Abstract
Infertility affects a significant proportion of reproductive -age couples worldwide, with multifactorial etiologies including
hormonal imbalance, structural abnormalities, endometriosis, and psychosocial stress. Despite advancements in assisted
reproductive technologies such as in vitro fertilization (IVF), repeated implantation failure remains a major clinical
concern, often associated with both physiological and psychological determinants. This case report describes a 31-year-old
female with primary infert ility and underlying endometriosis who experienced two unsuccessful IVF cycles. Prior to a
subsequent IVF attempt, corrective hysteroscopic intervention for cervical factors was performed. In addition, Yoga Prana
Vidya (YPV), a non-touch, biofield-based complementary therapy, was introduced alongside conventional treatment. The
YPV intervention included structured energy-based protocols aimed at emotional regulation, stress reduction, and targeted
energizing of reproductive -related energy centers. During th is cycle, the patient demonstrated improved psychological
stability and reduced perceived stress. The third IVF cycle resulted in successful conception. The observed temporal
association suggests that YPV may have a supportive role in modulating psychophysiological parameters relevant to
implantation success
Keywords
Yoga Prana Vidya System®, In Vitro Fertilization (IVF), Endometriosis, Repeated Implantation Failure,
Complementary Therapy, Energy Healing, Primary Infertility.
Copyright © 2026 The Author(s): This is an open -access article distributed under the terms of the Creative Commons Attribution 4.0 International
License (CC BY-NC 4.0) which permits unrestricted use, distribution, and reproduction in any medium for non -commercial use provided the original
author and source are credited.
Introduction
Endometriosis is a common, chronic, estrogen -
dependent gynecological disorder affecting
approximately 10% of women of reproductive age
worldwide. It is characterized by the presence of
endometrial-like tissue outside the uterine cavity [1]. The
etiology of endometriosis is multifactorial, involving
genetic predisposition, metabolic and microbiomic
influences, immune dysfunction, endocrine disruption,
and environmental factors [2 -4]. The most common
presenting symptoms include chronic pelvic pain and
infertility, along with additional symptoms depending on
the organs involved [5].
The prevalence of endometriosis ranges from
2% to 10% among women of reproductive age,
increasing to 20% –50% in infertile populations [6 -9].
Based on anatomical and pathological features,
endometriosis is broadly classified into ovarian/adnexal
endometriomas (OMAs), superficial peritoneal
endometriosis, and deep infiltrating endometriosis (DIE)
[10]. More than 20% of affected women are estimated to
have DIE, which is considered the most severe form and
often requires complex clinical management.
Deep infiltrating endometriosis is defined by
the infiltration of endometrial tissue more than 5 mm
beneath the peritoneal surface [11]. It commonly
involves the rectovaginal septum, uterosacral and utero -
ovarian ligaments, and the muscular walls of pelvic
organs. Bowel involvement occurs in approximately
3.8% to 37% of cases [12, 13]. Ovarian endometriomas
are also prevalent and significantly impact quality of life,
fertility, and may increase the risk of malignancy [14].
The classification of DIE remains challenging
but is essential for accurate diagnosis, surgical planning,
Pai, N. R., & Shalini, C.; Sch Int J Obstet Gynec, Sep. 2026; 9(9): 219-225
© 2026 | Published by Scholars Middle East Publishers, Dubai, United Arab Emirates 220
and effective communication among multidisciplinary
teams [15]. Management of DIE should be
individualized based on symptom severity, fertility
desires, and associated comorbidities. Medical treatment
options include combined oral contraceptives,
progestogens, and gonadotropin -releasing hormone
(GnRH) agonists or antagonists. These therapies aim to
create a hypoestrogenic environment, induce atrophy or
suppression of endometriotic lesions, and reduce chronic
inflammation [16].
However, surgical intervention is often
considered the primary treatment for symptomatic DIE,
particularly in cases with bowel involvement. The
primary objective of surgery is to restore normal pelvic
anatomy through complete excision of endometriotic
lesions [17]. Laparoscopic cystectomy remains the gold
standard for the definitive management of ovarian
endometriomas [18, 19]. Nevertheless, its use is
controversial due to the potential risk of iatrogenic
damage to ovarian reserve. Systematic reviews indica te
that laparoscopic cystectomy is associated with a 38%
reduction in anti -Müllerian hormone (AMH) levels
postoperatively, with bilateral cystectomy increasing the
risk of premature ovarian insufficiency by approximately
2.9-fold [20, 21].
