Ayurvedic management of Tubal Blockage: A Case Study

Infertility a multifactorial disorder is a major contributor to emotional disturbances and reduced quality of life. Out of the many factors, tubal factors causing infertility account for about 25-30 % of all cases of infertility.[1] Infections, abdominal surgery, and diseases such as endometriosis can cause scarring at the inner linings of fallopian tubes. STDS, past ectopic pregnancy and any previous abdominal surgeries may cause tubal blockage.[2] The fallopian tube is the Kshetra for Garbhadhan, as it carries the gamete before and zygote after fertilization. Going through various signs and symptoms we can understand that it is a Vata dominated Tridoshaja Vyadhi, where Kapha Dosha also contributes to the formation of block. Uttara Basti is emerging as a boon in treating blocked fallopian tubes. The drugs having Vata Kapha Shamaka, Tridoshagna properties, and drugs with Sukshma, Sara, Katu, Ushna, and Pramathi properties helps to remove the blockage and restore tubal functions. In the present case study, both Shodhana and Samana Chikitsa were adopted. The combination of Mahanarayana Taila, Kshara Taila and Phala Gritha having Lekhaniya and Vata Kapha Shamaka property is proven beneficial in treating tubal blockage.