Ayurvedic Management of Primary Infertility Associated with Anovulation with Psychological Disturbances: A Single Case Study

Abstract

Primary infertility is a growing concern in modern society with Anovulation, often accompanied by psychological stress, depression, and lifestyle-induced reproductive disorders. From an Ayurvedic standpoint, it correlates to Vandhyatva, often resulting from Vata–Kapha dosha vitiation, Agnimandya, and Manasika bhavas such as Chinta and Shoka. This case study presents a 32-year-old female patient with a 4-year history of primary infertility, compounded by psychiatric illness and long-term use of antidepressants and sedatives. The treatment protocol emphasized Manas–Sharira samyak chikitsa, beginning with cessation of modern psychotropic drugs under medical supervision, followed by administration of Medhya Rasayana (Ashwagandha, Brahmi, and other Rasayana dravyas) for neurological and hormonal balance, ovulation induction therapy, and Panchakarma procedures. Specific Garbhashaya poshak herbs were given as oral formulations, along with Yogabasti, Uttarbasti, and Vatshrunga Nasya during the ovulatory phase. After conception, strict adherence to Garbhini Paricharya ensured a healthy intrauterine environment. The intervention led to natural conception within 2 months, and a healthy male child weighing 3.8 kg was delivered on 21/9/23. This case highlights the efficacy of an integrative Ayurvedic approach combining Rasayana, Srotoshodhana, and Manasika chikitsa in restoring ovulation and achieving successful conception in complex infertility cases.