Article: EFFECT OF BASTI CHIKITSA IN THE MANAGEMENT OF BEEJA AND KSHETRA DUSHTI JANYA BANDHYATVA IN ELDERLY WOMEN: A CASE REPORT

Article Category: Case Reports

DOI: 10.7897/2277-4343.155148

Pages: 25-28

Author: Lavina *, Hetal H Dave

Abstract: Pregnancy or motherhood beyond the edge of reproductive age is referred to as pregnancy in “elderly gravida”. Generally, reproductive potential decreases as women get older, one of the common reasons being Anti-Mullerian hormone (AMH) levels. This is a case study of a 38-year-old female patient who consulted the OPD at the National Institute of Ayurveda (NIA) Jaipur, Rajasthan, India, with the chief complaint of being unable to conceive for 2 years. Her Anti-Mullerian hormone (AMH) value was 0.83 ng/ml on 22-7-2023. Ultrasonography, dated December 13, 2023, suggested a bulky heterogenous uterus with intramural fibroid (2.4×1.9 cm) with polycystic ovarian disease and pelvic inflammatory changes. Based on these clinical presentations and USG findings, the patient was diagnosed with infertility due to abnormal ovarian and uterine factors, which were correlated with beeja and kshetra dushti janya bandhyatva in Ayurvedic terms. Mainly, Vata dosha symptoms were observed in the patient. Therefore, Yoga basti followed by Matra basti was given with shamana chikitsa using garbhasthapana dravya to eliminate Vata dosha. Her complete nidana parivarjana was done. After 2 months of treatment, the patient conceived. She missed her period and did her urine pregnancy test on 01-3-24, which was found to be positive. This case study concluded that Basti chikitsa is beneficial in managing beeja (ovarian factor) and kshetra (uterine factor) dushti janya bandhyatva in elderly women.

Keyword: Bandhyatva, Basti, Beeja, Case report, Infertility, Kshetra.