A Case Study on Successful Ayurvedic Management of Male Infertility (Oligoasthenozoospermia)

Prathmesh Sanjay Dhamal1 , Mangesh Laxman Patil2

Dept. of Prasutitantra & Streerog, Y.M.T Ayurvedic Medical College and Hospital Kharghar, Navi
Mumbai, Maharashtra, India.
*Corresponding Author Email: dhamalpatu525@gmail.com*
Abstract-
Infertility is failure to conceive after one or more year of regular, unprotected coital act[2]. Male
infertility can be defined as an inability to cause a pregnancy in a fertile female. Around 45 % of
males are responsible for infertility world wide. The male carrying pathology in semen production
includes low sperm count, volume, motility, abnormal forms and sperm functional test. 20-30%
population of the world are the victims of the infertility and it increasing day by day,hence the male
infertility in current times is an alarming issue that needs to be given attention.
Oligoasthenozoospermia is one of the condition commonly seen in infertility about 16.7%.
A 30 years old male who had been diagnosed as Oligoasthenozoospermia with low sperm count and
Non motile spermatozoa with 5 years of married life and his wife with regular periods and
anovulatory cycles, were treated successfully with Ayurvedic mangement. After having Pratimarsh
Nasya with Ashwagandha Ghrita, Kraunchapaka, Jivaniyagan siddha ghitpaan, Gandhak Rasayan.
Showed the improvement in the seminal parameters and resulted in pregnancy. This success story
shows the efficacy of Ayurvedic treatment in the management of Male infertility.
(Oligoasthenozoospermia)
Keywords- Male infertility ,Oligoasthenozoospermia , Ayurvedic mangement.
Introduction-
Infertility defined as lack of conception after 12 months of unprotected intercourse(WHO 1993)
In India 1 out of 10 couples sufers from infertility are owing to impared sperm production or its
function, improper ejaculation, imparied sperm delivery, due to vicious life style and abnormal
environmental exposure.Male infertility means inability to cause a pregnancy in a fertile female.
There was no identifiable cause in 48.5% , Idiopathic abnormal semen in 26% (12% Oligospermia ,
7% teratozoospermia, 4% asthenozoospermia), varicocele in 12% , infection in 7%, immunological
factors in 3%, congenital and sexual factors each 2% and endocrine factors 0.6%[3].
Males were considered infertile with sperm parameters and most significant of these are reduced
No. of spermatozoa(Oligozoospermia), Reduced sperm motility(Asthenozoospermia), Reduced
sperm Vitality(Necrozoospermia), Abnormal Sperm Morphology(Teratozoospermia) or any
Combination of theses. Oligoasthenospermia is a combination reduced sperm motility and low
spermatozoon count.
Vajikarna is the specialised branch of Ayurveda dealing with Shukradushti and Klaibya,
Shukradushti is an acquried quantitative and qualitative abnormality in Shukra caused by faulty
dietetic, psychological,traumatic factors and chronic debilitating illness. Ayurveda give emphasis to
the treatment of Shukradushti with dhatuvriddhkara, balakara, Shukrajanak and Shukrapravartak,
and shukra shodhaka those in terms of increasing the sperm count and motility by using Ayurvedic
drugs[1].
Case Study-
A 30 years old male patient came into the OPD of Prasutitantra and Streerog OPD in YMT Ayurved
medical College and Hospital on Date 4/02/20 with complaint of Anxious for child , Staying together
and trying for conception since 5 years & Fatigue after sex.
Occupation- Bank Manager.
Fertility History- NIL
Sexual History:
Coital History – Once in week
Erection – Good
Morning Erection- Present
Personal History: Exposure to heat- No First Ejaculation - At age 19 years
Alcoholic consumption- Occasionally Tight clothing- No
Cigarette Smoking -Nil Tobacco chewing - No
H/O Trauma: Nil

GENERAL PHYSICAL EXAMINATION-

Height: 5.8Feet R.S: AEBE, Clear

Weight: 78kg C.V.S: S1S2, N
Temperature: 98F C.N.S: Concious Oriented
Pulse: 80/min P/A: Soft , NT
B.P.:110/80 mm of Hg
URO-GENITAL EXAMINATION

Penis- Normal in Size.

