Ayurvedic Intervention in Secondary Recurrent Pregnancy Loss Linked to TORCH Infection

Abstract

TORCH infections during pregnancy are linked to congenital anomalies, unfavourable fetal outcomes, and subsequent reproductive failures. Secondary infertility associated with recurrent pregnancy loss (RPL) poses a significant clinical challenge, particularly when linked to TORCH infections (BOH), which adversely affect implantation and fetal viability. An overall TORCH IgM positivity rate of 61.1% was recorded, with rubella as the predominant infection (46.5%), followed by HSV-1/2 (41%) and CMV (34.7%) in central India. Conventional management often offers limited success, prompting the exploration of complementary approaches. Ayurveda conceptualizes such conditions under Vandhyatva, Putraghni Yonivyapad, and Garbhasrava, emphasizing the role of Dosha imbalance, impaired Agni, and vitiation of Artava and Beeja. In Ayurveda, recurrent expulsion of the fetus before viability due to vitiated Shonita during Garbha formation is referred to as Putraghni Yonivyapad, emphasizing the need for achieving a healthy, full-term pregnancy. This case report presents the Ayurvedic management of a woman with secondary infertility and a history of recurrent abortions associated with TORCH positivity. The intervention comprising Deepana–Pachana, Shodhana procedures, Rasayana therapy, immunomodulatory and Garbha Sthapaka formulations, along with dietary and lifestyle modifications. Following the treatment reduction in infection markers, and successful conception with maintenance of pregnancy is observed. This case highlights the potential role of individualized Ayurvedic intervention in managing secondary infertility complicated by recurrent pregnancy loss and TORCH infection.