Role of Ayurveda in Treating Azoospermia: A Case Report

In Ayurveda, a closely related condition to azoospermia is described as Ksheena Shukra or Shukra Kshaya, which arises due to vitiation of Pitta and Kapha Doshas, leading to impaired Shukra Dhatu formation and function. Azoospermia, defined as the complete absence of sperm in ejaculate, accounts for nearly 10–15% of male infertility cases and presents considerable challenges in conventional management, particularly in non-obstructive or idiopathic forms. This case study documents the Ayurvedic management of a 27-year-old male with pre-diagnosed azoospermia (sperm count 0 million/mL). The therapeutic intervention was based on Nidana Parivarjana, followed by Shodhana procedures including Deepana-Pachana, Abhyantara Snehana with Dadimadi and Kalyanaka Ghrita, Bahya Snehana, Bashpa Swedana, and Virechana with Icchabhedi Rasa achieving Madhyama Shuddhi, along with Shamana therapy comprising Vanga Bhasma, Kapikacchu Churna, Makardhwaja and allied formulations administered with Bruhatchagladi Ghrita Anupana, Ashwagandhadi Lehyam, and Shukrajanana Vati for an initial duration of one month. Following Virechana and Shamana therapy, a notable improvement was observed in sperm count, which increased from 0 to 1 million/mL, with treatment continuing for further enhancement and no adverse effects reported. The findings highlight the potential role of Ayurvedic Shodhana, Shamana, and Rasayana principles in the management of azoospermia, suggesting a promising approach in conditions where contemporary treatment options remain limited and warranting further validation through larger clinical studies.