Therapeutic Approach to Oligospermia – A Case Report

Abstract

Oligospermia, defined as a sperm concentration below 15 million/mL, is one of the most prevalent causes of  male infertility, contributing significantly to reproductive failure worldwide. Modern management often includes  hormonal therapy, antioxidants, or assisted reproductive techniques, which may offer temporary relief but fail to  address the underlying pathophysiological imbalance. Ayurveda, through its Vajikarana (aphrodisiac) and Rasayana  (rejuvenation) therapies, offers a holistic and root-cause-based approach aimed at restoring Shukra Dhatu (reproductive  tissue) and overall vitality. The objective of the study is to evaluate the effect of an Ayurvedic treatment protocol  involving Panchakarma (bio-purification), Rasayana, and Vajikarana therapies in improving semen parameters and  general health in a clinically diagnosed case of oligospermia. A 35-year-old male presented with infertility for 3 years  and was diagnosed with oligospermia based on semen analysis (sperm count: 8 million/mL; motility: 25%). The  patient underwent a structured Ayurvedic treatment plan consisting of Purvakarma (pre-purification) with Deepana Pachana and Snehapana, followed by Virechana Karma using Trivrit Leha and Nasya with Anu Taila. Post-Shodhana,  Shamana therapy was administered with Ashwagandha Churna, Kapikacchu Churna, Gokshuradi Guggulu, Shatavari  Ghrita, and Chyavanprasha Avaleha for 90 days. Lifestyle and dietary modifications were also advised, including the  consumption of milk, ghee, black gram, and stress-reducing yoga practices. After 90 days of treatment, the patient  showed significant improvement in semen parameters: sperm count increased from 8 million/mL to 28 million/ mL, motility improved from 25% to 55%, and normal morphology rose from 60% to 80%. Clinically, there was a  notable enhancement in libido, stamina, and mental well-being. The patient reported improved energy levels, better  sleep, and reduced anxiety. No adverse effects were observed during or after therapy. The Ayurvedic management  protocol incorporating Panchakarma, Rasayana, and Vajikarana therapies demonstrated remarkable efficacy in  improving both quantitative and qualitative aspects of semen as well as overall vitality. The results suggest that  Ayurvedic treatment can serve as a safe, natural, and holistic alternative for managing oligospermia by correcting  Dosha imbalance, enhancing Agni, and nourishing Shukra Dhatu. Further clinical trials with larger sample sizes are  warranted to validate these findings and establish standardized therapeutic protocols.