Management of Tubal Blockage by Panchakarma

• 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
• 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
• Menstrual History: Regular cycles, no clots

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

Panchakarma Treatment Schedule

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.

After 5 sittings of Uttarabasti + 8 months of internal medication, the patient conceived naturally.

• Assessment Parameters: HSG, USG, and conception
• USG after 12 months: 11 weeks, 3 days, pregnancy confirmed
• No adverse effects were observed.

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

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; Phala Ghrita – Rasayana, improves ovum quality; MD Forte Oil – Lekhana, Kaphahara, enhances tubal patency.

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.