Although current evidence supports
cystectomy-related decline in ovarian reserve, it remains
unclear whether ovarian endometriomas themselves
contribute to diminished ovarian reserve (DOR) through
chronic inflammation-induced follicular apoptosis [22].
Furthermore, multiple systematic reviews have shown
that performing cystectomy prior to in vitro
fertilization/intracytoplasmic sperm injection
(IVF/ICSI) does not significantly improve reproductive
outcomes [23-25].
Yoga Prana Vidya (YPV) System as an
Alternative/Complementary Modality:
“In recent years, there has been increasing
interest in integrative and non -invasive therapeutic
approaches, including energy healing and mind –body
interventions, as complementary strategies in clinical
management [26].” Yoga Prana Vidya system of healing
has been found to be effective in treating various human
ailments owing to its holistic and integrated nature [27].
Yoga Prana Vidya is derived from an ancient art and
science of energy healing, as an integrated holistic
system without any drugs or touch. Besides applying
energy healing techniques, it includes physical exercises,
breathing techniques, forgiveness sadhana, diet, and
meditation [28]. The energy body, often referred to in
traditional yogic literature as the Pranamaya Kosha, is
described as an energetic field that interpenetrates and
extends beyond the physical body, as illustrated in
Figures 1 and 2. This model conceptualizes the energy
body as comprising an inner aura, an outer aura, and
health rays that are believed to co nnect these layers. A
comparison of Figures 1 and 2 is intended to illustrate
differences in the energy field patterns between
individuals described as healthy and those experiencing
illness.
Within this framework, the energy body is
proposed to consist of energy centers, commonly termed
chakras, along with nadis (channels) that are believed to
facilitate the distribution of vital energy to different
regions of the body (Figure 4). Figure 3 pre sents an
image obtained using Gas Discharge Visualization
(GDV) technology, which has been explored in some
studies as a method for assessing biofield -related
parameters, although its clinical validity and reliability
remain subjects of ongoing investigation.
Yoga Prana Vidya (YPV) healing is described
as a biofield-based complementary practice that involves
techniques such as energy scanning, cleansing, and
energizing of the aura and chakras by trained
practitioners. It is hypothesized that such interventions
may help modulate perceived energy imbalances, which
are suggested, within this framework, to be associated
with physical or psychological conditions.
Reported outcomes from practitioners and
observational reports indicate that some individuals
experience symptomatic relief following YPV sessions.
Healing sessions typically last 10 –20 minutes and may
be administered once or multiple times per day,
depending on practitioner assessment and individual
condition [29].
Pai, N. R., & Shalini, C.; Sch Int J Obstet Gynec, Sep. 2026; 9(9): 219-225
© 2026 | Published by Scholars Middle East Publishers, Dubai, United Arab Emirates 221
Fig: 1. energy body of a healthy person
Fig. 2: showing energy body of an Unhealthy person
Fig. 3: Picture of energy taken using GDV camera
Pai, N. R., & Shalini, C.; Sch Int J Obstet Gynec, Sep. 2026; 9(9): 219-225
© 2026 | Published by Scholars Middle East Publishers, Dubai, United Arab Emirates 222
Fig. 4: Chakras (wheels) in the energy body
CASE HISTORY
A 31-year-old female with 8 years of married
life presented with primary infertility and a known
history of endometriosis. She sought complementary
support through Yoga Prana Vidya (YPV) healing while
undergoing her third in vitro fertilization (IVF) cycle .
The clinical details were obtained from the patient’s
medical records with consent.
She had regular menstrual cycles and no
significant medical comorbidities. Autoimmune
screening (ANA, APLA, anti -TPO) was negative. Her
surgical history included laparoscopic bilateral
endometriotic cystectomy with adhesiolysis in 2021,
followed by laparos copic adhesiolysis, radical excision
of deep infiltrating endometriosis (DIE), ureterolysis,
and bilateral salpingectomy in 2022. As part of the
infertility workup prior to subsequent IVF attempts, she
was found to have cervical factors requiring correctio n.
