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INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH

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INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH

Management of Secondary Infertility with Bilateral Tubal Block Using

Uttarabasti - A CARE-Compliant Case Report

Dr. Archana Pandey Jumle ¹, Dr. Shital Gajbhiye ², Dr.Prerna Ilamkar³

¹Associate Professor, Department of Striroga &Prasutitantra, Datta Meghe Ayurved College ,hospital & research

centre, Nagpur, Maharashtra, India

²Associate professor, Department of Prasuti & Striroga, SMAC, Bhandara, M.S. India

³Assistant Professor, Department of Samhita Sidhhant, C.S Ayurvedic Medical College and Hospital,

Maharashtra, India

Corresponding author: Dr. Archana Pandey Jumle

Article Info: Published on : 15/01/2026

Cite this article as: - Dr. Archana Pandey Jumle (2026) ; Management of Secondary Infertility with Bilateral Tubal Block Using

Uttarabasti - A CARE-Compliant Case Report ;Inter .J. Dignostics and Research 3 (2) 39- 42,

DOI : 1 0 . 5 2 8 1 / z e n o d o . 1 8 2 5 9 0 3 9

Abstract

Background

Infertility 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 Report

A 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.

Conclusion

Conception 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

Volume : 03 Issue : 02

INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]

Patient Information :

Introduction :

A 35-year-old married female presented with

Infertility is a rising reproductive health concern

globally and tubal-factor infertility accounts for a

major proportion of female infertility^[¹^]. Standard

inability to conceive for five years after full-term

delivery seven years earlier. Menstrual cycles were

regular with mild dysmenorrhea. Past Cu-T usage

for two years. No history of PID, abdominal

surgery or substance use. Partner semen parameters

were normal.

management

including

tubal

recanalization,

laparoscopy and assisted reproductive techniques

may be costly, invasive, and not universally

accessible^[²^].

Ayurveda

describes

fertility

No significant medical, family or psychosocial

history. No addictions.

dependent on equilibrium of Ritu (ovulatory

timing), Kshetra (reproductive system), Ambu

Clinical Findings :

(nutritive

fluid),

and

Bija

(gametes),

and

• General examination normal.

derangement in any of these may lead to

Vandhyatva^[³^](Infertility). Tubal blockage can be

correlated to Sanga (obstruction) in Artavavaha

Srotas (Reproctive tract) governed by Apana

Vata^[⁴^], resulting in impaired gamete transport and

fertilization. Classical Ayurvedic texts recommend

Uttarabasti as a prime therapeutic modality for

disorders of the female reproductive tract including

Yonivyapada and uterine -tubal dysfunction.

• Gynecological USG normal.

• HSG

showed

bilateral

fallopian

tube

blockage.

• Routine blood and endocrine profiles

normal.

➢ Main medical problem- Secondary infertility due

to bilateral tubal obstruction.

➢ Primary

functionality and conception.

Timeline :

objective-

Restoration

tubal

Recent studies and clinical reports indicate

favorable

treatment in infertility related to tubal obstruction,

including restoration of tubal patency and

outcomes

with

Uttarabasti-based

Bilateral tubal block was diagnosed at Month 0. In

Month 1, Local Snehan and Svedan were

performed along with Uttarabasti using Sahachara

Taila for 3 days, with daily Yoni Picchu and oral

medicines. In Month 2, Uttarabasti with Phala

Ghrita for 3 days was given, while Yoni Picchu and

oral medicines were continued. The same protocol

was repeated in Month 3. In Month 4, timed natural

coitus was advised along with oral medicines.

Pregnancy was confirmed in Month 5. From Month

5 to 14, antenatal follow-up was uneventful. Full-

term normal vaginal delivery of a healthy baby was

achieved at delivery.

successful conception. However, standardization of

protocols, clarity regarding mechanism of action,

and comprehensive safety data remain insufficient.

Therefore, documentation of well-observed clinical

cases is crucial to strengthen the existing evidence

base. The present case report describes the

Ayurvedic management of secondary infertility

associated with documented bilateral tubal block,

administered through a structured Uttarabasti

protocol and the successful reproductive outcome

that followed.

Volume : 03 Issue : 02

INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]

Diagnostic Focus and Assessment :

Discussion :

Diagnosis based on ,HSG confirming bilateral

obstruction, absence of male or ovulatory factor.

This case demonstrates successful conception in a

woman with confirmed bilateral tubal obstruction

following Ayurvedic intervention centered on

Uttarabasti. Tubal blockage is interpreted as Sanga

of Artavavaha Srotas resulting from vitiated Vata

according to Ayurvedic pathology. The therapy

aims at Vata-shamana, tissue nourishment, and

Srotoshodhana using Sahachara Taila and Phala

Ghrita, which are traditionally indicated in

Yonivyapada and fertility-related disorders^[⁵^,⁶^,⁷^].

Local Snehana and Swedana may soften channels

and improve circulation, while direct intrauterine

Ayurvedic diagnosis- Srotosanga in Artavavaha

Srotas associated with vitiated Vata. No diagnostic

challenges encountered.

