Infertility is the inability to conceive after one year of regular, unprotected intercourse. Ayurveda refers to infertility as Vandhyatva and addresses it by balancing theTridoshas (Vata, Pitta, and Kapha) and nourishing Shukra Dhatu (reproductive tissues). Causes of Infertility (Ayurvedic View) Male Infertility (Purusha Vandhyatva) Shukra Dhatu Kshaya (Depleted Reproductive Tissue): Poor semen quality, low sperm count, and reduced motility due to Vata imbalance. Obstruction in Channels (Srotorodha): Blocked semen-carrying ducts due to Kapha accumulation. Agnimandya (Digestive Weakness): Impaired digestion leads to toxin accumulation (Ama) affecting sperm quality. Lifestyle Factors: Stress, excessive alcohol, smoking, and sedentary habits. Female Infertility (Stri Vandhyatva) Hormonal Imbalance: Disturbed menstrual cycles and ovulation disorders due to Vata-Pitta imbalance. Obstruction in Fallopian Tubes: Kapha dominance leads to blockages and polycystic ovarian syndrome (PCOS). Endometrial Weakness: Thin uterine lining caused by Vata imbalance prevents implantation. Stress and Mental Health Issues: Excess Vata affects hormonal secretion and reproductive health. Uterine Fibroids or Cysts: Caused by Kapha and Ama accumulation. Ayurvedic Panchakarma Therapies for Infertility For Male Infertility:​- Virechana (Purgation Therapy): ​ Detoxifies the body and improves Pitta balance for sperm quality. Basti (Medicated Enema): Corrects Vata imbalance, enhances sperm motility, and rejuvenates reproductive organs. Uttara Basti (Urethral Enema): Administers medicated oils into the urethra to treat structural or functional disorders. Shirodhara (Oil Pouring on Forehead): Reduces stress and anxiety, improving testosterone and libido. For Female Infertility:​- Uttara Basti (Uterovaginal Therapy): Instillation of medicated oils or ghee into the uterus to clear blockages and nourish the endometrium. Vamana (Emesis Therapy): Removes excess Kapha and toxins responsible for tubal blockages and hormonal imbalances. Nasya (Nasal Therapy): Balances hormones by stimulating the hypothalamus and pituitary glands. Yoni Pichu (Vaginal Tamponing): Medicated oils or herbal decoctions are applied to nourish reproductive tissues and correct uterine health. Abhyanga and Swedana (Massage and Steam): Enhances blood circulation and reduces pelvic inflammation.