Integrated Classical Ayurvedic Intervention in Refractory Oligoasthenoteratozoospermia Correlated with Sannipatika Sukra Dushti: A Clinical Case Analysis

Abstract

Oligoasthenoteratozoospermia (OAT) is a significant cause of male factor infertility, defined by reduced sperm concentration, impaired motility, and abnormal morphology, leading to compromised fertilization potential. Although assisted reproductive techniques (ART) provide technological solutions, they are invasive, costly, and often fail to address underlying spermatogenic dysfunction. Ayurveda correlates such seminal abnormalities with Sannipatika Sukra Dusti or Ksina sukra under Astavidha Sukra Dusti, attributing pathology to Tridosic imbalance- predominantly Vata-Pitta- along with Jatharagni Mandya and Sukravaha Srotodusti. Case Presentation: A 42-year-old male with 18 years of primary infertility and past history of Grade II varicocele (post-laparoscopic correction) presented with persistent OAT. Baseline semen analysis showed sperm concentration of 10 million/ml, total motility 30%, and normal morphology 2%. Based on classical Roga-Rogi Pareeksha, diagnosed as Sannipatika Sukra Dusti. Intervention and Outcome: Managed with sequential protocol: periodic Virechana (Sodhana) followed by Samana and Vajikarana therapies including herbal decoctions, Ghrita preparations, and Rasayana formulations for 3 months. Dietary regulation (Pathya), lifestyle modification, and stress reduction advised concurrently. Post-intervention: Sperm concentration 50 million/ml (from 10), total motility 60% (from 30%), active motility 40% (from 20%), normal morphology 25% (from 2%), seminal volume 1.5ml (from 1ml). Improved physical stamina and psychological well-being reported. No adverse effects. Conclusion: Structured Ayurvedic management incorporating Sodhana, Agni Deepana, Dosa Samana, and Vajikarana resulted in marked seminal parameter improvement. This approach addresses underlying pathophysiology. Further large-scale controlled studies warranted.