International Journal of Trend in Scientific Research and Development (IJTSRD)

Volume 8 Issue 5, Sep-Oct 2024 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470

A Review on Avandhya (Unexplained Infertility) &

Psychological Upset and Soumanasya Garbhajananam
(Role of Healthy Mind in Infertility)
Dr. Miraje Snehal Arun1, Dr. Shobha Nadagouda2, Dr. Laxmi Metri3
1
PG Scholar, SVM AMC, Ilkal. Karnataka, India
2
HOD & Professor, Department of Prasuti Tantra & Stree Roga, SVM AMC Ilkal, Karnataka, India
3
Associate Professor, Department of Prasuti Tantra & Stree Roga, SVM AMC Ilkal, Karnataka, India

ABSTRACT How to cite this paper: Dr. Miraje

Procreation or desire to have one’s own offspring is the greatest Snehal Arun | Dr. Shobha Nadagouda |
desire among human beings. Unexplained infertility is defined when Dr. Laxmi Metri "A Review on
no obvious cause for infertility has been detected following all Avandhya (Unexplained Infertility) &
Psychological Upset and Soumanasya
standard investigations. Infertile couple are psychologically disturbed
Garbhajananam (Role of Healthy Mind
right from beginning. Manasika abhitap is nowdays most facing in Infertility)"
problem by infertile couples. Soumanasya Garbhajananam i.e. Published in
healthy state of mind leads garbhajanan. Emotional support International Journal
counselling plays a major role in treating infertility due to of Trend in
psychological upset. Scientific Research
and Development
KEYWORDS: Unexplained Inferility, Soumanasya garbhajananam, (ijtsrd), ISSN: 2456- IJTSRD68314
Satvavajaya chikitsa, Atindriyatva of manas, Prajnaparadha 6470, Volume-8 |
Issue-5, October 2024, pp.6-9, URL:
www.ijtsrd.com/papers/ijtsrd68314.pdf

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INTRODUCTION
Procreation or desire to have one’s own offspring is as Nindaniya.2 While the man with lot of children is
the greatest desire among human beings. Since very appreciable.3
inception of civilization, failure to have one’s own Among infertility incidents Unexplained infertility is
baby or infertility has affected countless couples both 10-20%. Unexplained infertility is defined when no
rich & poor alike. Infertility besides being a health obvious cause for infertility has been detected
issue is more of a social problem which affect following all standard investigations. The
personal, social and mental health of affected person. investigations include semen analysis, ovulation
It is estimated that 10-15% of married couples suffer detection, tubal & peritoneal factor, endocrinopathy
from infertility. Due to changing social system, and PCT.4 It has been observed that 20% of such
professional life & academic achievements more & unexplained infertile couples succeed in having baby
more couples face this problem. In India commonly in due course of waiting.5
held notion about infertility is that it is due to female
partner however, in actual life both partners The infertile couple remains psychologically
contribute equally to infertility.1 Acharya Charak has disturbed right from beginning more, so as the
told importance of having a child if a person doesn’t investigations progresses couple is psychologically
have a progeny then he does not have any respect in upset6. When no obvious cause is found then it is
society and is considered as no value and Ekendriya considered as unexplained infertility.
i.e. he is not fit for any Dharma, Artha, Kaama; called

