A Clinical Study On Effect Of Virecana Karma followed by Erandamuladi Yapana Basti along with Samana Snehapana by Apatyakara Ghrita in Kshina Shukra w.s.r. to Oligospermia and Low sperm motility.

Around 17.5% of the adult population – roughly 1 in 6 worldwide – is having infertility, x this is a major health challenge globally. Lifetime prevalence was 17.8% in high-income countries and 16.5% in low- and middle-income countries, infertility is often perceived as an issue that affects women, but male factor infertility contributes to approximately half of instances. xi Unfortunately, the burden of male infertility is often unrecognized and its causes are poorly understood, meaning men can be sidelined during treatment and the burden of medically assisted reproductive techniques falls on the woman, even if she herself has no reproductive issues. This lack of understanding and information means that substantial emotional stress is put on both members of the couple seeking infertility treatment. Around 50% of infertility cases in India are attributed to male factors, highlighting the importance of addressing male reproductive health. xii There are so many research going on related to this subject since 2 to 3 decades. Researchers are trying to find some sure answer for male infertility and as solution, assisted procreation techniques are introduced. In case of treatment failure, depending on the severity of male infertility, IUI, IVF or micro fertilization (ICSI) can be tried. Still the problem persists regards cost affectivity and success rate. Again it can be said that, they are treating infertility not the Oligospermia. Ayurvedic management of Kṣīṇa Śukra has encouraging results. Hence this study is planned to explore the effectiveness of Ayurvedic management of Kṣīṇa Śukra (oligospermia and low sperm motility).