DEFINITION

Infertility defined as the inability to achieve pregnancy after a reasonable time of sexual intercourse with no contraceptive measures taken. The terms sterility and infertility sometimes used interchangeably. The fertile is defined as those who do become pregnant after some reasonable time of regular sexual intercourse.

Ayurvedic concept of Vandhyatva: Ayurveda is a science, having its own method of diagnosis & treatment based on it. According to Ayurvedic classics, infertility is failure to achieve a child rather than pregnancy as garbha strava (repeated Miscarriage) & mrutvatsa (having repeated still) is also included in types of infertility. Important factors of constituents of garbha (foetus) are-

• Rutu (fertile period) 
• Kshetra (reproductive organs) 
• Ambu (nutritive fluids), 
• Beeja/beej (ovum) 
• Also healthy psychological status and normal functioning of Vata (one of the governing factor of body according to ayurveda), shadbhava (Six factors –mother, father. Atma, satva, satmya, rasa). Any abnormality in these factors causes infertility.
  

AYURVEDIC TREATMENT FOR INFERTILITY

• Ashwagandha and Kapikacchu Churan – Both herbs increase sperm count and improve its quality. 
• Phala Gritam – this gritam treat female infertility. Consumed in the form of liquefied butter mixed with milk, this medicine is touted to treat functional problems but does not treat structural deficiencies. 
• Gokshura, Guduchi, and Triphala Churna – These herbs are used to clear the blockages in the body which prevents the production of the shukra dhatu.

UTTARBASTI

There are many types of infertility treatment or management, although their success rate is controversial. During this situation, uttarbasti may be the ray of sunlight. It is an easy method with less side effects; may solve the rasin problem of vandhyatva. 

CONCEPT OF UTTER BASTI

the term utter basti is composed of two words Uttar and Basti. The basti which is given through uttarmarga or utkrishta avayava or therapeutic procedure having shreshtha properties, is termed as utter basti.

UTTAR BASTI YANTRA

Instrument by which insertion of drug by urinary or vaginal passage is to be done is called as utter basti yantra. It can be used as sodhan basti. It is given through upper passage (utter marga) other than anus, which is why, it is called as utterbasti. Utter basti contains two parts 

1. Basti putak or drug holding bag 
2. Basti Netra or nozzle for inserting drug.
   

UTTAR BASTI DEYA KALA 

• After shodhana of women, utter basti should be given during ritukala (follicular phase or just after menses) as orifices of uterus remain open in this period. 
• Charaka told Ritukala is suitable time for the administration of uttar basti. 
• Uttara basti should be given after 2-3 asthapan basti during ritukala, as during this era the yoni or garbhashaya is avarana rahita and so sneha enters & absorb easily.
  

UTTAR BASTI KARMA VIDHI 

1. PURAVA KARAMA – Uttara basti should be given after the administration of niruha basti, according to vagbhata, about two to three Niruh basti should be given earlier than the administration of uttara basti.

• Abhyanga and svedana karma should be done preferably over the back, groin and abdomen then yavagu added with ghee should be given for drinking.

2. PRADHANA KARMA – The patient is made to lie down on her back, fold her legs at knee (lithotomy position).

• Then the uttara basti yantra containing the prescribed dravya (either kvatha or sneha) is taken and the basti netra lubricated with sneha is carefully introduced into the apathya marga.
• Basti putpak is compressed consistently, so that the dravya can enter easily in the yoni.
• It is observed that kvatha returns immediately after insert whereas sneha is engaged after some time.
• Such uttara basti can be repeted 2-3 times 
• In a day and also has to be given consecutively for 3 days and patient is advised to take rest for 3 days before giving another course of uttara basti. 

3. PASCHAT KARMA 

• Rest for some time is advisable. 
• Diet intake should be concerned, Acharya recommend that after the pratyagamana of uttar basti, at evening the patient should be given milk or yusha.
  

PROCEDURE OF UTTAR BASTI

• Before administration of uttarbasti previous infection should be cleared thoroughly. 
• After this, 2 to 3 Asthapana basti should be given to the patient. 
• The woman should be lie in supine position with flexed thighs and elevated knee. 
• After that pushpanetra should be inserted in vaginal passage slowly with steady hand, following the direction of passage then drug should return after some time if not return then again niruha basti or varti of purifying drugs should be used uttarbasti procedure should be carried out by an expert, under all aseptic precautions and sterilized medicine is used so there are no any chance of introducing any kind of infection.
  

MODE OF ACTION OF BASTI

The given basti when enters the pakvasaya by its virya, draws the morboid dosha lodged in the entire body from foot to the head, just like the sun situated in the sky sucks up the moisture from the earth.

