Endometrium is important from the point of implantation and continuation of pregnancy. There are many causative factors like inflammation, PCOD, tuberculosis etc. which lead to thin endometrium. Poor endometrial vascularity and low levels of estradiol lead to poor growth of endometrium. Hence, when endometrium thickness is less than 7mm of thickness, it is thin endometrium. This thin endometrium is associated with the less chance of pregnancy. Approximately in 40% of normal embryos which fail to implant might suggest the importance of the endometrium. Recurrent implantation failures in natural or IUI or IVF-ICSI methods, recurrent miscarriages in first trimester etc. are the major factors of infertility.
There is a short period of menstrual cycle in which the endometrium is in functional status which supports the embryo implantation. This is called as the ‘window of Implantation’ (WOI) It varies from 20 -24th day of menses according to the day of ovulation. During this short interval of time, endometrial thickness should be more than 7mm in the thickness. A lot of patients are coming to Ayurveda to improve the endometrial receptivity during the window of implantation with the help of ayurvedic medicines.
Detoxification or the Panchakarma treatment followed by Ayurvedic oral medication and Uttarbasti treatment help the patient to improve her fertility by improving her overall metabolism and health. In Uttarbasti treatment, a customized and sterilized medicated ghee or oil is put into the uterine cavity under full aseptic precautions. This Uttarbasti treatment is carried out after the menstrual period usually for consecutive 3 menstrual cycles.
ध्रुवं चतुर्णां सानिध्यात् गर्भः स्यात् विधिपूर्वकः ।
ऋतुक्षेत्राम्बुबीजानांसामग्र्याद्ङ्कुरो यथा ॥
सुश्रुतसंहिता शारीरस्थान २/३३
To get proper yield of grains, one requires good fertile land, adequate water, good quality seeds and proper fertile season. Similarly, woman requires proper menstrual cycle with good quality eggs, fertile period, healthy uterus(endometrium) and proper Rasadhatu for foetal nourishment. The woman fulfilling all these 4 criteria will blessed with child.
Diet recommendation for good endometrium-
- Have a balanced and timely breakfast, lunch and dinner. Lunch should be before 1 pm and dinner should be before 8pm.
- Include fresh, homemade food in your diet.
- Have fresh fruits, dry fruits especially 1 fist of black kishmish and 20 to 30 ml of cow ghee everyday.
- Avoid stale, spicy, junk and fermented food
Exercise recommendation for good endometrium-
- Do daily exercise except the menstrual days.
- Do at least 12 Soorya namaskaras daily.
General instructions for good endometrium
- Avoid continuous sitting, day sleeping and late night awakening.
- Try to get adequate sleep from 10.30pm to 6.00am.
A proper holistic approach which includes customized diet, exercise, ayurvedic oral medicines and Panchakarma treatment, is followed to improve endometrial receptivity. Hence, it is advisable to go for natural/IUI/IVF-ICSI conception after the preparation of uterus by holistic ayurvedic treatment by authentic classical ayurvedic gynecologist.