Question #23115
48 days ago
207
Hormonal disbalance, diabetes and low amh. - #23115
Tirthaa Dey
I am 41 years old. Married for 3 years. No history of miscarriage. Had micro surgery 2 years back for cysts, fibroids, tubal blockage etc. Unable to conceive. Have hormonal disbalance, low amh, diabetes. Suffers prolonged heavy bleeding in cycle. Want to conceive naturally. Facing this problem since past 3 years.
Age: 41
Chronic illnesses: Diabetes and low haemoglobin.
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Doctors’ responses
Hello tirtha,
Your case involves multiple fertility impacting factors that need to be handled gently but effectively.
Low AMH- Suggests reduced egg reserve. Doesn’t mean pregnancy is impossible , but conception may take time and needs strong ovarian support
Hormonal imbalance- can distrup ovulation and endometrial lining health
Diabetes- impacts egg quality and uterine receptivity
Heavy bleeding- points to uterine inflammation or residual fibroid effects
Tubal history- even post surgery , tubes may not to be fully functional
Age factor- natural egg decline occurs, so time sensitive strategy is key.
According to ayurveda,
1)Low AMH- dhatukshaya (depletion of shukra dhatu and Artava), often due to age, stress, toxins, irregular food/sleep, chronic illness=reduced quality and quantity of egg.ovulation may still happen if cycle is regular
2) Hornonal imbalance - vitiation of Vata(apana), and pitta irregular Artavavaha srotas, disturbed hypothalamic- pitutary-ovarian axis= delayed/missed ovulation, weak endometrium , PCOS/bleeding tendency
3)Dibates( type 2)- Madhumeha due to kapha + vata aggravation, Agni Mandya->dhatu kshaya (including shukra dhatu)= affects egg quality, delays implantation increases miscarriage risk
4)Heavy periods- raktapradara due to uterine congestion (pitta- rakta aggravation, leftover fibroid/lining trauma)= Anemia, fatigue, weak uterine lining
5) post surgical tubal issue- scarring may remain despite surgery= natural conception depends in whether at least 1 tube is open
6) Low hb- rakta dhatu kshaya->poor energy, poor follicle nourishment= weak ovulation and embryo nutrition
#Treatment goals
1)Revive ovaries+increase egg quality
2)balance reproductive hormones(FSH,LH,ESTROGEN,PROGESTERONE)
3) stop heavy bleeding + rebuild blood
4) regulate diabetes with rasayana (rejuvenation)
5) prepare uterus to hold pregnancy naturally
6) enhance natural conception chances within 6 months
#PHASE - WISE AYURVEDIC MANAGEMENT PLAN
PHASE 1- detox+ foundation
Duration- month 1-2
Focus- cleanse system, prepare ovaries and uterus , stabilise hormones and sugar
1) Putranjeevak + shivlingi beej churna- 1gm each with honey on empty stomach = Egg nourishment and ovarian rejuvenation
2) Ashokarista (dootpapeshwar brand) - 15ml+15ml water twice after food= hormone balance, cycle correction
3)Chandraprabha vati- 1 tab twice a day after food=antioxidant and insulin control
4) Nishaamalaki churna- 3gms at bedtime with warm water=sugar,pcod, cysts
5) Punarnava mandur- 2 tabs daily+ pomegranate juice (50ml)=blood builder
6)Arogyavardhini vati- 1 tab daily, improves estrogen clearance after lunch
Yoga(daily,30 min)
-baddhakonsana- butterfly pose
-paschimottanasana- forward bend
-Setu bandhasana- bridge pose
-viparita karani- legs up pose
Pranayam
-Anulom vilom- 7 min
-bhramari- 5 min
-ujjayi- 5 mins
#PHASE 2- FERTILITY ACTIVATION
duration - 3-4 month
Focus- ovulation support+endometrial strength + blood and energy restoration
1)Phal ghrita (AVN/kottakal)- 5ml in warm milk morning empty stomach =Ovulation and egg health
2)Shatavari kalpa (zandu) - 1 tsp with warm milk at night =fertility rejuvenation
3) Ashwagandha churna - 5gm with milk at bedtime= improve endometrial lining
4) Optional if irregular periods
Rajapravartini(5 days before period date) - 1 tab twice daily = hormonal support
Start ovulation tracking(Day 10-18 of your cycle)
Use LH ovulation strips daily. Have intercourse every alternate day in fertile window
#PHASE 3- conception support
Duration- month 5-6
Continue-
Putranjeevak +shivlingi
Chandraprabha vati
Shatavari+ashwagandha
Add dashmoolarista = 15 mL post meals to stabilise uterus after ovulation
insert a tampon soaked in warm Arjuna ghrita post intercourse- once a week during ovulation week only
#DIET- fertility and diabetes balance
Must include-
-2 soaked walnuts+5 soaked almonds+1 tsp flaxseed daily
-cow ghee-1 tsp/day
-turmeric milk at night
-iron rich - cooked spinach, pomegranate, beet root, jaggery water
-warm foods only- avoid raw salads/cold smoothies
#AVOID
-High sugar= sweets,bakery,juices
-Estrogen blockers=soy, flax in excess
-Uterine irritants =cold water, pineapple, papaya
-Gut disrupts = fermented food,milk+salt combo, maida
Panchakarma if feasible go for it very much effective in your case
- Uttar basti therapy (if tubal block not fully clear)
- virechana or basti t clear pitta and vata
#BLOOD TESTS TO TRACK (repeat every 2-3 months)
AMH- track egg reserve
