Background: Secondary unexplained infertility often presents a significant clinical challenge, especially in women of advanced reproductive age, where conventional investigations usually reveal no definitive pathology. Ayurveda highlights the functional integrity of the reproductive field (Kshetra) and hormonal balance (Artava) as important factors of fertility. Objective: To document a successful conception achieved through an integrated Ayurvedic approach, including Uttar Basti and oral medications, in a case of secondary unexplained infertility. Methods: A 37-year-old female with a history of one successful pregnancy and subsequent failure to conceive even with normal reproductive parameters in both partners was managed with an Ayurvedic protocol. The treatment included intrauterine Uttar Basti with Shatavari Ghrita administered for 3 days post-menstruation period along with oral Shamana Chikitsa including Phala Ghrita, Chandraprabha Vati, and Pushpadhanwa Rasa. Treatment was continued for two consecutive menstrual cycles. Results: Following the first cycle, the patient reported improvement in cervical mucus and reduced menstrual discomfort. After the second cycle, conception occurred spontaneously and was confirmed by urine pregnancy test and serum β-hCG levels. Conclusion: This case highlights the potential role of Uttar Basti with Shatavari Ghrita in improving endometrial receptivity and correcting functional disturbances of the reproductive tract. This ayurvedic protocol may offer a promising therapeutic option in secondary unexplained infertility cases, especially in women in their late reproductive years where conventional diagnostics fail to identify a cause.
621-629 (Thu,) studied this question.