Age: 35
Gender: Female
Complaint
- Anxious to conceive for past 7 years
- Complaints of burning sensation while urination,vaginal itching
- Psychological stress
- Previous medical history of undergoing IUI twice in early years of marriage
- Under thyroid medication.
The patient is an IT professional with a 7-year history of primary infertility (including two prior failed IUIs) and managed hypothyroidism, currently reporting painful, clotted menses and dysuria, with a 38-year-old male partner who has normal seminal parameters.
Integrated Summary
Clinical findings for this patient (BMI 25.6, BP 130/90 mmHg) indicate a post-ovulatory or anovulatory state with no dominant follicle and 9.5mm endometrial thickness, while physical examination reveals a normal-sized anteverted uterus alongside mild cervical hypertrophy, congestion, and white vaginal discharge.
Treatments given
| s.no | Treatment | Medicines | Days |
| 1 | Yoni prakshalam | Triphala kashayam | 7 days |
| 2 | Yoni pichu | Triphala ghritham | 7 days |
After the completion of next cycle of menstruation,follicular study was done on mid cycle which reveals no presence dominant follicle or signs of ovulation for which following treatment was planned:
| S.No | Days | Treatment | Medicines used |
| 1 | 8 days | Nasyam | Lashuna ksheerapaka-10 drops |
| 2 | 5 days | Matra vasthi | Mahanarayanam tailam-300ml |
| 3 | 3 days | Kashaya vasthi | Dasamula eranda Kashaya vasti-950ml Saindhava:5gms Madhu:75ml Sneha :100ml-erandha tailam Kalka :shatapusha-15gms Kashaya:dasamula-eranda kashayam-800ml |
Along with the treatment following medicines was given :
| S.No | Medicine | Dosage | Bf/Af |
|---|---|---|---|
| 1 | Puspha dandha ras | 1-1-1 | After food |
| 2 | Phala sarpis | 2 tsp – 0 – 0 | Before food morning with hot water |
Follow up and outcome
After the completion of 8 days sthanika chikistha she had significant relief in vaginal itching, burning sensation and discharge, which was her major concern.
With consent to her Anovultion causing infertility after performing nasyam and yogavasthi along with internal medication.
Her pud came back positive with healthy fetus revealed in the nt scan.
Conclusion
In the present case of infertility due to anvolution ,combined effect of Lashuna Ksheerapaka Nasya and Yogavasthi with Dasamuls-eranda Kashaya and Mahanarayanam Tailam were effective and given desired results. The patient conceived the next cycle and is holding a positive pregnancy.