HbA1c- sugar control
TSH, prolactin, FSH, LH- hormone balance
TVS follicular scan- track ovulation from day9-16
#MIND AND SPIRIT SUPPORT
-chanting santaan Gopal mantra
-Garbha Sanskara readings daily
-Keep a fertility journal- mood, cycle ,ovulation , prayer
Final words-
Yes, you can conceive naturally at 41- even with low AMH and diabetes- if you focus on strengthening the quality of the eggs, not just quality. Ayurvedic treatment have. Deep nourishing impact, and time is critical
Consistency of 4-6 months is essential
Stay positive, stress free
Do follow and see 100% results
Hope this might be helpful
And may you blessed with healthy pregnancy naturally and have a beautiful healthy Baby
Thank you
Dr.Maitri Acharya
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Hello,
Please consult a ayurveda doctor nearby and get panchakarma procedures done along with ayurveda medicines. These methodology has proven results.
Take care.
Kind regards.
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Hey Tritha, i also want to comment on your concern,
You are having a jumble of hormones and also the age factor, hence in your case conception is a challenge. Dont you worry at this platform are to guide you to the best we can.
Ayurved works on the metabolic rate of the body boosting the endocrine system and hence balancing the hormonal disbalance. Firstly consult an ayurvedic fertilty expert, panchakarma plays a grt role in infertiliy cases specialy in low AMH .a full physical consultation is important.
I can provide you some general medication for improving fertility and egg quality
M2-Tone tablets – 2-0-2
Sukra Dhatu Vardhak Churna -½ to 1 tsp (about 3–5 grams) twice a day,With warm milk or water
Dashmoolarishta 15ml with warm water twice a day.
Chandraprabha Vati – 2-0-2
Dietry changes-
A fertility-supportive diet that controls blood sugar and nourishes eggs:
Proteins: Moong dal, paneer (homemade), eggs, soaked almonds
Fats: Cow ghee, flaxseeds, walnuts, coconut oil
Whole grains: Millets (ragi, bajra), red rice (small quantities)
Vegetables: Beets, bottle gourd, spinach, carrots, ridge gourd
Avoid: Refined carbs, sugar, bakery, maida, deep fried foods, soy
Timing: Eat by sunset, avoid late-night snacking, 12-hour overnight fasting helps insulin.
Do Yoga or a 30min walk atleast.
God bless you
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Hello TIRTHAA DEY
Thank you for reaching out and trusting this platform with your health journey. I truly understand how emotionally and physically exhausting. It can be to face fertility challenges, especially after multiple medical interventions. Let me offer you guidance based on Ayurvedic principles aimed as strengthening your reproductive health, naturally gently and holistically
From ayurvedic point of view your symptoms —
Low AMH, prolonged, heavy bleeding, hormonal imbalance is diabetes and a history of fibroids and tuber blockage— points to a long standing imbalance in rasa dhatu ( nutritional fluid),Ariana dhatu (reproductive tissues) and aggravated vata and pitta doshas .. this imbalances disturb the menstrual cycle, ovulation and nourishment of the uterus, reducing fertility
Low haemoglobin and diabetes, further, weaken ojas the vital essence, responsible for immunity, strength, and reproductive vitality
Our focus in Ayurveda will be to —
Nourish and strengthen artava dhatu (reproductive tissue)
Regularise hormonal functions naturally
Balance Vata- pitta to stabilise the cycle
Improve Ojas and uterine reactivity
Support ovulation and egg equality
Control blood, sugar, and bleeding
Diet and lifestyle recommendations —
Avoid spicy, oily, fermented, and stale food
Eat warm cook nourishing foods like moong dal, red rice, GHEE and seasonal vegetables
Include black sesame, dry dates and pomegranate juice
Whole body massage with warm sesame oil weekly three times
Avoid late night, stress, assistive screen time, and cold foods
Practice gentle yoga pranayama meditation daily
Ayurvedic medicines —
Shatavari churna-half teaspoon with warm milk twice daily after food
Asoka aristha-4 tsp with equal quantity of water twice daily after food
Chandraprabha vati -tablet, twice daily after food with warm water
Kumarasava-4 teaspoon with equal quantity of water twice daily after
Phalagritam-1 teaspoon with warm milk in the morning on empty stomach(it’s strengthen the uterus and improves fertility)
Punarnavadi mandoora (iron rich formulation to increase haemoglobin) one tablet to be taken with water
as Ayurveda treats from the root cause it takes time, but definitely within few weeks you’re going to see positive changes in your body. So be consistent with medicine, lifestyle modification and diet changes. When this three combine together and followed in a disciplined way. Then only you can see positive changes
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Take M2TONE forte 1-0-1 after food with water , will help regulate and normalise your menstrual cycle and flow.
