A Case Study on the Effect of Ayurvedic Intervention in Oligospermia (Shukra Kshaya)

Abstract

Oligospermia, defined as sperm concentration less than 15 million per millilitre, affects approximately 8-12% of males of reproductive age and represents a common cause of male infertility. The aetiology involves biological, lifestyle, and environmental factors affecting spermatogenesis. In Ayurvedic medicine, this condition correlates with Shukra Kshaya, characterised by depletion of Shukra Dhatu (reproductive tissue) due to Vata-Pitta vitiation and diminished Agni (digestive fire). This case report presents a 32-year-old male patient with primary infertility after two years of unprotected intercourse. Initial semen analysis (WHO 6th edition) revealed: sperm concentration 9.7 million/ml, total motility 64%, progressive motility 28%, and normal morphology 4%. Ayurvedic examination identified Vata-Pitta Prakriti with low Agni and Shukra Dushti. A six-month treatment protocol incorporating Shodhana (detoxification) therapy, Deepana-Pachana (digestive enhancement) using Avipattikar Churna and Agnitundi Vati, followed by Shukravardhana (semen enhancement) using Ashwagandha, Kapikacchu, and Gokshura Churnas with Bala Tail Matra Basti (60 ml daily), dietary modifications emphasising milk, ghee, nuts, and lifestyle changes including yoga and stress reduction resulted in significant improvements: sperm concentration increased to 17.7 million/ml, total motility to 73%, progressive motility to 49%, and normal forms to 8%. The patient reported complete evolution of associated symptoms. This case demonstrates the efficacy of integrated Ayurvedic management in idiopathic oligospermia.