Abstract

Abstract

Background Semen analysis serves as the primary investigation for assessing male reproductive potential. Ayurveda considers Shukra Dhatu (Semen) as the most refined product of tissue metabolism and describes its pathological alterations under the concept of Shukra Dushti, as detailed in classical texts such as Charaka Samhita, Sushruta Samhita, and Ashtanga Hridaya. Objective To establish a systematic correlation between modern semen analysis parameters and Ayurvedic descriptions of Shukra Dushti based on Dosha involvement. Materials and Methods Semen parameters were interpreted in accordance with WHO 2021 guidelines and standard laboratory references. Classical Ayurvedic descriptions related to Shuddha Shukra Lakshana, Shukra Dushti, Shukravaha Srotas, and Shukra Pariksha were reviewed and analyzed. A parameter-wise comparative correlation was performed. Results Prolonged liquefaction time was associated with Kapha–Vata Dushti; alkaline semen pH (>8.5) correlated with inflammatory states resembling Pitta Dushti; reduced semen volume (<1.4 mL) reflected Shukra Kshaya; diminished sperm concentration aligned with Tanu Shukra; leukocytospermia corresponded to Puti Shukra; while increased viscosity and sperm agglutination indicated Picchila and Granthibhuta Shukra respectively. Conclusion Integrating semen analysis parameters with Ayurvedic concepts of Shukra Dushti provides a comprehensive diagnostic framework. This integrative approach enhances clinical interpretation of male infertility and supports individualized Ayurvedic management strategies.