Article: EFFECT OF BASTI AND UTTARBASTI ON ENDOMETRIAL THICKNESS AND OVULATORY FUNCTION IN SECONDARY INFERTILITY: A CASE STUDY

Article Category: Case Reports

DOI: 10.7897/2277-4343.1711

Pages: 1-3

Author: Ashwinee Ghanekar *, Gous Mujawar

Abstract: Introduction: Thin endometrium and ovulatory dysfunction are significant contributors to infertility and are often associated with poor outcomes even with assisted reproductive techniques. In Ayurveda, these conditions correlate with Artava Kshaya (diminished menstrual tissue) and Dhatu Kshaya (tissue depletion) resulting from derangement of Apana Vata. Case presentation: A 34-year-old female with secondary infertility of two years duration presented with a history of four failed intrauterine insemination cycles. The patient complained of scanty and painful menstruation, psychological stress, reduced energy levels, and digestive disturbances. Investigations revealed low Anti-Mullerian Hormone levels, thin endometrium, and inconsistent ovulation. From an Ayurvedic perspective, these findings indicated Vata–Pitta vitiation (imbalance of Vata and Pitta dosha), Mandagni (low digestive fire) with Ama (metabolic toxins), and impaired Dhatu Poshana (tissue nourishment) affecting the reproductive system. Intervention: The patient was treated with a structured Ayurvedic regimen comprising Yoga Basti (therapeutic enema protocol), Uttarbasti (intrauterine instillation of medicated oil/ghrita). Despite persistently low ovarian reserve, progressive improvement in endometrial thickness and spontaneous ovulation was observed, highlighting functional restoration without alteration of ovarian reserve parameters. Outcome: Serial ultrasonography demonstrated improvement in endometrial thickness from 6.8 mm to 9.0 mm and restoration of bilateral ovulation. The patient conceived successfully following a subsequent intrauterine insemination cycle. Conclusion: This case suggests that Basti (medicated enema therapy) and Uttarbasti (intrauterine therapy) can enhance uterine receptivity and ovulatory function by correcting Apana Vata and improving tissue nourishment. Functional improvement in fertility outcomes may be achieved even in the presence of low ovarian reserve.

Keyword: Secondary Infertility, Thin Endometrium, Ovulatory Dysfunction, Artava Kshaya, Yoga Basti, Uttarbasti