PANCHAKARMA THERAPY FOR INFERTILITY IN WOMEN

Panchakarma Therapy For Infertility in Women

Panchakarma contributes very important role in treating disorders responsible for infertility :

The glands of the endocrine system that regulate a women’s menstrual cycle are the hypothalamus, pituitary gland, and the ovaries. The hypothalamus is the master gland of the system; it secretes Luteinizing Hormone Releasing Hormones (LHRH) and stimulates the pituitary gland to release Luteinizing Hormone (LH) and Follicle-­‐Stimulating Hormone (FSH). As the pituitary gland secretes LH and FSH, these hormones act on the follicle in the ovary and stimulate its maturation. At the ovary, estrogen and progesterone are released. As the follicle matures, estrogen affects the development of a woman’s body and maturing egg. At the same time, progesterone affects the development of the endometrium and the breast tissue. The hormonal flow between the three glands is a negative feedback system; if the body has enough estrogen then no LHRH is produced, however, if estrogen levels are running low, than the hypothalamus secretes LHRH. A healthy menstrual cycle is dependent on functioning of the endocrine system.

NASYA
Nasya: It acts directly on brain, pituitary because “NASA HI SHIRASO DWARAM”. No one cranial nerve is exposed to exterior than olfactory receptors. The mucosal epithelium is sensitive to variety of stimuli. The ghrita and tail easily absorbed through mucosal epithelium. It helps to stimulate the pituitary to secret FSH & LH hormones

Every month an egg matures and a woman’s body and uterus prepare for pregnancy. If pregnancy does not occur, than the endometrial lining is released. Following menstruation, the endometrial lining of the uterus builds again as the uterus prepares for a fertilized egg. During this time there is an increase in arterial and venous blood flow. This is called the proliferative phase of the uterine (menstrual) cycle. Then, during the secretory phase, the tissue leftover after the egg is released, known as the corpus luteum, secretes estrogen and progesterone to act on the uterus and body. At this point in the cycle, if fertilization has occurred, estrogen and progesterone remain high and there is no need for the hypothalamus to secrete LHRH. However, if the egg was not fertilized then production of estrogen and progesterone drops, triggering the shedding of the endometrium-­‐ the start of another menstrual cycle. This monthly release is the motion of apana vayu. The subdosha of vata associated with downward movement.

Ayurvedic body therapies of Panchakarma such as Shirodhara, Abhyanga, marma therapy, Nasya, Basti, chakra balancing Pinda, Visesh and vedana help in releasing tension, impurities and trapped energy within the body. They nourish the body, revitalize the mind and strengthen the immune system. Rejuvenation therapies are beneficial in reducing stress, nourishing all dhatus of the body and pacifying Vata. Panchakarma is usually prescribed for infertile couples. Rejuvenative therapies are basically recommended for Vata Dosha, and cooling light therapies for pitta Dosha. Shodhana chikitsa helps in uterine hostility, and non-ovulatory cycles. To remove local disorders, to remove obstructions in passage and to facilitate proper coitus, and to increase receptivity of the genital tract to the entry of the sperm, Basti is recommended.

In Panchakarma the body reduces stress, rejuvenates the entire body, and pacifies the underlying Dosha. Female infertility is sometimes caused by blocked tubes, pelvic adhesions or other types of trauma or inflammation in the reproductive organs. While long believed that surgery procedures were the only way to even partially decrease these problems, Ayurvedic experts have founded a deep tissue work can not only decrease mechanical blockages, but also reduce pelvic pain and improve sexual arousal and orgasm for women.

The most easily disturbed Dosha is the Vata which causes functional defects in the egg, difficulties with implantation and is often responsible for infertility. An excessive bout of exercise, fear, anxiety or stress due to trauma, excessive fasting as is the case in eating disorders or diet including cold, light and dry substances can cause imbalance of Vata. However, infertility rarely involves only one Dosha. People with Pitta nature may experience infertility resulting in scarring of the fallopian tube, inhibiting the ascent of the sperm or descent of the ovum. Excess heat may also be responsible for depletion of Shukra Dhatu . On the other hand, Kapha people because of the dominant water element in their constitution that supports Shukra Dhatu experience the healthiest and the strongest reproductive system. Infertility in those with Kapha is initiated by a cold, heavy and oily diet along with a sedentary lifestyle. When Kapha Dosha is predominant, fallopian tubes may thicken; uterine fibroids may develop, and often involves Pitta and Vata displacement. Scar tissue is due to Pitta pushing Kapha.

Ayurveda supports health by strengthening body‟s own self-healing and balancing mechanisms” and doesn‟t rely on intervention by any outside or foreign substance to replace or correct the hormones in the body It focuses on the treatment of infertility holistically with an aim of improving the overall health and quality of life of the individual. According to the Charaka Samhita, “the single most important factor in the buildup of Ama (toxin created when undigested food forms in the stomach) is the Agni and all the disease occurs due to imbalance in Agni (the power of digestion). Therefore, the treatment of Ama must always include the treatment of Agni, including the use of digestive herbs and spices, eating meals timely following a proper schedule and elimination of cold foods and drinks”. Panchakarma (Ayurvedic deep internal cleansing procedure), can also be utilized to eliminate Ama. Healthy Agni will also contribute to healthy Ojas. Evaluation of person‟s Dosha is very significant for prescribing the treatment and any blockages and weaknesses in body parts for which the treatment includes appropriate diet, body therapies, herbs, sensory therapies, and lifestyle and yoga therapies.