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 International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
Infertile couples are vulnerable & exploited by in the circle of Rajguna & Tamoguna, they suffer
several sources even today to ‘have a baby at any from many types of physical & mental diseases9.
cost’. In unexplained infertility, psychological patient
Harmony of body and mental defects- By postulating
related outcomes mostly found are negative
the causality of Tridosha & raja-tama,
individual & couple attitudes, low emotional Prajnaparadha has been considered as the main
tolerance, psychological vulnerability & relational
reason because without prajnaparadha there is no
strains. Patients have emotional strain, religious
assimilation of senses.
myths, stigma, moral & ethical dilemmas associated
with it. The emotional crisis associated with Attachment to sensual pleasures due to the crime of
unfulfilled wish or life goal, long lasting waits creates intelligence (intellect-patience-memory) man losses
frustration, disappointments, desperation & additional all the five senses, consumes five types of harmful
marital, familial & interpersonal stresses. The meanings i.e. objects (shabdha- Sparsha-rupa- rasa-
intracouple dynamics often get affected as the gandha). He stops the flow of feces and urine etc &
evaluation & diagnostic procedures impact the performs courageous acts without caring about his
intimate lives and personal wellbeing of couples. strength. The ignorant person is attracted to the
modes of material nature called happiness. The
Ayurvedic aspect of unexplained infertility: knowledge is not pleased with when it is impure.10
‘Saprajaapeeti avandhya api sati katham chiren
garbha vidanti’ l[Ch. Sha.2/5; Chakrapani] Atindriyatva of Mana:
Chakrapani while explaining the causes of Sapraja, ‘’Atindriyam punarmanah satvasamjnakam’’
told the term Avandhyaa (capable of conceiving). [cha.Su.8/4]
Here use of word avandhya for a childless woman, The mind called Satva is transcendental. Some
but with capacity to conceive7. In Shareersthan scholars call it ‘Chetas’. The action of this mind
Charak has mentioned that without any problem depends on the minds own objects, pleasure, pain,
(Avandhya) why the Garbhadhan is taking place thought etc and the effect of the soul. The mind is the
lately: chief cause of knowledge of objects such as taste and
1. Yonidosha the knowledge of form and other objects of the senses
2. Manasika Abhitapa such as the eye.
3. Shukrartava dosha
4. Ahara-vihara dosha The mind is supersensous. This has to understood
5. Akalayogat (after rutukala) from many perspectives.
6. Balakshaya8. Atindriya means having special qualities rather than
In above Manasika abhitap is nowdays most facing the power of senses.
problem by infertile couples due to their lifestyle and The illusion of diversity of mind occurs because the
stress in professions, social status etc. same person is sometimes religious, sometimes
Manasika dosha are considered as Rajas & Tamas sensual, sometimes greedy, sometimes cruel,
and Satva is considered as Shuddha. sometimes kind and sometimes disinterested. In
looking at all these different natures, there is a strange
Satva guna- Laghutva, Prakash, sukha feeling that there are many minds and the reality is
Rajo Guna-Preraka, chala, dukhakaraka that there is only one mind but it is pleural and
unstable; hence it is not always the same but is always
Tamo guna- Guru, Avaranak, Vishada. thinking about the subject it resolves.
Garbhotpadaka bhava- Acharya Charak has Similarly if there is excess of Satva guna one
mentioned 6 factors i.e. Matruja, Pitruja, Atmaja, becomes religious, if there is excess of Rajoguna, one
Satmaja, Rasaja, & Satvaja. Manasika bhava are is interested in social subjects and if there is excess of
important in formation of Garbha. Tamoguna, one becomes ignorant, childish & dull.
Satvaja Bhava- Bhakti, Sheela, Shoucha, Dvesh, Without the association of mind there is no
Smruti, Moha, Tyaga, Matsarya, Shourya, Bhaya, knowledge of any sense subjects.11
Krodha, Tandra, Utsaha, Taikshna, Mardava,
Gambhirya, Anavasthitva, Anyobhav. Relation of Mana to gunas -Although the 3 gunas of
satva, raja & tama remain in the mind & the mind
Balavardhaka bhava is suggestive of Satvasampat. gets influenced by from time to time, still the mind of
Ordinary people of the world, whose souls are a man gets influenced by the guna which he mostly
covered with Raja & Tama, and due to being trapped follows again and again. The mind of a man is said to
have the same qualities according to that quality he is

