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AND
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P
ISSN No. : 2584-2757
Volume : 04
Issue : 01
DOI
:10.5281/zenodo.23434582
Reg. No. : MAHA-703/16(NAG)
Year of Establishment – 2016
INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH
Corresponding Author: Dr.Shalvi Sharma
ORCID ID:
ISI Impact Factor (2025-26): 1.345
IIFS Impact Factor (2026-27): 6.0
Article Info: Article Received on : 26/08/2026 Article Reviewed on: 10/09/2026 Article Published on : 15/10/2026
Cite this article as: - Sharma S, Dash BR. Management of Secondary infertility through Ayurveda: A Case Study. International
Journal of Diagnostics And Research. 2026Oct17;4(1):38–45. doi:10.5281/zenodo.23434582
Abstract
Background - The failure to conceive after at least one prior conception is termed as secondary infertility.
Its incidences are increasing day by day due to unhealthy diet and lifestyle, psychological stress, late
marriages etc. All these factors may result in disturbances in H-P-O axis functioning resulting in fertility
related issues.
Aim: To study the effect of Ayurvedic treatment in management of secondary infertility.
Objective: To access the effect of Ayurvedic treatment in management of secondary infertility.
Methodology: Single case study. Case description: A 28 years old female Hindu patient belonging to
rural area came in General OPD of GAHC Kharsi, Distt. Mandi, H.P. She was having 5 years old female
child. She was actively trying to conceive since last 3 years but was unable to conceive even after regular
unprotected intercourse. She was advised normal routine investigations and ultrasonography, but she
refused due to her poor financial conditions. She was advised Ayurvedic oral medications. Outcome: After
one month of treatment, she conceived.
Conclusion: Ayurvedic management improves the reproductive health of women and is beneficial in
increasing the chances of conception in infertile females.
Keywords: secondary infertility, Ayurvedic
Management of Secondary infertility through Ayurveda: A Case Study
Dr. Shalvi Sharma
1
, Dr. Bhagya Ranjan Dash
2
1
Ayurvedic Medical Officer, AAM Padhiun, Distt. Mandi, H.P. – 175001, Previous Ayurvedic Medical Officer,
GAHC Kharsi, Distt. Mandi, H.P. – 175029,
2
Asst. Professor PG Dept. Of Roganidan & Vikriti Vigyan, Govt. Ayurvedic college & Hospital, Tulasingar,
Balangir,Odisha-767001,
G
A
R
V
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Introduction :
Failure to conceive within one or more years of
regular unprotected intercourse is termed as
infertility. Previous pregnancy with subsequent
failure to conceive indicates secondary infertility.
Multiple factors contribute to infertility, including
ovulatory dysfunction (30-40%), tubal factors (25-
35%), uterine factors (10%), cervical and vaginal
factors (5%), and endometrial factors (1-10%).
[ 1]
As per Ayurveda, Ritu (fertile period of the
menstrual cycle), Kshetra (Female reproductive
system, Artava-vaha srotas), Ambu (nourishment
from Rasa Dhatu) and Beeja (ovum and sperm) are
four basic factors that are responsible for
Garbhotpatti.
[ 2]
As per Ayurvedic texts,
Yonivyapada (disorders related to the reproductive
system) may lead to infertility if not treated
properly.
[3]
According to Acharya Charaka, Yoni
Pradosha (abnormalities of reproductive organs),
Manas Abhitapa (psychological abnormalities),
Shukra-Asrig Dosha (abnormalities of Shukra and
Asrig), Ahara-Vihara Dosha (abnormalities due to
faulty diet and lifestyle), Akala Yoga (coitus in
improper time) and Bala Samkshaya (loss of Bala
or strength) are the factors which are responsible
for delay in conception despite having previous
pregnancies.
[ 4]
Case Report
A 28 years old female Hindu patient came to OPD
at GAHC Kharsi, Distt. Mandi, H.P. - 175029, on
dated 27/06/2023 with OPD registration no. 1576
with the complaint of inability to conceive a second
child for the last 3 years. Five years ago, she
delivered a naturally conceived, full-term female
child weighing 3.5 kg with forceps delivery. After
that, she has been trying to conceive for the last 3
years but has been unable to conceive despite
regular unprotected intercourse. She also
complained of decreased appetite for the last 3
months. She has also had loose stools 3 to 4 times
per day on/off for the last 2 years. On further
enquiry, the patient talked about painful menses
with clots and painful intercourse. Frequency of
coitus was 3 to 4 times a week. She was advised to
undergo routine investigations and
ultrasonography, but she refused. Therefore,
Ayurvedic oral medications were started based on
history and Dosha vitiation. Following one month
of treatment, she conceived.
P/M/H -No H/O Hypertension, Diabetes,
Tuberculosis, Hypothyroidism, Epilepsy, Jaundice
or any other medical illness.
