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Background: Recurrent Pregnancy Loss (RPL) remains one of the most challenging conditions in reproductive medicine, with multifactorial etiology including uterine structural anomalies, endocrine disorders, thrombophilia, immunological factors, and infections. Conventional medicine offers limited solutions for complex cases involving co-existing leiomyoma, elevated serum prolactin, and TORCH infections. This case report presents the successful Ayurvedic management of a 30-year-old woman with a history of two missed abortions, post-myomectomy weight gain, Rubella IgG positivity, hyperprolactinemia, and menstrual irregularities. Methods: A comprehensive Ayurvedic treatment protocol was implemented including Vamana (therapeutic emesis), Uttarabasti administered via a patented intrauterine delivery instrument, Shirodhara, and individualized internal medicines. Uttarabasti was performed in two cycles: the first using Kshar Taila for uterine detoxification (Garbhashay Shodhana) and the second using Phala Ghrita to enhance endometrial receptivity (Garbhashay Dharana Kshamata). Results: The patient conceived naturally within five months of initiating Ayurvedic treatment (UPT positive on 6th January 2020). Serial ultrasonography confirmed healthy fetal cardiac activity and normal intrauterine fetal growth. A healthy female neonate weighing 3 kg was delivered on 1st September 2020 via planned Lower Segment Caesarean Section (LSCS). No congenital anomalies were noted. Conclusion: This case demonstrates that a systematic, individualised Ayurvedic protocol—particularly Uttarabasti with a patented delivery instrument—can effectively address the complex, multidimensional pathology underlying recurrent pregnancy loss. The patented Uttarabasti instrument ensures precise, standardised, sterile intra-uterine drug delivery, enhancing therapeutic efficacy. Further prospective studies are warranted to validate these outcomes.