Successful Treatment of A Primary Infertility Case with Shamana Chikitsa and Pathya Aahara-Vihara: A Case Report

Polycystic ovarian syndrome (PCOS) is a very prevalent contributing factor to cause infertility. Obesity, Hirsutism, Acanthosis Nigricans, delayed menstrual cycles, and infertility are the main presenting features. PCOS is a hyperandrogenic state with oligo-anovulation that cannot be explained by any other disorder. It is a diagnosis of exclusion, and disorders that mimic clinical features of PCOS must be excluded. In the present case report, a patient visited the Outpatient Department of Prasuti Tantra- Stree Roga (Gynecology & Obstetrics) with chief complaints of primary infertility, delayed menstrual cycles, obesity, and hirsutism. She was principally diagnosed with polycystic morphology of ovaries in ultrasound, Luteinizing Hormone: Follicle Stimulating Hormone ratio of more than two, and increased Basal Metabolic Index. She had increased stress at the workplace and was very anxious about a child due to six years of married life and exhaustive treatment from a few gynecologists. The patient and her husband were counseled and reassured. Ayurvedic treatment was started which was focused on weight loss. To accomplish this, Pathya-Apathya Ahara-Vihara (Wholesome & unwholesome diet and regimen) including Yoga interventions like Bhujangasana (cobra pose), Suryanamaskara (sun salutation), and Pranayama (control of breath) were advised to practice. Oral medication to regulate Vata (Doṣha responsible for movement and cognition) to correct Kshetra (uterus and adnexa), Beeja (ova), and Ambu (hormones), which were supposed to be regularized during the menstrual cycle, had been given. Special consideration was given to counseling for stress control. She conceived within four months of the beginning of Ayurvedic treatment predominantly by receiving Shamana Chikitsa (mitigation treatment) and following Pathya-Apathya Aahara-Vihara (wholesome & unwholesome diet and lifestyle).