How to Manage Female Infertility?
स्त्री-वन्ध्यत्व का आयुर्वैदिक उपचार कैसे करें?
Female infertility could be managed by ayurveda, as follows...
I. Correct ovulation dysfunction:
Ovulation dysfunction is a major underlying pathology in the female infertility.  It can be managed as below - 
1. Harmonize the hypothalamic-pituitary (उदान-वायु साम्यता) activity:_
This could be done by using- 
• Shatavari, 
Putranjiva, 
Shilajatu, 
Trivang ; and
• Bala, 
Daruharidra, 
Shunthi.
These possibly harmonize the hypothalamic-pituitary activity (उदान-वायु साम्यता) through several direct and indirect mechanisms. 
2. Increase tissue sensitivity to insulin (समान-वायु साम्यता):
This could be done by using- 
• Mamajjak,
 Mesha-shringi,
 Lata-karanj,
 Katuki,
 Pippali,
 Rakta-marich,
 Indravaruni ; 
• Bhumiamalaki
 Kakmachi,
 Sharpunkha ;
• Darusita,
 Vijaysar,
 Jambu-beej,
 Methi.
These drugs lower the raised insulin in the blood by increasing tissue sensitivity to the same.
3. Harmonize the production and activity of estrogen (अपान-वायु साम्यता):
This could be done by using- 
• Ashok,
Lodhra, 
Lajjalu to reinforce the proloferative phase; and 
• Ulat-kambal, 
Hirabol,
Ghrit-kumari to reinforce the secretory phase.
4. Reinforce the thyroid functions (समान-वायु साम्यता) and obesity (स्थौल्यम्):
In case, the patient has hypothyroidism and/or obesity, there is a need to reinforce the thyroid functions. This could be done by using-
• Brahmi, 
Guggulu, 
Gandira, 
Pippali, 
Rakra-marich 
that seem to improve the production of thyroid hormones (समान-वायु साम्यता). 
• Chitrak, 
Bhallatak, 
Guggulu 
Could also be used for improving thyroid functions.
• Some drugs like 
Shunthi, 
Pippali, 
Marich, 
Chavya, 
Chitrak (Trikatu, Chaturushan, Panchkol) could also be used for by stimulating thyroid functions (दीपनम्) and metabolism (आमपाचनम्). 
5. Reinforce mental health (रजस्-तमस् साम्यता):
In case, the patient has associated anxiety there is a need to manage the excessive anxiety. It could be done by using - 
• Brahmi, 
Tagar 
• Shankhpushpi, 
mandukparni, 
Jatamansi, etc.
In case the patient has mental depression, she should be advised anti-depressant drugs like - 
• Jyotishmati,
Akarkara, 
Vacha, 
Gandira , etc. 
II. Manage the tubal blockage:
Blockage of the Fallopian tubes is the second major underlying pathology in the female infertility.  It could be managed as below - 
1. Anti-bacterial drugs (जीवाणुहर औषधियाँ ):- 
Bacterial infection is the primary causative factor resulting in the tubal blockage. Judicious use of the following anti-bacterial drugs could help manage the bacterial infection -
• Chirayata, 
Ativisha, 
Gandhak, 
Yashad ;
• Guggulu, 
Bhallatak, 
Chitrak ;
• Manjishtha ghan tab, 
Sariva ghan tab, 
Nimba ghan tab, 
Guduchi ghan tab;
• Dashmula (ghan) tab, 
Pachatikta ghrit guggulu.
2. Anti-inflammatory drugs (शोथहर औषधियाँ ):-
Bacterial infection is invariably associated with inflammation, that if managed properly, could help in speedy opening of the blocked tubes.
Judicious use of the following anti-inflammatory drugs could help manage the inflammation -
• Shallaki, 
Erandmula, 
Jatiphal ;
• Rasna ghan tab, 
Dashmula ghan tab, 
Haridra ghan tab, 
Shigru ghan tab, 
Guggulu shuddha tab;
• Kaishore Guggulu, 
Rasna-saptak kvath.
III. Manage TORCH infections:
TORCH infections is another underlying cause in the female infertility and habitual abortions.  It could be managed as below - 
1. Anti-viral drugs (विषाणुहर औषधियाँ ):
Judicious use of the following anti-viral drugs could help manage the TORCH infection -
• Kalmegh, 
Bhallatak, 
Dugdhika ;
• Guggulu, 
Bhallatak, 
Chitrak ;
• Bhumiamalaki.
2. Immune-boosting drugs (ओजःवर्धक औषधियाँ ):
Judicious use of the following immune-boosting drugs could help manage the TORCH infection -
• Ashwagandha, 
Guduchi, 
Tulasi, 
Pippali, 
Yashad ;
• Shilajatu, 
Amalaki, 
Mukta-shukti, 
Svarna-makshik, 
Abhrak, 
Yashad 
• Mukta-shukti, 
Amalaki, 
Abhrak, 
Yashad.
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