Abstract

Abstract

        Infertility is defined by the failure to achieve clinical pregnancy after 12 months or more of regular unprotected sexual intercourse. According to WHO primary infertility in India is in between 3.9-16.8% and prevalence of hypothyroidism in reproductive age group is 2-4%, it has been shown to be the cause of infertility and habitual abortions. There is a significant high prolactin (PRL) level in hypothyroid women leads to infertility and galactorrhoea. Relationship between thyroid health and fertility is important and complex part of conception. According to Ayurved, impaired metabolism in hypothyroidism due to Dhatwagnimandya has adverse effect on Dhatu. Which may naturally affect the normal production of Artava and Shukra in individuals who have hypothyroidism. This can result the abnormality in reproductive system. Methods- A search was undertaken in MEDLINE or the PubMed database, Davidson’s principal of medicine, DC Dutta’s textbook of gynaecology, Charak Samhita, Sushrut Samhita and Ashtanghridaya. Results-    Hypothyroidism can impact fertility by disruption of the menstrual cycle, making it harder to conceive, interference with ovulation, increased risk of miscarriage, increased risk of premature birth.  Discussion-               As sushrut stated that aartav is upadhatu of rasa dhatu and aartav is considered as menstrual blood and ovumTherefore, it is clear that impaired metabolism due to dhatwagnimandya in hypothyroidism has adverse effect on healthy formation of follicles can lead to infertility.