Prepuce- Normally Retracted.
Normal/Scars/Plaques/Hypospadias’s/Others - NO
Scrotum- Normal.

RIGHT LEFT
TESTIES
Size 3.8cm*2.5cm*2cm 3cm*2cm*1.5cm
Consistency Rubbery Rubbery
EPIDIDYMIS Felt Smooth Felt Smooth
VAS DIFFERENTIA Soft Soft
SCROTAL SWELLING Nil Nil
VARICOCELE Nil Nil
INGUINAL No any Scar No any Scar
EXAMINATION
RECTAL EXAMINATION Normal Normal
(PROSTATE)
 Materials and Method:
Planning Of Management-
Visit Complaints Dietary regimen Treatment
4/02/20 Anxious for child, Snigdha Dravya- 1)Gandhak Rasayan 2TDS
Sambhogottara Daurbalya Dugdha Ahar, 2) Kraunchapaka 10gm BD
Shali 3)Pratimarsha Nasya-
Ashwagandha Ghrita 20/20 BD
4)Jivniyagan Siddhaghrita
Paan 10Ml BD
22/02/20 Anxious for child, Snigdha Dravya- 1)Gandhak Rasayan 2TDS
Sambhogottara Daurbalya Dugdha Ahar, 2) Kraunchapaka 10gm BD
Shali 3)Pratimarsha Nasya-
Ashwagandha Ghrita20/20 BD
4)Jivniyagan Siddhaghrita
Paan 10Ml BD
9/03/20 Anxious for child, Snigdha Dravya- 1) Gandhak Rasayan 2TDS
Sambhogottara Daurbalya Dugdha Ahar, 2) Kraunchapaka 10gm BD
Shali 3)Pratimarsha Nasya-
Ashwagandha Ghrita 20/20 BD
4)Jivniyagan Siddhaghrita
Paan 10Ml BD
9/03/20 Anxious for child, Snigdha Dravya- 1) Gandhak Rasayan 2TDS
Sambhogottara Daurbalya Dugdha Ahar, 2)Kraunchapaka 10gm BD
Shali 3)Pratimarsha Nasya-
Ashwagandha Ghrita 20/20 BD
4)Jivniyagan Siddhaghrit Paan
10Ml BD
26/03/20 Anxious for child, Snigdha Dravya- 1)Gandhak Rasayan 2TDS
Sambhogottara Daurbalya Dugdha Ahar, 2)Kraunchapaka 10gm BD
Shali 3)Pratimarsha Nasya-
Ashwagandha Ghrita 20/20 BD
4)Jivniyagan Siddhaghrit Paan
10Ml BD
16/04/20 Anxious for child, Snigdha Dravya- 1) Gandhak Rasayan 2TDS
Sambhogottara Daurbalya Dugdha Ahar, 2) Kraunchapaka 10gm BD
Reduced Shali 3)Pratimarsha Nasya-
Ashwagandha Ghrita 20/20 BD
4)Jivniyagan Siddhaghrita
Paan 10Ml BD
12/05/20 Anxious for child. Snigdha Dravya- 1) Gandhak Rasayan 2TDS
Dugdha Ahar, 2) Kraunchapaka 10gm BD
Shali 3)Pratimarsha Nasya-
Ashwagandha Ghrita 20/20 BD
4)Jivniyagan Siddhaghrita
Paan 10Ml BD
28/05/20 Anxious for child Snigdha Dravya- Advice – Semen Analysis
Dugdha Ahar, (3 Days Abstience)
Shali
 SEMEN ANALYSIS

