Successful Pregnancy Outcome in Bicornuate Uterus with Multifactorial Infertility through Ayurveda: A Case Report

Abstract

Bicornuate uterus is a congenital uterine anomaly associated with infertility and recurrent pregnancy loss. Outcomes are further compromised when multiple endocrine, infectious, and systemic factors coexist. Evidence on comprehensive Ayurvedic management in such high-risk cases is limited. A 28-year-old woman presented with infertility and recurrent pregnancy loss, with a history of three first-trimester abortions. She was diagnosed with a congenital bicornuate uterus, polycystic ovarian syndrome, recurrent vulvovaginitis, and past systemic illness. Although conception had occurred earlier, pregnancy could not be sustained beyond early gestation, indicating impaired uterine receptivity rather than failure of conception. The patient underwent structured preconceptional Ayurvedic management aimed at correcting modifiable local and systemic factors and improving uterine function. Following preconceptional optimization, conception was achieved and sustained beyond the critical early gestational period for the first time. After conception, trimester-specific antenatal care was provided through Garbhini Paricharya. This included preventive measures to maintain maternal–fetal health and therapeutic interventions to manage pregnancy-related complaints as they arose. Symptoms were controlled conservatively across all trimesters without interruption of pregnancy. Despite the presence of a bicornuate uterus and previous recurrent pregnancy loss, pregnancy progressed to term. The patient delivered a healthy neonate by lower segment cesarean section, with no maternal or neonatal complications. This case demonstrates that integration of preconceptional Ayurvedic optimization with structured antenatal care can result in successful pregnancy outcome in multifactorial infertility and recurrent pregnancy loss associated with congenital uterine anomaly. Garbhini Paricharya functioned as both a preventive and disease-modifying approach. Further studies are required to assess reproducibility of this approach.