Pregnancy infertility, thyroid treatment - #27306

“Thank you for sharing all your details. From your reports, I can see many positive factors — your thyroid is well-managed, uterus and tubes are healthy, cycles are regular, and your egg growth is good. These are strong foundations for pregnancy. 🙌

After varicocele surgery, sperm quality (motility and morphology) often takes 6–12 months to show full improvement. So, it is still early, and progress can continue. Many couples in a similar situation conceive naturally or with minimal support during this recovery window.

Your AMH shows you have a fair reserve, and the follicle size you mentioned indicates healthy ovulation. What’s the most important now is focusing on: ✔ Supporting sperm recovery and motility ✔ Enhancing egg quality and uterine receptivity ✔ Maintaining thyroid balance and cycle regularity

✨ IVF with ICSI is definitely an option, but it is usually considered if natural chances or mild supportive treatments are not working. Right now, you still have scope for improvement before directly stepping into IVF.

🌿 With the right guidance for both partners at this stage, the chances of conception can improve significantly — naturally or with minimal assistance.

Hello dear,

NEED PERSONAL CONSULTATION.

please visit nearby ayurvedic physician (BAMS MS GYNAE OBS)/Ayurvedic hospital for further advice and treatment…

You’ll definitely get desired results 😊

Take care😊

Hi rak this is Dr Vinayak as considering your problem…see maa this is not one day process we get results… You should have lots of patience and belief in both so that you people have can get well soon have beautiful child…

Once go with classical VIRECHANA which helps for proper shodhan of the body… Then go with medicine and etc guided by ayurvedic gynaecologist

Hello I can understand your concern but dont worry we are here to help you out

✅AYURVEDIC PERSPECTIVE

Your case shows- ✔️Thyroid dysfunction (though now controlled) but it slows metabolism amd ovulation energy ✔️Low AMH (1.25) - reduced ovarian reserve, but egg growth is happening (23×16 size seen) ✔️Male factor infertility (low sperm motility & morphology despite surgery)

➡️IVF-ICSI is suggested because both egg quality (low AMH) & sperm parameters are compromise.

Ayurveda can be used either: ✅Before IVF to improve egg quality and sperm health, increasing chances of success ✅As a natural attempt for 6–9 months before deciding on IVF

With proper TREATMENT and PANCHAKARMA it is possible visit near by Ayurvedic physician for EXAMINATION and

✅ AYURVEDIC PLAN OF TREATMENT-

1. For You (Age 30)

✅INTERNAL MEDICATION- 1 Phala Ghrita 1 tsp with warm milk in morning (Improves ovarian health, fertility tonic) 2 Ashokarishta 20ML-0-20ML with water after food (Regulates hormones & uterine health) 3 Shatavari Kalpa 1 tsp with milk daily Increases egg quality, balances hormones

✅Therapies

( I Will strongly recommend you to go for this therapies )

Uttarbasti (Ayurvedic intrauterine oil therapy) –enhances conception chances in low AMH cases.

Panchakarma (Virechana + Basti) before conception attempts – cleanses toxins, balances doshas.

2. For Husband (Age 43, post-varicocele surgery, low motility & morphology)

✅INTERNAL MEDIACTION 1 Chandraprabha Vati 1 -0-1 Improves sperm motility, reduces stress 2 Muslikhadiradi kashaya 15ml-0-15ml +45 ml water after food Strengthens semen, improves stamina 3 Ashwagandha Capsule 1 cap-0-1 cap twice daily Enhances testosterone, reduces fatigue 4 Shilajit Rasayana 1 cap daily at bed time follwed by warm. Milk Improves sperm morphology, overall vitality

✅Therapies 1 full body detox therapy before conception

✅DIET MODIFICATION- ✅ Include Cow ghee, milk, soaked almonds, figs, dates, sesame seedspumpkin seeds Green moong, rice, seasonal vegetables banana, pomegranate,apple Herbal teas (Shatavari, Ashwagandha, Tulsi)

❌Avoid Excess tea/coffee, alcohol, smoking Junk, processed, fermented food Late nights & excessive stress

You can either try 6 months of Ayurvedic fertility therapy and Panchakarma) + lifestyle

OR

proceed with IVF but prepare your body with Ayurveda first for higher chances of implantation & healthy pregnancy.

