Kshetrikaran –A Multipronged Ayurvedic Strategy To Enhance FertilitKshetrikaran –A Multipronged Ayurvedic Strategy To Enhance Fertility Outcomes In Women Wy Outcomes In Women With Uterine Cavitary Defects W.S.R. To Uterine Fibroids.  And Endometrial Polyp

Arun Gupta; Sipika Swati; Laxmi Priya Dei

doi:10.48165/

Authors

Arun Gupta Final year PG Scholar MS (PTSR), Department of PTSR, IPGT &RA, GAU, Jamnagar. Author
Sipika Swati Assistant Professor, Department of PTSR, IPGT& RA, GAU, Jamnagar. Author
Laxmi Priya Dei HOD, Department of PTSR, IPGT&RA, GAU, Jamnagar. Author

DOI:

https://doi.org/10.48165/

Keywords:

Granthi, Adhimans, Garbhashaya Arbuda, Infertility caused by Fibroid and Endometrial Polyp, Palasadi Yoga Basti

Abstract

Uterine Cavitary lesions (Adhimamsa/ Granthi/ Arbuda), known causes of female sub fertility and infertility. These lesions by virtue of their space occupying properties and pro-inflammatory nature may affect the successful implantation and provide a hostile environment for implantation & continuation of a pregnancy like a stone underneath a growing root. A 29 year old female nulligravida presented with failure to conceive for 2 years. Her investigations revealed multiple uterine fibroids and endometrial polyp. Kshetrikarana treatment helps in optimizing endometrial receptivity and creating a pro-conceptional environment. Therefore a composite treatment plan based on Dosha Dhatu vitiation, comprising of Samana chikitsa, Palasadi Yoga Basti and Garbhashaya lekhana was planned and implemented. Size of uterine fibroids reduced considerably after the treatment, endometrial polyp was removed by D&C. Patient conceived within four months of treatment and delivered a healthy full term female baby per vaginally without any ante-natal and post-natal complications albeit presence of the intra-mural fibroids.

Downloads

Download data is not yet available.

References

Pundir J, El Toukhy T. Uterine cavity assessment prior to IVF. Womens Health (Lond Engl) [Internet] November 2010 [Cited in August 2020];6:841–847. Available from: https://pubmed.ncbi.nlm.nih.gov/21118042/

Purohit, P., & Vigneswaran, K. Fibroids and Infertility. Current Obstetric and Gynecology Reports [Internet] April 2016 [Cited in August 2020]; 5:81–88. Available from:

https://link.springer.com/article/10.1007/s13669 -016-0162-2#citeas

Al Chami, A., & Saridogan, E. (2017). Endometrial Polyps and Subfertility. Journal of obstetrics and gynaecology of India, 67(1), 9–14. https://doi.org/10.1007/s13224-016-0929-4

Check JH, Bostick-Smith CA, Choe JK, et al. Matched controlled study to evaluate the effect of endometrial polyps on pregnancy and implantation rates following in vitro fertilization

embryo transfer (IVF-ET). Clin Exp Obstet Gynecol 2011; 38(3): 206–208.

Salim S, Won H, Nesbitt-Hawes E, et al. Diagnosis and management of endometrial polyps: a critical review of the literature. J Minim Invasive Gynecol 2011; 18(5): 569–581

Guo XC, Segars JH. The impact and management of fibroids for fertility: an evidence based approach. Obstet Gynecol Clin North Am.[Internet] Dec 2012 [Cited in August 2020];39(4):521-533. Available from:

https://www.ncbi.nlm.nih.gov/pmc/articles/PM C3608270/

Nijkang, N. P., Anderson, L., Markham, R., & Manconi, F. (2019). Endometrial polyps: Pathogenesis, sequelae and treatment. SAGE open medicine, 7, 2050312119848247. https://doi.org/10.1177/2050312119848247

Acharya YT, editor. Charaka samhita of Agnivesha, Sharirasthana Atulyagotreeya, Chapter 2, verse 7. Varanasi: Chaukhamba Surbharati Prakashan; 2016. p. 302.

Acharya YT, editor. Charaka samhita of Agnivesha, Sutrasthana Vividhashitpeeteeya Adhyaya, Chapter 28, verses 13-14, 25. Varanasi: Chaukhamba Surbharati Prakashan; 2016. p. 180.

Acharya YT, editor. Charaka samhita of Agnivesha, Siddhisthana Bastisutreeyam Siddhi Adhyaya, Chapter 3, verses 43-5. Varanasi: Chaukhamba Surbharati Prakashan; 2016. p. 696.

Acharya YT, editor. Charaka samhita of Agnivesha, Chikitsasthana Yonivyapat Chikitsa Adhyaya, Chapter 30, verse 38. Varanasi: Chaukhamba Surbharati Prakashan; 2016. p. 636.

Acharya YT, editor. Charaka samhita of Agnivesha, Chikitsasthana Yonivyapat Chikitsa Adhyaya, Chapter 30, verse 47. Varanasi: Chaukhamba Surbharati Prakashan; 2016. p. 637.

Vd. Yadav ji Trikamji Acharaya, editor. Sushruta Samhita with Dalhana Acharya commentary, Chikitsa sthana Netrabasti Pramana Pravibhaga Chikitsa, Chap 35, ver. 27-

Varanasi Chaukhamba Sanskrit sansthan; 2017, p.528

Acharya YT, editor. Charaka samhita of Agnivesha, Siddhisthana Kalpana Siddhi Adhyaya, Chapter 1, verses 33-34. Varanasi: Chaukhamba Surbharati Prakashan; 2016. p. 683.

Acharya YT, editor. Charaka samhita of Agnivesha, Siddhisthana Panchkarmeeyaam Siddhi Adhyaya, Chapter 2, verses 16. Varanasi: Chaukhamba Surbharati Prakashan; 2016. p. 689.

Thatte U, Chiplunkar S, Bhalerao S, Kulkarni A, Ghungralkar R, Panchal F, Vetale S, Teli P, Kumbhar D, Munshi R, Immunological & metabolic responses to a therapeutic course of Basti in obesity. Indian Journal of Medical Research [Internet] 2015, [Cited 2020 August]; 142:53-62.

S., Subina & Ck, Prathibha & Pv, Anandraman & Dharmarajan, Prasanth. (2015). Understanding The Mode Of Action Of Bastikarma (Medicated Enema). Anweshana Ayurveda Medical Journal.