Abstract

AYURVEDA-BASED MANAGEMENT OF PRIMARY INFERTILITY IN A PATIENT WITH PARTIAL (INCOMPLETE) BICORNUATE UTERUS, PELVIC INFLAMMATORY DISEASE, AND TORCH IGG POSITIVITY: A CASE STUDY

Dr. Aarati Patil, Dr. Shruti Jayaswal, Dr. Kshitija Berde, ^*Dr. Aishwarya Deshpande

Abstract

Background: Primary infertility is a multifactorial condition that may be influenced by congenital uterine anomalies, menstrual irregularities, and reproductive tract infections. Ayurveda offers an individualized and holistic approach aimed at improving reproductive health and menstrual function. Case Presentation: A 26-year-old woman presented with primary infertility of six years’ duration, delayed menstrual cycles occurring every 3–4 months, moderate dysmenorrhea, thick white vaginal discharge, dyspareunia, and reduced libido. Investigations revealed a partial bicornuate uterus. Additional findings included pelvic inflammatory disease with thick curdy discharge and TORCH IgG positivity. Intervention: The patient was managed with a proprietary Ayurvedic fertility protocol consisting of Tablet Poshini, Tablet Tulha, Tablet Supraja, and Tablet Jivani. The medicines were administered in a cycle-synchronized manner with follicular monitoring. Outcome: Following treatment, menstrual regularity improved and ovulation was documented on follicular monitoring. The patient demonstrated restoration of reproductive cyclicity, suggesting a favorable response to the individualized Ayurvedic regimen. Conclusion: This case suggests that an individualized Ayurveda-based approach may help improve menstrual regularity and support ovulatory function in patients with complex reproductive tract abnormalities and chronic pelvic infection. Further clinical studies are needed to evaluate the role, safety, and reproducibility of such interventions in infertility care.

Keywords: primary infertility, bicornuate uterus, pelvic inflammatory disease, TORCH IgG, Ayurveda, case report.