Navigating Infertility Caused by PCOD: Myths, Facts, Clinical Solutions, and the Ayurvedic Perspective

Abstract

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. In Ayurveda, PCOD is treated as Rasa Medo Dhatu Vikara and must be controlled. This ailment and a few others in Ayurveda, including Yoni Vyapad, Puspghani Jataharini, Nashtartav, and Aartavadushti, share several characteristics. In Ayurveda, the specific or precise illness is not explained. It involves a Dosha, Dhatu, and Updhatu imbalance, which means that various variables operating at various levels are implicated. Therefore, following Dincharya & Ritucharya, Nidaan-Parivarjana, Samshodhana Aaganeya, & Artavajanan Dravyas is a potential course of treatment. With the use of different Ayurvedic herbal and mineral formulations, Panchakarma, together with dietary and lifestyle changes, we can design Ayurvedic treatment.