Phalagritam-2tsp. with warm milk before food, to strengthen the uterus and improve fertility.
Develope a positive mindset.and stress free life.
Nutritious food in diet
Good sound sleep.
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Hello Teertha Dey
" NO NEED TO WORRY "
I WILL HELP YOU UNDERSTAND & RECOVER WITH UR INFERTILITY HORMONAL IMABLANCE ISSUES SAFELY EFFECTIVELY "
"I can understand ur concern and anxiousness regarding Unable to conceive with Multiple Infertility factors and other health issues"
" I will guide u practically to goal oriented Holistic Ayurvedic Treatment Approach to Diagnose Manage and Concive Naturally Safely."
UR ISSUES
* Unable To Conceive 3 Yrs Of Married Life
* Prolonged Heavy Bleeding in Cycle
* Hormonal Imbalance
* Low AMH
MEDICAL HISTORY
* Operated for Cyst Fibroids Tubal Blockage
* Hormonal Imbalance
* Low AMH
* Diabetes
* No Miscarriage
* Low Hb
PROBABLE CAUSE FOR INFERTILITY
Advanced Ageing Hormonal Imbalance Estrogen Dominance Low AMH Ovulation issues Poor Egg Quality Thick/ Endometrial lining Implantation issues Prolonged Nutritional Deficiencies Recurrent Cyst Fibroids Tubal Blockage Uterine Infections Husband's Low Sperm Quantity Quality Morphology Stress Sedentary Lifestyle Overweight Obesity etc
INFERTILITY FACTORS & HOW IT INTERFERE UR PREGNANCY & FERTILITY
HORMONAL IMBALANCE - leads Irregular Periods Ovulation Uterine Thickness Heavy Flow
IMPROPER OVULATION - Hormonal Imablance affect ur Ovulation & Menstrual Cycle Lead Anovulation or Delayed Poor Ovulation
LOW AMH - Low Ovarain Reserve, Reduced Ovarain egg producing capacity
POOR EGG QUALITY - Due to Prolonged Nutritional issues Hormonal Imablance leads Poor Egg Quality which Affect Pregnancy
FUNCTIONAL FALLOPIAN TUBE PATENCY OR POST SURGICAL SCARRING- Inspite u checked Tube are clear patent but there might be Functional tube issues or underlined infection affecting tubes ,
HEAVY PERIODS FLOW - Hormonal Imablance High Estrogen Incomplete Evacuation or Residual fibroid affecting
LOW HB - Low Hb Affects proper Oxygenation poor egg nutrition and uterine health
DIABETES - Affects the Reproductive Organs Health Recurrent Infection Poor Nutrition to Egg and Reproductive Organs
ADVANCED AGE EFFECT - Low AMH Poor Egg Quality Altered Uterine anatomy Physiology due to advanced ageing
STRESS - Anxiousness Affects Prolactin which Supress Fertility Axis
HOW TO ASCESS THE CAUSE ? WHAT TESTS U REQUIRED TO IDENTIFY
Intermittent Monitoring Fertility Conception by
UR TESTS -
• In Clinical Gynecologist Physical Examination
• Blood Tests - Hb Iron TSH LH FSH Estrogen ( Day 3 ) Progesterone ( Day 20 ) Prolactin AmH levels Vit D B Folic Acid
• Follicular Study Between 12 th Day to 18 th Day
• TVS Scan After 12 th Day for Ovulation Confirmation
UR HUSBAND'S TEST
• Husband's Semen Analysis
HOW PREGANACY IS POSSIBLE FOR U ?
