Female infertility is a complex clinical condition affecting nearly 10–15% of reproductive-age couples globally. It arises due to ovulatory dysfunction, tubal pathology, uterine abnormalities, and endocrine imbalance. Ayurveda describes infertility under Vandhyatva, emphasizing derangement of Ritu, Kshetra, Ambu, and Beeja. Among Panchakarma therapies, Uttarbasti is a specialized intrauterine therapeutic procedure that plays a pivotal role in managing female infertility. This review critically analyses classical Ayurvedic principles along with contemporary clinical evidence regarding Uttarbasti. Studies demonstrate improvement in ovulation, endometrial thickness, tubal patency, and hormonal balance. Uttarbasti acts through local drug delivery, Vata pacification, and enhancement of uterine receptivity. It offers a cost- effective, minimally invasive alternative or adjunct to ART. Further large-scale randomized trials are required to establish standardized protocols.
Dr. Vaishnavi R. Patil1*, Dr. Anjali V. Jadhav2, Dr. Yugandhara More3 (Mon,) studied this question.
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