{"title":"通过阿育吠陀 Rasayana 疗法成功治疗精子 DNA 断裂:案例研究。","authors":"Vineeta Bendale, Sreelakshmi Chaganti, Rutuja Pandav, Deepali Pawar","doi":"10.18502/jri.v25i1.15201","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Sperm DNA fragmentation (SDF) can affect fertilization rate and embryo development, making it a useful measure for assessing male fertility. Available evidence supports the association between high sperm DNA fragmentation and poor outcomes, with regard to natural conception. Several treatment options are being adopted with varying degrees of success. Some of the commonly used treatment options are the intake of oral antioxidants, varicocele repair, and techniques like micro-manipulation-based sperm selection and use of testicular sperm for intracytoplasmic sperm injection.</p><p><strong>Case presentation: </strong>Studies have shown that around 29% of couples depend on complementary and alternative medicine (CAM) modality for the treatment of infertility. However, there is a lack of substantial evidence regarding its efficacy in treating various aspects of infertility in couples. The current case report is about a 44 year-old male patient with infertility, who has a known diagnosis of sex chromosome abnormalities. Meanwhile, the SDF study reports indicated the presence of chromosomal abnormalities. This patient was treated exclusively with Ayurveda therapy aimed towards qualitative improvement in reproductive tissues (Shukra Dhatu as per Ayurveda). Patient was assessed periodically for changes in chromosomal abnormality. After four months of treatment, the evaluations demonstrated the presence of completely normal chromosomes.</p><p><strong>Conclusion: </strong>This case study indicates the potential of Ayurveda therapy in treating cases of male infertility caused by DNA fragmentation. Furthermore, observations and systematically designed clinical trials are warranted to establish a stronger level of evidence before making further clinical recommendations.</p>","PeriodicalId":38826,"journal":{"name":"Journal of Reproduction and Infertility","volume":"25 1","pages":"60-65"},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11330199/pdf/","citationCount":"0","resultStr":"{\"title\":\"Successful Treatment of Sperm DNA Fragmentation Through Ayurveda Rasayana Therapy: A Case Study.\",\"authors\":\"Vineeta Bendale, Sreelakshmi Chaganti, Rutuja Pandav, Deepali Pawar\",\"doi\":\"10.18502/jri.v25i1.15201\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Sperm DNA fragmentation (SDF) can affect fertilization rate and embryo development, making it a useful measure for assessing male fertility. Available evidence supports the association between high sperm DNA fragmentation and poor outcomes, with regard to natural conception. Several treatment options are being adopted with varying degrees of success. Some of the commonly used treatment options are the intake of oral antioxidants, varicocele repair, and techniques like micro-manipulation-based sperm selection and use of testicular sperm for intracytoplasmic sperm injection.</p><p><strong>Case presentation: </strong>Studies have shown that around 29% of couples depend on complementary and alternative medicine (CAM) modality for the treatment of infertility. However, there is a lack of substantial evidence regarding its efficacy in treating various aspects of infertility in couples. The current case report is about a 44 year-old male patient with infertility, who has a known diagnosis of sex chromosome abnormalities. Meanwhile, the SDF study reports indicated the presence of chromosomal abnormalities. This patient was treated exclusively with Ayurveda therapy aimed towards qualitative improvement in reproductive tissues (Shukra Dhatu as per Ayurveda). Patient was assessed periodically for changes in chromosomal abnormality. After four months of treatment, the evaluations demonstrated the presence of completely normal chromosomes.</p><p><strong>Conclusion: </strong>This case study indicates the potential of Ayurveda therapy in treating cases of male infertility caused by DNA fragmentation. 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引用次数: 0
摘要
背景:精子 DNA 片段(SDF)会影响受精率和胚胎发育,因此是评估男性生育能力的有用指标。现有证据表明,精子 DNA 碎片过高与自然受孕结果不佳之间存在关联。目前采用的几种治疗方案都取得了不同程度的成功。一些常用的治疗方案包括口服抗氧化剂、精索静脉曲张修复、基于微操作的精子选择技术以及使用睾丸精子进行卵胞浆内单精子注射:研究表明,约有 29% 的夫妇依靠补充和替代医学(CAM)方式治疗不孕症。然而,关于其治疗夫妇不孕症各方面的疗效,还缺乏实质性的证据。本病例报告的患者是一名 44 岁的男性不孕症患者,已确诊为性染色体异常。同时,SDF 研究报告也显示存在染色体异常。该患者完全接受了阿育吠陀疗法的治疗,目的是改善生殖组织(阿育吠陀中的修克拉达图)的质量。患者定期接受染色体异常变化评估。治疗四个月后,评估结果显示染色体完全正常:本病例研究表明,阿育吠陀疗法在治疗由 DNA 断裂引起的男性不育症方面具有潜力。此外,在提出进一步的临床建议之前,还需要进行观察和系统设计的临床试验,以建立更有力的证据。
Successful Treatment of Sperm DNA Fragmentation Through Ayurveda Rasayana Therapy: A Case Study.
Background: Sperm DNA fragmentation (SDF) can affect fertilization rate and embryo development, making it a useful measure for assessing male fertility. Available evidence supports the association between high sperm DNA fragmentation and poor outcomes, with regard to natural conception. Several treatment options are being adopted with varying degrees of success. Some of the commonly used treatment options are the intake of oral antioxidants, varicocele repair, and techniques like micro-manipulation-based sperm selection and use of testicular sperm for intracytoplasmic sperm injection.
Case presentation: Studies have shown that around 29% of couples depend on complementary and alternative medicine (CAM) modality for the treatment of infertility. However, there is a lack of substantial evidence regarding its efficacy in treating various aspects of infertility in couples. The current case report is about a 44 year-old male patient with infertility, who has a known diagnosis of sex chromosome abnormalities. Meanwhile, the SDF study reports indicated the presence of chromosomal abnormalities. This patient was treated exclusively with Ayurveda therapy aimed towards qualitative improvement in reproductive tissues (Shukra Dhatu as per Ayurveda). Patient was assessed periodically for changes in chromosomal abnormality. After four months of treatment, the evaluations demonstrated the presence of completely normal chromosomes.
Conclusion: This case study indicates the potential of Ayurveda therapy in treating cases of male infertility caused by DNA fragmentation. Furthermore, observations and systematically designed clinical trials are warranted to establish a stronger level of evidence before making further clinical recommendations.