I’m unable to conceive for my second child - #31530

Hellooo dear ,

You had a natural delivery in 2018, then a molar pregnancy in 2024, and since Jan 2025 you’ve been trying for pregnancy without success. Your AMH (3.45) is within a good range for your age, and your partner’s semen motility (80%) is also quite healthy. Your thyroid (TSH 2.5 on 100 mcg medicine) is well controlled. Having regular cycles is another positive sign.

The main concern is the history of molar pregnancy after such a condition, doctors usually recommend waiting at least 6–12 months before trying again, and also keeping a close follow-up to ensure complete recovery of the uterus and hormone balance. Sometimes, even if everything looks normal, the uterine environment may need more time to stabilize.

You should consider the following: 1. Consult your gynecologist once again for a proper check-up (ultrasound, hormone panel, and follow-up after molar pregnancy). 2. Since AMH, semen, and thyroid are fine, most of the basics are covered — but a hysteroscopy or imaging may be advised to check if the uterus lining has healed completely. 3. Supportive Ayurveda treatment can be added to improve endometrial receptivity, egg quality, and stress balance.

Ayurvedic support: • Ama pachana (initial 2–3 weeks): • Hingvastak churna – 1 tsp with warm water, before lunch and dinner. • From day 15 onwards: • Phal ghrita – 1 tsp with warm milk daily morning. • Ashwagandha churna – 3 g with warm milk at night. • Shatavari kalpa – 1 tsp with warm milk twice daily.

Investigations (if not already done after molar pregnancy) • Ultrasound pelvis • Hysteroscopy (if your gynecologist suggests) • Hormonal profile (FSH, LH, prolactin, estradiol, progesterone mid-luteal)

You’re doing everything right already, so don’t lose hope sometimes after a molar pregnancy, the body simply needs a few more months of recovery. Stay regular with your medicines and add these supportive measures.

Warm regards, Dr. Karthika

Even though you have regular cycles and good over and reserve, but usually after molar pregnancy, sometimes you trust and hormones needs gentle support for conception ,here in your case stress reduction, thyroid optimisation and uterine nourishment is very important Chandraprabha vati 1 tab Twice daily after food with lukewarm water Shatavari churna/ Ashwagandha churna Each of half teaspoon with warm milk at night Include milk ghee nuts seeds and fresh fruits

I understand your situation. Experiencing a molar pregnancy can be a challenging and emotional journey, and it’s completely understandable that you are concerned about your ability to conceive again. The fact that you have a child already and are now experiencing difficulty conceiving again is a form of secondary infertility.

Let’s break down your situation from both a modern medical and an Ayurvedic perspective.

Medical Perspective Molar Pregnancy: A molar pregnancy is a rare complication of pregnancy characterized by the abnormal growth of cells inside the uterus. It’s a genetic error and not your fault. Most women who have had a molar pregnancy can go on to have healthy pregnancies. The typical protocol is to wait until hCG levels have returned to zero and remain stable for a period of time (usually 6-12 months) before trying to conceive again. Since your molar pregnancy was in 2024 and you’ve been trying since Jan 2025, it’s likely you have already followed the medical advice to wait.

AMH (Anti-Müllerian Hormone) Level: Your AMH level of 3.45 ng/mL is excellent for your age (assuming you are in your reproductive years). This indicates a good ovarian reserve, meaning you have a healthy number of eggs.

Semen Analysis: The motility of 80% is a very good result. This suggests that the male factor is likely not the primary issue.

Thyroid (TSH): Your TSH level of 2.5 is within a good range for someone trying to conceive. The American Thyroid Association recommends a TSH level of less than 2.5 mIU/L during the preconception period and first trimester for optimal fertility outcomes. The fact that you are on 100mg of medication indicates you are actively managing this, which is crucial.

Given these factors, your body seems to be in good shape from a physiological and hormonal standpoint. The challenge lies in understanding why, despite a regular cycle, you’re not conceiving. This is where the holistic approach of Ayurveda can be particularly insightful.

Ayurvedic Perspective In Ayurveda, infertility (Vandhyatva) is often seen as a result of an imbalance in the body’s fundamental energies, or doshas (Vata, Pitta, and Kapha), and the health of the reproductive tissue, known as Shukra Dhatu. A molar pregnancy, with its abnormal growth and potential for inflammation, might be viewed as a sign of deep-seated imbalance that needs to be addressed.

