Uttarbasti in infertility Ayurveda is a science, having its own method of diagnosis & treatment based on it. According to Ayurvedic classics, infertility is failure to achieve a child rather than pregnancy as garbha strava (repeated Miscarriage) & mrutvatsa (having repeated still) is also included in types of infertility. Important factors of constituents of garbha (foetus) are- Rutu (fertile period) Kshetra (reproductive organs) Ambu (nutritive fluids), Beeja/beej (ovum) Also healthy psychological status and normal functioning of Vata (one of the governing factor of body according to ayurveda), shadbhava (Six factors –mother, father. Atma, satva, satmya, rasa). Any abnormality in these factors causes infertility. AYURVEDIC TREATMENT FOR INFERTILITY UTTARBASTI There are many types of infertility treatment or management, although their success rate is controversial. During this situation, uttarbasti may be the ray of sunlight. It is an easy method with less side effects; may solve the rasin problem of vandhyatva. UTTAR BASTI YANTRA Instrument by which insertion of drug by urinary or vaginal passage is to be done is called as utter basti yantra. It can be used as sodhan basti. It is given through upper passage (utter marga) other than anus, which is why, it is called as utterbasti. Utter basti contains two parts Basti putak or drug holding bag Basti Netra or nozzle for inserting drug. UTTAR BASTI DEYA KALA After shodhana of women, utter basti should be given during ritukala (follicular phase or just after menses) as orifices of uterus remain open in this period. Charaka told Ritukala is suitable time for the administration of uttar basti. Uttara basti should be given after 2-3 asthapan basti during ritukala, as during this era the yoni or garbhashaya is avarana rahita and so sneha enters & absorb easily. UTTAR BASTI KARMA VIDHI 1. PURAVA KARAMA – Uttara basti should be given after the administration of niruha basti, according to vagbhata, about two to three Niruh basti should be given earlier than the administration of uttara basti. Abhyanga and svedana karma should be done preferably over the back, groin and abdomen then yavagu added with ghee should be given for drinking. 2. PRADHANA KARMA – The patient is made to lie down on her back, fold her legs at knee (lithotomy position). Then the uttara basti yantra containing the prescribed dravya (either kvatha or sneha) is taken and the basti netra lubricated with sneha is carefully introduced into the apathya marga. Basti putpak is compressed consistently, so that the dravya can enter easily in the yoni. It is observed that kvatha returns immediately after insert whereas sneha is engaged after some time. Such uttara basti can be repeted 2-3 times In a day and also has to be given consecutively for 3 days and patient is advised to take rest for 3 days before giving another course of uttara basti. 3. PASCHAT KARMA Rest for some time is advisable. Diet intake should be concerned, Acharya recommend that after the pratyagamana of uttar basti, at evening the patient should be given milk or yusha. PROCEDURE OF UTTAR BASTI Before administration of uttarbasti previous infection should be cleared thoroughly. After this, 2 to 3 Asthapana basti should be given to the patient. The woman should be lie in supine position with flexed thighs and elevated knee. After that pushpanetra should be inserted in vaginal passage slowly with steady hand, following the direction of passage then drug should return after some time if not return then again niruha basti or varti of purifying drugs should be used uttarbasti procedure should be carried out by an expert, under all aseptic precautions and sterilized medicine is used so there are no any chance of introducing any kind of infection. MODE OF ACTION OF BASTI The given basti when enters the pakvasaya by its virya, draws the morboid dosha lodged in the entire body from foot to the head, just like the sun situated in the sky sucks up the moisture from the earth. CONCLUSION Research has given many treatments for infertility but it may cause side effects and costly. Whereas Ayurveda has mentioned many treatments like Basti and various drug combination with minimum side effects and are cost effective so can be used as first line of treatment. Basti is the main treatment of vata dushti. Utter basti is the main line of treatment of vandhyatva as it is strengthens the garbhasya by applying proper drug through utterbasti. Utterbasti have lot of therapeutic potential. Proper selection of drug and time administration is very essential for getting the desire result.