P/S/H -No previous history of any surgical
intervention.
Allergy History -No history of any drug or food
allergy.
Family History - No history of any illness in any
family member.
Menstrual History–
Frequency - Regular
Quantity - Moderate
Pain - Painful, pain in lower abdomen and
back on 1
st
and 2
nd
day of menses; does not
take any medication
Duration -5 days
Interval - 28 days.
Marital Status -Married (7 years back)
Sexual History -
Coital frequency - 3 to 4 times per week
Painful intercourse for the last 2 years
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Contraceptive History – Nil
Obstetric history – G
1
P
1
L
1
A
0
G1-Female child 5 years old, FT, assisted normal
delivery (Forceps) in SLBS hospital, Nerchowk,
Distt. Mandi, H.P. in 2018.
General Examination -
PR - 88/min
BP - 100/70 mmHg.
Temp - Afebrile
RR - 19/min
Height - 151 cm
Weight – 41kg
BMI –17.98kg/m
2
(underweight)
Built – Lean and thin
On observation - No pallor, icterus, edema,
clubbing, or lymphadenopathy was seen.
Personal History
Appetite- Decreased
Sleep - Normal
Bowel- Increased frequency (3 to 4 times per day)
Bladder – Clear
Occupation – Housewife
Diet - Non-vegetarian
Dashavidha Pareeksha
Dooshya: Rasa Raktha Meda Arthava
Desha: Deha –Garbhashaya, Grahani;
Bhumi –Sadharana
Bala: Alpa
Kala: Ritu Kala, Rajah Strava Kala,
Vyadhyavastha - Puraana
Anala: Manda
Prakriti: Vata-Pittaja
Vaya: Madhyama
Satva: Madhyama
Satmya: Sarvarasa Satmya
Ahara: Abhyavaharana Shakti–Manda,
Jaranashakti–Manda
Treatment given
Date
Patient details
Treatment
27/06/2023
Anxious to
conceive
since last 3
years
Loose stools
3 to 4 times/
day since last
2 years on/
off
Loss of
appetite for
the last 3
months
Painful coitus
since last 2
years
Painful
menses for
the last 2
years
Avipattikara
Churna – 1gm
Shankha Bhasma –
250mg
Shatavari Churna –
500mg
Amalaki Churna –
500mg
Kamdudha Rasa –
125mg
Brihad Gangadhara
Churna – 500mg
1 x 2 with
lukewarm water, 30
min. B/F
Kutaja Ghanavati –
250mg B.D. A/F
Syp. Ashokagyno
(Ayu. Prop.
Medicine) – 10ml
B.D, A/F
(H.P. Govt. Supply)
Explained the fertile
days of the
menstrual cycle to
the patient. Patient
was advised for
contact in fertile
days only.
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Date
Patient details
Treatment
02/08/2023
Complete
relief in all
previous
complaints of
loose stool
and loss of
appetite
Mild pain
abdomen
UPT done by
patient at home –
found positive.
Further ANC
management was
continued at
SLBSMC &
hospital, Nerchowk,
Distt. Mandi (H.P.).
Shatavari Churna –
1gm
Godanti Bhasma –
250mg
1 x 2 with luke
warm water
Dadimashtaka
Churna – 3gm B.D.
A/F, with luke
warm water
Result :
Urine pregnancy test done by patient at home on
dated 02/08/2023, found positive.
Her LMP was 08/07/2023, EDD was 13/04/2024.
She delivered a full-term female child of 3.280kg
through normal delivery on 13/04/2024 at
SLBSMC & H, Ner Chowk, Mandi. Her antenatal
period was uneventful
Discussion :
Based on history and clinical examination, the
patient was a case of Dvitiya Bandhyatva
(Secondary infertility) associated with Grahani
Dushti.
Nidaana –
Based upon the observations, the patient was
having stress of non-completion of her studies due
to early marriage and the non-cooperative
behaviour of in-laws. Stress is the main cause of
Agnimandya, leading to improper digestion of food,
causing Ajeerna and Rasa Dushti. Her food intake
was very less (Pramitaashana, Aplabhojanam) due
to her digestive issues since last 2 years. Due to her
increased frequency of stool, body was not able to
properly assimilate the food (Grahani Dushti)
resulting in her weight loss and improper formation
of Ahaara Rasa and Rasa Dhatu.
