Homœopathic Links
DOI: 10.1055/s-0043-1764342
Case Report

An Evidence-Based Case Series of Male Infertility (OAT Syndrome Associated with Hypospermia) Treated with Constitutional Medicine

1   Thiba PHC, Birbhum, West Bengal, India
,
Swati Pandey
2   Homoeopathic Medical College, Hospital and Research Centre, Homoeopathy University, Jaipur, Rajasthan, India
› Author Affiliations
Funding None.

Abstract

A major clinical problem that still affects 8 to 12% of couples globally, infertility and issues with diminished fecundity have long been a cause for worry. Approximately 35% of the cases of infertility result from deficiencies associated with male factor and as many as 2% of all men will exhibit suboptimal sperm parameters. Medical therapy includes the treatment of reversible endocrine or infectious causes of subfertility that may cause a variety of adverse effects. This study aimed to highlight the importance of employing homoeopathic constitutional medicine in the cases, caused by suboptimal seminal parameters (oligospermia, asthenospermia, teratospermia associated with hypospermia) due to non-specific causes. In this study, three males who had a poor seminal parameter visited the outpatient clinic. Their cases were recorded, appraised and analysed according to homoeopathic principles and repertorised using a complete repertory. Finally, each case received a constitutional medicine for prescription. Causal attribution of changes in their condition to the homoeopathic treatment was assessed by Modified Naranjo Criteria for Homoeopathy (MONARCH) inventory score. After a couple of months of medical care, a second semen analysis of the patients was performed. The reports revealed the improvement in the seminal variables. At the end, the values obtained were according to the 2010 World Health Organization standards. The outcome of the case series supports the clinical potency of constitutional treatment in homoeopathy in idiopathic infertile men. In future, randomised control trials with large sample sizes may be undertaken for validation of results.



Publication History

Article published online:
14 November 2024

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  • References

  • 1 Arulkumaran S, Sivanesaratnam V, Chatterjee A, Kumar P. . Essentials of Gynaecology. 2nd ed. New Delhi: Jaypee Brothers Medical Publisher (P) Ltd.; 2011:388–389
  • 2 Infertility. World Health Organization. Accessed February 14, 2023 at: https://www.who.int/news-room/fact-sheets/detail/infertility
  • 3 Ombelet W. WHO fact sheet on infertility gives hope to millions of infertile couples worldwide. Facts Views Vis ObGyn 2020; 12 (04) 249-251
  • 4 Purkayastha N, Sharma H. Prevalence and potential determinants of primary infertility in India: evidence from Indian Demographic Health Survey. Clin Epidemiol Glob Health 2021; 9: 162-170
  • 5 Kumar N, Singh AK. Trends of male factor infertility, an important cause of infertility: a review of literature. J Hum Reprod Sci 2015; 8 (04) 191-196
  • 6 Konkar H, Dutta DC. . Textbook of Gynaecology. 8th ed. New Delhi: Jaypee Brothers Medical Publisher; 2020:192–193
  • 7 Padubidri VG, Daftary SN, Shaw W. . Howkin's & Bourne Shaw's Textbook of Gynaecology. 15th ed. Haryana, India: Elsevier; 2011:148–160
  • 8 Gerhard I, Wallis E. Individualized homeopathic therapy for male infertility. Homeopathy 2002; 91 (03) 133-144
  • 9 Ramanan VE, Sathyanandhan S. A case report of idiopathic oat syndrome, associated with necrospermia and hypospermia, reversed with individualized homeopathy. Homeopathy 2022; 111 (04) 301-306
  • 10 Shah J. . Hompath Classic M.D. Mumbai: Mind Technologies Pvt. Ltd; 2002
  • 11 Lamba CD, Gupta VK, van Haselen R. et al. Evaluation of the modified Naranjo criteria for assessing causal attribution of clinical outcome to homeopathic intervention as presented in case reports. Homeopathy 2020; 109 (04) 191-197