AYURVED APPROACH TO DIMINISHING OVARIAN RESERVE (DOR) IN FEMALE INFERTILITY - CASE STUDY

According to Ayurveda Having no Baby is described as Vandhyatva and Infertility in Modern science. In-fertility is a main issue in today’s era. Many couples go for IVF, Surrogacy and many more with very little benefits. Nearly 10-14% of individuals are belonging to the reproductive age group are affected by Infertil-ity. Infertility caused by Diminished Ovarian Reserve (DOR) results from an endocrinological imbalance. The rise in follicle stimulating hormone (FSH), decrease in Anti Mullerian hormone (AMH) and Antral fol-licle count (AFC) etc. for women age more than 35 years can lower pregnancy rates to less than 5 % and increases miscarriage rates to more than 75%. Ayurveda explained wide range of protocols and medicines for the management of Vandhyatva. In Ayurveda its appropriate correlation can be done with Dhatukshaya Vandhya explained in Harita Samhita. Ayurveda states four factors are mentioned Rutu, Kshetra, Ambu, Beeja should be in proper state in order to achieve conception and complete the pregnancy successfully. Aim & Objectives: To evaluate the efficacy of Shamana Aushadhi, Yog Basti, Uttarbasti in the manage-ment of Diminishing Ovarian Reserve (DOR) induced Female Infertility. Materials & Methods: It is the single arm, open labelled case study of the subject of 35 yrs age with pri-mary infertility of Diminishing Ovarian Reserve (DOR) from Ayurveda College who has been treated with Shodhana Chikitsa as Yog Basti, Uttarbasti and Shamana Chikitsa simultaneously. Results & Discussion: There was improvement in hormonal assay with increase in Anti Mullerian hormone (AMH) and Antral follicle count (AFC) followed by conception later on. The Patient delivered with full term normal healthy female baby. Samshodhana and Shamana Aushadha helped to pacify Vata Dosha by Dhatukshaya Vandhya Chikitsa thus restored the fertility. Conclusion: The selected treatment protocol i.e. Samshodhana and Shamana Aushadha is very effective in the management of Diminishing Ovarian Reserve (DOR) induced Female Infertility.