Pancha means five, and karma means procedure, referring to the five major procedures: Vamana, Virechana, Basti, Nasya, and Raktamokshana. However, for infertility or IVF failures, Raktamokshana is not used. Instead, Uttara Basti, a specialized variant of Basti is done, exclusively for infertility or IVF management. In this procedure, medicated herbs are directly instilled into the uterus, offering a targeted and effective treatment for infertility.