Ayurvedic Management of Primary Infertility Due to Chocolate Cyst: A Case Report

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uterine foetus with CRL -6week, foetal cardiac activity present.There is no any complication occurred during her ante natal period and she delivered healthy male baby on 02/12/2022 through lscs.
Discussion: Shodhana Basti therapy capable of expelling the vitiated dosha as well as waste from the body.In this Shodhana Basti Ubhayasanshodhanartha and anti-inflammatory herbs are used in the preparation of the medicine to be used in the form of Basti.Hence this Basti is capable of expelling the accumulation of dosha as well as waste.In yashtimadhuksheerpaka Basti, Yashtimadhu was used for the ksheerapaka in niruha Basti as it is both Vata and Pittahara.Uttara Basti causes local uterine contractions which stimulate the endometrium and ovarian receptors which stimulate the receptors and HPO axis regulating the menstrual cycle with ovulation.Uttara Basti stimulates these receptors so that maturation of follicles and ovulation occurs in each cycle.Shigru patra Avgahana Sweda also Vatakaphahara and also act as an anti-inflammatory.Jeevaniya Choorna contains drugs of Jeevaniya gana which helps in achieving fertility.

Conclusion:
The complicated clinical scenario demands accurate diagnosis and management to prevent surgical intervention.This Ayurvedic treatment protocol including a combination of both Shodhana and Shamana therapies were helpful in combating the infertility to a satisfactory level.The treatment principles when applied clinically yield very good clinical results to the patient satisfaction.Ayurveda blesses the feminine world with numerous drugs which helps to maintain their health in a natural way.Hence, this was helpful for the patient who have infertility with chocolate cyst.Therefore, this approach can be considered in patients with infertility with chocolate cyst and also it helps to raise awareness in society towards ayurveda.
SampraptiMithya Ahara and Vihara vitiates the Tridoshas mainly the Vata Dosha in endometriosis.Among the Pancha vidha Vatas, the Vyana Vata gets more vitiated.This vitiated Vyana Vata reaches the Sthana of Apana Vata and causes Sanga to Apana Vata.This results in the disturbed function of Apana Vata.The main function of Apana Vata includes Artava, Mutra, Pureesha, Shukra and Garbha Nishkramana.Hence Artava, Mutra and Pureesha Vikaras are encountered in endometriosis.Vyana Vata is responsible for the movement in the body.Vyana Vata after reaching the Sthana of Apana Vata obstructs the normal movement of Apana Vata and directs it in the opposite direction.Hence there is retrograde flow of Artava.
USG PELVIS (TVS)Uterus is normal in size & echo pattern No E/o.intrauterine or extrauterine mass or gestational sac Endometrial thickness 5.5 mm Both ovaries show cyst with internal low level echoes, s/o, chocolate cysts.Cyst on right side measures 22 x 21 mm in size.Cyst on left side measures 27 x 24 mm in size.No Elo.free fluid in pelvic cavity Cervical canal appears normal Int.Os: Closed.16/11/2021 HSG EXAMINATION Uterine cavity normal in size and normal contour.Right fallopian tube seen upto fimbrial end and Shows free spillage on right side.Left fallopian tube seen upto distal end but no e/o proper free spillage from fimbrial end on left side, Impression: -right side patent fallopian tube.Left side p/o tubal block from distal end.Mithyaahara vihara • Email: editor@ijfmr.comIJFMR240114211 Volume 6, Issue 1, January-February 2024 6