To Evaluate the Effectiveness of Ayurvedic Management in a Case of Unexplained Infertility Attributed to Garavisha and Dushivisha: A Case Report

Background: Unexplained infertility accounts for nearly 10–15% of infertility cases, where conventional investigations reveal no identifiable cause. Ayurveda emphasizes the role of Garavisha and Dushivisha—subtle cumulative toxins arising from incompatible diet (Viruddha Ahara), processed foods, environmental pollutants, and unhealthy lifestyle—as potential contributors to reproductive dysfunction through Agnimandya, Ama formation, and Artava Dushti. Objective: To evaluate the effectiveness of Ayurvedic management in a case of unexplained infertility attributed to Garavisha and Dushivisha. Case Presentation: A 28-year-old married woman presented with primary infertility of three years' duration, irregular menstrual cycles, scanty menstrual flow, and mild dysmenorrhea. Hormonal profile, pelvic ultrasonography, and other routine investigations were within normal limits, leading to a diagnosis of unexplained infertility. Detailed dietary and lifestyle assessment revealed frequent consumption of processed and reheated foods, Viruddha Ahara, disturbed sleep, and chronic passive exposure to cigarette smoke and environmental pollutants. Intervention: The patient received Ayurvedic management for three consecutive menstrual cycles, comprising Nidana Parivarjana, Deepana-Pachana (Chitrakadi Vati), Visha Shamana (Guduchi Ghana Vati), Artava Shodhana (Rajahpravartini Vati), Artava Poshana (Kumaryasava), Vata Shamana (Dashmoolarishta), Garbhasthapana (Phala Ghrita), and Rasayana therapy (Shatavari Churna). Results: Following treatment, menstrual cycles became regular with adequate flow, dysmenorrhea decreased (VAS score: 3 to 1), digestive function improved, symptoms of Ama reduced, and appetite and energy levels improved. The patient subsequently achieved spontaneous natural conception. Conclusion: This case suggests that Garavisha and Dushivisha may represent overlooked etiological factors in selected cases of unexplained infertility. A comprehensive Ayurvedic approach focusing on elimination of causative factors, correction of Agni, detoxification, and restoration of reproductive health demonstrated favorable clinical outcomes. Further well-designed clinical studies are warranted to validate these findings.