Clinical Application of Kshar Tail Uttar Basti in Infertility Due to Fallopian Tube Blockage: A Case Report

Infertility affects approximately one in six couples globally, with female factors accounting for nearly 40% of cases. Fallopian tube blockage contributes to 25–35% of female infertility and is often linked to pelvic infections, endometriosis, or past surgeries. In Ayurveda, this condition is seen as a Vata-predominant Tridoshaja Vyadhi, with Kapha involvement leading to obstruction. A 32-year-old woman with primary infertility of three years was diagnosed with bilateral tubal blockage on Hysterosalpingography (HSG). Kshar tail has Vata Kapha Shamak and Lekhaniya properties, was administered as Uttar Basti in a dose of 5 ml for 3 days of three consecutive cycles, followed by oral Ayurvedic medications. Following completion of the treatment protocol, a repeat HSG showed normal bilateral spillage of dye, indicating successful restoration of tubal patency and after 1 year patient had conceived. This case report demonstrates the potential of Kshar Taila Uttara Basti as an effective, non-invasive treatment for infertility related to fallopian tube blockage. The case supports the viability of Ayurvedic interventions in reproductive health, particularly for patients seeking alternatives to IVF.