CONCLUSION

Research has given many treatments for infertility but it may cause side effects and costly. Whereas Ayurveda has mentioned many treatments like Basti and various drug combination with minimum side effects and are cost effective so can be used as first line of treatment. Basti is the main treatment of vata dushti. Utter basti is the main line of treatment of vandhyatva as it is strengthens the garbhasya by applying proper drug through utterbasti. Utterbasti have lot of therapeutic potential. Proper selection of drug and time administration is very essential for getting the desire result.

• Akshitarpana is an ancient eye care treatment and rejuvenation program in Ayurveda. it’s ideally done as an element of detox (panchakarma) in ayurvedic therapy. 
• it’s excellent therapy for managing many sorts of disease, yet as an excellent preventative and wellness treatment that cleanses and rejuvenates the eyes and promotes good vision.
• Akshi Tarpana is an unique procedure in Ayurveda where herbal infused ghrta (ghee) is placed over the eyes for a selected period of your time. The herb-infused ghee nourishes and strengthens the eyes
• Akshitarpana may be a very special therapy to nourish the fragile sensory media organ of our body. A special herbal Ghee, oil or concoction is pooled on eyes by making a revolve around eyes for specific duration to accomplish Akshitarpana.
• It is a special gift to nourish eyes as they exert over anything in modern lifestyle thanks to sedentary lifestyle, mental exertion, more exposure to bright lights, mobiles, computers and pollutants. This therapy isn’t restricted up to eyes but nourish the complete face and mind.
• Best results are achieved when this therapy is performed for 7-14 days
• It is recommended in Dry eyes, eyestrain, conjunctivitis, glaucoma, corneal ulcer, blurred vision, cataract, relieve pain and burning in eyes, dark circles as glowing effect, Insomnia, strengthen eye tissues, correct refractive errors, second cranial nerve atrophy. A series of therapies may be a basic requirement to induce the required results.

PROCEDURE:

The therapy involves first placing a hoop of dough, made up of black gram (chickpea) flour, round the eyes. The ring is applied so it doesn’t leak. Then, with the patient’s eyes closed, the therapist pours warm medicated ghee into the attention cavity until it covers the eyelashes. it’s allowed to sit down for a brief time, so its therapeutic action can happen. The ghee is modified periodically, and also the patient is instructed to try to to special eye exercises. After the therapy is complete, the ghee and dough are removed.

BENEFITS:

• Relieves eye strain 
• Also the deleterious effects of prolonged exposure to electronic screens
• It strengthens eye tissue
• Helps to fight dark circles under the eyes, and makes the eyes brighter and clearer.
• Cleanses the eyes
• Reduce burning in eye
• Prevents eye degeneration
• Relieves eye strain
• Strengthens the ocular muscles
• Supports healthy eye movement
• Softens and moisturizes the skin

INDICATIONS:

• Dry eyes syndrome
• Vata disease within the eyes
• Watering eyes
• Conjuctivitis
• Curved eyes
• Pain within the eyes
• Night blindness
• Burning within the eyes

On a normal day, it is perfectly acceptable to experience hair fall of about 50-60 hairs per day by during the monsoons this number can increase to up to 250 or more. Hair loss increases during monsoons because of the increased humidity in the atmosphere, dry scalp, dandruff, and contact with acidic rainwater.

HOME REMEDIES:

