Secondary infertility associated with a history of adverse obstetric outcomes, known as bad obstetric history (BOH), poses a significant clinical challenge globally¹². Despite normal hormonal, anatomical, and genetic assessments, many women fail to conceive. Ayurveda describes such conditions under Vandhyatva, emphasizing the role of Apana Vata in implantation and maintenance of pregnancy². This case report presents a 30-year-old woman with secondary infertility and BOH, including two prior pregnancy losses—a missed abortion and a termination due to anencephaly. Investigations were within normal limits. She received an integrated Ayurvedic management protocol comprising Virechana Karma, Yoga Basti, and Uttarabasti with Phala Ghrita. Concurrent folic acid supplementation (Tab Folvite) was provided to prevent neural tube defects³. Following conception, micronized progesterone (Cap Susten) was administered for 12 weeks, and Ayurvedic uterine support (Cap Sujat) continued until 37 weeks of gestation⁴ ⁵. The patient conceived naturally and delivered a full-term healthy baby. This case demonstrates that a combined Ayurvedic and modern approach may effectively manage Vandhyatva with BOH.