What's the treatment of azoospermia - #25350

Yavanamrita vati - Yavanagold capsule- 1 tab twice daily after food with warm milk Do kegle e exercise

hello Mohsin, Actually Azoospermia means there are no sperm present in the semen. There are two types: 1.Obstructive Azoospermia – the body is producing sperm, but a blockage in the reproductive tract is stopping it from being released. 2.Non-obstructive Azoospermia – the testes are not producing sperm due to hormonal issues, damage, or genetic causes. Most men don’t feel any symptoms the issue usually comes up during fertility tests. Since you’ve already tried Ayurvedic treatment for 2 years, you’ve taken a strong step. But now it’s important to re-evaluate your exact type and whether the treatment matched your root cause.

#. How Ayurveda Looks at Azoospermia:

In Ayurveda, this condition is related to Shukra Dhatu Kshaya or Avarodha (blockage) in the channels carrying semen. It’s seen as a reproductive tissue depletion or obstruction caused by: -Poor digestion (weak Agni) -Excess heat in the body (Pitta) -Mental/emotional stress -Long-standing illness or chronic Vata imbalance -Blockage in Shukravaha srotas (semen channels) -To treat it, Ayurveda works to nourish Shukra Dhatu, improve testicular function, remove blockages , and support hormonal balance but only if the testes are still functional.

Step-by-Step Next Actions for You 1. Essential Investigations (If Not Already Done)

-Scrotal ultrasound – to check testes size & structure -FSH, LH, Testosterone, Prolactin – hormone profile -Semen analysis x2 – to confirm azoospermia -Genetic testing – (Karyotyping, Y-chromosome microdeletion) — optional but useful if non-obstructive -Testicular biopsy : confirms whether sperm are being produced or not -This helps to clearly identify if your azoospermia is due to obstruction (which may respond well to treatment) or due to damage to sperm production.

Internal Medicines:

1.Shilajit Gold Capsules – for improving testosterone & testicular function 2.Makardhwaj Rasayan (Plain) – as Rasayana for Shukra Dhatu 3.Ashwagandha + Safed Musli Churna – for stamina and sperm nourishment 4.Chandraprabha Vati – for urogenital support and clearing blockages 5.Yograj Guggulu – if testicular inflammation or pain present

External:

1.Abhyanga with Bala taila or Ksheerabala taila – daily oil massage to groin and thighs 2.Nadi Swedana (localized steaming) – helps circulation and unblock subtle channels

#.Diet & Lifestyle:

Include: ghee, milk, almonds (soaked), dates, warm nourishing foods Avoid: spicy food, smoking, alcohol, excessive heat, stress Practice: Brahmacharya (moderation in sexual activity), regular sleep, daily pranayama

#. If It’s Non-Obstructive Azoospermia:

If your testicles are not producing sperm at all, then treatment is more difficult but sometimes sperm retrieval from testicular biopsy (TESE or TESA) may still be possible for IVF/ICSI. In such cases, Ayurvedic support can still help prepare the body for ART (assisted reproduction) and improve chances.

thank you , REGARDS DR.KARTHIKA

If azoospermic, it’s time taking treatment to first form sperms which is nil at present Do pranamyam daily 10-15 mins twice daily Kegel exercises daily 2-3 times a day Take Cap. Ashwashila 1–0-1 after food with water Makardwaj rasayan 1-0-1 after food with water Youvanamrit gold 0-0-1 after food with water. Follow up after 2months

HELLO MOHSIN,

Azoospermia means your semen has zero sperm in it.

Even though semen comes out during sex or ejaculation, it doesn’t carry sperm, which is needed to make a baby

TWO MAIN REASONS WHY THIS HAPPENS

1) BLOCKAGE ( OBSTUCTIVE AZZOSPERMIA) your body is making sperm, but there’s a blockage somewhere, so the sperm can’t come out in the semen

like a pipe is blocked- the water (sperm) is there, but can’t come out * can often be treated with surgery or sperm extraction

2) SPERM NOT BEING MADE( NON- OBSTRUCTIVE AZZOSPERMIA) this is more serious. your testicles are not making sperm properly- or not at all like a dry field- nothing is growing

* This is where Ayurvedic treatment is useful- to restart sperm production

WHY DOES THIS HAPPEN? -hormonal imbalance= low testosterone, high FSH/LH - stress, poor diet, smoking, alcohol - varicocele=veins problems is testicles - past infections or injuries - genetic issues=rare - heat on testicles= tight clothes, hot water baths, laptops on lap -long term illness or medications

GOAL OF TREATMENT the goal is to make your body start making sperm again by -making the testicles healthy - balancing hormones - improves digestion and metabolism - reducing stress and heat -giving powerful medications and rejuvination medicines that rebuild sperm

EVEN if natural pregnancy isn’t possible later, if sperm returns to even a small level, doctors can extract it and use for IVF

MINIMUM 6-12 MONTHS of continues, guided treatment- with diet, lifestyle and ayurvedic medicines will show results

