features of Athyagni have striking similarity with the symptoms of hyperthyroidism. Aim: To study hyperthyroidism in Ayurvedic perspective & to establish Ayurvedic approach in female infertility with hyperthyroidism. Methodology: The basic and conceptual materials are taken from ayurvedic classics, research articles from renowned journals, modern textbooks and previous research works have also been looked thoroughly. A female patient aged 29 years with secondary infertility due to hyperthyroidism (Grave’s disease) successfully conceived by Virechana Karma and Shamana Aushadhi. Result: Patient successfully conceived after 4 months of Ayurvedic treatment i. e. Virechana Karma along with Shamana Aushadhi. Discussion: Agni plays a very important role in the formation of Ahara Rasa. There is striking similarity between Dhatwagni and thyroid hormone metabolism. Athyagni leads to Dhatupaka Avastha in multiple Dhatus which eventually leads to Kshaya of Rasadi Dhatu. The whole process is mediated by Athyagni in Koshta and Dhatu. Virechana is used as Shodhana therapy leads to Pittashamana which is predominant in Athyagni. Acharya Charaka has mentioned Ghrita as line of treatment and also good for Pittashamana. Kalyanaka Ghrita is used as Shamana Sneha which is Punsavaneshu Param and helpful in Vandhyatwa. A better understanding of the pathogenesis of hyperthyroidism through the fundamentals of Ayurveda helps to obtain a cure that is safe, conservative and definitive which is possible through Ayurveda.
Dr. Sipika Swati2 Dr. Niharika Kamble1* (Mon,) studied this question.