Management of Oligospermia (Kshina Shukra) by Ayurvedic Therapy: A Case Report

Male infertility is a widespread issue, often resulting from low sperm count (oligospermia) and poor sperm motility (asthenospermia). According to the World Health Organisation (WHO), a sperm concentration of less than 15 million sperm per milliliter of semen is classified as oligospermia. Oligospermia can be associated with Shukravaha Srotas Dushti in Ayurveda. Globally, infertility impacts approximately 8-12% of couples. Shukra Dhatu primarily refers to semen and its role in determining reproductive potential. A decline in Shukra Dhatu leading to Shukra Kshaya can be correlated with oligospermia. A 30-year-old male patient presented with general debility and fatigue for one year. He was married and, along with his wife, had been trying to conceive for the past four years without success. He was advised to undergo a semen analysis, which confirmed a diagnosis of oligospermia. The treatment approach emphasised Aamapachana (toxin elimination) and rejuvenation of Shukra Dhatu through Shodhan (bio-purification) and Shaman (curative) treatment to address the root cause of infertility. The outcome demonstrated notable improvements in both sperm count and motility, indicating the effectiveness of Ayurvedic therapies in managing oligospermia (Shukra Kshaya). This report underscores the potential of Ayurvedic interventions as a holistic approach to treating oligospermia and improving male fertility.