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Gynecology and Obstetrics
Question #18443
267 days ago
365

AMH Test - #18443

Hannah

A few months ago, I started feeling anxious about my fertility. I’m 32, and though I’m not planning to have a baby right now, I want to know if I have enough time before my biological clock starts working against me. A friend told me about the AMH test, which checks ovarian reserve. I had never heard of the AMH test before, but after doing some research, I learned that it measures Anti-Müllerian Hormone, which supposedly gives an idea of how many eggs I have left. So, I went ahead and got the AMH test done. The results showed a low AMH level, which freaked me out. My doctor told me it means I have a reduced ovarian reserve, and if I plan to conceive later, I might have trouble. He also mentioned that low AMH can mean early menopause. This was shocking because I still get regular periods, and nothing else seems abnormal. But I’ve read mixed opinions—some say AMH levels fluctuate, and others say they don’t. Do AMH levels change naturally, or is a low level a permanent problem? Since getting the test results, I’ve been looking into ways to improve AMH levels. A few articles mentioned that Ayurveda focuses on nourishing the reproductive system, and I was wondering if there are Ayurvedic remedies to improve ovarian reserve. Are there specific herbs or treatments that help increase AMH levels? I have a history of stress and poor sleep. I also drink a lot of coffee, and my diet hasn’t always been great. Could these factors be responsible for my low AMH? My doctor didn’t mention lifestyle changes, but Ayurveda seems to focus a lot on that. Are there specific foods or daily habits that can naturally support ovarian health and improve AMH? Another thing I’m worried about is egg quality. Even if I have fewer eggs, I want to make sure they’re as healthy as possible. Does Ayurveda have treatments to improve egg quality, or is that something that can’t be changed? I also came across Panchakarma therapy, which is supposed to detox the body and balance hormones. Could Panchakarma help someone with low AMH, or is it not relevant to ovarian reserve? If so, how does it work? I’ve seen people say that Ayurveda looks at fertility differently from modern medicine. My doctor was very direct and said I should think about freezing my eggs soon. But I’m wondering if Ayurveda has a different approach—does it believe that fertility can be improved over time, or is low AMH always a permanent problem? Also, I’ve read that yoga and meditation help balance hormones. Are there any specific yoga poses that help with ovarian health and increasing AMH levels? How often should I practice them? I would really appreciate your insight, doctor. This test result has made me super anxious, and I just want to know if there’s a way to naturally support my fertility before making any major medical decisions.

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Doctors' responses

AMH (Anti-Müllerian Hormone) levels indicate ovarian reserve, but they are not the sole determinant of fertility. While AMH naturally declines with age, Ayurveda views reproductive health holistically, considering factors like Ojas (vital energy), Shukra Dhatu (reproductive tissue), and overall hormonal balance. Stress, poor diet, excessive caffeine, and irregular sleep can contribute to hormonal imbalances, potentially affecting AMH. Unlike modern medicine, which sees low AMH as a fixed issue, Ayurveda focuses on nourishing the reproductive system, improving Agni (digestion), and balancing Vata to support egg health and hormone function.

To improve ovarian reserve naturally, Ayurveda recommends Shatavari, Ashwagandha, and Guduchi to nourish Shukra Dhatu, reduce stress, and enhance hormonal function. Panchakarma detox therapies, such as Virechana (purification) and Basti (medicated enemas), help remove toxins and regulate hormonal health, which may indirectly support AMH levels. A fertility-supportive diet includes warm, nutrient-dense foods like ghee, sesame seeds, nuts, dates, and fresh fruits while avoiding processed foods, excessive caffeine, and cold or raw foods. Yoga poses like Bhujangasana (Cobra Pose), Baddha Konasana (Butterfly Pose), and Viparita Karani (Legs-Up-The-Wall) improve blood flow to the reproductive organs, while meditation and Pranayama (breathing exercises) help regulate stress-related hormonal imbalances.

Ayurveda believes fertility can be improved over time by strengthening the body’s natural reproductive capacity rather than solely relying on egg quantity. While freezing eggs is a modern option, Ayurveda focuses on optimizing egg quality, which is equally crucial for conception. With consistent lifestyle changes, herbal support, and stress management, many women with low AMH have conceived naturally. If you’re not planning pregnancy now, focus on nourishing your reproductive health to maintain fertility for the future. A personalized Ayurvedic approach, including Rasayana (rejuvenation) therapies and hormone-balancing treatments, can help you take proactive steps toward better ovarian health.

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I understand your concerns regarding fertility and low AMH levels, and it’s completely normal to feel anxious about such results. In Ayurveda, fertility is viewed holistically, emphasizing not just the physiological aspects but also the mental and emotional well-being. First, it’s important to note that AMH levels can fluctuate naturally and are highly individualized, influenced by various factors including stress, diet, and lifestyle. A consistently low level can indicate a need for support rather than a definitive prognosis.

To nourish your reproductive health and potentially improve AMH levels, consider incorporating the following Ayurvedic recommendations. Start with dietary changes: focus on a diet rich in whole foods like organic fruits and vegetables, whole grains, nuts, seeds, and healthy fats like ghee. Specific herbs that support ovarian health include Ashwagandha, which helps manage stress and balances hormones, and Shatavari, known for enhancing female reproductive health. Taking around half a teaspoon of Shatavari powder mixed with warm milk or water daily may be beneficial.

Addressing your stress and sleep is crucial as both can negatively affect hormonal balance. Implement a calming bedtime routine and consider practicing meditation or mindfulness to reduce stress. As for coffee, try to reduce your intake gradually; excess caffeine can affect fertility.

Panchakarma can indeed help balance doshas and detoxify the body, creating a supportive environment for reproductive health. It usually includes treatments like Abhyanga (oil massage) and Basti (therapeutic enema) tailored to your needs. Consulting with a qualified Ayurvedic practitioner to oversee your Panchakarma would be ideal.

Incorporating yoga into your routine is also beneficial. Poses such as Supta Baddha Konasana (Reclining Bound Angle Pose), Setu Bandhasana (Bridge Pose), and Viparita Karani (Legs-Up-The-Wall Pose) can enhance blood flow to the pelvic region and promote relaxation. Aim to practice these poses for 15 to 30 minutes daily.

Remember, Ayurveda believes in the potential to improve fertility over time through consistent lifestyle and dietary changes, so there may still be time to support your overall reproductive health. Consult with a knowledgeable Ayurvedic practitioner for personalized treatments and to address egg quality concerns specifically. This whole approach can empower you to feel more in control about your fertility as you consider your future options.

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