* By Correction Ur General Nutritional Status & Specific Reproductive Nutrition
* Apan Vat Ras Rakta Shukra Arthav Ojus Vardhan Rejuvenation Treatment
* Correcting Hormonal Balance whole Hormonal Axis
* By Improving Proper Ovulation
* Improving Egg Quality
* By Maintaining Tube Patency
* By Improving Uterine Endometrial Health Proper Thickness
* By Correction in Cyst Fibroids remainants
* Regularise Peroids
* Diabetic Control
* Maintaining Ur Husband's Semen quantity and quality along with ur health
* Sexual activities during Ovulation Periods
* After Ejaculation u must retain semen till 20 mins compulsory by lying down in Same Supine position with Back Pillow Support
AYURVEDIC TREATMENT
NOTE - UR INFERTILITY IS COMPLEX MULTIPLE CAUSES RELATED ISSUES NEEDS COMBINATION THERAPIES WITH HOLISTIC APPROACH
NOTE - TAKING MEDICINE ONLY IS NOT ENOUGH TO MANAGE UR PROBLEMS
"IN MY CLINICAL PRACTICE I HAVE SEEN BEST PROMISING RESULTS BY COMBINING FOLLOWING TREATMENTS "
" Ayurvedic Panchakarma+ Ayurvedic Medicine+ Diet Yoga Exercise Lifestyle Modifications+ Stress Management+ Counselling"
A ) AYURVEDIC PANCHAKARMA DETOXIFICATION
" I Recommend u to Undergo Following Panchakarma Detoxification in Good Reputed Efficient Ayurvedic Panchakarma Center and Under Guidance of Ayurveda Panchakarma Physician "
In Sequence
* Langhan Deepan Pachan
* Abhyankar Snehapan
* Sarwang Abhyang
* Sarvang Baspa Sweda
* Nirhua Basti
* Anuvasan Basti
* Uttar Basti
* Nasya
B ) RESULTS ORIENTED AYURVEDIC MEDICINES
• FOR HUSBAND:-( Although His Reports Normal Needed to Sperm Semen Rejuvenation Therapy)
- Dhatupoustik Churna Baidyanath Pharma) 2 Tsf twice a Day After Food Preferably with 1 Glass of Luke Warm Milk.
• FOR U -
* TAB.PUSHPADHANVA RAS ( Dhootapapeshwar Pharma) 1-0-1 After Food ( For Fertility & Ovulation )
* CAP.OPTOVA ( Sneha Naturals Pharma) 1 -0-1 After Food ( For Egg Quality)
* TAB.GARBHADHARAK YOG ( Vyas Pharma) 1 -0-1 After Food ( For Conception )
* TAB.TAPYADADI LOHA (Dhootapapeahwar Pharma) ( For Iron Calcium Nutritional Support)
* NISHAMALAKI CHURN ( Kottakkal Pharma) 2 Tsf Morning 2 Tsf Night After Food ( Diabetic Control)
* SYEUP.MERYTONE ( Vasu Pharma) 15 ml -0- 10 ml After Food ( For Hormonal Balance Regularised Periods and Getting Uterine Thickness needed for Implantation )
* PHALA GHRITA ( Kottakkal Pharma) 15 ml Early morning on empty stomach with 1 Glass of Luke Warm Water ( For Fertility & Uterine Thickness)
C) ADVICES
• DAILY DIET PLAN ( DIET AS MEDICINE TO RECOVER FAST )
• NORMAL DIET ( Less Oily, Less Spicy Sour Salty, Well Cooked )
* BREAKFAST - Rava Ragi Bajra Oats Items/ Fruits Salads/ Home made Mix Vegitable Soups
* LUNCH - Ghee Applied Roti ( Non Gluten) Jwar/ Bajara/ Ragi + Leafy Vegetable like Palak Methi+ Green Salad Rayta + Any Sabji+ Fresh Butter Milk with Cream + Rice + Dal
* DINNER - Half of Lunch Quantity/ Fruits Salads/ Light Diet
• DO'S :-Prefer All Healthy Nutritious Rich in Omega 3 6 9 Vit D B A C E Plenty of Fluid Juices Approximately 3 Liters Per Day All Alkaline Highly Nutritious Healthy Leafy Vegetables Fruits salads sprouts Fibers Soaked Dry Fruits Milk products Amla Flaxseed Pumpkin seeds Sunflower Seeds Soaked Almonds Moringa Methi Spinach Aloe Vera
Iron :- Beet Carrot Juice Apple Pomegranate Ragi Palak
• DON'TS :-Avoid Acidic Fried Oily Greasy Junk Fast food Bakery Foods Maida Udad items Fermented Foods Excess Tea Coffee Excess Sweets Sugar Salt sweets oily fatty non veg diet Pickles Soya Stress Anxiety Sedentary Life Style Afternoon Sleep.
