Male infertility is a growing global concern, affecting nearly 8–12% of couples worldwide, with low sperm count (oligospermia) and reduced sperm motility (asthenospermia) being the primary causes.1 According to the World Health Organization (WHO), a sperm concentration below 15 million per milliliter of semen is considered oligospermia. In Ayurveda, these conditions are correlated with Shukravaha Srotas Dushti and Shukra Kshaya, which denote the vitiation and depletion of Shukra Dhatu—the reproductive tissue responsible for vitality and fertility. Acharya Sushruta2 has described ten types of Shukra Dushti that can impair progeny. The present case study highlights the Ayurvedic management of Shukra Kshaya leading to male infertility. A 40-year-old male, married for 13 years, with Semen analysis showing oligospermia. The treatment approach included Aamapachana (elimination of metabolic toxins), followed by Shodhana (bio-purification) and Shamana (curative therapy) to restore balance in Shukravaha Srotas and rejuvenate Shukra Dhatu. This ayurvedic approach improved sperm count and motility significantly, demonstrating the potential of Ayurvedic interventions in enhancing male reproductive health. This case underscores the relevance of traditional Ayurvedic concepts in addressing the root causes of infertility rather than merely treating symptoms. Through shodhana,brumhana and vajikarana chikitsa, Ayurveda offers an effective, safe, and holistic alternative for managing oligospermia and improving fertility outcomes in men.
Dr. Malini G.2* Dr. Sowmya G.1 (Thu,) studied this question.