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Pregnancy or the motherhood beyond the edge of reproductive age is referred as Pregnancy in “Elder gravida”. In the developing and developed countries age of marriage and there by child bearing are relatively late in life. Chances of pregnancy for healthy couples in their 20s and early 30s are around 1 in 4 women, 40s around 1 in 10women. Generally reproductive potential decreases as women get older, one of the common reasons is due to low AMH. Age is the single biggest factor affecting a women’s chance to conceive and to have a healthy baby and fertility can be expected to end 5 to 10 years before menopause. Risk of pregnancy complications increases with age. The risk of miscarriage and chromosomal abnormalities in the fetus increases from the age of 35years. Complications such as GDM, Placenta previa, Caesarian section and still birth are common among older women than younger women. According to Ayurveda, Infertility primarily refers to the biological inability of women to contribute to conception and also who is unable to carry pregnancy to full term. Ayurvedic management gives a new hope in women by strengthening body’s own self-healing and balancing mechanism without any intervention by outside or foreign substance to replace or correct the hormones in the body. Case Study: A female patient aged 38 years diagnosed as Primary Infertility due to low AMH treated with Virechana followed by Matrabasti and Shaman Chikitsa, after 3 months of treatment her AMH level increased and also patient got Conceived.

The etiological factor of Yoni Vyapat are mainly due to the vitiation of Doshas, among which Paripluta Yoni Vyapat is due to the vitiation of Vata Dosha, which can be correlated to Dyspareunia. Dyspareunia means the coital act is difficult and or painful. There is different etiology depending upon the site of pain, out of which Vagina Atrophy prevalence of 67.5% associated with vaginal dryness – 62%, itching 40%. For the better and fruitful result Sthanika Chikitsa (local therapies) has been enumerated as an important part of Yoni Vyapad Chikitsa, which includes Yoni Parisheka (cleansing of vagina), Yoni Abhyanga (massaging of vagina with medicated oil), Yoni Pralepa (semisolid drug applied on the vaginal wall), Yoni Pichudharana (medicated soaked tampon place in vagina). Case Study: A female aged 49 years, approached OPD complaining of painful coitus along with dryness and itching of vagina, which increased after her menopause. The condition was treated with Sthanika Chikitsa followed by internal medications.

Background: Pregnancy is the state of carrying a developing embryo or fetus within the female body. Profound biochemical, anatomical and physiological changes occur during the course of pregnancy. Urinary tract infections are the second most common infections worldwide. Pregnant women have 4 times higher rate of developing UTI as compared to non-pregnant women. Pregnant women develop ureteral dilation resulting in increased urinary stasis and ureterovesical reflux due to increased progesterone level and the pressure of gravid uterus on the bladder. The classical Lakshanas of Mutrakricchra like frequent micturition, difficulty during micturition, burning sensation during micturition are similar to the signs and symptoms of Urinary tract infection. Shatavari Ksheerapaka has been mentioned in Sahasrayogam for the management of Mutrakricchra. Shatavari is Sheeta in Virya, acts as a diuretic and helps in the reduction of Mutrakricchra symptoms. According to Bhavprakash Nighantu, Sita is Ruchikara and Ksheera is Rasayana. Aim: To evaluate the efficacy of Shatavari Ksheerapaka in Garbhini Mutrakricchra w.s.r UTI in Pregnancy. Method: It is a controlled clinical study of two groups consisting 15 patient each in control and trial group. Conclusion: Shatavari Ksheerapaka and Trinapanchmoola Ksheerapaka both are equally effective in treating the Garbhini Mutrakricchra w.s.r. UTI in Pregnancy.