Abstract

AYURVEDIC MANAGEMENT OF MULTIFACTORIAL INFERTILITY ASSOCIATED WITH PCOD, PID, LOW AMH, AND UNILATERAL TUBAL-OVARIAN LOSS LEADING TO CONCEPTION: A CASE STUDY

Dr. Aarati Patil, Dr. Kshitija Berde, *Dr. Aishwarya Deshpande

Abstract

Polycystic Ovarian Disease (PCOD) and Pelvic Inflammatory Disease (PID) are among the leading causes of female infertility, often resulting in ovulatory dysfunction, tubal damage, and hormonal imbalance.[1,2] In women with low Anti- Müllerian Hormone (AMH) levels, the prognosis for conception becomes further compromised due to diminished ovarian reserve,[3] Endometriosis further compounds reproductive challenges by disrupting ovarian function, impairing implantation, and contributing to chronic pelvic inflammation.[4] Conventional management typically involves hormonal therapy, ovulation induction, or assisted reproductive techniques (ART), which may not yield sustainable outcomes and often carry physical and emotional burdens.[5] Ayurveda provides a comprehensive, individualized approach aimed at correcting underlying dosha imbalances, enhancing ovarian function, improving tubal patency, and rejuvenating reproductive tissues through rasayana and garbhasthapaka interventions.[6] This case study presents a 31-year-old woman with a 5- year history of secondary infertility following a biochemical pregnancy, diagnosed with PCOD, chronic PID, endometriosis, low AMH (0.793 ng/mL) and history of right salpingectomy. Ultrasound findings showed the right ovary not visualized, while the left ovary exhibited multiple small follicles with a polycystic appearance. The patient experienced irregular menses, lower abdominal pain, and leucorrhea. An Ayurvedic management protocol was implemented over eight months, including the Gynoveda’s proprietary formulations—Poshini, Upaja, Myrha, Jivani, and Vayu. Following treatment, the patient demonstrated improved menstrual regularity, reduced pelvic pain, and normalized vaginal discharge. Conception was achieved spontaneously within eight months of treatment. This case highlights the potential efficacy of Ayurvedic interventions in restoring fertility and reproductive health in complex cases involving combined ovarian and tubal factors with diminished ovarian reserve.

Keywords: PCOD, PID, Low AMH, Ayurveda, Infertility, Salpingectomy, Ovarian function.