Ayurvedic management of Hydrosalpinx - A Case Series of Three Patients on Non-Surgical Restoration of Tubal Patency

Introduction: Hydrosalpinx, a fluid-filled blockage of the fallopian tubes, is a major contributor to female infertility accounting for up to one third of tubal factor infertility cases. Conventional management typically involves surgical removal or occlusion of the affected tube prior to assisted reproductive procedures. However, these approaches may not always be accessible, affordable or acceptable to all patients. Ayurveda offers a non-surgical, holistic alternative by addressing Dosha imbalance and Srotodushti. This case series evaluates the effectiveness of Ayurvedic drug management in restoring tubal function and reproductive potential. Case Presentation: This case series documents three patients aged 29-31 of primary infertility (7-9 years), with radiological evidence (HSG or TVS) of hydrosalpinx were treated with Ayurvedic medication. All had regular menses with no prior conception. Intervention: The treatment administered for 3-5 months included Ayurvedic formulations for Shamana (palliative treatment), such as Aragvadhadi Kashayam, Punarnava Mandur, Haridrakhand, Chandraprabha Vati, and Kaishor Guggul etc. These herbal remedies were chosen to address the underlying imbalances and support fertility restoration. Outcome: Over the course of 3 to 5 months, All the patients demonstrated resolution of hydrosalpinx and normalization of the fallopian tubes & patency. Conclusion: This case series highlights successful non-surgical Ayurvedic management of hydrosalpinx, offering a potential integrative approach to infertility care.