Ayurvedic Perspective on the Management of Polycystic Ovarian Syndrome–Related Infertility: A Comprehensive Review
Keywords:
PCOS, Infertility, Vandhyatva, Artava Dushti, Ayurveda, Agni, Vata-KaphaAbstract
Polycystic ovarian syndrome (PCOS) is one of the most common endocrine and metabolic disorders affecting women of reproductive age and represents a major cause of anovulatory infertility worldwide. The disorder is characterized by menstrual irregularities, hyperandrogenism, insulin resistance, obesity, chronic anovulation, and infertility. Contemporary management focuses primarily on hormonal regulation, insulin sensitizers, and ovulation induction, which often provide symptomatic relief but are associated with recurrence and adverse effects.
Ayurveda, through its holistic understanding of reproductive physiology, offers a comprehensive approach to PCOS-related infertility by addressing disturbances in Dosha, Dhatu, Agni, Upadhatu, and Srotas. Although PCOS is not described as a single disease entity in classical Ayurvedic texts, its clinical features closely resemble conditions such as Vandhyatva, Artava Dushti, Yonivyapad, and Pushpaghni Jataharini.
This review critically analyzes the Ayurvedic conceptualization of PCOS-related infertility, including its Nidana, Samprapti, Dosha–Dushya Sammurchana, and principles of management. The role of Agni Deepana, Ama Pachana, Vatanulomana, Rasaprasadana, Artava Janana, and Garbhadharana is discussed in detail, supported by classical references. The review aims to highlight Ayurveda as a rational, safe, and integrative therapeutic system for managing PCOS-related infertility.
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References
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