Effect of Uttar Basti on Endometrial Thickness and Ovulation in Women with Thin Endometrium

Authors

  • Sudesh Lamoria Associate Professor, Department of Prasuti Tantra and Stri Roga, Merchant Ayurved College, Chitrodipura, Gujarat, India. Author
  • Shruti Arvind Adalinge Assistant Professor, Department of Swasthavritta, Hon. Shri Annasaheb Denge Ayurvedic Medical College, Ashta, Maharashtra, India. Author
  • Krishna Meher Assistant Professor, Department of Prasuti Tantra and Stri Roga, Sri Sri Nrusinghnath Ayurved College and Research Institute, Manbhang, Odisha, India Author
  • Sudeshna Meher Professor and Head, PG Department of Prasuti Tantra and Stri Roga, Gopabandhu Ayurveda Mahavidyalaya, Puri, Odisha, India. Author

Keywords:

Ayurveda, Endometrial Thickness, Female Infertility, Ovulation, Thin Endometrium, Uttar Basti

Abstract

Infertility affects a significant proportion of reproductive-age women globally, and among the various contributing  factors, thin endometrium remains a challenging condition to manage. A thin endometrial lining (commonly defined  as <7 mm on the day of ovulation) is associated with decreased implantation rates, increased miscarriage rates,  and poor outcomes in assisted reproductive technologies. Despite advances in modern medical approaches such as  hormonal therapy, intrauterine infusions, and regenerative medicine, many cases remain unresponsive, warranting  exploration of complementary interventions. Ayurveda, the ancient Indian system of medicine, describes several  interventions for female reproductive disorders under the umbrella of “Yonivyapad” and “Vandhyatva.” Among  these, Uttar Basti, an intrauterine therapeutic procedure, has shown potential in enhancing endometrial thickness and  promoting ovulation through its nutritive, anti-inflammatory, and hormonal balancing effects. This review compiles  and analyzes available Ayurvedic literature, contemporary clinical studies, and proposed mechanisms of action to  assess the efficacy of Uttar Basti in women with thin endometrium. The findings support the potential of Uttar Basti  as an effective integrative therapy for improving uterine receptivity and fertility outcomes. 

 

Downloads

Download data is not yet available.

References

1. Gonen Y, Casper RF. Prediction of implantation by the sonographic appearance of the endometrium during controlled ovarian stimulation for in vitro fertilization (IVF). J In Vitro Fert Embryo Transf. 1990;7(3):146–52.

2. Richter KS, Bugge KR, Bromer JG, Levy MJ. Relationship between endometrial thickness and embryo implantation, based on 1,294 cycles of in vitro fertilization with transfer of two blastocyst stage embryos. Fertil Steril. 2007;87(1):53–9.

3. El-Toukhy T, Coomarasamy A, Khairy M, Sunkara SK, Seed P, Khalaf Y, Braude P. The relationship between endometrial thickness and outcome of medicated frozen embryo replacement cycles. Fertil Steril. 2008;89(4):832–9.

4. Liu KE, Hartman M, Hartman A, Luo ZC, Mahutte N. The impact of a thin endometrial lining on fresh and frozen-thaw IVF outcomes: An analysis of over 40,000 embryo transfers. Hum Reprod. 2018;33(10):1883–8.

5. Gleicher N, Vidali A, Barad DH. Successful treatment of unresponsive thin endometrium. Fertil Steril. 2011;95(6):2123.e13–7.

6. Maekawa R, Nakamura K, Ogawa H, Kusume T, Kurihara I. Management of thin endometrium using granulocyte colony stimulating factor. J Obstet Gynaecol Res. 2017;43(10):1615–21.

7. Sharma PV. Dravyaguna Vijnana. Vol. 2. Varanasi: Chaukhamba Bharati Academy; 2010.

8. Acharya YT, editor. Charaka Samhita of Agnivesha. Chikitsa Sthana. Ch. 30. Varanasi: Chaukhamba Surbharati Prakashan; 2009.

9. Tripathi B. Ashtanga Hridayam of Vagbhata. Sutrasthana. Ch. 39. Varanasi: Chaukhamba Sanskrit Prtishthan; 2011.

10. Tiwari PV. Ayurvediya Prasuti Tantra Evam Stri Roga. Part 2. Varanasi: Chaukhamba Orientalia; 2013.

11. Patel M, Joshi J, Chaudhary S. A clinical study on the effect of uttar basti with phala ghrita in the management of thin endometrium. AYU. 2018;39(4):250–5.

12. Joshi R, Bhatt N, Patel V. Clinical efficacy of bala taila uttar basti in thin endometrium among infertile women: An open-label study. Int J Ayur Med. 2020;11(1):72–7.

