Seeking Ayurvedic Treatment for Non-Obstructive Azoospermia - #38471
Doctor , My husband got diagnosed with non obstructive azoospermia 8months before. FSH 13, LH 9,T 250. Is ayurveda treatment available?
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डॉक्टरों की प्रतिक्रियाएं
HELLO,
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
Yes take shilapravang 1tab bd, Purnachandradayaras 1tab bd, siddamkaradwaja 1tab bd, musalipak 1tsp with milk, atmagupta churna 1stp with milk u ll get results
Hello Thank you for reaching out and sharing your husband’s details with concern and care. From what you’ve described — a diagnosis of non-obstructive azoospermia with slightly raised FSH, LH, and low testosterone — this indicates testicular failure or impaired spermatogenesis. But dont worry we are here to help you out 😊
✅AYIRVEDIC LINE OF TREATMENT
1️⃣ Shodhana (Detoxification) – Cleansing and Channel Opening
Before giving Rasayana medicines, cleansing the Srotas (channels) is crucial.
👉Recommended Panchakarma Therapies (under supervision):
–Virechana Karma (Therapeutic Purgation): To clear Pitta and Ama from the liver and reproductive system.
–Basti Chikitsa (Medicated Enema): Especially Yapan Basti or Ksheer Basti — deeply nourishing, improves hormonal balance and testicular health.
—Nasya Therapy: Anu Taila Nasya to balance endocrine regulation through the hypothalamic-pituitary axis.
✅INTERNAL MEDICATION
1 Chandraprabha Vati 1 tablet twice daily after meals with milk (Strengthens reproductive tissues, supports testosterone)
2 Ashwagandha Capsule 1-0-1 twice daily with warm milk (Improves spermatogenesis, reduces stress hormones)
3 Kapikacchu Churna 1 tsp twice daily with milk (Enhances sperm count, motility, and testosterone)
4 Musli Pak Granules 1 tsp twice daily with milk (Nourishes Shukra Dhatu and boosts stamina)
✅DIET MODIFICATION
✅Include:
Milk, ghee, dates, soaked almonds, walnuts, pumpkin seeds. Fruits like banana, figs, pomegranate, amla, and avocado. Moong dal, ghee-roasted ashta churna-seasoned food to kindle Agni. Add black sesame seeds, shatavari kalpa, and garlic milk weekly.
❌Avoid:
Spicy, sour, fermented, or junk foods. Excess tea, coffee, alcohol, and smoking — all vitiate Shukra Dhatu. Late-night work and stress, which weaken hormonal health.
Yes, Ayurveda offers a comprehensive approach for non-obstructive azoospermia aimed at improving Shukra Dhatu, hormone regulation, and vitality through Rasayana Chikitsa and Panchakarma.
Warm regards, Dr. Snehal Vidhate
Hirak Bhasma - 300 mg Basantkusumakar Ras -3 grams Sidhmakardhwaja - 3 grams Mix all the medicines. Prepare 30 doses from the mixture and take each dose half an hour before meals in the morning and evening with water/ honey. Yavanamrita vati 1-0-1 Chandraprabha vati 1-0–1
Diet and Nutrition 1. Balanced diet: Focus on whole, unprocessed foods like fruits, vegetables, whole grains, lean proteins, and healthy fats. 2. Foods rich in antioxidants: Include foods high in antioxidants like berries, leafy greens, and nuts to help reduce oxidative stress. 3. Omega-3 fatty acids: Find omega-3 rich foods like fatty fish, flaxseeds, and walnuts to support heart health.
Exercise and Physical Activites 1. Regular exercise: Engage in moderate-intensity exercise, like brisk walking, cycling, or swimming, for at least 30 minutes a day. 2. Pelvic floor exercises: Practice Kegel exercises to strengthen pelvic floor muscles.
