Clinical Outcome of Severe Oligoasthenoteratozoospermia (OAT) following Ayurvedic Treatment: A Single Case Report

Abstract

Severe oligoasthenoteratozoospermia (OAT) is a significant cause of male infertility, marked by reduced sperm concentration, poor motility, and abnormal morphology. This single case report describes a 31-year-old male with primary infertility who presented with severe OAT, evidenced by a sperm concentration of 7 × 10⁶/mL, total motility below 12%, less than 4% normal morphology, delayed liquefaction time, high viscosity, and slightly alkaline semen p^H. The patient underwent individualized Ayurvedic management for 3 months duration focused on correcting Dosha (body humors) imbalance, enhancing Agni (digestive fire), and nourishing Shukra Dhatu (sperm) through Shodhana (purification) and Shamana (pacification) therapies specially focused on Vrushya (aphrodisiac) and Rasayana (rejuvenate) therapies. Post-treatment semen analysis revealed significant improvement in sperm concentration, motility, morphology, and seminal characteristics, with no adverse effects reported. After follow-up the couple conceived successfully. These findings suggest that Ayurvedic intervention may offer a holistic and non-invasive therapeutic approach for managing severe OAT and larger controlled clinical studies are required to validate these observations and establish evidence-based Ayurvedic treatment protocols.