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Gynecology and Obstetrics
Question #25373
225 days ago
562

Infertility and hair fall issue... - #25373

Afshan jabeen

My periods are irregular, facing lot of mood swings, hair fall and my amh levels are low... want to concieve again... but things are not falling in plce.... i have a daughter of 7 1/2 years.... planning for nxt.... but repeatedly failing...

Age: 38
Chronic illnesses: Hair fall
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Afshana Very sorry to hear you are trying but finding different to concieve. See you are near your menopausal age, You are failing conception attempts Weak egg maturation, ovulation, or implantation due to low Ojas (reproductive essence). , We can try conception still, even with low AMH, irregular periods.with medication, If there is a good ayurvedic fertilty expert , or stri rog visheshagya. Pls consult, your case needs keen history taking and study. Therapies for fertility will give results. Along with diet, and lyfstyle change.

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hello afshan jabeen,

What’s happening right now is that your reproductive system is trying to speak to you the irregular periods, mood swings, hair fall, and low AMH (ovarian reserve) are all signs that your hormones and deeper tissues (Shukra and Rasa dhatu) need some rebuilding.

In Ayurveda, we believe fertility is not just about one organ it’s about your overall vitality, nourishment, and emotional stability. When your digestion weakens (Agni), and your mind is stressed (Vata-Pitta imbalance), the deeper tissues like Shukra dhatu (reproductive tissue) don’t get nourished properly. This leads to delayed ovulation, poor egg quality, emotional turbulence, and even hair fall which is a sign of dhatu kshaya (tissue depletion).

But the good news is: your body can still restore itself. The key is to calm your system, rebuild the dhatus, and revive ovulation. Ayurvedic treatment will focus on exactly that.

Ayurvedic Treatment Plan (3–6 months) 1. Internal Medicines

Shatavari gulam – 1 tsp twice daily with warm milk Ashwagandha churna – ½ tsp at bedtime with warm milk Phal Ghritam – 1 tsp in the morning empty stomach Rajapravartini Vati – 2 tabs at bedtime (for regularising cycles) Narayan taila – 5 drops nasal instillation (nasya) in the morning 2. External Treatment (Weekly)

Abhyanga (oil massage) with Ksheerabala taila or Dhanwantaram taila Mild Basti chikitsa (if available through Ayurvedic doctor nearby) – for hormonal regulation and uterus nourishment 3. Diet & Lifestyle

Include ghee, soaked almonds, dates, sesame, and pumpkin seeds Avoid cold food, late nights, screen time at night Use warm jeera or fennel water Eat freshly cooked, warm food Avoid emotional overthinking, excessive exercise, and fasting 4. Fertility Tracking

Use ovulation strips around day 10–18 if cycles are irregular Avoid intercourse immediately after periods; time it closer to ovulation Practice Nadi Shodhana and Bhramari Pranayama daily to relax hormones If followed for 3–6 months with patience, this can improve ovulation, hormone quality, and prepare the uterus for healthy implantation. Hair fall will also reduce as your Shukra and Rasa dhatu are nourished.

If you have any doubts, you can contact me. Take care, regards, dr.Karthika

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Hello Afshan

IF FEASIBLE GO AND VISIT NEARBY AYURVEDIC GYNAC FOR PANCHAKARMA

PCOD is a kapha- vata dominant disorder involving low metabolism, obstruction , and reproductive channel disorder. Treatment is focused on -lekhana= scraping/ metabolic correction -Agnideepana= digestive fire enhancement -Srotosodhana= channel cleansing -Artava janana= ovulation inducing therapy -Mano balancing= mental harmony

INTERNALLY START WITH

1) KANCHANAR GUGGULU= 2 tabs twice daily after meals for 3-6 months =reduces cysts, anti-inflammatory, improves lymphatic drainage

2) TRIKATU CHURNA= 2g with warm water before meals twice daily for 2 months = corrects metabolism and supports weight loss

3) CHANDRAPRABHA VATI = 2 tabs twice daily with warm water for 2-3 months =systemic detox and hormonal regulator

4) SHATAVARI CHURNA= 1 tsp with warm milk at bedtime till conception = promotes oocyte quality, balances pitta

5) ASHOKARISHTA= 20 ml with equal water after meals twice daily for 3 months = helps regularise bleeding, corrects endometrial lining

6) PUNARNAVADI MANDOOR= 1 tab twice daily after meals for 2 months = useful in reducing bloating, edema and helps metabolism

DIET TO BE FOLLOWED 1) WHOLE GRAINS -millets= ragi, bajra, jowar -brown rice, red rice, quinoa -steel cut oats

2) PULSES -moong dal, horse gram, masor dal chickpeas, rajma, lentils

3) VEGETBLES -cruciferus= broccoli, cauliflower, cabbage greens= spinach, moringa, fenugreek -bottle gourd, carrots, pumpkin, beets, capsicum, ridge gourd

4) FRUITS - pomegranate, papaya, apples, pears, berries, guava -amla

5) HEALTHY FATS -cold pressed coconut oil, ghee - 1tsp/day, flaxseeds, sesame seeds -soaked almonds, walnuts, sunflower seeds