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considered to have that quality. Excess of satva is several neuro chemicals will get released, so that
called satvika, excess of raja is called rajasik & treatment Harshana will counteract the pathological
excess of Tama is called Tamasik.12 changes happening by the ill effecting emotions. A
Ovarian and consequently the menstrual cycle are good laughter completely decongests one’s brain &
affected by various emotional and environmental an increased amount of blood rushes there to nourish
factors. There are numerous connections to pituitary those ill fed areas. This is how laughter helps in
gland as well as other areas of the CNS from healing, also in addition to the psychological benefits
hypothalamus e.g. amygdala, hippocampus (limbic like removal of depression, sadness, worry etc.
system) to thalamus and pons.13  Psychological interventions that promote mental
Various pharmacological agents, psychological health in infertile women like
factors which affects the brain catecholamines are  Hope oriented counseling
likely to affect the pulsatile release of GnRH.  Positive psychotherapy based on belief to good
 Psychological empowerment therapy
Acharya charaka mentioned about healthy state of  Dialectical behaviour therapy
mind leads to Garbhajanana. i. e. ‘’Soumanasya  Acceptance commitment therapy
garbhajananam’’. It is one of the ‘Adravya chikitsa’.  Psychological intervention
Acharya Charaka has advised Gyana (spiritual  Emotional focused therapy
knowledge, Vigyan, scriptural knowledge), dhairya  Music therapy
(patience), smriti (memory) & samadhi (meditation)  Online psychoeducational support
which are related to Adravyabhuta chikitsa.  Positive reappraisal & problem solving skill
training
While defining ‘Ayu’ it is defined that life is  Relaxation.
combined state of body, senses, mind & soul.
Emotional support counselling play a major role in
Manas (mind) is an important component of Ayu treating infertility.
(life) in addition to the other three components-
Sharira, Indriya & Atma.14 DISCUSSION-
Infertility besides being a health issue is more of a
The existence of Manas (mind) has been accepted by social problem which affect personal, social and
both the ancient as well as the modern school of mental health of affected person. Ayurveda describes
science & philosophy. three gunas of mind named as Satwa(balance), Raja
Charaka described ‘Satvavajaya chikitsa’, in that he (Arrogance) & Tama (Indolence). Mind is called
advocates Ashwashana (reassurance and explaination) manas. Rajas and Tamas are doshas of mind. Mind
which plays important role in treating unexplained serves as an important instrument in the process of
infertility. Suhrut vakya (friendly advice and perception. The role of manasika bhava is important
guidance) helps in dealing with coital problems, in infertility, so healthy state of mind helps in
erectile dysfunctions due to psychological issues. garbhadharana.
Reassurance relieves fears, boosts self confidence & CONCLUSION-
promotes hope in a patient. Ayurveda aims in preservation & promotion of health
Assurance, replacement of emotions, regulation of with prevention, cure of disease through the concepts
thought process, reframing of ideas, channeling of of positive physical and accordance with mental
presumptions, correction of objectives & ideas, health. Satvavajaya helps to attain stable &
proper guidance & advice for taking right decisions, harmonious equilibrium between man and his
proper control of patience, awareness of mind helps environment needed to reduce man’s vulnerability
in treating unexplained infertility due to and permit him to lead more productive & satisfying
psychological upset. life. A stable & harmonious balance between man &
his surroundings is required to reduce unexplained
Acharya charaka while explaining vajikaran bhavas infertility and achieve progeny.
he told about measures for gladness of mind as
walking in gardens, river banks, blossom mountains, REFERENCE:
woman causes pleasure to mind, garlands, various [1] Shaws Textbook Of Gynecology, Edition 17th,
Gandha mala dharan and close friends15. Page No 202.
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proper state of mind are needed in Garbhadharana.16 Tripathi, Charak Chikitsa Vajikaran Adhyaya
Harshan creates a happy mood. When person is happy 2/1, Page No 49-50

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 International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
[3] Acharya Vidyadhar Shukla, Prof Ravidatta [10] Acharya Vidyadhar Shukla, Prof Ravidatta
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