Infertility implies an apparent failure of a couple to conceive, while sterility indicates absolute inability to conceive. Primary infertility is I conception has never occurred and secondary infertility is if the patient fails to conceive after having produced a child or had a miscarriage.
In Male- Systemic diseases like diabetes and obesity, endocrine disorders like pituitary infantilism, hypothyroidism, adrenal hyperplasia are important causes. Similarly factors like heavy smoking, alcoholism, nervous ension about sex, and psychological problems can also be responsible. Geital factors like defective spermatogenesis, testicular atrophy following mumps, Infections like gonococcal and tubercular in the genital tract, and aging above 45 can cause this disorder. The normal seman analysis shows sperm count 60 to 120 million per ml. with motility 80 to 90 percent.
Azospermia denotes absence of sperms. Oligospermia is mild when the count is 80 million, moderate 50 million and severe when less than 5 million per ml.
In Female- Systemic diseases sufficient to suppress the ovulation and age above 40 are very common causes. Endocrine factors like frohlich’s syndrome, psychological factors like fear, and nervousness can also cause this problem. Genital factors like narrow vaginal introitus, vaginal atresia, high vaginal acidity, cervical, uterine, tubal, and ovarian disorders can cause sterility in females.
Proper counseling should be done for both husband and wife. Make sure that the menstrual cycle of the women is regular, and the sperm count in men is absolutely normal in all respects. Start tonification therapy for both.
Advise Anti-Vata diet for bath partners. Exclude all the known causes, even if the problem is not solved, then tret the functional defects. Phala ghruta 1 tea-spoon twice a day, is indicated with tab. Shatavari or tab. Bala, or tab. Shiajit 250 mgm. 3 times a day for 1 month.
Use aphrodisiac herbs like ashwagandha, mucuna pruriens, bala, white musli, black-musli and ipomea digitata. Mixture of any 3 herbs in equal parts with dose of 1 to 3 gms. A day for 1 month is useful
Tab. Kaminivardhana rasa (BR) 125 mgm, twice a day or tab. Manmath rasa (RSS) 125 mgm, twice a day is the treatment of choice with chyavanaprasha 1 tea-spoon 3 times a day for 1 month. If the patient is diabetic, use vasant kusumakara rasa 125 mgm, once a day for 1 month.