The Ayurvedic approach would focus on the following principles to prepare your body for a healthy pregnancy:

Balancing Vata Dosha: Vata is the energy of movement and is essential for the processes of ovulation, fertilization, and implantation. An imbalanced Vata can lead to irregular or painful menstruation, dryness, and anxiety. Given your previous pregnancy and then the molar pregnancy, the body’s Vata might be disturbed. The goal would be to calm and nourish Vata through diet and lifestyle.

Strengthening Agni (Digestive Fire) and Removing Ama (Toxins): Proper digestion (Agni) is crucial for the nourishment of all body tissues, including the reproductive system. Any undigested food forms toxins (Ama) that can block channels and hinder conception. The molar pregnancy could be seen as a manifestation of an underlying issue in the body’s ability to create healthy tissue.

Nourishing Shukra Dhatu: This is the most important aspect. Shukra Dhatu, the reproductive tissue, needs to be strong and healthy in both partners to produce high-quality sperm and eggs and to support a healthy pregnancy.

Mental and Emotional Well-being: Stress and anxiety can significantly impact fertility. Ayurveda emphasizes the connection between the mind and body. The emotional toll of a molar pregnancy and the subsequent waiting period can create a mental block that needs to be addressed.

Possible Ayurvedic Remedies and Approaches

Panchakarma (Detoxification): A full-body cleanse under a practitioner’s guidance may be recommended to clear out toxins and prepare the body for conception. This could include therapies like Virechana (therapeutic purgation) or Basti (medicated enema), which are particularly effective for reproductive health.

Dietary Adjustments:

Include warm, nourishing, and easily digestible foods.

Incorporate Ojas-building foods like ghee, milk, dates, almonds, and saffron. Ojas is the essence of all the body tissues and is responsible for vitality and immunity.

Avoid processed foods, cold and raw foods, and excess caffeine and alcohol.

Lifestyle Changes:

Continue with your regular exercise, meditation, and pranayama. These are excellent for reducing stress and improving blood flow to the reproductive organs.

Ensure you are getting adequate and restful sleep.

Practicing gentle yoga poses (asanas) that improve pelvic blood circulation, such as Bhujangasana (Cobra Pose) and Baddha Konasana (Butterfly Pose), can be beneficial.

Next Steps

Continue Medical Monitoring: Keep your TSH levels in check and continue to follow up with your gynecologist to ensure there are no other underlying issues.

Be Patient and Positive: The journey can be frustrating, but trust in your body’s ability to heal and conceive. The stress of trying can sometimes be a barrier in itself. Focus on your overall health and well-being, and let the process unfold naturally.

1.) Ashokarishta + Dashamularishta-4 tsf after food with water

2.) Shatavari choorna-2gm Shatapushpa Churna-2gm + Pushpadhanva Rasa-250mg + Nashtapushpantaka Rasa-250mg + Shuddha Shilajatu-250mg -before food 2 times with ghee and honey

3) Phala Kalyanaka Ghrita-2 tsf 2 times 1 hr after food

4) .Tab. Leptaden-2 after food with water 2 times a day

NO NEED TO WORRY,

NEED PERSONAL CONSULTATION. please visit nearby ayurvedic physician (BAMS MS GYNAE/OBS)for further advice and treatment.

Take cRe😊

Kind Regards, Dr.Isha Ashok Bhardwaj

1.Ashwagandha tab 1 tab twice daily with warm milk 2.Shatavari churna 1 tsp twice daily with warm milk 3.Phal ghrita 1 tsp twice daily with warm milk 4.Ashokarishta 20 ml with 20 ml water twice daily

Yoga: Gentle poses like Supta Baddha Konasana, Viparita Karani,Baddha konasana, Ustrasana, Setu bandhasana and Bhujangasana.

Pranayama: Nadi Shodhana and Bhramari daily to reduce stress and balance hormones.

- Sleep: Aim for 7–8 hours; poor sleep affects ovulation and implantation.

Diet Tips - Warm, cooked meals with ghee and spices like cumin, ajwain, and turmeric. - Include: Dates, soaked almonds, sesame seeds, milk, and seasonal vegetables. - Avoid: Cold, raw, or processed foods; excess caffeine and sugar.