Before Treatment After Treatment

Date 01/02/2020 9/06/20

Duration of abstinence 3Days 3Days

Fructose Positive Positive

pH 7.2 7.5

Liquification time Occurred in 20 miutes Occurred in 30 minutes

Volume 2.5Ml 2Ml

Sperm Count 12.5 Millions 17 Millions

Motility Actively Motile- -% Actively Motile- 30%

Sluggish Motile-20% Sluggish Motile-10%

Viability at end ½ hr 40% 40%

Total no of abnormal 56% 30%

spermatozoa

Appearance Milky White Milky White

Transparency Translucent Translucent

Viscosity Normal Normal

Results-
With 3 Months of regular treatment i.e. Oral Medication along with Nasya therapy, There was
significant upsurge found in total spermatoza & a major difference was found in the motility where
non motile to 30% actively motile.
Discussion-
As per Ayurveda classics Garbhotpadana is a vital function of Shukra dhatu. If any form of Bijadushti
(Shukradushti ) ultimately results in failure of conception. Shukra is Saumya i.e.
Jalamahabhutpradhana, Here pathogy includes low count along with decreased motiity. Low count
is due to involvement of Pitta as it possess Agney guna which is reverse to Saumya Guna of shukra.
Motility i.e. Chalatva is Vataguna, so here vitiated vata is involved in pathology of low motility.
Gandhak rasayan produces vrushata in male, Ashwgandha Ghrita Nasya regulate hypothalamic-
pituitary- testicular axis and in addition this therapy has several advantage in that Pratimarsha
nasya can be performed easily at home. for dhatuposhana and spermatogenesis given
Kraunchapaka with milk, Jivaniya gana siddha ghrita - jivaniya karma of some of the drugs is good
Rasayan with rejuvenating, these drugs are useful in promoting body fat , seminal weakness and
works as antioxidant in the body.
Probable Mode of Action-
Gandhak rasayan- In making of gandhak rasayan many bhavana dravya used and these dravya is
Madhura rasatmak and madhur raas enhances the spermatogenesis.
Kraunchapaka- Kraunch beej is madhura, Tikta rasa, Snigdha, Guru guna, sheeta Virya, Madhura
vipaka and Shukrala prabhava i.e vatapittahara, Balya,Brihana,Vrishya. Kraunch beej contains
L–dopa naturally.This L-dopa helps the brain to release Dopamine. This Dopamine increases
Testosterone and GH[3]. So it is responsible for the elevated mood, increased libido and vitality. So it
is said to be the best Vajikaran dravya in Male infertility.
Pratimarsha Nasya-
In Ashtanag sangraha it is explained that Nasa being door way to shira(head), the drug adminstered
through nostrils,reaches Shringatak(a Siramarma by nasa srota and spreads in the Murdha(brain)),
and in brain it act on hypothalamic- pituitary-testicular axis with special emphasis on the hormonal
control of spermatogenesis, This therapy improved the serum FSH,LH and testosterone levels and
semen parameters for long period of time .
Jivaniya siddha ghrita – The herbs listed in the group Jivaniya gana are those herbs that have life
promoting actions.The major aspect that sustains life is Prana, and these prana improves chaltva
guna of shukra, and in ghrita contains unsaturated fatty acid like palmitic acid 19-19.5% and that
palmitic acid is plays an important role in spermatogenesis[2].
Conclusion-
Ayurvedic medicine deals with infertility by detoxification and dosha cleaning. It prescribes herbs to
reduce stress, build immunity and rejuvenate the core tissue and dhatus such deep nourishment
helps the body make healthy and vital sperm.
In the present study we applied Ayurvedic principles to the male patient with problems of infertility
mainly due to Oligoazooasthenospermia. We found that after completion of the proper treatment
based on Ayurvedic principles there was significant improvement in semen parameters such as
sperm count and motility of sperms.

References-
1)Agnivesa (2005) Charak Samhita edited by Yadavaji Trikamji Chaukhambha surabharti Prakashan.
2)Male Infertility,edited by T.B.Hargreave, Springer-Verlag London Limited 1994.
3)Infertility in Practice,by Adam H Balen,Third edition, 2008 Informa Healthcare,an imprint of
Informa UK Limited.