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• W2893802521 abstract "INTRODUCTION:Infertility is defined as failure to conceive after 12 or more months ofregular unprotected intercourse. The World Health Organization defines the termprimary infertility as the inability to bear any children, whether this is the result ofthe inability to conceive a child, or the inability to carry a child to full term after 12months of unprotected sexual intercourse. Conception normally is achieved within12 months in 80-85% of couples who use no contraceptive measures and personspresenting after this time should therefore be regarded as possibly infertile andshould be evaluated. In India which ranks top in population, quite unrelated tonational population figure, is the prevalence of infertility. Primary infertility is acommon and distressing problem in India as in other parts of the world. Semenabnormalities (22.4%), Anovulation (17.2%), Ovarian failure (8.8%),Hyperprolactinemia (8.4%), and tubal disease (7.2%) are common causes ofinfertility. The pattern of infertility in India is the same as in other parts of the world,except that infertile couples report late for evaluation.A contributory male infertility factor is identified in almost 50% ofinfertile couples .The distribution of diagnoses seen in a male infertility clinicreveals that 75% of men will have idiopathic infertility with or without an abnormalsemen analysis. The term male infertility does not constitute a defined clinicalsyndrome, but rather a collection of different conditions exhibiting a variety ofaetiology and a varying diagnosis. A comprehensive male infertility evaluation is acritical part of optimizing a couple’s reproductive potential. Basic semen analysishas remained an essential screening test in the assessment of human male fertility.Even after the development of well advanced diagnostic techniques likeSemen analysis, USG scrotum, hormonal studies, testicular biopsy, still causes ofmale infertility remain idiopathic in many cases. The introduction of moleculartechniques has provided great insight into the genetics of infertility. The causes areknown in less than half of these cases, out of which genetic or inherited disease andspecific abnormalities in the Y chromosome are major factors. Yet, theunderstanding of the genetic causes of male infertility remains limited. Hence it isthe need of hour to develop sensitive and reliable diagnostic techniques for maleinfertility to reveal the underlying cause and pave the way for choosing treatmentprotocol. Siddhar Thiruvalluvar insists, for cure of diseases, concentrate on properunderstanding about the causative factor of a disease, as explained in the verses:“Noi naadi noi mudhal naadi athu thanikumvaai naadi vaippa cheyal”Siddha approach to Male infertile (Aanmaladu) patients include Envagaithervu (Eight fold examination), Manikkadai nool (Wrist circumbreadth sign),Jothidam (Astrology), Udalkattugal, Yakkai (Body type determination), and Sukkilaparisothanai (Siddha way of semen analysis involving the qualities expounded bySage Yugimuni). These parameters in a infertile patient can disclose underlyingcause, based on which a perfect management of infertility can be done.The author hopes that examining male infertile patients with siddhadiagnostic procedures can reinforce and augment the understanding ofpathophysiology and diagnosis of the disease ‘Aanmaladu’ (Male infertility) andlead the way for its management which can bear fruit benefiting every infertile patient.AIM AND OBJECTIVES:AIM:To conduct a study on Diagnostic methodology in Siddha system forAan maladu/ Male infertility.OBJECTIVES:1.To elucidate a Diagnostic methodology for Aan maladu.2.To determine the Humoral Pathology behind Aan maladu using Siddhadiagnostic procedures.3.To correlate Sage Yugimuni’s insight about Diagnostic characteristicsof Aan maladu with the scientific concepts about Male infertilitymentioned in the Reproductive medicine.4.To validate the Yugimuni’s semen analysis technique in diagnosingAan maladu.5.To review the literatures regarding Diagnostic procedures andPathophysiological concepts of Aan maladu.MATERIALS AND METHODS:Study Type: Observational study.Study Design: An Analytical open label, single centric study.Study Place: Department of Noi Naadal, Ayothidoss Pandithar Hospital, National Institute of Siddha, Tambaram Sanatorium, Chennai-47.Study Period: Total period - 1yr, Recruitment for the study - upto 10 months,Data entry analysis - 1 month, Report preparation and submission - 1 month.Sample Size: 4O Patients.Inclusion Criteria:1. Male of Age group- 20 to 45 years.2. Married.3. Failure of his partner to conceive even after unprotected intercoursefor 12 months and above.4. Willing to give semen sample for semen analysis.Exclusion Criteria:1. Genetic disorders identified by clinical features.2. Findings of defects in the partner‟s conceptual ability.3. History of Miscarriage of his partner.4. Post vasectomy.5. Any Major systemic illness.CONCLUSION:The Diagnostic procedures of Siddha may be an age-old method; however,it is time-tested and has been proved successful by the generations of Siddhacommunity. The study revealed that majority of Aan maladu patients had eitherVatham or Pitham derangement as the primary cause. Vatha pitham and Pithavathamwere the Pulse appraisal seen in most of the patients. Good Line of treatment forAan maladu/male infertility would start with alleviation of primarily affectedhumour , followed by compensation of the secondarily affected humour, thentoning up of the affected Udalthathukkal .Even though in the present study, the sample size of 40 was small, thefindings with respect to the floating nature created by the semen on water inmajority of the infertile patients matched with the description given in literature. TheDiagnostic tool expounded by Sage Yugi, the semen’s buoyancy test on water isfound to be more sensitive in Azoospermia than other semen abnormalities. Thepresent study is a basic step to enlighten semen analysis in a Siddha way. Need forfurther research on a larger group of patients to arrive at more definite conclusionshas been felt." @default.
• W2893802521 created "2018-10-05" @default.
• W2893802521 creator A5014296839 @default.
• W2893802521 date "2013-04-01" @default.
• W2893802521 modified "2023-09-27" @default.
• W2893802521 title "A Study on Diagnostic Methodology in Siddha System for Aan Maladu (Male Infertility)" @default.
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