Pre-conception care rendered to a male factor of Pyospermia/ Leukocytospermia leading to conception and Healthy pregnancy of the female counterpart – A case report

Birth of a child is said to be no less than a miracle. The conception per say happens through the contributions by both the male and the female counter parts and is equally influenced by them. It is important to evaluate both the partners for a healthy conception. Ayurveda explains four important factors which are required for the manifestation of the garbha or for the conception to take place; they are rutu, kshetra, ambu and beeja. Alteration in any of the four factors might cause a hindrance for conception. Hence, evaluating these factors in both male and female counter parts as applicable is of utmost importance prior to conception. A male patient aged 34 years consulted us for pre conception care with a trying period of 6 months and marital life of 6 months. He was advised to undergo semen analysis which revealed presence of a large number of leukocytes in the semen sample and hence was diagnosed as pyospermic/leukocytospermic, which can be understood as pooti puya shukra dushti in Ayurveda, which can further be classified as a pittaja shukra dushti in a broader sense. He was treated with shodhana procedures of virechana and nasya to correct the beeja dushti followed by vajikarana chikitsa to enhance the health of beeja. Post treatment pus cells in semen reduced completely. Patient’s wife was able to conceive with a healthy intrauterine foetus with an anomaly scan showing no structural abnormality of the foetus.