Accordingly, she underwent hysteroscopic internal os
resection in 2024 and a repeat hysteroscopic internal os
resection in October 2025 to improve cervical access and
facilitate embryo transfer during future IVF cycles.
In 2022, she underwent her first IVF cycle (6
embryos), followed by two failed frozen embryo
transfers (FET). In March 2023, a second IVF cycle (4
embryos) with two FET attempts also failed. In
November 2025, donor oocyte IVF was initiated, and the
first donor oocyte FET (DO-FET) failed.
She was subsequently planned for a second DO-
FET cycle with hormonal endometrial preparation
(estradiol, progesterone), along with adjunct medications
including low -dose aspirin and vitamin E. G -CSF gel
was initiated on 18/01/2026. She was admitted on
20/01/2026, and on 21/01/2026, two Day -3 embryos
were transferred under monitored anesthesia care.
At presentation, the patient reported significant
anxiety related to conception. Physical examination
findings were within normal limits. Alongside ongoing
conventional treatment, she opted for YPV healing as a
complementary intervention.
YPV Healing Intervention Protocol: The
patient received Yoga Prana Vidya (YPV) healing as a
complementary intervention alongside conventional IVF
treatment. Healing sessions were administered by
Associate certified YPV Healer with frequency adjusted
based on clinical status and patient-reported condition.
Initially, the patient underwent daily healing
sessions for 10 consecutive days, followed by 14
sessions conducted on alternate days. During early
pregnancy, the patient developed choriodecidual
separation, following which the frequency of healing
was increased to daily sessions for 20 days. After clinical
resolution of this condition, healing sessions were
continued on an alternate -day basis as a maintenance
approach.
The healing protocol comprised structured
components of YPV, including YPV Psychotherapy,
YPV Advanced Healing utilizing color prana techniques,
and special protocol from the Healer Development
Program (HDP) Level 1. These interventions were
delivered as c omplementary support alongside ongoing
conventional medical management.
Psychotherapy was considered a foundational
component of the intervention to address stress and
emotional imbalance. The protocol involved systematic
cleansing and energizing of key chakras, including the
back heart (front heart, only cleansing), front and back
solar plexus, throat, ajna, crown, sex, and basic chakras.
This approach was consistently applied during all
Pai, N. R., & Shalini, C.; Sch Int J Obstet Gynec, Sep. 2026; 9(9): 219-225
© 2026 | Published by Scholars Middle East Publishers, Dubai, United Arab Emirates 223
healing sessions to support emotional regulation and
overall well-being.
Advanced Healing Techniques:
Advanced healing methods, including the use
of color prana (prior to pregnancy confirmation), were
applied to enhance the intervention. These included
general energy body cleansing, blood cleansing
techniques, internal organ healing, and thorough
cleansing, energizing, and balancing of relevant chakras.
Special emphasis was given to healing and energizing
the female reproductive organs.
Healer Development Program (HDP) – Level 1
As part of HDP Level 1, a specialized colour
prana combinations for regeneration was applied to the
patient. This technique was incorporated into all healing
sessions with the objective of supporting reproductive
organ recovery.
Results
During the course of Yoga Prana Vidya (YPV)
healing, the patient reported progressive improvements
in both physical symptoms and emotional well-being, as
documented through structured feedback collected after
healing sessions. In the initial phase, the patient reported
relief from pelvic discomfort, noting a reduction in
cramps and absence of lower abdominal pain. Early
feedback also indicated improved emotional state, with
the patient describing a sense of calmness and reduced
stress. As healing sessions p rogressed, further
improvements were observed. The patient reported
better sleep quality, reduced fatigue, and increased
energy levels. Gastrointestinal discomfort, including
sensations of heaviness and uneasiness, also showed
improvement. The patient additionally noted a subjective
sense of lightness and overall well -being. During
subsequent sessions, the patient reported absence of
vomiting, nausea, and abdominal pain, which had been
present earlier. Emotional stability continued to improve,
with reduced irritability and better stress tolerance. Sleep
patterns normalized, and the patient reported feeling
more relaxed and peaceful. Following conception, the
patient experienced an episode of choriodecidual
separation, during which healing frequency was
increased. Subsequent feedback indicated stabilization
of symptoms and improvement in overall condition. The
patient continued to report a sense of physical comfort
and emotional reassurance. At later stages, the patient
reported reduced anxiety, improved mood, and a
sustained sense of calmness. She expressed feeling more
secure during pregnancy and attributed her emotional
stability to the ongoing healing sessions. At the time of
reporting, the patient had successfully conceived twins
and continued with mainten ance healing sessions.
