Abstract

Rationale: Polycystic ovarian syndrome (PCOS) is the most prevalent cause of oligo-ovulation and anovulation in both the general population and women who present with infertility. In regards to ovulatory variables, PCOS appears in 90–95% of anovulatory women undertaking infertility treatment. Patient concerns: An infertile couple who had been unable to conceive for seven years are the subject of this case study. A female patient with hypothyroidism and PCOS was diagnosed. Her symptoms included infertility and prolonged amenorrhea (menstruation only occurs after six years of using withdrawal medications). Their attempts at conventional treatment for primary infertility, which included numerous ovulation inductions, IUI (Intra Uterine Insemination), and laparoscopic bilateral polycystic ovarian drilling, failed. Lastly, it was recommended that they use donor eggs for IVF (in vitro fertilization). Diagnosis: Ayurveda states that the current situation might be classified as Vandhyatva (infertility) because of Beejadushti (oligo ovulation), Nashtartava (amenorrhea), and Apaan vata vaigunya. Shodhana (purification) and Shamana (mitigation) therapies were also part of the treatment strategy. Following Virechan, the patient experienced vaginal spotting for two days during treatment, and only the following cycle resulted in conception, as confirmed by beta-hCG. Conclusion: Virechana can be considered as line of treatment in the management of infertility due to PCOS or ovulatory factors.

KEY-WORDS: Anovulation, Infertility, PCOS, Virechana, Vandhyatva