THERAPEUTIC EFFICACY OF UTTARA BASTI IN TUBAL FACTOR INFERTILI-TY- A CASE STUDY

Introduction: Infertility represents a multifactorial reproductive disorder that challenges a woman’s physiological and psycho-logical well-being, often leading to emotional distress and anxiety. Among the causes of female infertility, fallo-pian tube blockage accounts for nearly 25-30% of cases. In Ayurveda, this condition can be correlated with San-ga Srotodushti of Artavavaha Srotas, primarily involving Vata-kapha vitiation. Vandhyatva is described as one of the Artavavaha Srotodushti Lakshanas. The present case study evaluates the efficacy of Uttara Basti with Mahanarayana Taila in restoring tubal patency and improving fertility outcomes. Materials and Methods: A 29-year-old married woman presented with primary infertility for three years. Hysterosalpingography (HSG) revealed bilateral tubal blockage. The patient was treated with Uttara Basti, an Ayurvedic intrauterine therapeu-tic procedure, administered under aseptic conditions using Mahanarayana Taila. The therapy aimed to pacify Vata- kapha, clear obstruction, and restore the normal physiological flow in Artavavaha Srotas. Pre- and post-treatment HSG assessments were performed to evaluate tubal patency. Results and Discussion: Post-treatment HSG showed free dye spillage through both fallopian tubes, confirming successful clearance of the obstruction. The Vata-Anulomana and Srotoshodhana properties of Mahanarayana Taila likely contributed to the removal of blockages and restoration of tubal function. This case demonstrates that Uttara Basti with Maha-narayana Taila can serve as a safe, non-surgical, and effective Ayurvedic approach for managing tubal blockage-related infertility, emphasising the significance of integrative therapies in reproductive health.