ALOES COMPOUND* IN STERILITY
(A Review of 797 cases)
Dr. A.V. Sangamnerkar, M.D., D.G.O
Consulting Obsletrician&Gynaecologist,
Colony Nursing Home, 209, Sadashiv Peth, POONA 411 030.
INTRODUCTION
Sterility
is a most perplexing problem for Gynecologist, General Practitioner and for patients
also. From years together various efforts have been made to satisfy the urge of
a couple to have an offspring. But with all the efforts till this day and
recent advances in medical Science an absolute answer to all the cases of Infertility
is not found.
Various
tests, investigations etc. have been devised and these are useful to many of
them where the organic and pathological causes are detected. But all the same
there is large number of infertility cases where in no specific defect is
detected by all the routine investigations done on the couple. In other words,
they are found normal but still are having the curse of infertility.
Infertility
is usually defined as 1 year of unprotected coitus without Pregnancy. Accordingly
10 to 20% couples are considered as infertile. Statistically,
1.
Male
Factors are responsible for 40%
2.
Failure
of ovulation 10 to 15%
3.
Tubal
Pathology 20 to 30%
4.
Cervical
factor 5%
5.
No
known cause cases 10 to 20%
These 10 to
20% of the couples without any organic pathology are the real hard nuts to
break. And it is for these cases that the drug Aloes Compound has been tried as
an adjuvant therapy to antibiotics, anti-inflammatory drugs and to hormone
preparations and also in cases where the menstrual cycle was scanty, irregular.
Sharma
(1972) in his pharmacological control study on female Rabbits of known
fertility observed that Aloes Compound has a fertility promoting property.
Roshan Bulsara
(1966) used Aloes Compound along with Lugol's Iodine in cases of infertility
associated with scanty and irregular menses and found it satisfactory.
Pharmacology
and properties Aloes Compound:-
1.
ALOES: (Aloes Indica): 70 mg: is obtained from sap of leaves cut from the aloes plant and has
crystalline aloin, aloe emodin, resin and volatie oil etc. constituents. It is
bitter, appetizer, digestive, laxative and emmenagogue. Used in delayed or
irregular menstruation occurring at the interval of two or three months, Aloes
gives better results when given in combination with Myrrh.
2.
MYRRH (Hira Bol): 70 mg: hematinic, appetizer and emmenagogue; excreted by the mucous
membrane of the genito-urinary tract which it stimulates, disinfects and regulates.
Used in amenorrhea due to anaemia with iron bhasma, painful and scanty
menstruation. *
3.
JEEVANTI (Leptadenia reticulata): Kamboji (Breynia patens): 60 mg: Stabilizing effect
of neuro-glandular system.
4.
MANJISHTA (Rubiacordifolia): 35 mg. Sedative, anti-inflammatory, tonic. It
acts on uterine muscles through the nervous system. Used in scanty
menstruation, amenorrhoea after delivery, endometritis.
5.
KASIS BHASMA (Iron Bhasma): 30 mg:
preparation
of established value for anaemia and debility without the side effects ol the
usual iron-therapy like constipation and blackening of teeth. Used along with
Myrrh in irregular menstruation due to anaemia. By improving anaemia it helps
in regularising menstruation.
6.
HURMAL (Paganum harmala): 35 mg: antispasmodic sedative and
emmenagogue. Used in amenorrhoea, dysmenorrhoea.
Here we
have considered Aloes Compoundfor its
anabolic activity in the genital tract/ uterine and ovarian function.
MATERIAL
& METHODS:
A study of 797 cases of Primary & Secondary infertility who have
visited the clinic between January 71 to December 76 was undertaken. Details
are as follows:
TABLE
1 No. of cases reviewed &
evaluated
No. of Total cases reviewed 797
No. of cases dropped after first
consultation 263
Inadequate following 177
Total No. of cases evaluated 357
357 = 306 Primary + 51 Secondary Infertility.
|
TABLE No. 2: Age
Group |
||||
|
|
||||
|
Age |
Primary |
% |
Secondary |
% |
|
Below 20 |
9.1% |
2 |
3.9% |
|
|
20 to 30 |
216 |
70.6% |
33 |
64.7% |
|
31 to 40, |
60 |
19 6% |
16 |
31.4% |
|
above 40 |
2 |
0.7% |
- |
- |
|
Total |
306 |
100.0% |
51 |
100,0% |