Therapeutic Focus and Assessment :

Uttarabasti Month 1 included Sahachara Taila 5

ml sterile intrauterine slowly for 3 consecutive

days. Sahachara Taila is based on Sahachara

(Barleria prionitis Linn.). Month 2 &3 included

Phala Ghrita 5 ml intrauterine slowly for 3 days,

with a sterile vaginal tampon (Yoni Picchu)

inserted for retention. Oral medicines used were

Pushpadhanva Rasa 125 mg BD for 7 days each

cycle, Haritaki Churna (Terminalia chebula Retz.)

3 gm HS with lukewarm water for 1 cycle and

Phala Ghrita 5 ml orally with milk for 1 month.

Supportive therapy included Local Snehan and

instillation

potentially

enhances

endometrial

receptivity and tubal functionality.

Clinical outcomes from previous Ayurvedic studies

corroborate the present observation. Yavakshara

Taila Uttarabasti was reported to be effective in

tubal-factor infertility with favorable conception

rates^[⁸^]. Similar improvement in tubal patency after

Kumari

Taila

Uttarabasti

has

also

been

Svedan

before

procedure,

and

Ashwasan

all aseptic

documented^[⁹^]. Compiled institutional research

Counselling.

Technique

ensured

highlights Uttarabasti as a promising fertility

precautions maintained.

treatment

requiring

further

robust

scientific

No adverse effects reported.

Follow-up and Outcomes :

validation^[¹⁰^]. Thus, the therapeutic success in this

case aligns with classical principles as well as

emerging clinical data.

Pregnancy was confirmed in the fifth month from

therapy initiation. The antenatal course remained

uneventful throughout the follow-up period. The

patient delivered a full-term healthy baby through

normal vaginal delivery, with no postpartum

complications. Overall, the patient experienced

However, certain limitations exist. Post-therapy

hysterosalpingography was not performed to

objectively document tubal patency and as a single

patient report, these findings cannot be generalized.

Larger controlled clinical studies and long-term

follow-up are required to comprehensively validate

the role of Uttarabasti in tubal block infertility.

significant

emotional

relief

and

improved

confidence following successful conception and

childbirth.

Volume : 03 Issue : 02

INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]

6. Agnivesha. Charaka Samhita. Siddhi

Conclusion :

Sthana 9/62–63. Varanasi: Chaukhamba

Traditional

Ayurvedic

management

therapy

including

enabled

Krishnadas Academy; 2011. p. 1018.

Uttarabasti

and supportive

7. Kashyapa. Kashyapa Samhita. Yonivyapada

successful conception and healthy delivery in a

patient with bilateral tubal block. This suggests a

therapeutic role in similar cases.

Chikitsa Adhyaya. Edited by PV Tewari.

Varanasi:

Chaukhamba

Vishvabharati;

2014. p. 312–314.

Patient Perspective :

The patient expressed satisfaction and emotional

relief after years of infertility and consented for

anonymized publication.

8. Baria HP, Donga SB, Dei L. Efficacy of

Yavakshara Taila Uttarabasti in infertility

due

tubal

blockage.

AYU.

Ethical Statement:

2015;36(3):212–218.

Written

informed

consent

was

obtained.

9. Shukla K, Sharma B, Vyas R. Effect of

Kumari Taila Uttarabasti on fallopian tube

Confidentiality preserved.

References :

blockage.

Int

Ayurveda

Med.

1. Agnivesha. Charaka Samhita. Chikitsa

2010;1(2):143–148.

Sthana 30/115. Edited by Satyanarayana

10. Kunjibettu S, Chaudhari K, Dei L. Role of

Uttarabasti in female infertility: evidence-

based review. J Ayurveda Holist Res.

2017;5(1):22–34.

Shastri.

Varanasi:

Chaukhamba

Vishwabharati; 2007. p. 642.

2. Chandra A. Tubal factor infertility: clinical

evaluation and management. Indian J

Gynecol Obstet. 2019;6(2):45–52.

Declaration :

Conflict of Interest : None

3. Vagbhata.

Ashtanga

Hridaya.

Sharira

ISSN: 2584-2757

Sthana 1/11. Edited by Harishastri Paradkar.

Varanasi: Chaukhamba Sanskrit Sansthan;

2015. p. 221.

DOI : 1 0 . 5 2 8 1 / z e n o d o . 1 8 2 5 9 0 3 9

Dr. Archana Pandey Jumle Inter. J.Digno. and Research

This work is licensed under Creative

Commons Attribution 4.0 License

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4. Sushruta. Sushruta Samhita. Sharira Sthana

2/33. Edited by Kunjalal Bhishagratna.

Varanasi: Chaukhamba; 2012. p. 78.

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Fast peer review process

5. Agnivesha.

Charaka

Samhita.

Siddhi

Sthana 1/39. Edited by Satyanarayana

Shastri. Varanasi: Chaukhamba Krishnadas

Academy; 2011. p. 942.

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