Integrative Unani Management of Secondary Infertility: A Case Report of Reproductive Recovery

Abstract

Secondary infertility (Uqur-e-Sanwi) is the inability to conceive after a previous pregnancy, regardless of its outcome. In Unani medicine it is discussed under the broader term Uqur (sterility), which classical scholars such as Buqrat (Hippocrates), Ibn Sina (Avicenna), Jurjani, and Zakariya Razi categorized into Uqur-e-Mutlaq (absolute sterility) and Uqur-e-Nisbi (relative sterility). The Unani formulations used in this report are Habb-e-Hamal and Majun-e-Hamal Ambari (Muqawwi-e-Rahem, uterine tonics), Dawa-ul-Misk Motadil (Jawahar Wala) (Muqawwi-e-Meda and Muqawwi-e-Qalb), and Majun-e-Supari Paak (Qabid and Muqawwi-e-Rahem). In this case report, a 26-year-old woman, gravida 2, para 1, abortus 1 (G2P1A1), presented with a history of unsuccessful conception attempts for over one year following a spontaneous abortion in 2023. She had previously delivered a healthy full-term infant in 2022. Comprehensive evaluation, including hormonal profiling, pelvic ultrasonography, and her spouse’s semen analysis, revealed no abnormalities, leading to a diagnosis of unexplained secondary infertility. The treatment protocol included Habb-e-Hamal (2 tablets [400 mg per tablet ]) twice daily from day 2 to day 12 of the menstrual cycle), Majun-e-Hamal Ambari (5 gm twice daily for one month starting on day 2 of the cycle), and Dawa-ul-Misk Motadil (Jawahar Wala) (5 gm twice daily for one month starting on day 2 of the cycle). Upon ultrasonographic confirmation of dominant follicle rupture, Majun-e-Supari Paak (5000 mg twice daily for one month) was prescribed. Conception occurred after just one treatment cycle. The pregnancy progressed without complications, and the patient delivered a healthy baby by lower segment caesarean section in January 2026.