Fatherhood is the prime desire of every male. Infertility is an major universal issue affecting humanity. It is noticed in approximately 60-80 million couple worldwide among which 40-50% of infertility is estimated to be due to male factors. Male infertility was remarked in Ayurveda as Klaibya and Anapathya. Here Shukra Dusthi is qualitative and quantitative reduction of shukra dhatu. Ashta Shukradushti Lakshana can be correlated with the Semenogram based on doshik involvement. Shukra kshaya, Shukravaha srotodusti and Mano dosha’s are the prime factors involved in the pathogenesis by their respective Nidana’s. Shukradushti can be corelated with reduction in Sperm count, sperm motility and Sperm Morphology due to vitiation of Vata pradhana tridosha’s. Oligoasthenoteratozoospermia is combination of three abnormal seminal parameters i.e Oligozoospermia which is Reduced sperm count less than 15million/ml or 39 million/Ejaculate. Asthenospermia, reduced sperm motility (progressive motility and sluggish Motility) less than 40% and Teratoozoospermia is reduced percentage of Normal Sperm Morphology less than 5%, when all the three semen parameters are Reduced in quantity it can be said as OAT Syndrome. A separate branch as Vajeekarana (Aphrodisiac therapy) was established among eight branches of Ayurveda, emphasizing the awareness of physiology of Shukradhatu (Sperm) and its role in Reproduction along with the measures to procreate children. The clinical diagnosis of Shukradushti (vitiation of semen) by clinical signs and symptoms and Retopareeksha (Semen Analysis) is essential for the management of Klaibya, by utilizing drugs possessing Vrushya (Aphrodisiac) Shukrajanana (Spermatogenic), Shukrashodhana (semen purifier) properties and diet-lifestyle modifications. Literature pertaining to Shukradhatu, Shukradushti, Klaibya, Vaieekarana from Ayurvedic classical literatures, Authentic texts and reputed journals were referred to collect the relevant information. The mention of Shukra pareeksha in the era of absence of microscope for diagnosis of Shukradushti shows the awareness on the importance of male infertility in the ancient period.
Etiopathogenesis, Nidana panchaka, Male Infertility, Ayurveda, oligoasthenoteratozoospermia, Shukra dushti, Vaajikarana
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