Ayurvedic Management of Oligospermia (Kshina Shukra) with Ashwagandha Ghrita: A Care Guideline-Based Case Report

Abstract

Male infertility contributes to nearly 40–50% of infertility cases globally. Oligospermia, defined as sperm concentration below 15 million/ml (WHO 6th edition, 2021), may correlate with Kshina Shukra in Ayurveda. Published Ayurvedic clinical documentation on this condition remains limited. Objective: To evaluate the clinical effect and safety of Ashwagandha Ghrita in a case of oligospermia correlated with Kshina Shukra. Case Presentation: A 40-year-old married male with primary infertility presented with reduced sperm count (13.04 million/ml). Ayurvedic assessment revealed Vata-Pitta predominance, Mandagni, and Shukravaha Srotodushti. Intervention: Deepana-Pachana with Trikatu Churna for 5 days followed by Ashwagandha Ghrita 15ml twice daily with lukewarm water for 30 days along with dietary and lifestyle advice. Results: Post-treatment semen analysis showed improvement in sperm concentration from 13.04 to 14.04 million/ml with stable motility and vitality. No adverse effects were observed. Conclusion: Ashwagandha Ghrita demonstrated a mild positive response and good tolerability. Longer duration therapy and controlled clinical studies are required.