Case Report: The effect of Kumari Taila Uttar Basti treatment on a patient diagnosed with bilateral cornual blockage in the Fallopian tube

Abstract

Fallopian tube irritation is referred to as cornual block. It is brought on by a bacterial infection in the Fallopian tube, which spreads via sexuallty transmitted infection (STI), urinary tract infection (UTI), among others. Salpingitis is another name for fallopian tube inflammation. The patient, a 40-year-old registered at an infertility clinic, Sarangi Wardha, was examined for a cornual block using hysteroscopy and laparoscopy, which revealed the uterus and fallopian tube’s structural detail. The couple had been married for two years. It was noted that the patient had a history of failed IUI (intrauterine insemination) at her hometown fertility clinic. The patient anti-Mullerian hormone (AMH) was 0.16ng/dL, and her anti-follicular count (AFC) was poor. The intrauterine insemination failed as a result of cornual obstruction. The semen parameters of the male partner were normal. Bilateral ostia with sparse endometrium were seen during hysteroscopy. We had used Uttar Basti therapy for six days with a three-day gap. After treating the cornual block, patient’s ovum collection was done in January 2020. Fourteen oocytes were retrieved from the patient which were of 2GV, 5MI, and 7MII grade. Semen parameters were reportedly normal, but due to cornual block, ICSI (intracytoplasmic sperm injection) was performed. In March 2020, her first frozen embryo was thawed and transferred. A 2mg tablet of estrogen was given three times daily before the embryo transfer, from the second day of menstruation until the 14th. The patient had daily progesterone injections for six days beginning after the fourteenth day. Following embryo transfer, progesterone 2mg twice a day was given support and a dose of estrogen 2mg every day. A beta-human chorionic gonadotrophin hormone (hCG) test was performed fourteen days after embryo transfer. The report indicated positive beta-HCG value. The patient’s Fallopian tubes bilateral cornual obstruction is the main subject of this case report.