Management of Secondary Infertility with Bilateral Tubal Block Using Uttarabasti - A CARE-Compliant Case Report

BackgroundInfertility due to tubal obstruction remains a significant challenge. In Ayurveda, Vandhyatva may result from dysfunction of Kshetra (Reproductive organs). and deranged Apana Vata (Reproductive neurophysiology). Uttarabasti, an Intravaginal/ intrauterine instillation therapy, is indicated for Yonivyapada (Reproductive disorders) and Srotosanga (Obstructed channels) in the reproductive tract. Brief Case ReportA 35-year-old woman presented with five years of secondary infertility with documented bilateral tubal block on hysterosalpingography. Semen analysis was normal. An Ayurvedic protocol including Uttarabasti with Sahachara Taila followed by Phala Ghrita, oral medicines and Yoni Picchu (Medicated vaginal tampons) were administered for three months. ConclusionConception occurred in the fifth month of treatment initiation and patient delivered a healthy term infant vaginally. This case suggests therapeutic potential of Uttarabasti in selected cases of tubal-factor infertility. Keywords – Apana Vata, Artavavaha Srotas, Phala Ghrita, Sahachara Taila, Srotoshodhana, Yoni Picchu