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Abstract

OLIGOSPERMIA WITH SPECIAL REFERENCE TO UTTARAVASTHI - AN OPEN LABEL UNCONTROLLED CLINICAL STUDY

*M Jithesh1, Uma Venugopal2

1Associate Professor, Dept of Kayachikitsa and Post graduate studies in Manovijnana, V.P.S.V Ayurveda College, Kottakkal.
2Consultant physician, GARIM, Kottakkal.

ABSTRACT

Subfertility is one of the conditions that strike deep into the psyche of the couples that experience it. It is estimated that one sixth of all the couples have difficulty in conceiving the number of children they wants, when they want them.1 It is not always a disease but the consequence of some pathogenic process, resulting in lifelong consequences. Even though the medical science have many an inventions and artificial reproductive techniques, the management of subfertility is not upto the mark. It is also not cost effective as far as the common man is considered2. Ayurveda has been on the route of specialisation right from its evolution in the universe. Of the eight specialities developed, vajeekarana is aimed at the management of the problems of genitourinary system and subfertility is considered as one among the utilities of this speciality3. Biological factors as well as the socio cultural factors are also being discussed under the aetiological factors. Ayurvedic parlance is really a treasure of several therapeutic combinations as well as procedures advisable in conditions like subfertility including oligo asthenospermia. Of these, the most important procedure mentioned is about a technique called Uttaravasthi ie. the method of introducing selected medicaments through the genitourinary route4. Prior to this procedure, one has to perform snehana, sodhana and nirooha. It seems ideal that, a management protocol is a need for the management of conditions like subfertility where the ultimate dhatu, the sukradhatu has been affected5. In this particular study, the subjects selected were those with two years of continuous marital life and those presenting with oligo asthenospermia and failed to beget a child by these. Those with a normal female partner clinically, were only included. They were managed with the selected management protocol. The protocol was designed from the observations of the previous studies held in our department. The assessment was done before treatment and after completion of 3 months of treatment. RESULT- It was observed that the selected management protocol has significant effect in the improving the seminal parameters on assessment.

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