Wish you a good luck 😊

Warm RRegards Dr Snehal Vidhate

HELLO RAK,

You are 30 years old and trying to conceive. here’s a simple breakdown of your situation

Your menstrual cycle= normal (every 30 days). This means your body is capable of ovulation

Ovarian reserve (AMH 1.25 ng/mL)= slightly lower than average. This means you may have fewer eggs available , so time is important

Follicle size= 23*16mm. usually an egg is considered mature around 18-24 mm. Your follicles are borderline mature

Uterus and tubes= normal. There is no blockage or structural problem

Thyroid= you take 25 mcg of levothyroxine ; your levels are normal, so thyroid is not a current problem.

Husband’s sperm= he had varicocele surgery . Motility (movement) has slightly improved but shape (morphology ) is still low. Low morphology makes natural conception difficult.

SUMMARY= you are ovulating and your reproductive organs are healthy, but the challenges are -slightly reduced ovarian reserve -male factor infertility (poor sperm shape)

DOCTOR’S SUGGESTION= IVF with ICSI (injecting one sperm directly onto one egg) is the most effective option because of male factor infertility

TREATMENT GOALS

PRIMARY GOALS -improve egg quality and quantity (ovarian health) -improve sperm quality, motility, and morphology -support uterus lining for implantation -balanc hormones, reduce stress, and improve overall reproductive health

SECONDARY GOALS -reduce inflammation and toxins in the body -strengthen general immunity and vitality -support IVF/ICSI success if pursued

AYURVEDIC TREATMENT Ayurveda treats infertility as Vandhyatwa and focuses on balancing vata, kapha, and pitta in reproductive tissues (artava or women, shukra for men)

Treatment involves internal medications, external therapies, lifestyle , diet and yoga/pranayam

INTERNAL MEDICATIONS OF YOU

1) PHAL GHRITA= 1 tsp with warm milk on empty stomach in morning for 3-6 months consistently =supports ovulation, nourishes uterus and endometrium balances vata

2) ASHOKARISHTA= 15 ml with equal water after meals twice daily for 3 months =regulates menstrual cycle, strengthens uterus reduces stress on reproductive system

3) DASHMOOLARISHTA= 20 ml with equal water after meals twice daily for 3 months =deeply nourishes reproductive tissues, reduces vata imbalance, improves strength post-menstruation

4) RAJAPRAVARTINI VATI (if ovulation is delayed or cycles irregular)= 1 tab twice daily from day 4-14 of your cycle (follicular phase) =promotes healthy ovulation and timely menstruation

5) STRI RASAYANA VATI (baidyanath)= 1 tab twice daily with milk for 3 months =general female reproductive tonic, improves egg health, hormonal balance, mood

FOR HUSBAND

1) CHYAWANPRASHA RASAYAN= 2 tsp with warm milk morning and night =builds Ojas, enhances sperm vitality , immunity, and overall stamina

2) SPERMAN (himalaya)= 2 tabs twice daily after meals for 3 months =specificlly improves sperm count, motility , morphology

3) SHILAJITWADI VATI (with gold- if available)= 1 tab twice daily with milk for 3 months =rejuvinates reproductive strength, testosterone support, improves sperm DNA integrity

4) SAPTAMRIT LAUH= 250 mg twice daily with honey and ghee for 2 months =reduces oxidative stress on sperm, supports eye and brain function, helps hormonal balance

5) KAPIKACCHU PAK= 1 tsp with milk at bedtime for 3 months =classical aphrodisiac , improves semen volume and quality

EXTERNAL THERAPIES

1) OIL MASSAGE with warm ksheerbala taila =improves blood circulation, relaxes muscles, and balance vata

2) Follow day hot water steam/bath =enhances circulation to pelvic organs

LIFESTYLE MODIFICATIONS -sleep 7-8 gourd, maintain regular sleep-wake cycle -avoid stress; practice meditation or mindful relaxation -moderate exercise : brisk walking, yoga or swimming -avoid smoking, alcohol, and excessive caffeine -avoid very cold, processed, or fried foods

