Ayurveda management of azoospermia: A case report

Background: Azoospermia is defined as a complete absence of sperm in a given semen sample, which may have several causes behind it. Having no sperm can make it more difficult to conceive naturally and it is becoming a very common cause of infertility nowadays. In Ayurveda, it corresponds to shukrakshaya (diminution of semen). Aim: The aim of this study was to evaluate the potential of Ayurvedic approach for treating azoospermia. Materials and Methods: In this case report, the patient presented with the complaint of being unable to conceive since 9 years. According to symptomatic presentations and by assessing biological parameters, the case was diagnosed to be of shukrakshaya. Clinical presentation and biochemical parameter, that is, Semen analysis, confirmed the case as Azoospermia according to modern medicine. Traditional ancient Ayurvedic approach was adopted for treating the case incorporating aahar-vihaar (food and lifestyle), shaman (pacifying therapy), and shodhan (detoxification therapy) principles. The case was treated on the line of principles of shukrakshaya. Shodhan chikitsa using mahatikta ghrita and abhyadi modaka was done. Shaman chikitsa including internal administration of herbal and rasaushadhis formulations such as makaradhwajarasa, Pushpadhanva rasa, shakravallabh rasa, and Aamalaki rasayana along with dietary regimen was given to the patient. Results and Conclusion: After 5–6 months of treatment, significant changes in semen analysis without any adverse effect were observed in the case. It can be inferred or concluded from the above case that Ayurvedic approach is having valuable potential for treating such disorders and should be adopted as well.