Suggested Lab Tests (if not done recently) - FSH, LH, Estradiol (Day 2–3 of cycle) - Progesterone (Day 21) - Pelvic ultrasound to check uterine lining and ovulation

HELLO CHATHURYA,

-Natural delivery (2018)= body used up a lot of vital essence to support pregnancy and breastfeeding

-Molar pregnancy (2024)= indicates disturbed ovum quality and possibly aggravated pitta or ama (toxins/metabolic waste) leading to abnormal conception

-Now difficulty in conceiving= even though cycles are regular, sometimes apana vata (downward reproductive energy) becomes imbalanced, dhatus depleted, or subtle obstruction from kapha/ama remains

So the goal is not only to push for conception, but to reset, nourish, and strengthen the system so the body naturally supports healthy pregnancy

TREATMENT GOALS -Clear toxins and balance doshas (especially Vata-pita) -Rejuvenate reproductice tissues -enhance egg quality and uterine health -strengthen mind-body connection reduce stress, balance hormones -support natural conception safely

PHASE WISE TREATMENT PROTOCOL

PHASE1 = Detox and balancing (1-2 months) GOAL= remove subtle toxins, balance vata-pitta

INTERNALLY

-TRIPHALA CHURNA= 1 tsp at bedtime with warm water for gentle detox

-GUDUCHI 500mg twice daily = liver health, immunity

EXTERNAL -warm sesame oil massage 2 times/week=reduces vata, improves circulation DURATION= 4-6 weeks

PHASE 2 = NOURISHMENT AND RASAYAN (2-4 months) GOAL= rebuild dhatus, enhance fertility

INTERNALLY

-PHALA GHRITA= 1 tsp with warm milk morning and evening =classical fertility ghee

-SHATAVARI KALPA= 2 tsp in milk daily =supports ovulation, uterine health

-ASHWAGANDHA CHURNA= 1 tsp at night with warm milk =stress balance. dhatu strength

-PUTRANJEEVAK BEEJA + SHIVLINGI BEEJ POWDER= 2 gm each mixed with honey in morning

CAN ALSO GO FOR UTTAR BASTI (medicated ghee administered vaginally)= deeply strengthen uterus and endometrium (must be done by doctor only) DURATION= 2-3 cycles

PHASE 3= CONCEPTION SUPPORT (actively trying, 3-6 months) GOAL= support ovulation, implantation, and early pregnancy stability

-PHALA GHRITA continue

-KAPIKACCHU 500 mg twice daily after meals- hormonal balance

-LODHRA + ASHOKA + SHATAVARI deoccotion= 30 ml daily twice- balances uterine lining

-During luteal phase (post ovulation)= SUKUMAR GHRITA= 10 ml. daily with milk for implantation support

LIFESTYLE -maintain calm environment around fertile days (avoid stress, travel, exhaustion)

DURATION= until conception, then shift to pregnancy supportive herbs

DIET -warm, fresh foods cooked with ghee -milk, saffron milk, soaked almonds, dates, figs, sesame seeds, jaggery -green leafy vegetables, moong dal, seasonal fruits

AVOID -excessive caffeine, alcohol, smoking -leftover, processed, or very spicy food -cold/dry snacks (chips, bakery items)

HOME REMEDIES -drink warm milk with 1 tsp ghee + a pinch of saffron at night -sesame + jaggery laddoo in winter -soaked fenugreek seeds in warm water helps metabolism

YOGA ASANAS -suptabaddha konasana -viparita karani -setu bandhasana -malasana =improves pelvic circulation

PRANAYAM -nadi sodhana -bhramari -ujjayi =calms nerves, balance hormones

DAILY ROUTINE -regular sleep (10-6, 11-7) -gentle walks after meals -avoid over exercise, late nights, excessive screen time

INVESTIGATIONS ADVISED -Thyroid profile every 3 mnoths -serum prolactin, vitamin D, Hb levels -Pelvic ultrasound (check uterine lining and ovarian health) -HSG (if not yet done post molar pregnancy) to check tube potency -folloe up beta HCG since molar pregnancy histroy

