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What's the treatment of azoospermia
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Question #25350
69 days ago
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What's the treatment of azoospermia - #25350

Mohsin

My name is mohsin I am from solapur Maharashtra I am got married in 2017 I have a problem of azoospermia since 2018 what is the best solution of azoospermia I have done 2 yrs ayurvedic treatment on azoospermia

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Hello Mohsin I can understand your concern regarding Azoospermia but dpnt worry we are here to help out

Sir have you taken panchakarma therapy before???

If no i will advise you to take proper panchakrna THERPY 1. Snehapana 2. Virechana 3. Basti Has to be taken

Internally start taking 1. Narasimha rasyanam 1 tsp morning empty stomach follwed by warm milk 2 kapikacchu chooran 1 tsp with warm milk. At 6 pm 3 Aswajith 2 tab at 8pm 4. Madankameshwar lehya 1/2 tsp at bed time follwed by warm milk

I have seen results with proper panchakarma dont lose hope

Warm Regards Dr Snehal Vidhate

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Azoospermia is the condition of No sperm in ejaculation which occurs due to many reasons like hormonal problems, Reproductive tract problems, Ejaculation issues ,other structural problems, etc So while treating azoospermia it is important to know the reason exactly for correct treatment.

Here you have done 2years of Ayurvedic treatment, can you please mention those ?

For Azoospermia you must do Ayurvedic panchakarma chikitsas like Virechana (purgation) and Vasthi(medicated enema) These are for Detoxifying your body and to helps the body to replenish your Shukra dhatu . You can also do Abhyanga (oil massage), Shiro dhara ,etc for Rejuvenating your body tissues For these please consult a nearby Ayurvedic treatment center

Meanwhile internally you can have 1.Narasimha rasayana 1tsp after breakfast 2.Spermakot granules 1tsp twice daily after food 3.Aswaganda churnam 1tsp at bedtime with milk

Do’s 1.Milk and milk products 2.3-4litres of water /day 3.Have more fruits and vegetables 4.practice yoga /meditation/Pranayama regularly 5.Have Sprouted grains

Don’ts 1.Avoid excessive sexual activities 2.tea/coffee 3.Smoking /alcohol if any 4.Excessive stress, over thinking and worrying 5.Too oily spicy hot sour and salty foods 6.Procesed and junk foods

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

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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

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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

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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

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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.

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I am a Consulting Ayurvedic Physician practicing since 1990—feels strange saying “over three decades” sometimes, but yeah, that’s the journey. I’ve spent these years working closely with chronic conditions that don’t always have clear answers in quick fixes. My main work has been around skin disorders, hair fall, scalp issues, and long-standing lifestyle stuff like diabetes, arthritis, and stress that kinda lingers under everything else. When someone walks into my clinic, I don’t jump to treat the problem on the surface. I start by understanding their *prakriti* and *vikriti*—what they’re made of, and what’s currently out of sync. That lets me build treatment plans that actually *fit* their system—not just push a medicine and hope it works. I use a mix of classical formulations, panchakarma if needed, dietary corrections, and slow, practical lifestyle changes. No overnight miracle talk. Just steady support. Hair fall and skin issues often feel cosmetic from outside—but internally? It’s about digestion, stress, liver, hormones... I’ve seen patients try 10+ things before landing in front of me. And sometimes they just need someone to *listen* before throwing herbs at the problem. That’s something I never skip. With arthritis and diabetes too, I take the same root-cause path. I give Ayurvedic medicines, but also work with *dinacharya*, *ahar* rules, and ways to reduce the load modern life puts on the body. We discuss sleep, food timing, mental state, all of it. I’ve also worked a lot with people dealing with high stress—career burnout, anxiety patterns, overthinking—and my approach there includes Ayurvedic counseling, herbal mind support, breathing routines... depends what suits them. My foundation is built on classical *samhitas*, clinical observation, and actual time with patients—not theories alone. My goal has always been simple: to help people feel well—not just for a few weeks, but in a way that actually lasts. Healing that feels like *them*, not just protocol. That’s what I keep aiming for.
5
536 reviews
Dr. Manjula
I am an Ayurveda practitioner who’s honestly kind of obsessed with understanding what really caused someone’s illness—not just what hurts, but why it started in the first place. I work through Prakruti-Vikruti pareeksha, tongue analysis, lifestyle patterns, digestion history—little things most ppl skip over, but Ayurveda doesn’t. I look at the whole system and how it’s interacting with the world around it. Not just, like, “you have acidity, take this churna.” My main focus is on balancing doshas—Vata, Pitta, Kapha—not in a copy-paste way, but in a very personalized, live-and-evolving format. Because sometimes someone looks like a Pitta imbalance but actually it's their aggravated Vata stirring it up... it’s layered. I use herbal medicine, ahar-vihar (diet + daily routine), lifestyle modifications and also just plain conversations with the patient to bring the mind and body back to a rhythm. When that happens—healing starts showing up, gradually but strongly. I work with chronic conditions, gut imbalances, seasonal allergies, emotional stress patterns, even people who just “don’t feel right” anymore but don’t have a name for it. Prevention is also a huge part of what I do—Ayurveda isn’t just for after you fall sick. Helping someone stay aligned, even when nothing feels urgent, is maybe the most powerful part of this science. My entire practice is rooted in classical Ayurvedic texts—Charaka, Sushruta, Ashtanga Hridayam—and I try to stay true to the system, but I also speak to people where they’re at. That means making the treatments doable in real life. No fancy lists of herbs no one can find. No shloka lectures unless someone wants them. Just real healing using real logic and intuition together. I care about precision in diagnosis. I don’t rush that part. I take time. Because one wrong assumption and you’re treating the shadow, not the source. And that’s what I try to avoid. My goal isn’t temporary relief—it’s to teach the body how to not need constant fixing. When someone walks away lighter, clearer, more in tune with their system—that’s the actual win.
5
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