IF NOT TAKEN THEN GO FOR PANCHAKARMA TREATMENT -Snehana= use medicated ghee/oils to loosen toxins - Swedana= fomentation to mobilise toxins - Virechana= removes pitta-related toxins, improves metabolism -Basti= specifically yapana basti is helpful for semen quality - Nasya= medicated nasal therapy

INTERNALLY START WITH

1) SUVARNA MALINI VASANT RAS= 125 mg once daily with honey+ghee in morning empty stomach =rejuvination, spermatogenic

2) MAKARDHWAJ VATI( PLAIN)= 1 tab once daily with milk after breakfast = boosts libido, sperm vitality

3) SHUKRA VALLAB RAS= 125 mg once daily with milk+ghee at night = supports shukra dhatu

4) VASANT KUSUMAKAR RAS= 125 mg once every 2 days with milk+ honey in evening = endocrine support, immunity

5) VRIHANI GUTIKA= 1 tab twice daily warm milk after meals =rejuvinates testicular strength

6) CHANDRAPRABHA VATI= 2 tabs twice daily warm water after meals =uroggenital detoxifier

7) AROGYAVARDHINI VATI= 2 tabs once daily with warm water after dinner =liver support, deepan pachan

8) ASHWAGANDHA AVALEHA= 1 tsp twice daily with warm milk after meals =classic vajikaran, rasayana

DIET focus= increase shukra dhatu, remove toxins, and builds Ojas

INCLUDE

MILK BASED= cow milk warm, organic, ghee 2 tsp/day

DRY FRUITS= soaked almonds, walnuts, dates, raisins

FRUITS= banana, figs, pomegranate, grapes, mango

VEGETABLES= bottle gourd, beetroot, spinach, drumstick

GRAINS= rice, wheat, barley

OTHERS= A2 cow ghee, honey in moderation, black sesame, jaggery

AVOID COMPLETELY -junk, fast food, soda -sour fermented foods= pickles, curd at night -excess tea,coffee -spicy, oily, fried food - alcohol, tobacco - late night eating

YOGA AND LIFESTYLE

MORNING ROUTINE -wake up by 6 am - drink warm water+lemon+ honey -oil massage- sesame oil on testicles, thighs, abdomen= 2-3 times/week -light walk for sun exposure 20 min

DAILY YOGA(30-40 Mins) -Sarvangasana= stimulates endocrine glands -Halasana= improves testicular circulation -Bhujangasana= stimulates pelvic organs -Vajrasana= increases pelvic blood flow - Padmasana+ bhastrika pranayam= improves energy and Ojas - Shitali and sheetakari pranayam= cools body, balances pitta -Yoga Nidra/ deep relaxation= reduces cortisol/stress hormones

AVOID= heavy gym, overheating, tight underwear

LIFESTYLE TIPS -sleep by 10pm, wake by 6 am -avoid mobile/laptop at night - wear loose cotton undergarments -avoid hot water bath on groins -limit plastic, especially in food containers

TREATMENT TIMELINES

1-2 MONTH= Shobhana (detox, panchakarma) 3-6 MONTH= rasayana therapy + yoga + diet 6-12 MONTH= continue rasayana+ monitor semen analysis 1218 MONTH= assess improvement-> prepare for conception or IVF-ICSI if needed

MONTIOR EVERY 3 MONTHS -semen analysis -FSH, LH, testosterone, prolactin - LFT, KFT

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Azoospermia, the complete absence of sperm in the ejaculate, requires a careful analysis to determine its root cause. In Ayurveda, treatment aims to correct imbalances and address any underlying issues contributing to this condition. After having undergone Ayurvedic treatment for two years, it’s crucial to ensure if the treatment was tailored specifically to your dosha imbalance and if all potential causes were addressed including Vata imbalances, which are often linked with reproductive health issues.

Firstly, addressing your diet and lifestyle is essential. Nutrition plays a vital role in maintaining healthy sperm production. Focus on consuming a Sattvic diet rich in fresh fruits, vegetables, whole grains, nuts, and seeds. Incorporate ghee and other sources of healthy fats such as almonds and walnuts, as they help in nourishing Shukra (reproductive) dhatu.

Ashwagandha, a revered herb in Ayurveda, may enhance reproductive health by balancing hormones and reducing stress. Take it with warm milk at night. Shatavari is another potent herb that supports reproductive health and may be considered.

Regular practice of Pranayama, particularly Anulom Vilom and Bhramari, can help in reducing stress, enhancing cardiovascular health, and balancing the Vata dosha.

It’s also important to evaluate your lifestyle. Aim for adequate sleep and manage stress effectively through meditation and yoga. Ensuring a warm environment and avoiding cold exposure are beneficial in managing Vata imbalances impacting reproductive health.

Consultation with an experienced Ayurvedic practitioner is critical for a personalized plan which may include Panchakarma detoxifications, such as Basti, known to help in balancing the doshas and improving overall reproductive health.

Remember, consistent monitoring by a healthcare professional is vital to assess progress and avoid any underling medical conditions that may need conventional treatment.