Ayurvedic Management of Anovulation

Abstract

Anovulation, defined as the failure of the ovary to release a mature ovum, accounts for nearly 40% of female infertility cases. Contributing factors include hormonal imbalance, stress, and systemic disorders. In Ayurveda, Vandhyatva (infertility) is described as a Vata-dominant disorder in which Apana Vata governs ovulation and menstrual regularity. Case Presentation: A 39-year-old female presented with secondary infertility for two years. Ayurvedic assessment revealed Vata predominance with associated Agnimandya and Srotorodha, suggestive of Apana Vata Vaigunya leading to Artava Kshaya. Intervention: Management aimed at Amapachana, Vatanulomana, and Srotoshodhana using Panchkol Churna and Dashmoola Kwatha internally, along with Eranda Taila for Srotoshodhana. Dietary and lifestyle modifications (Pathya–Apathya) emphasising Agni Deepana and Kapha–Vata Shamana were also advised. Outcome: After two treatment cycles, follicular monitoring confirmed ovulation, and the patient experienced regular menstrual cycles with no adverse effects. Conclusion: Individualised Ayurvedic therapy focusing on Srotoshodhana and Vatanulomana can effectively restores ovulatory function and enhances fertility, indicating a promising role for classical Ayurvedic interventions in anovulatory infertility.