13. Acharya YT, editor. Charaka Samhita of Agnivesha. Sharira Sthana. Ch. 4. Varanasi: Chaukhamba Surbharati Prakashan; 2009.

14. Murthy KRS. Bhavamishra. Bhavaprakasha Nighantu. Varanasi: Chaukhamba Bharati Academy; 2009.

15. Lad V. Textbook of Ayurveda: A Complete Guide to Clinical Assessment. Vol. 2. Albuquerque: Ayurvedic Press; 2006.

16. Singh RH. The Holistic Principles of Ayurvedic Medicine. 2nd ed. Varanasi: Chaukhamba Surbharati Prakashan; 2009.

17. Patil S, Bhujbal P. Pharmacological evaluation of Bala Taila for uterine regenerative activity. J Ayurveda Integr Med Sci. 2020;5(2):15–20.

18. Mishra M, Shukla S. Clinical significance of Uttar Basti in female reproductive health. Int J Ayurveda Res. 2019;10(3):112–6.

19. Deshpande S, Pawar S. Panchakarma procedures in gynecological disorders: A review. AYU. 2017;38(1):43–9.

20. Sharma RK, Dash B. Caraka Samhita. Chikitsa Sthana. Vol. 3. Varanasi: Chowkhamba Sanskrit Series Office; 2010.

21. Patel M, Joshi J. Effect of phala ghrita uttar basti on endometrial thickness. AYU. 2018;39(4):250–5.

Bhatt N, Desai D. Herbal constituents of phala ghrita: A pharmacognostic overview. J Res Ayurveda. 2020;41(2):101-5.

Mehta R, Upadhyay K. Effect of bala taila in uterine hypoplasia. J Ayurveda Case Rep. 2021;3(1):8-12.

Satpute D, Kulkarni M. Anti-inflammatory properties of bala taila: An in vivo study. Int J Res Ayurveda Pharm. 2020;11(3):91-4.

Sharma S, Awashi P. A comparative study on ashokarishta and bala taila in endometrial regeneration. Ayurveda Today. 2019;12(4):27-32.

Rathi M, Joshi H. Role of individualized oil selection in Uttar Basti: A clinical perspective. Int J Ayurveda Integr Med. 2020;5(1):33-8.

Pandey R, Jain S. Evaluation of phytoestrogenic effect of shatavari taila. Anc Sci Life. 2018;38(1):47-52.

Bhatnagar S, Sharma V. A pilot study on Uttar Basti in IVF non responders. J Ayurveda Case Rep. 2021;4(1):18-23.

Maheshwari S, Prakash A. Integrating ayurvedic uttar basti in assisted reproduction: A case series. Int J Infertil Fetal Med. 2019;9(2):65-9.

Srivastava S, Tiwari M. Therapeutic potential of Ghrita-based formulations in gynecology. PharmaSci Monitor. 2019;10(4):301-8.

Rathod P, Singh G. Phytochemical profile of phala ghrita herbs and their estrogenic potential. Indian J Tradit Knowl. 2020;19(3):498-504.

Agrawal S, Bhalerao S. Comparative absorption patterns of intrauterine oils: A preliminary report. AYU. 2018;39(2):125-8.

Sharma K, Tripathi A. Site-specific drug delivery in Ayurveda: Rationale and prospects. J Altern Complement Med. 2017;23(7):553-8.

Jain V, Das S. Hormonal modulation through Uttar Basti: An endocrine overview. J Ayurveda Integr Med. 2020;11(3):289-94.

Sane P, Kulkarni M. Role of ayurvedic panchakarma in luteal phase defect: A clinical trial. AYU. 2017;38(2):98-102.

Patil A, More S. Barriers to integration of Ayurvedic uterine therapies in modern infertility clinics. J Complement Integr Med. 2021;18(1):233-8.

Kulkarni P, Nanal S. Clinical safety and tolerability of intrauterine oil-based therapies: A review. Int J Ayurveda Res. 2020;9(4):176-80.

Sharma V, Joshi M. Need for evidence-based standardization of Uttar Basti protocols. Indian J Ayurveda Pharmacol. 2021;9(2):89-94

Downloads

Published

2025-08-07

How to Cite

Lamoria, S., Arvind Adalinge, S., Meher, K., & Meher, S. (2025). Effect of Uttar Basti on Endometrial Thickness and Ovulation in Women with Thin Endometrium . International Research Journal of Ayurveda and Yoga, 8(7), 64-68. https://www.journals.acspublisher.com/index.php/irjay/article/view/22478