High Estrogen Stimulants - Avoid Soya
Heavy Periods - Avoid Papaya Drumstick Pineapple
• YOGA - Anulom Vilom Pranayam Malasan Utkatasna Panvanmuktasan
• EXERCISE - Walking (3000 Steps /Day ) Mild Mobility Flexibility Exercise etc
• ANTISTRESS REGIME - Dhyan Meditation Listening Music Changing Garba Mantra
REGARDS
Dr Arun Desai
God Bless You 😊🙏
If you have any questions u can ask me.I will answer to the level of your satisfaction.U Have text option here.
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Fertility challenges can indeed be frustrating, especially when balancing different health concerns like hormonal imbalances, low AMH, and diabetes. It's important to address these issues holistically, understanding the Ayurvedic perspectives can be beneficial too.
Firstly, let's consider the hormonal imbalance and prolonged heavy bleeding. Ayurveda connects such symptoms with Vata and Pitta imbalances, often aggravated by lifestyle. Begin by implementing Dinacharya (daily routine) to stabilize Vata and soothe Pitta. Regularity in sleep, wake times, meals, and moderate exercise can be balancing. Favoring sweet, moist, and cooling foods like cooked vegetables and grains might help. Avoid spicy and sour foods as they can increase Pitta.
Concerning low AMH, the aim is to nourish Shukra Dhatu (reproductive tissue), emphasized with a diet enhancing fertility. Include ghee, milk, nuts, and seeds in your meals. Ashwagandha and Shatavari are both recommended herbs that may support reproductive health and should be taken under guidance of of a qualified Ayurvedic practicioner.
As for diabetes, it's critical to manage blood sugar levels diligently to aid overall health. Integrating herbs like Neem and Gurmar, along with Methi (fenugreek), can help. Again consulting an expert is essential before incorporating these herbal supplements.
Stress reduction and emotional wellbeing significantly impact fertility. Practice daily meditation or yoga, which can help calm the mind and body.
With prolonged heavy bleeding, utilizing Tila oil for regular abhyanga (self-massage) and herbs like Ashoka and Lodhra could offer relief, but please check with a specialist.
Since you'd like to conceive naturally while managing these health issues, maintaining regular consultations with both your Ayurvedic practitioner and a fertility specialist can be crucial. They can ensure a tailored approach aligning closely with your health needs. Remember, patience and consistent care often bear fruits - so stay positive and nourish yourself holistically.
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NAMASTEY TIRTHA JI,
key condition
-low AMH
-Hormonal imbalance
-Diabetes
-Heavy prolonged periods
-Low haemoglobin
-history of fibroids, cysts, and tubal blockage
INTERNAL AYURVEDIC MEDICINES
1)ASHWAGANDHA + SHATAVARI GRANULES- 1 tsp with warm water at bedtime
2)PHALA GHRITA- 1 tsp with warm water at night
3)SUKUMAR GHRITA- 1 tsp on empty stomach in morning
4)KANCHANAR GUGGULU- 2 tabs twice daily after meals
5)CHANDRAPRABHA VATI- 2 tabs twice daily before meals
6)LOHASAVA- 15ml with water after meals
7)NISHA AMALAKI CHURNA- 5 gm at bedtime with warm water
FOR DIABETES VONTROL
-VIJAYSAR CHURNA- 5gm on empty stomach with lukewarm water
-JAMBU BEEJ CHURNA- 3 gm twice daily before meals
FOR HEAVY BLEEDING-USE ONLY DURING PERIODS
-ASHOKARISTA- 15ml+15ml water after meals
-STYPLON(HIMALAYA)- 1 tab twice a day
-PRAVAL PISHTI+MUKTA SHUKTI BHASMA- 125 mg each with honey twice a day
DIET
INCLUDE
-Warm , freshly cooked food withghee
-mung dal, red rice, bottle gourd, ridge gourd
-dates, soaked almonds, sesame seed
-goat milk or almond milk
-organic jaggery in small quantity
AVOID
-curd, bakery, sugar, cold foods
-maida, processed food
-stress eating or fasting
-excess salt and spicy food
LIFESTYLE AND YOGA
-baddha konasana, viparita karani, setu bandhasana
-pranayam- anulom vilom bhramari 10 min daily
-sleep by 10 pm bedtime, wake up early by 6-7 am
-fertility tips- intercourse on day 12-16 of cycle every alternate day
-stop pal ghrita after confirmed pregnancy
-monitor diabetes regularly
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. HEMANSHU MEHTA
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