Ayurveda Management of PCOS Related Anovulatory Infertility: A Case Study

Infertility is a significant global health issue, affecting approximately one in six individuals of reproductive age during their lifetime. Among the various causes of infertility, polycystic ovary syndrome (PCOS) is the most prevalent endocrine disorder contributing to anovulation and impaired fertility. PCOS is characterized by hormonal imbalances, irregular menstrual cycles, hyperandrogenism, polycystic ovarian morphology, and disrupted ovulatory function, all of which can significantly hinder the ability to conceive. Conventional therapeutic strategies, including the use of selective estrogen receptor modulators (SERMs), gonadotropins, and laparoscopic ovarian drilling, often have limited efficacy and are associated with adverse effects. Given these limitations, there is a growing need to explore alternative and complementary approaches. Ayurveda, with its holistic and individualized treatment principles, offers potential in improving reproductive health outcomes in women with PCOS-related infertility. Case Presentation: The patient in this case had complaint of failure to conceive with irregularly delayed menses for 1.5 years. After not achieving satisfactory results with other treatment, she came for Ayurvedic management in OPD of PTSR at ITRA, Jamnagar. Management and Outcome: She was managed with Virechana Karma, Dashmooladi Yoga Basti, Matra Basti and Nasya along with Shamanaushadhi. Following this protocol, the patient successfully conceived within 7 months of treatment. Discussion: Virechana Karma was administered as a detoxification procedure to eliminate Pitta and Kapha dosha. This was followed by Dashmooladi Yoga Basti and Matra Basti to nourish and strengthen the reproductive system, regulate Apana Vata, and improve ovarian function. Nasya Karma was employed to influence the hypothalamic-pituitary-ovarian axis, thereby supporting hormonal regulation.