Ayurveda Concept for Female Infertility due Implantation failure

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Vamini Yonivyapad vis-à-vis Infertility due to
Implantation defect

• Presented by
• Dr. Anjali verma
• Assistant professor
• Dept. Stree prasuti
• UAU, Main Campus, Dehradun UK 248001
• anjaliverma054_at_gmail.Com

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Why named Vamini ?

• Yonivyapad female reproductive tract disease.
• Pharmacodynamics and pharmacokinetics of Vaman

Parameter Vamini Vaman
Ashraya Garbhashaya Amaashaya
Expulsion product Apakwa garbha Apakwa Anna
Causes 1.Decrease adaptability of uterine cavity Decrease digestive tolerance
2. Dushita beeja Dusita Anna
Time period transforming stage from apkwa to pakwa 6-7 days after entery of Sperm into uterine cavity Pachyamanawastha
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VAMINI YONIVYAPAD
After one week of fertilization the fertilized
ovum expel through the uterus
After one week of fertilization Blastocyst
Crossed fallopian tubes and comes in uterine
cavity for implantation. Fertilized ovum flushed
out from uterine cavity due to failure of
implantation
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• (www.eshre.eu/Guidelines-and-Legal/ART-fact-sheet
  .aspx?)date 3/3/2014)
• (www.medscape.com/viewarticle/576006 Jul 3,
  2008 )

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Line of Treatment

• Modern w.s.r Implantation failure

• Ayurveda w.s.r Vamini Yonivyapad

• Vatapitta management
• Shodhan, Rasayan and garbhastapan karma
• Uttarbasti of vatapitta shamak and garbhastapan
  drugs intralipid infusion

• Maternal anatomical defects-surgery
• Thrombophilia heparin
• Immunological intralipid infusion
• Endometrial receptivity high dose of estrogen
• Embryonic genetic preimplant genetic diagnosis
• Intrinsic factor quality improvement in embryo

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Uttarbasti A Quick heel for implantation failure
causes

• Immunological

• Unreceptive Endometrium

• Thrombophilia

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Clinical evidences
Clinical Study results of Improvement in
Applebaums USSR- A scale to assess endometrial
receptivity for increasing implantation rates by
following line of treatment of Vamini Yonivyapad.
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Endometrial Thickness in A.T 9mm
Endometrial Thickness in B.T lt 7 mm
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Myometrial Blood Flow In Gray Scale
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Uterine Artery Doppler Flow
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Endometrial Blood Flow in Zone 3
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Conceived patient
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Clinical contribution of Vamini Management

• Absolute Implantation defect infertility
  increase the implantation rates.
• Terminal infertility Increases the success rate
  of IVF.

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Thank You
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Diagnosis

• Repeated implantation failure high grade quality
  embryo fail to implant in several attempts of
  IVF.
• Causes
• Maternal anatomical defects, unreceptive
  endometrium 2/3 part, thrombophilia
• Embryonic causes intrinsic and genetic factors
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