Ayurveda sees fertility as a natural outcome of balance, nt something to be forced. It works in phases= cleansing-> nourishing-> conception support. This isn’t a quick fix, but a gradual strengthening of your body’s natural ability. you already have a lot in your favour- age, cycles, AMH, partner’s good parameters. with consistent care, stress management, and integrative follow-up, chances look encouraging

Think of this not just a treatment, but as preparing fertile soil where the seed naturally takes root

DO FOLLOW

HOPE THIS MIGHT BE HELFPUL

THANK YOU

DR. MAITRI ACHARYA

Your body needs support to improve your reproductive health and create optimal conditions for conception, especially after a previous pregnancy complication medicine that strengthen reproductive tissues, balance hormones and improve overall vitality can help Sukumaram tablet 1-0-1 Shatavari churna 0-0-1 tsp with milk at night Triphala churna- 0-0-1 tsp at night

In your situation, conceiving a second child can be influenced by several factors, particularly regarding your hormonal balance and uterine health after experiencing a molar pregnancy. A molar pregnancy can temporarily impact your fertility, but your efforts to conceive since early 2025 are understandable, given your current health metrics. Your regular period cycles, AMH value, and partner’s semen analysis suggest positive indicators of fertility. However, Ayurveda encourages us to consider a holistic approach, addressing not only the physical but also the mental and emotional well-being.

Firstly, considering your thyroid health, it’s crucial that the TSH level remains well-managed, as thyroid hormones play a significant role in fertility. Regular monitoring and appropriate medication adjustments with your healthcare provider can help maintain this balance. In Ayurveda, calming and nourishing herbs like Ashwagandha, Shatavari and, Guduchi may support reproductive health, but consult with a skilled Ayurvedic practitioner to tailor the usage to your specific constitution (prakriti).

Secondly, endocrine disruptors in diet and lifestyle can subtly influence fertility, so incorporating a Sattvic diet emphasizing whole grains, fresh fruits, vegetables, and dairy can help in balancing the hormones naturally. Avoid excessively processed foods, and excessive caffeine or sugars.

Practices such as regular yoga and pranayama, particularly targeted ones like Bhramari and Anulom Vilom, may foster mental calming, which can indirectly support natural conception efforts. The digestive fire, or agni, should be strong. Consuming warm, spiced teas with ingredients like cumin, black pepper, and ginger can invigorate digestion.

Lastly, paying direct attention to the lunar cycles, as per Ayurveda, plan intimacy during fertile periods aligned with the moon phases, can be harmonising for conception. If conception is still challenging after a thorough holistic strategy, I would strongly advise consulting an infertility specialist, as a teamwork between conventional and Ayurvedic treatments often provides the best outcomes. Timing along with appropriate medical insight is crucial in such situations.

Given your situation, addressing the root causes in a Siddha-Ayurvedic framework can often reveal underlying imbalances that modern medicine might overlook. A regular period and well-timed attempts suggest that an energetic or subtle issue might be a barrier. Let’s explore some areas to focus on.

First, examining your dosha balance might shed light on conceiving challenges. Your history suggests a possible vata imbalance, potentially affecting your reproductive tissues (shukra dhatu) or energy channels (nadis). Consider incorporating daily routines that ground and stabilize vata, such as regular oil massages with sesame oil and warm, nurturing foods like cooked grains and root vegetables. Additionally, ensure you’re staying warm, both physically and in dietary choices, as cold can exacerbate vata imbalances.

Digestive health is paramount, so supporting your agni is critical. Include spices like cumin, fennel, and turmeric in your meals to strengthen digestion, helping your body better nourish all dhatus. Avoid overly processed or cold foods that dampen agni.

For thyroid support, monitoring iodine and selenium intake through diet, while continuing thyroid medication under professional guidance, is crucial. In Siddha, herbs like ashwagandha can gently support thyroid function and stress reduction. However, consult with a professional before integrating herbs, considering your medication.

Regarding reproductive health, specific Siddha formulations such as Ashwagandhadi Lehyam might nourish reproductive tissues and balance hormones, yet these should only be used under guidance from an experienced practitioner to ensure they suit your prakriti and overall health.

Lastly, while chances look favorable, it’s sensible to discuss these strategies alongside your ongoing medical advice, as synchronous support can sometimes unlock new possibilities for conception. If any symptoms or concerns arise, swiftly reaching out to a medical professional remains critical.