Bendale Vineeta, Chaganti Sreelakshmi, Pandav Rutuja, Pawar Deepali
Rasayu Ayurved Clinic, Maharashtra, India.
Ojas Multispeciality Ayurveda and Panchakarma Centre, Karnataka, India.
J Reprod Infertil. 2024 Jan-Mar;25(1):60-65. doi: 10.18502/jri.v25i1.15201.
Sperm DNA fragmentation (SDF) can affect fertilization rate and embryo development, making it a useful measure for assessing male fertility. Available evidence supports the association between high sperm DNA fragmentation and poor outcomes, with regard to natural conception. Several treatment options are being adopted with varying degrees of success. Some of the commonly used treatment options are the intake of oral antioxidants, varicocele repair, and techniques like micro-manipulation-based sperm selection and use of testicular sperm for intracytoplasmic sperm injection.
Studies have shown that around 29% of couples depend on complementary and alternative medicine (CAM) modality for the treatment of infertility. However, there is a lack of substantial evidence regarding its efficacy in treating various aspects of infertility in couples. The current case report is about a 44 year-old male patient with infertility, who has a known diagnosis of sex chromosome abnormalities. Meanwhile, the SDF study reports indicated the presence of chromosomal abnormalities. This patient was treated exclusively with Ayurveda therapy aimed towards qualitative improvement in reproductive tissues (Shukra Dhatu as per Ayurveda). Patient was assessed periodically for changes in chromosomal abnormality. After four months of treatment, the evaluations demonstrated the presence of completely normal chromosomes.
This case study indicates the potential of Ayurveda therapy in treating cases of male infertility caused by DNA fragmentation. Furthermore, observations and systematically designed clinical trials are warranted to establish a stronger level of evidence before making further clinical recommendations.
精子DNA碎片化(SDF)会影响受精率和胚胎发育,使其成为评估男性生育能力的一项有用指标。现有证据支持高精子DNA碎片化与自然受孕不良结局之间的关联。目前正在采用多种治疗方案,且取得了不同程度的成功。一些常用的治疗方案包括口服抗氧化剂、精索静脉曲张修复术,以及基于显微操作的精子筛选和使用睾丸精子进行胞浆内单精子注射等技术。
研究表明,约29%的夫妇依靠补充和替代医学(CAM)模式治疗不孕症。然而,关于其在治疗夫妇不孕症各方面的疗效,缺乏充分的证据。本病例报告是关于一名44岁的男性不育患者,他已被诊断患有性染色体异常。同时,精子DNA碎片化研究报告显示存在染色体异常。该患者仅接受了阿育吠陀疗法治疗,旨在使生殖组织(按照阿育吠陀医学为精室)质量得到改善。定期对患者进行染色体异常变化评估。经过四个月的治疗,评估显示染色体完全正常。
本病例研究表明阿育吠陀疗法在治疗由DNA碎片化引起的男性不育病例方面具有潜力。此外,在提出进一步的临床建议之前,有必要进行观察和系统设计的临床试验,以建立更强有力的证据水平。