Management of Infertility – Caused by cervical factor
Infertility – the most challenging gynaec problem – in Ayurveda, where people come to us with great hope after spending most of their time and money expecting some miracle from us. But we all know that there are areas in Ayurveda regarding Infertility which are still un-explored from research point of view. In Ayurvedea most of the studies have discussed the clinical side of disease in general – not particular with any cause.
It’s time that we should give the remedy for particular etio-pathology because only after that we are capable to pin-point that the particular Ayurvedic therapy is useful in Infertility by removing the particular causative factors.
Let’s have a look on factors responsible for single etiology infertility:
- Endometriosis – 25%
- Male factor – 18%
- Tubal factor – 12%
- Anovultion – 16%
- Luteal phase defect – 7%
- Cervical factor – 5%
- Uterine – 2%
- Others – 16%
Cervical factor is also associated with problems like Anovlution, Luteal phase defect, and even with unknown etiology factor. Here we are going to discuss infertility caused by cervical factor managed by Uttar-basti.
This management is discussed briefly in table below:
Viginal Factor |
Management |
|---|---|
| Infection | Appropriate therapy |
| Coital problem | Counseling |
| Hymen rigidity, prolapsed, congenital anomalies | Appropriate surgical procedure |
| Endocervicitis | Culture antibiotics |
| Polyp, Myoma, Stenosis | Surgical management |
| Hostile mucus | IUI |
| Acid mucus | IUI, Alkaline Douche |
| Antiobodies | IUI, Glucocorticoids |
The results can be analyzed with EB and ultra-sound.Our area of work for Uttarbasti is hostile mucus, acid mucus and antibodies. Uttarbasti of phala-ghrita, kalyanak-ghruta or shatavari-ghrita can be given in OT with IUI canula on 5th, 6th and 7th day of menstrual cycle. This can be repeated for 3 cycles or as per the requirement.
From results, we can conclude that Uttarbasti improves cervical mucus by correcting its pH and makes it more permeable to spermatozoa. It improves the quality of estrogen receptors in cervical mucus and it makes cervical mucus transparent and more elastic, creating the best suitable atmosphere for sperm. This healthy cervical mucus provides suitable atmosphere for both – entry and survival – of spermatozoa.
This local treatment, along with oral medication of prajasthapan-gana or garbhasthapan-gana can form the holistic approach towards treatment of infertility giving encouraging results.