YOGA ASANAS -baddha konasana= improves pelvic blood flow -supta baddha konasana= relaxes reproductive organs -setu bandhasana= strengthens uterus and lower abdomen -viparita karani= improves circulation to pelvic organs

PRANAYAM -Anulom vilom= balances hormones, reduces stress -Bhramari= calming, reduces stress -Kapalbhati= stimulates circulation

DIET -warm, cooked meals, avoid raw, cold foods

INCLUDE -milk, ghee, almonds, walnuts, sesame seeds -dates, figs, pomegranate, seasonal fruits -whole grains : rice, oats, barley -Include foods rich in Zinc, Selenium, Vitamin E, Folate for sperm and egg health

HOME REMEDIES -warm sesame il abdominal massage once daily -herbal decoction with shatavari, ashwagandha, and gokshura -chywanprasha daily 1 tsp with warm milk -drink warm water throughout the day to improve digestion and circulation

INVESTIGATIONS

FOR YOU -repeat AMH and FSH (follicular day 2-3) -Thyroid profile -ultrasound for ovarian and follicular monitoring -progesterone level mid-luteal phase to confirm ovulation

FOR HUSBAND -repeat semen analysis after 3 months of said treatment -DNA fragmentation test if considering IVF/ICSI

ADVICES

NATURAL CONCEPTION= possible, but chances are lower due to male factor and borderline AMH

AYURVEDIC THERAPY= can improve egg quality, sperm health, educes stress, and increase chances of conception

IVF WITH ICSI= likely necessary for higher success, especially if male sperm morphology remains low

INTEGRATIVE APPROACH= combine ayurvedic treatment, lifestyle changes, diet, yoga and IVF for best outcomes

TIMELINE= start ayurveda and lifestyle modifications immediately for 3-6 months to optimise natural or assisted conception

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

HELLO RAK ,

You are 30 years old, with normal thyroid function on 25 mcg medication, and your menstrual cycles are regular. Your uterus, ovaries, and fallopian tubes are all normal. Your AMH is 1.25, which indicates a mildly reduced ovarian reserve. Your husband had varicocele, underwent microsurgery 5 months ago, and his sperm motility has improved slightly, but morphology is still low.

At this stage, the difficulty in conceiving is likely due to a combination of mildly reduced ovarian reserve and sperm morphology issues. IVF with ICSI is a modern medical option that can help bypass sperm-related fertilization challenges. Ayurveda cannot replace IVF but can support fertility naturally by improving your ovarian health, hormonal balance, and your husband’s sperm quality, which may enhance the success of any assisted reproductive treatment.

Treatment Plan:

1. Ama Pachana (First 3–5 days): Triphala Churna – 1 tsp with warm water at night, to cleanse the digestive system and improve metabolism.

2. Internal Medications (After Ama Pachana): Chyawanprash – 1 tsp twice daily, for general health and immunity. Ashokarishtam – 2 tsp after meals twice daily, to support hormonal balance and uterine health. Shilajit Vati – 250 mg once daily, to improve energy, vitality, and sperm quality. Kapikacchu (Mucuna Pruriens) Powder – for husband, 1 tsp with warm milk once daily, to improve sperm count and motility.

3. External Care: Gentle abdominal massage with warm sesame or coconut oil 2–3 times a week to improve pelvic circulation. Avoid stress, excessive heat, or tight clothing around the reproductive organs.

Dietary Guidance:

Include ghee, whole grains, lentils, fresh fruits, nuts, and seeds. Consume milk, yogurt, and protein-rich foods for reproductive tissue nourishment.

Avoid processed foods, excessive sugar, and deep-fried items. For the husband: include walnuts, almonds, sesame seeds, pumpkin seeds, and green leafy vegetables to support sperm health.

Investigations :

Repeat semen analysis after 3 months of treatment for your husband. Follicular monitoring during next cycles to check egg quality and growth.

Hormonal profile if recommended by your doctor. Bowel, Micturition, Appetite, Sleep: Check bowel regularity and urine output. Maintain a balanced diet to improve appetite. Ensure 7–8 hours of quality sleep.