Fig. – 1. Ultrasonography Scan (12Wk+5d)
Samprapti –
Nidana Sevana results in Agnidushti, causing
Agnimandya, which impairs digestive function and
leads to improper Grahana and Dharana of food,
known as malabsorption syndrome or Grahani Dushti
[5], indicated by symptoms such as loose stools and
loss of appetite
.[6]
This causes Dushti of Rasa Dhatu
due to improper digestion of food. As Artava is
Upadhatu of Rasa Dhatu [
7],
it also gets vitiated as a
result of Rasa Dushti, manifested in the form of clots
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s
in menstrual blood (Granthibhoota Artava) and pain
during menses (Kashtartava). Artavadushti is
considered a cause of Yonivyapada
[8]
, and symptoms
of Udavarta
[9]
and Paripluta
[10]
Yonivyapada were
seen in this patient in the form of painful menses and
painful intercourse, respectively. Yonivyapada leads to
Bandhyatva (infertility) as a result of its complication
[11].
Beeja Dushti occurring from Viktrita Artava
Upadhatu itself is a cause for secondary infertility.
Flow Chart – 1. Representing possible Samprapti
(aetiology)
Chikitsa –
The main treatment protocol in this case was based
primarily on correcting Grahani Dushti. Based on the
probable mode of action, we selected different
medications and combinations available at GAHC.
Avipattikara Churna helps cure diseases that originate
from Agnimandya (weakened digestive fire).
[12]
Shankha Bhasma is well known for its medicinal
properties like Grahani roga Nashaka (useful in
irritable bowel disease), Agnimandya Nashaka (useful
in disorders related to weak digestive power), Atisara
Nashaka (useful in diarroeha).
[13]
Acharya Sushruta
describes Shatavari Churna as Vrishya (enhances
fertility), Grahani-vikaraghni (alleviates disorders of
the small intestine), and Agni-bala-vardhini (improves
digestion).
[14 ]
Amalaki (Gooseberry) is well known
for its Sarvadoshaghna (balances Tridoshas) and
Vrishya properties
.[15]
Kamdudha Rasa works on
Mahasrotas (alimentary canal). It contains ingredients
like Mukta Shukti Bhasma and Swarna Gairika, which
are Raktaprasadaka (Blood purifier), Stambhaka
(Astringent), and Kshobhanashaka (Destressing), so it
helps treat Grahani Dushti and Artava Dushti.
[16]
Brihad Gangadhara Churna is useful in Sarva-
Atisaara (all kinds of diarrhoea) and Grahani.
[17]
Kutaja Ghanavati is Katu, Kashaya, Ruksha, Deepana
(enhances digestive fire) and is beneficial in all kinds
of diarrhoea.
[18]
Syp. Ashokagyno (H.P. Govt. supply
– Govt. Ayurvedic Pharmacy, Majra, Sirmaur (H.P.)
is primarily composed of Ashoka, Lodhra, Shatavari,
Manjishtha, and Amalaki, and is thus helpful in
improving uterine and reproductive health.
On follow-up examination, the patient reported
complete resolution of previous complaints, including
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chronic loose stools and anorexia of 2 years' duration.
Only mild abdominal discomfort was persisting. Urine
Pregnancy Test performed by the patient at home
showed a positive result. Shatavari Churna, Godanti
Bhasma and Dadimashtaka Churna were given to her
as post-conception supportive therapy. Shatavari acts
as Garbhasthapaka
[19]
and Balya
[20],
while Godanti
Bhasma is Balya, Deepana, and Sheeta
[21].
Dadimashtaka Churna is useful for Deepana-Pachana
and to manage mild abdominal pain
[22].
Dadima is
Hridya and Grahi, and helps maintain Agni
[23]
during
early pregnancy.
Clinical Outcome: The above Ayurvedic intervention
achieved complete symptomatic relief of
gastrointestinal complaints. Patient entered into ANC
protocol successfully. Further Antenatal Care was
continued at SLBSMC & Hospital, Nerchowk,
District Mandi, Himachal Pradesh.
Conclusion :
This study concludes that in cases of Dwitiya
Vandhyatva associated with digestive disorders,
treatment should begin with correction of Agni and
Grahani. In this case, there was 3 years of inability to
conceive, painful periods, pain during intercourse,
frequent loose motions and poor appetite. The root
cause was found to be weak digestion and Grahani
dysfunction, which led to poor Rasa Dhatu formation
and menstrual irregularities. Treatment was planned to
improve digestion and reproductive health using
classical Ayurvedic medicines like Avipattikara
Churna, Shankha Bhasma, Shatavari, Amalaki,
Kamdudha, Brihad Gangadhara, Kutaja and
Ashokagyno. With this approach, her digestive
complaints resolved and she conceived within a
month. Classical formulations documented in
Ayurvedic texts provide multi-targeted action, from
correcting digestion to improving Artava quality,
leading to successful outcomes with complete
resolution of GI symptoms and positive conception.
Post-conception care with Shatavari, Godanti Bhasma
and Dadimashtaka helped maintain a healthy
pregnancy.
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Declaration :
Conflict of Interest: None
ISSN: 2584-2757
DOI :10.5281/zenodo.23434582
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