• FENUGREEK OIL MASSAGE: a mild hot oil massage is a wonderful remedy for dry scalp and damp and frizzy hair. And if you add some fenugreek seeds while heating the vegetable oil, it’ll work wonders on your locks. Keep this mixture overnight and wash it off with a chemical-free shampoo the following morning. don’t oil over twice per week since the scalp is already oily during this weather.
• WASH AWAY THE RAIN: If you get drenched, confirm to shampoo your hair to clean off the rainwater that’s loaded with pollutants. whether or not you’re indoors, wash your hair two to a few times per week to stay your sticky and sweaty scalp healthy Since during the time of year our hair needs delicate care, use an anti-bacterial shampoo and conditioner since your scalp might be liable to fungal infections.
• DRY THE CORRECT WAY: Use a microfiber towel to dry your hair because it absorbs the water quickly and causes minimum friction between your hair and therefore the towel that reduces hair fall.
• AVOID TYING: don’t tie your hair while they’re still wet. Doing so will make the hair follicles weak and brittle and can cause more breakage.
• MOISTURISE YOUR HAIR: so as to tame your frizz, use serums that are touted as multitaskers. Those will shield your hair from heat and also add shine and volume. reckoning on your hair type and concern, you’ll search for hair moisturisers that efficiently keep your locks hydrated.
• HAIR COMBING RULES FOR MONSOON: In monsoon, you would like to possess specific hair styling rules. Don’t comb wet hair at any cost. Combing wet hair ends up in more tangles and causes severe hair fall. Also, you ought to not share combs in monsoon. this may cause scalp infections and other major threats in monsoon.
• STAY AWAY FROM JUNK FOOD: In monsoon, you must be from food. food will heat up your body and it’ll show on your skin and on your hair too. If your digestion system isn’t proper, then your hair will ultimately suffer and hair fall will increase tremendously.
• TYING YOUR HAIR:  We all know that wet hair isn’t meant to be tied you must just leave your wet hair open and with time it’ll air dry, and then, you’ll be able to tie it as per your choice. But, in monsoon, it’s advisable to not tie your hair too tight. you’ll be able to secure it with a light-weight elastic or a clutch then leave it rather like that. If you tie your hair too tight and when it gets wet in rain, it’ll eventually cause severe hair fall.
• GET GOOD SLEEP: This is the most effective and a cheap way of treating your skin and hair. Doesn’t matter if you even take proper diet and wash with an organic shampoo, an honest 8-10 hours of sleep is incredibly important for the health of your hair and skin. this may immediately strengthen your hair follicles, and thus, you may be amazed to determine the attractive and lustrous hair, and gradually, you may see that you just are losing very fewer hair strands.
• USE ALOE VERA GEL: Aloe vera gel is one among such cooling product which may do wonders to your hair. So, what you’ll be able to do is that frequently use aloe gel like Khadi Aloe vera Gel, so your scalp is all cool and it gets cleansed regularly. Alternatively, you’ll be able to also mix the aloe gel in your regular toiletries to derive maximum benefits out of it. you’ll also mix it with the shampoo in order that your hair is in fine condition with the assistance of burn plant gel.
• HAVE A CORRECT DIET: Diet plays a major role keep your hair healthy. What you eat decides the standard of your hair. Add protein-rich food like eggs, walnuts, dairy products, and whole grains together with green vegetables to your regular diet as they supply shine to your hair. And berries, nuts, spinach, and sweet potatoes are a number of the simplest food for hair growth.

CAC MEDICATIONS:

• HAIR LIVE HERBAL SHAMPOO: It is used in various kind of hair related issues like Baldness, Graying of hairs etc. It contains very good herbs that work on your hair and roots of hair in your scalp. It makes your hair shiny and thick. The herbs used for formulation of this oil shows antioxidant, anti-dandruff, anti-inflammatory properties. This product is herbal and natural formula for maintaining hair health. It is used in Hairball, graying of hair, dandruff, dry scalp, thinning of hairs, baldness, alopecia and loss of lusterless

Method of usage– Apply it on wet hair, massage into a rich lather for 2-3 minutes and rinse properly with water.

• HAIR LIVE TABLET: Hair Live Tablet is formulated with ingredients like Bhringraj  (Eclipta alba), Amalaki (Emblica officinalis), Mulethi (Glycyrrhiza glabra), Brahmi (Bacopa monnieri), Dhatry Loha (Purified iron), & Shud Gandhak (Purified sulphur). This herbal kit is formulated to take care of all the hair problems. It is an amazing combination of various natural herbs which can be beneficial for both male and female hair problems. It provides nourishment to the hair from the root level, repairs broken, splinted and damaged hair. This kit gives a natural strength and smooth texture.

Recommended Dosage – Take 1 tablet twice a day with normal water.

• HAIR LIVE OIL: It is used in various kind of hair related issues like Baldness, Greying of hairs etc. It contains very good herbs that work on your hair and roots of hair in your scalp. It makes your hair shiny and thick. The herbs used for formulation of this oil shows antioxidant, anti-dandruff, anti-inflammatory properties. This product is herbal and natural formula for maintaining hair health.Til oil (Sesamum indicum) Almond oil (Prunus dulcis) Jotishmati oil (Celastrus paniculatus) Amla (Embelia officinale) Bhringraj (Eclipta alba), etc

METHOD OF USAGE – Gently massage your hair once or as per requirement

• AMLA JUICE: Amla Premium Juice will strengthen the heart muscles, provide relief from constipation, stimulate bowel movements, prevent the signs of aging, control diabetes problem, reduce cholesterol levels, flush toxins out of the body and improve your hair texture and solve the problem of hair fall. Two spoonful of Amla Premium Juice everyday will help in making your hair smooth and shinier.

Dosage: Take 20 ml  twice daily.