Ayurveda addresses the internal balances and external influences contributing to the problem by building the Ojas, improving the overall health of the individual, stimulating the hypothalamus and pituitary glands thereby indirectly inducing the ovaries to ripen and release eggs.

Uttar Basti :

UTTARBASTI IN THE MANAGEMENT OF FEMALE INFERTILITY 

Intrauterine Uttar Basti of Herbal Taila is highly effective in removing the tubal blockage with an amazing rate of conception, as is evident by the results of the study. It may also be effective for other factors of female infertility and menstrual disorders, namely, oligomenorrhea, hypomenorrhea, and dysmenorrhea; due to its various contents having an effect on the ovarian and hormonal functions. No significant complication is evident in this study, with this procedure. 

Oil is the best Shamana drug for Vata and many of the drugs of Herbal Taila possess phytoestrogenic constituents. Hence, the combination effects the process of ovulation. Antioxidant, immunomodulatory, adaptogenic properties helps in relieving stress and age related changes and help to regularize the functions of ovaries. 

Tridoshas have an impact over all the process involved in ovulation. Vata stands for proliferation and division of cells, rupture of the follicle, etc. Pitta is associated with its conversion power, like conversion of androgens to estrogen in Graffian follicle maturity of follicle by its function of Paka Karma. Kapha stands as a building and nutritive factor. It binds all the cells together and gives nutrition for growth and development of the cells.

Among the three Doshas, Vata plays a major role in physiology and pathology of reproductive tract and Basti is considered to be the best treatment for Vataja disorders.

In addition to Basti, Nasya Karma (trans-mucosal nasal insufflations) has been preferred in cases of Vandhyatva.

On analyzing the effect of Uttar Basti on tubal blockage, highly significant results show the potency of the drugs used and also the efficacy of Uttar Basti. The Snigdha Guna of the Taila is definitely helpful to relieve the abnormality generated by the Ruksha, Daruna, and Khara Guna of Vata.

Several contents of Herbal Taila are highly efficacious and established for their role on menstrual disorders and hormonal imbalance. For pacification of Vata too, This Taila seems to be very efficient. Thus, it is hypothesized that it can not only remove tubal blockage, but it can also correct the ovarian functions, and hence, restore normal menstrual physiology in its entirety. 

It may also be effective for other factors of female infertility and menstrual disorders, namely, oligomenorrhea, hypomenorrhea, and dysmenorrhea; due to its various contents having an effect on the ovarian and hormonal functions.

Uttar Basti removes the srotosangha and corrects the artavagni which regulates the menstrual cycle, thus resulting in ovulation. Ovaries contain receptors which receive hormones secreted by hypothalamus and pituitary gland. The drug stimulates these receptors, so that proper ovulation occurs in each cycle.

Uttrabasti is a type of Panchkarma Therapy, Basti upkarma which is highlighted mainly for use in gyanecological disorders in Ayurveda classics. 

One of the Panchakarma i.e. Uttarbasti is highlighted for the treatment of infertility in our classics and is well practised with substantial results.

Uttar Basti is an ideal local treatment in tubal block and can be adopted for all sorts of problems of infertility as well as reproductive tract disorder.

Uttar Basti has a lot of therapeutic potential. Proper selection of drug and time of administration is very essential for getting the desired results. Uttar Basti has benefit of increasing ojas, replenishing the hormonal system and promoting fertility.

Uttarbasti which is best for the disease of female. It tones up reproductive organs and improves the quality of Ambu i.e cervical mucus .Thus by applying proper drug through Uttarbasti, disorders of female reproductive tract can be cured. Bats is a main treatment of Vata dushti. Uttarbasti is the main line of treatment of Vandhyatva as it strengthens the Garbhashaya by applying proper drug through Uttarbasti. It also helps to increase receptivity of genital tract to entry of sperms.

Time of Uttarbasti-
* Preferably during Ritukala (just after menstruation is over)
* In this period uterus and vagina are free from coverings and widely open.

Considering this, it has been planned to evaluate the significance and impact of Basti and Nasya Karma in cases of infertility.

VIRECHANA: It acts on vitiiated Pitta dosha decreases ushnaguna of pitta and increases sheet guna required for formation of shukradhatu and increases jatharagni for nourishment of shukradhatu.

The important cause of infertility is adoption of modern life style. Ayurveda can treat infertility by various methods of panchakarma procedures like basti, virechana, nasya using different ayurvedic formulations. Proper selection of drug and time of administration is very essential for getting the desired results.

In the present scenario of the rapid advancement in technology,infertility is still aproblem that has continued now a days rapidly. 

Modern etiological factors are responsible to produce infertility are late marriage, nutrition less diet and fat rich food, stress and excess use of antibiotics and so on. It leads to produces disorders in both partners like unovulatory cycle, tubal block, PCOD, obesity and many more in female while low sperm count, erectile dysfunction etc. in male.

In ayurveda, to achieve pregnancy SUSHRUTA has given four essential factors rutu (fertile period), kshetra (healthy reproductive organs), ambu (proper nutrient fluid), beeja (ovum/ sperm) in this four factor, one important factor is „beeja‟, which directly related to ovulation process. Defect in any one of them can cause vandhyatva.

Want to Know about AMBU?

Healthy and Nutritious Fluids (Ambu)

When people speak of ambu, healthy fluids, such as plasma and lymph (rasa) and blood (rakta), usually come to mind. We can expand the definition of ambu to also encompass the nutrients themselves that nourish the male and female alike. These include hormones, specific vitamins and minerals, and ojas (the very essence of vitality and immunity).

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