Overall, the observations suggest an association between
YPV healing sessions and improvements in patient -
reported physical symptoms and psychological well -
being. However, these findings are based on subjective
feedback and concurren t medical treatment, and causal
relationships cannot be definitively established.
Discussion
Endometriosis is a complex, chronic
gynecological disorder characterized by the ectopic
presence of endometrial -like tissue outside the uterus,
frequently associated with chronic pelvic pain,
adhesions, ovarian cysts, and infertility. The disease
adversely affects reproductive potential through
distorted pelvic anatomy, inflammatory changes,
impaired implantation, and altered ovarian reserve.
Studies have shown that women with moderate to severe
endometriosis often experience significantly reduced
spontaneous conception and IVF success rates compared
to unaffected women [30, 31]. Several studies have
highlighted the negative influence of psychological
stress, anxiety, and depression on reproductive outcomes
and assisted reproductive techniques. Stress -related
neuroendocrine dysregulation may impair ovulation,
implantation, and pregnancy maintenance. Therefore,
supportive mind–body interventions aimed at improving
emotional well -being and stress reduction are
increasingly being explored as adjunctive approache s
during fertility treatment [32, 33].
In the present case, Yoga Prana Vidya (YPV)
healing was administered alongside conventional IVF
management. YPV is a biofield -based complementary
practice involving non -touch techniques such as
scanning, cleansing, and energizing of the aura and
chakras by trained practitioners. Previous Yoga Prana
Vidya (YPV) case reports have documented supportive
outcomes in several female reproductive health
conditions, including PCOS [29-34], endometriosis [35],
adenomyosis [36], ovarian cysts [27 -37], infertility,
recurrent miscarriages [38], and IVF -associated
conception [39]. These reports suggest that YPV
protocols may contribute to improved emotional well -
being, stress reduction, and supportive reproductive
health management when used as a complementary
approach al ongside conventional medical treatment.
However, the currently available evidence is largely
observational and based on individual case studies,
warranting further controlled clinical research.
In this patient, subjective improvements were
observed in stress levels, emotional stability, sleep
quality, and overall mental well-being during the healing
period. Considering the chronic nature of endometriosis
and the history of repeated IVF failures, achieving
successful conception in such cases is often clinically
challenging. However, because YPV healing was
administered concurrently with standard medical and
IVF treatment, no direct causal relationship can be
established between YPV intervention and successful
pregnancy outcome. Larger controlled clinical studies
are necessary to scientifically evaluate the efficacy,
mechanisms, and reproducibility of YPV as a
Pai, N. R., & Shalini, C.; Sch Int J Obstet Gynec, Sep. 2026; 9(9): 219-225
© 2026 | Published by Scholars Middle East Publishers, Dubai, United Arab Emirates 224
complementary supportive therapy in endometriosis -
associated infertility.
Conclusion
This case report suggests that Yoga Prana
Vidya (YPV) healing may serve as a supportive
complementary approach alongside conventional IVF
treatment in a patient with endometriosis and recurrent
implantation failure. The patient reported improvements
in emo tional well -being, stress reduction, and overall
comfort during the treatment course. While a successful
twin conception was achieved, these observations
highlight the potential role of integrative approaches in
enhancing patient -centered care and psycholo gical
support during fertility treatment. Further systematic
research is warranted to explore its clinical applicability.
Patient Consent: Written informed consent was
obtained from the patient for publication of this case
report and the accompanying images.
Funding: The authors received no financial support or
funding for this study.
Conflicts of Interest: The authors declare that they have
no conflicts of interest related to this work.
Authorship: All authors attest that they meet the current
authorship criteria of the International Committee of
Medical Journal Editors.
Acknowledgements
The authors are grateful to the patient for
consenting to share the case details and feedback while
maintaining anonymity. The authors also thank Sri
Ramana Trust (Thally -635118, Tamil Nadu, India) for
granting permission to use the copyrighted term Yoga
Prana Vidya System®.
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08.
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