Intra-urethral Uttar Vasti (IUUV) as a therapeutic intervention for fallopian tubal blockage-induced female infertility: A clinical evaluation

Female infertility remains one of the critical global issues, profoundly impacting couples both socially and psychologically. Unilateral or Bilateral fallopian tubal blockage is a significant etiological factor for female infertility. This study aimed to evaluate the efficacy of Intra Urethral Uttar Vasti (IUUV) in the management of tubal blockages. The Study Patient selection was based on the diagnosis of bilateral tubal blockage which was confirmed by hysterosalpingography (HSG) test. Medicated IUUV decoction was selected and the dose of Uttar Vasti was 5 ml with a duration of five consecutive menstrual cycles with four days of each cycle. The IUUV procedure was started after completing cessation of menstruation. After taking five months of treatment, a repeat HSG was performed on these two patients. In the first patient, the previously diagnosed bilateral tubal blockage was successfully resolved, whereas in the second case, the HSG revealed that the left fallopian tube was completely open while the right tube remained partially block. After taking Two months of medicinal treatment, the first patient reported a missed menstrual cycle and was advised to undergo a Beta HCG and urine for PT, both of which confirmed a positive pregnancy outcome. The second patient was advised to undergo three additional cycles of IUUV to further address the partial blockage in the right fallopian tube. These results suggest that IUUV therapeutic procedure was the effective treatment option for unilateral or bilateral fallopian tubal blockage.