Stress Management 1. Mindfulness and relaxation: Try techniques like meditation, deep breathing, or yoga to reduce stress and anxiety. 2. Get enough sleep: Aim for 7-8 hours of sleep per night to help regulate hormones and reduce stress. 3. Practise yogasan: Molband, setu bandhasan, chakrasan, veer bhadrasan, halasan, gomukhasan.
Other Lifestyle changes 1. Quit smoking 2. Limit alcohol consumption 3. Maintain a healthy weight
💊Medication💊
Cap. Boostex Forte 2 caps twice a day before food. Tab. Kapikachu Ghana Vati 2 tabs twice a day before food. Tab. Vasant Kusumakar Ras 1 tab twice a day before food
Shilajit Gold gum 1 small spoon (the one that comes in the pack) with one cup of hot milk early in the morning.
Shwet Musli Pak 1 tsp with a cup of hot cow milk in the morning
1.Ashwagandha churna 1 tsp twice daily with warm milk after meals 2.Shveat musli pak 1 tsp twice daily with warm milk 3.Shilajit gold capules 1 cap twice daily with warm milk 4.Gokshuradi guggulu 2 tab twice daily with water after meals
Therapies & Lifestyle Support - Abhyanga (Oil massage): Daily with Bala or Mahanarayan oil on lower back and groin. - Swedana (Steam therapy): Helps improve circulation to reproductive organs. - Yoga: Vajrasana, Baddha Konasana, and Sarvangasana support reproductive health. - Avoid heat exposure: No hot baths or tight underwear.
Diet Tips - Include ghee, dates, almonds, sesame seeds, and milk. - Avoid spicy, sour, and processed foods. - Stay hydrated and maintain regular sleep.
Start with Cap. Ashwashila 1-0-1 after food with water and Divya youvanamrit gold 0-0-1 at bedtime with warm milk Do pranamyam lom -vilom kapalbhatti bhastrika daily for 5-10mins twice Visit nearby ayurvedic centre and take uttar basti. Phalgrith 2tsp twice daily before food with warm milk Follow up after 45 days
Non-obstructive azoospermia can be a challenging condition, predominantly related to imbalances within the reproductive system. Ayurveda, with its profound understanding of the human body, may offer supportive interventions aimed at balancing doshas, restoring agni, and rejuvenating the reproductive dhatus. In this case, understanding your husband’s dosha type is essential. Elevated FSH and LH with low testosterone indicates a potential deficiency or dysfunction in sperm production, often aggravated by factors such as stress or lifestyle irregularities.
From an Ayurvedic perspective, supporting Shukra Dhatu (reproductive tissue) is vital. Consider incorporating Ashwagandha and Shatavari. Ashwagandha is known for its adaptogenic properties, which might help in managing stress and improving overall vitality. Shatavari aids in nourishing reproductive tissues. Both can be taken in churna form, about 1 teaspoon each with warm milk in the morning and evening.
Diet should be sattvic. Incorporate almonds, walnuts, dates, and milk, which are nourishing for Shukra Dhatu. Ghee is beneficial for enhancing Ojas and can be integrated into meals. Spices like ginger, cumin, and cinnamon stimulate agni and should be part of daily cooking. Avoid a diet high in processed foods and excessive caffeine, as they can aggrevate vata and impair digestion.
Ensuring healthy agni is crucial. Consider Triphala at night, a teaspoon with warm water, which can support proper digestion and detoxification processes. Panchakarma, specifically Basti (medicated enema), can be beneficial, but it must be undertaken under a qualified Ayurvedic practitioner’s supervision.
Lifestyle modifications are equally critical. Encourage relaxation and adequate sleep. Practising yoga and pranayama regularly—particularly Bhramari pranayama—may help in relieving stress and supporting hormonal balance. Ensure regular physical activity tailored to his capacity and preference without overexertion.
These are supportive measures and should be accompanied by ongoing monitoring by a healthcare professional familiar with his condition. Non-obstructive azoospermia might require interventions outside the scope of Ayurveda, and coordination with conventional medical treatments can be essential.

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