Ayuvedic Approaches to Female Infertility: A Comprehensive Review.

Abstract

Infertility, defined as the inability to conceive after twelve months of regular unprotected intercourse, affects approximately 10–15% of reproductive-age couples globally. While assisted reproductive technologies have progressed, they are frequently associated with significant financial costs and psychological stress. In Ayurveda, infertility (Vandhyatva) is primarily attributed to the vitiation of Vata Dosha, particularly Apana Vayu, and the dysfunction of Shukra Dhatu. Marma Chikitsa, a therapy described in classical treatises like the Sushruta Samhita and Charaka Samhita, involves the stimulation of vital anatomical points to restore physiological and neuro-hormonal balance.

This review evaluates classical Ayurvedic descriptions and contemporary scientific literature (2000–2024) regarding the role of Marma therapy in infertility management. The objectives include examining Ayurvedic and contemporary perspectives on Vandhyatva, exploring the practical application of Marma Chikitsa in reproductive health, and analyzing evidence of its effectiveness. Research indicates that stimulating the Nabhi, Guda, Kukundara, and Adhipati Marmas may enhance pelvic circulation, regulate the hypothalamic–pituitary–ovarian axis, and alleviate stress. Clinical findings suggest improvements in menstrual regularity, ovulatory cycles, and conception outcomes. Marma Chikitsa appears to be a safe, non-invasive, and holistic intervention. Integrating this traditional therapy into current infertility protocols could benefit those seeking supportive treatments. However, well-designed randomized controlled trials and standardized protocols are necessary to further validate its clinical efficacy.