RESUMO
Oligoasthenozoospermia is the condition where the two parameters, sperm count and sperm motility is altered. It depicts a decrease in the concentration and percentage of motile spermatozoa in a sperm sample and is determined by semen analysis. Researches show that nearly 50% of infertility in India is related to the male reproductive factors or diseases. Based on the study conducted by WHO from 1982 to 1985 in multicentres about 20% of infertility cases is due to male factors. Approximately 23% of Indian couples taking infertility treatment attributed the cause towards male factors. Oligoasthenozoospermia can be correlated to Sukra kshaya Lakshanas mentioned in Ashta sukra dushtis. A male patient aged 32 years with 2.5 years of married life revealed the semen volume as 2ml, Sperm concentration 1 million/ml, progressive motility 3%, Non progressive motility 2% and immotile sperms 95% with normal sperm morphology, increased viscosity and increased liquefaction time. After Ayurvedic management through Sodhana and Samana chikitsa for about 5 months revealed Normozoospermia with Sperm count 47 million/ml, progressive motility 25% and Non progressive motility15%. This shows the effectiveness of Ayurveda medicines in the case of Oligoasthenozoospermia and ensures that Ayurveda can provide spectacular outcome in the areas of Male infertility.
RESUMO
The Garbhaavkarnti is the stage that describes the process of the growth of cell from intra-uterine life to post natal stage. The Garbhaavkranti mainly deals with the pre-natal life i.e. the foetal period and other related processes. This period is minutely envisioned by Langman’s medical embryology, and in Susurta Sharira we have got more detailed version of pre-natal period. The Garbha-avkranti word signifies the Garbh i.e. zygote and Avkranti or Avatarana i.e. different stages of development of zygote. Garbhaavkranti is a process in which different stages of formation of Garbha is mentioned. Garbha (zygote) is formed from the uniparental inherent cells known as sperm and ovum. There are some special characteristics that combine or fuse together along with 24 other Gunas like Avyakta, Mahana, Ahankara, Prakriti Tatva and Bhava i.e. gene and chromosomes. There is no single way that may lead to the formation of Garbha. Matraja Bhava (maternal inheritance factor) is present in Aartava which further shows the quality of Aagnaya feature i.e. the mitochondria of ovum. The importance of embryology at that time was known by Susruta & the criteria for good progeny & the process by which embryo develops was all known to them in subtle level. It is fascinating to conclude that they knew about all this without the technological advances which are available today. The importance of healthy mother & father in phase of conception is shown in this Garbhavkranti. This gives the idea of unhealthy reasons and gives broad scale treatment for infertility cases. The Garbhaavkranti (embryology) is always a matter of mondo concern to medical field. So, in this article the Susurta Sharira Grabhavkranti is discussed precisely thereby referring to Langman’s medical embryology for testimonial based study.