If both of you follow this plan consistently for 3–4 months, it can improve your ovarian environment and your husband’s sperm quality, potentially increasing the chances of natural conception or IVF success. Ayurveda works gently and steadily, so consistency is key.

Warm regards, Dr. Karthika

Dear Rak Continue your thyroid treatment Let your husband start with Divya youvanamrit gold 1-0-1 after food with water Divya Ashwashila 1-0-1 after food with water This will improve quality & quantity of sperm. You can take Tablet M2TONE 1-0-1 after food with water, Phalgrith 2tsp twice daily before food with warm milk.This will improve your fertility.

Considering your situation, integrating Ayurvedic principles alongside medical advice can be supportive. Since your thyroid levels are under control with 25 mcg medication and you have a regular menstrual cycle, major focus can be given to nourishment and optimizing reproductive health through lifestyle and diet adjustments as per Ayurveda.

On the Ayurvedic front, improving ‘Shukra Dhatu’ (reproductive tissue) vitality is key. Balance and enhance your internal system by including ingredients like Ashwagandha and Shatavari in your daily regime. These adaptogenic herbs are known to nurture reproductive tissue, and help in balancing hormones. Consuming one teaspoon of Ashwagandha powder with warm milk in the morning, and Shatavari powder with a similar quantity in the evening may be of benefit.

Additionaly, consider prioritizing a diet that increases ‘Ojas,’ which signifies overall vitality and immunity. Eat whole grains, nuts, ghee, and green leafy vegetables. Avoid excessive cold, raw or processed foods as they can dampen your ‘Agni’ (digestive fire). Give preference to foods that are warm and freshly cooked.

For your husband, post microsurgery, enhancing ‘Veerya’ (sperm health) will be crucial. He might do well incorporating Kapikacchu and Gokshura powders. One teaspoon of each, taken with water in the morning, can assist in supporting sperm quality. Additionally, reducing stress through practices like yoga and meditation may further support reproductive health.

Engage regularly in practices that calming the mind, like meditation or Pranayama, could also enhance overall well-being for both of you. Concerning medical steps like IVF with ICSI, these are appropriate options provided by modern fertility treatments for conditions such as low sperm motility and morphology. Ayurveda could complement these methods by optimizing your internal balance and vitality.

Should you choose to proceed with the IVF pathway, continue to adhere to both ayurvedic and medical guidance to maximize your conception chances and sustain health through this journey.

Considering the information you have shared, it seems you are dealing with unexplained infertility, and your husband’s sperm parameters might be contributing factors to this situation. Ayurvedic and Siddha perspectives focus on balancing the doshas - vata, pitta, and kapha - to support reproductive health. Both partners can benefit from addressing any imbalances and optimizing their overall well-being.

First, ensure your thyroid function remains stable while continuing with your prescribed medication. Thyroid imbalances can interfere with fertility, so staying in regular consultation with your healthcare provider is crucial. Reduce stress levels, as stress can exacerbate vata and impact reproductive health. Consider pranayama (breathing exercises) and meditation.

As your AMH is 1.25, it’s essential to support ovarian health. Consuming herbs like Shatavari and Ashwagandha can support reproductive function and balance hormones. Shatavari improves fertility by nourishing the reproductive organs, and Ashwagandha reduces stress and boosts vitality.

Your husband’s recent surgery indicates a need for recovery and enhancement of sperm health. Herbs like Gokshura (Tribulus terrestris) can improve sperm quality. Additionally, a diet rich in antioxidants — comprising fresh fruits, nuts, seeds, and green leafy vegetables — is beneficial for sperm health.

Incorporating sesame oil self-massage (abhyanga) can also help balance doshas and promote calmness. Both should focus on maintaining a warm, nourishing diet to stimulate agni (digestive/metabolic fire). Foods like ghee, whole grains, and warm soups can be supportive.

While Ayurveda provides holistic support, if the time is sensitive and you’ve already explored these natural options, IVF with ICSI may be prudent given medical advice and the age of your husband. Seeking a blend of conventional and traditional guidance often provides the best outcome, so keep in close communication with both your allopathic and Ayurvedic practitioners for a collaborative approach.