6) PROTEIN SOURCES -panner-homemade -eggs- rich in choline -tofu or tempeh -sprouts-mung, matki, chana

7) SPICES -turmeric, cumin, fenugreek, ajwain, cinnamon, black pepper, ginger

8) HERBAL TEAS -spearmint tea- 2 cups/day -tulsi tea, ginger tea, cinnamon tea

STRICTLY AVOID SUGARS= white sugar, sweets, desserts, sweetened drinks REFINED CARBS= white bread, maida, noodles, biscuit DAIRY(EXCESS)= ice cream, cheese, cold milk, flavoured. yogurt FRIED/PROCESSED FOODS= chips, fast food, bakery items COLD FOODS= chilled drinks, refrigerated leftovers, curd at night FRUITS= bananas, mangoes, grapes, sapota CAFFEINE= more than 1 cup of coffee or tea/day

FLUIDS AND HYDRATION -drink 2.5- 3 litres pf warm or room temperature water daily -avoid cold or carbonated drinks -warm water with lemon, or cumin/fennel water aids digestion

Eat freshly cooked foods, avoid packaged and reheated meals include 1 tsp ghee daily for hormonal balance eat only when hungry- avoid emotional or time based eating do not skip meals, especially breakfast-worsen insulin sensitivity

YOGA ASANAS ADVISED -baddha konasana= improves blood flow to pelvic area -bhujangasana= stimulates ovaries and uterus -setu bandhasana= strengthens pelvic organs - dhanurasana= balances hormones -malasana= opens hips and improves reproductive circulation -viparita karani= relieves stress, boosts endocrine glands -supta baddha konasana= deep pelvic relaxation, helpful post ovulation

PRANAYAM -anulom vilom= nerve calming, hormonal balance -bhramari= relieves stress and anxiety - kapalbhati= improves metabolism, stimulate ovaries -ujjayi= mind body connection, balances thyroid

LIFESTYLE MODIFICATIONS

SLEEP= sleep by 10 pm, 7-8 hrs of restful

SCREEN TIME= reduce blue light exposure post 7 pm(affects melatonin and fertility hormones)

STRESS MANAGEMENT= journaling, therapy, nature walks

AVOID PLASTIC= especially food in plastic containers- disrupts hormones

SEXUAL HEALTH= intercourse every 2-3 days during fertile window(day 10-18 of cycle)

TRACK CYCLE= use fertility apps, ovulation kits of cycles are irregular

NO SKIPPING MEALS= increases insulin resistance and worsens hormonal health

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Adviced to check Vitamin D since it can cause both hairfall and low AMH

Internally 1.Phalasarpis Ghee 1tsp in empty stomach followed by warm water 2. Guluchyadi kwatham tab 2-0-2 before food 3.Shatavari gulam /lehyam 1tsp at bedtime with ½glass warm milk 4.Ashokarishtam 15ml twice daily after food

***Suggested UTTARABASTHI [Intra uterine medicated enemas from experst ] Which can helps to improve Amh levels

*Do’s 3-4litres of water /day Leafy vegetables Millets More focus on fruits and vegetables Include Sprouted grains Walking - daily 30min to 1hour Practice yoga and meditation regularly 6-8hours sleep

*Don’ts Overthinking and too much stress holding Tea /coffee Oily too salty sour sweet foods Junk foods Carbonated/soft drinks Maida and its products Day time sleep Late night dinner

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Considering your symptoms of irregular periods, mood swings, hair fall, and low AMH levels, there may be an underlying imbalance in your doshas, particularly Vata and Pitta. In Ayurveda, conception difficulties and reproductive issues often relate to disruptions in these vital energies, as well as in the dhatus, or body tissues. Let’s look at some practical steps which might help you.

For regulating your menstrual cycle and addressing mood swings, I recommend focusing on a Vata-Pitta pacifying diet. Prioritize warm, cooked meals to support your digestive fire, or agni. Foods like sweet potatoes, beets, carrots, and whole grains like basmati rice can offer stability. Limit raw, cold foods and stimulants such as caffeine. Stay hydrated; aim to drink room temperature water as much as possible.

Hair fall and low AMH might be connected to stress and nutritional deficiencies. Incorporate herbs such as Ashwagandha and Shatavari, known for promoting ojas (vitality) and nourishing reproductive tissues. Take Shatavari in powdered form with warm milk once a day. If in doubt regarding dosage, consult a practitioner.

Stress management is crucial. Try daily Abhyanga (self-massage with warm sesame or coconut oil), followed by a warm bath. It’s grounding and rejuvenates the body. Include some yoga and pranayama in your routine to balance mental stress and improve circulation.

For practical changes, regularize sleep patterns – go to bed by 10 pm and wake up by 6 am. Sleep is the cornerstone of hormonal balance and mood stabilization.

Due to the complexity of your symptoms and medical history, consult with an Ayurvedic practitioner or healthcare provider to get personalized, ongoing support. Balancing the body holistically is gradual and requires a steady, patient approach. And don’t ignore any medical interventions recommended by your doctors. This blend of modern and traditional care ensures all aspects of your health are addressed effectively.

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