A Case Study on Management of Tubal Blockage by Panchakarma and Uttarabasti

 Abstract

Tubal infertility is considered the second most common cause of female infertility. This case study presents the successful management of a 32-year-old female patient with left fallopian tube blockage, treated with Panchakarma therapies (Virechana, Yogabasti, and Uttarabasti with MD Forte oil for 5 consecutive cycles) and suitable internal medications for 8 months. The treatment resulted not only in the removal of tubal blockage but also in conception. Uttarabasti (Intra-Uterine Uttarabasti, IUUB) is a unique Ayurvedic procedure described for Vandhyatva (infertility) and other gynecological disorders. It directly acts on Artava Beeja Vaha Srotas (fallopian tubes), making it a promising treatment option for tubal blockage.

About the Author
Dr. Preethi, BAMS, is a highly experienced Ayurvedic physician with over 24 years of expertise in Ayurveda and Panchakarma. She has successfully treated complex cases of infertility, skin disorders, metabolic issues, and chronic lifestyle conditions using authentic Ayurvedic principles combined with modern diagnostic support. Dr. Preethi conducted this case study on tubal blockage management through Panchakarma and Uttarabasti, showcasing Ayurveda’s potential in restoring fertility and bringing hope to couples struggling with infertility.

 Case History

• Patient: Female, 32 years

• Marital History: Married for 7 years, no live issue

• Chief Complaint: Inability to conceive for 7 years

• Past Medical History: No systemic illness (Diabetes, Hypertension, Thyroid disorders)

• Past Gynecological History:

  • 1 episode of abortion (1 year back)

  • 3 failed IUI cycles, 1 failed IVF cycle

• Diagnostic Findings: Hysterosalpingography (HSG) showed left fallopian tube blockage

• Vitals: Pulse – 78/min, BP – 110/80 mmHg, Temp – normal

• Anthropometry: Height – 155 cm, Weight – 62 kg

Menstrual History

• Menarche: 12 years

• Duration: 3–4 days

• Interval: 28–30 days

• Cycles: Regular, no clots

 Clinical Examination

General Examination

• Built: Moderate

• Nourishment: Moderate

• Pallor/Edema/Cyanosis/Clubbing/Icterus: Absent

Personal History (Vayaktika Vruttanta)

• Diet: Non-vegetarian

• Appetite: Normal

• Bowel: Regular

• Micturition: 4–6 times/day

• Sleep: Sound

• Habits: Tea 2–4 times/day

Gynecological Examination

• Yoni Pareeksha: No discharge, prolapse, edema, or infection

• Per Speculum: Vaginal wall and cervix healthy, no erosion/polyp

• Per Vaginum: Uterus anteverted, anteflexed, normal size

 Therapeutic Intervention

Panchakarma

Internal Medicines

• Phalaghrita – 10 ml with lukewarm milk daily

• Pushpadhanva Rasa

• Falova Capsules

• Uterine tonics as supportive therapy

• Yoniprakshalana with Panchavalkala Kwatha

Uttarabasti Procedure

1. Performed on the 6th day after menstruation, in a sterilized OT.

2. Pre-procedure: Abhyanga with Bala Taila, Swedana with Dashmoola Kwatha.

3. Yoni Prakshalana with Panchavalkala Kwatha.

4. Patient in dorsal lithotomy position.

5. Speculum inserted, cervix visualized, and antiseptic cleaning done.

6. 5 ml MD Forte Oil administered via Uttarabasti cannula into the uterine cavity.

7. Patient kept in head-low position for 2 hours post-procedure.

8. Abdomen fomented with a hot water bag.

9. The procedure was repeated for 5 consecutive menstrual cycles.

 Results

• Assessment Parameters: HSG, USG, and conception

• After 5 sittings of Uttarabasti + 8 months of internal medication Patient conceived naturally

• USG after 12 months: 11 weeks, 3 days, pregnancy confirmed

• No adverse effects were observed

Discussion

• Garbhasambhava Samagri (factors for conception): Ritu, Kshetra, Ambu, Beeja. Here, the Kshetra (fallopian tube) was affected.

• Doshic involvement:

  • Vata constriction (sankocha) of the tubal lumen

  • Kapha  obstruction (avarodha) of the lumen

• Role of Panchakarma:

  • Virechana – expels aggravated Pitta, purifies channels

  • Yogabasti – balances Vata, clears srotorodha (blockages)

  • Uttarbasti – delivers medicine directly to the uterus and tubes

• Pharmacological basis:

  • Dashmoola – Vatakapha hara, reduces tubal obstruction

  • Phala Ghrita – Rasayana, dhatu vardhana, improves ovum quality

  • MD Forte Oil – Lekhana, Kaphahara, enhances tubal patency

Thus, Ayurvedic intervention successfully restored tubal patency and achieved conception.

Conclusion

Ayurveda offers a safe and effective approach for tubal infertility. Panchakarma therapies, especially Uttarabasti, along with suitable internal medicines, can significantly improve tubal patency and fertility outcomes. This case highlights Ayurveda’s potential in managing female infertility due to tubal blockage.

 References

1. Charaka Samhita with Ayurvedadeepika Vyakhya, by Vaidya Jadavji Trikamji Acharya

2. Ayurvediya Prasuti Tantra and Stri Roga – P.V. Tewari