Abstract
Context: The urge for fatherhood can be biologically as strong as the urge for motherhood. Male infertility is directly related to impairment in the quality of semen. Complete asthenozoospermia (loss of motility) and necrozoospermia (nonviable sperms) are potential causes of male infertility. Necrozoospermia or necrospermia accounts for 0.2% to 0.5% of male infertility. In Ayurveda, these could be considered Kshina Shukra, one of the “Shukradushti” (~vitiation of sperm) where Shukra Dhatu (~reproductive tissue) is of poor quality. Methodology: A 36-year-old patient presented with complaints of having no children in the last 7 years of active married life. Based on laboratory examination, his diagnosis was confirmed as necrozoospermia. The study intervention included, Virechana Karma (~therapeutic purgation) as per the classical textbook guidelines, followed by Chatuhprasrtik Basti (~therapeutic enema) for 16 days. Results: At the end of therapy, semen analysis showed marked improvement in sperm count, increase in sperm motility and normal forms. The positive changes in semen analysis after Virechana Karma match the textbook descriptions of the benefits of Virechana Karma for Shukradushti. Conclusion: Classical Virechana followed by Chatuhprasritik Basti may be effective in improving the seminal characteristics in Necrozoospermia. The present findings with no adverse effects indicate the promising scope of traditional medicine in male infertility disorders.

Key words: Asthenozoospermia, Chatuhprasritik Basti, Male Infertility, Necrozoospermia, Shukradushti, Virechana.