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Introduction: Vandhyatwa has been mentioned by various Acharyas in Ayurvedic classics using multiple terms. Acharya Charak explained factors responsible for Vandhyatwa (infertility), such as yoni dosha (gynaecological disorders), Mansika-Abhitapa (mental stress), Shukra-Artavadosha (disorders of sperm and ovum), Ahara-Vihara Dosha (food- and lifestyle-related disorders), Akalyoga (inappropriate timing), Bala-Kshaya (decreased strength). Two major factors which are associated with fertility problems are anovulation and defects in tubal patency. In the present article, there is a case study of ayurvedic management of infertility due to bilateral tubal blockage. Main Clinical Finding: A 29-year-old female patient reached the hospital complaining of a wants issue for five years. Diagnosis: Her hysterosalpingiography findings showed a bilateral fallopian tubal block. Interventions: 3 consecutive cycles of Uttarabasti were given with Phalaghrita for 3months along with oral medications (Tab. Shebless forte, Phalaghrita) and Anu taila nasya application. Outcome: The patient missed her period after four months of treatment, and the urine pregnancy test was found to be positive. Conclusions: Tubal patency (Kshetra) is an essential factor for conception.
Johari et al. (Tue,) studied this question.