• Dr. Prasanna. V. N
• Dr. Sujata Kadam

Abstract Infertility is inability to become pregnant for a sexually active couples after one year without using any contraceptives. It causes great distress to many couples.. Uterine fibroids are benign tumours of myometrium and there are several ways the uterine fibroids will affect the fertility of woman. The size and location of fibroids determines whether it affect fertility. Small fibroids directly do not cause infertility.. But large fibroids, size more than 5cm and submucous type fibroid can cause infertility.. Submucous fibroids may prevent the proper implantation of embryo there by result either infertility or miscarriage. About 1/4th of female infertility caused due to a problem of ovulation. A woman’s ability to get pregnant can be affected by age. Increasing age decreases the quality and quantity of the eggs due to poor ovarian reserve. Poor ovarian reserve occurs when a women’s ovaries lose reproductive capacity, which then cause infertility. This is a case of a lady aged 38years having uterine fibroids and poor ovarian reserve complaining of irregular delayed periods and difficulty to conceive after 16years of married life, who came to the OPD Vaidyaratnam Ayurveda College, Ollur, Thrissur for treatment. She was advised to consume internal medicines followed by admission in IPD, Prasutitantra and Striroga, . All the Sodhana karmas and Uttaravasti was done after admission. Uttaravasti was done for three consecutive months after menstruation for 5days. There is great reduction to the size of the fibroid and the woman became pregnant and delivered normally to a healthy baby.

Key words : Fibroids, Infertility, poor ovarian reserve, utharavasthi.

"Management of Uterine fibroid in an Infertile woman by Ayurvedic protocol – A case study", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.6, Issue 6, page no.76-80, June 2019, Available :http://www.jetir.org/papers/JETIR1907L65.pdf

"Management of Uterine fibroid in an Infertile woman by Ayurvedic protocol – A case study", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.6, Issue 6, page no. pp76-80, June 2019, Available at : http://www.jetir.org/papers/JETIR1907L65.pdf