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Female Infertility-Vandhyatv

Dr. K. Y. Iyer

Failure to achieve conception by a couple of mature age, having normal coitus, during appropriate period of menstrual cycle, regularly, at least for one year is termed as infertility. It is due to the fault in either of the partners or both of them

Failure to achieve conception by a couple of mature age, having normal coitus, during appropriate period of menstrual cycle, regularly, at least for one year is termed as infertility. It is due to the fault in either of the partners or both of them.

Infertility finds its complete description in “Harita Samhita”. Failure to achieve conception is infertility.

Describing the process of conception on the lines of planting a seedling Maharishi Sushrut claims that an absence of any of the four-following factors may lead to difficulty in conception. The four factors are

  • Ritu- fertile period
  • Kshetra- healthy reproductive organs
  • Ambu- proper nutrient supply
  • Beej- sperms and the ovum
Maharishi Charaka describes causes of infertility as an abnormality in any of the six bhavas- mother, father, atma, stva, satmya and rasa. Coitus with a woman who hasn’t achieved puberty, is very old, chronically ill, sorrow stricken, and afflicted with certain psychological abnormalities fails to impregnate.
Kashyap includes infertility in 80 vata diseases.

Causes of Infertility

  • Yoni Pradosa: abnormalities of reproductive organs
  • Psychological abnormalities
  • Abnormalities of sperm
  • Abnormalities of ovum
  • Abnormality in diet
  • Abnormal mode of life
  • Coitus in infertile period
  • Idiopathic

Classification and Clinical Features

Maharishi Charaka describes 3 types of Vandhyatv:
  • Vandhyatv or absolute sterility: this is due to congenial absence or acquired absence of uterus or egg
  • Apraja or primary infertility: condition in which woman conceives after treatment for infertility.
  • Sapraja or secondary infertility: a condition in which female fails to conceive after the birth of one child.

Harita Describes 6 Types of Vandhyatv

  • Kakvandhya : one child sterility.
  • Anapatya : primary infertility
  • Garbh-sravi : repeated abortions
  • Mritvatsa : repeated stillbirths.
  • Balaksaya : loss of strength
  • Garbhkosha bhang : infertility due to injury to the uterus or prolapse, va***nal injuries or constriction etc.
  • Prognosis : Prognosis depends on the cause of Vandhyatv. Vandhyatv due to absence of uterus or egg is incurable. 6 types of Vandhyatv described by Harita are curable.

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