Infertility is a significant global health issue, with male factors accounting for nearly 40% of cases. Among these, oligoasthenozoospermia - a condition marked by reduced sperm count and motility - poses a considerable challenge. This case report presents the successful Ayurvedic management of a 36-year-old male diagnosed with oligoasthenozoospermia and mild erectile dysfunction, correlating with the classical condition of Shukra Kshaya janya Klaibya. The patient, a software engineer with a stressful lifestyle, night shifts, and disturbed sleep, exhibited poor semen parameters and psychological distress. An integrative Ayurvedic approach involving Shodhana (purificatory therapies) including Virechana, Basti, and Uttara Basti, followed by Shamana Chikitsa with Rasayana, Vajikarana herbs, Viddhakarma, Yogic practices, and dietary modifications was adopted. Marked improvement was observed in semen parameters, erectile function, and overall well-being, with normospermia achieved and conception confirmed. This case highlights the potential of Ayurvedic protocols in addressing male infertility through holistic, individualized, and multi-modal interventions, emphasizing their relevance in contemporary reproductive healthcare.
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