Ayurvedic modalities in the management of Sukraksheena w.s.r. to Asthenospermia - A Case Study

Infertility is usually defined as the inability of a couple to conception even after a year of unprotected, frequent sexual intercourse. It affects about 15% of all couples in the United States and at least 180 million couples worldwide. WHO data from 2023 suggests that 1 in 6 people globally experience infertility and that roughly one-third of infertile couples have a male factor contributing to infertility. The main causes of male infertility are low sperm count (oligospermia) and reduced motility of sperms (asthenospermia) and according to the ancient it can be correlated with Shukravaha Srotas Dushti. Acharya Sushrut has explained 10 types of Shukra Dushti which are incapable of producing a progeny. Shukravaha Srotas Dushti leads to Aharsa(loss of libido), Klaibya etc. According to Ayurveda there is no direct correlation of Oligospermia or Asthenospermia but we can correlate it with Shukra Kshaya or Ksheena Shukra. A 45-year-old male who had been diagnosed as Asthenospermia (Non motile sperm) with 5 years of married life and his wife with regular menstrual cycle, were treated successfully with Ayurvedic management based on Sukrasodhana followed by Sukrajanana Therapy. After Deepan-pacana, Abhantara Snehana, Sodhana (Virecana Karma) and Samana Chikitsa with Phalaghrita, Pushpadhanya Rasa,Chagaladya Garita etc. were administered. There was a significant improvement in Subjective and Objective (seminal) parameters markedly improve.