how to improve egg quality for pcos? - #34378
I am a 36 year old women struggling with pcos and infertility. We conceived once naturally in May of 2022 which resulted in a blighted ovum. Since then we have been seeking fertility treatments. I have a regular 28-30 day cycle, ovulate monthly ( feel ovulation cramps and release of egg) , normal weight, slighly high dhea s but everything else is normal. We did 7 months of timed intercourse, 2 rounds of IUI before moving to IVF in Nov 2023. With medication we retrieved 22 eggs, 13 mature,12 fertilized and by day 5 we had 2 remaining which both failed to implant. In dec 2024 after switching clinics and changing the protocol with adding one month of priming with the human Growth horomone we did another retrieval. This time our dr suggested freezing at day 3 as some women have better success with that. We retrieved 27 eggs, 22 fertilized, 19 mature, we froze 5 day 3’s and the remaining 14 we pushed to day5 and only 2 made it and they were low grades. My two retrieval results show that I have the egg numbers as I do have a high amh of 30.8 but the quality is not good. How can I fix my egg quality? Lifestyle changes. We want to make changes before doing another retrieval.


Doctors’ responses
Hello swenya
Thank you for sharing all the detail details From what you mentioned, your main challenge is not the number of eggs but their quality , this can be improved by focusing on nourishment or Monal balance and reducing internal stress before the next retrieval You can start on Shatavari churna 0-0-1/2 tsp with water milk at night Ashwagandha churna-0-0-1/2 tsp with warm milk at night Phalagritha-1 teaspoon with warm water/ milk morning Dashamoola Kadha 15 ml equal quantity of water twice daily after food Include fresh, warm, home-cooked meals Take almonds, walnuts, pumpkin seeds and black raisin soaked one Use Ghee in small amount Seasonal vegetables moong dal lentil, soups, Paneer eggs Avoid excess sugar process to food and cold items Regular sleep, at least for 7 to 8 hours Brisk walk, pranayama, meditation
The above advice will work on overall reproductive health and helps in improving the quality of eggs naturally
Hello Swenya,
You have described your journey in detail, and it clearly shows that while your egg reserve (AMH and follicle count) is excellent, the quality and maturity of eggs is the main challenge. But don’t worry we are here to help you out😊
To improve egg quality, you need a multi-directional plan focusing on Ayurvedic medicines, diet, lifestyle, yoga-pranayama, and daily routine.
✅AYURVEDIC MEDICATIONS FOR EGG QUALITY
1 Phala Ghrita (medicated ghee) –1 tsp in morning empty stomach follwed by warm water daily helps improve egg implantation potential.
2 Shatavari Kalpa 1 tsp with warm milk twice daily – deeply nourishes ovaries, improves follicle health.
3 Kanchnar Guggulu 1-0-1 after food – if cysts are still present, helps in shrinking and balancing Kapha.
✅DETOX AND PANCHAKARMA (important )
Since you have high AMH with PCOS, mild cleansing helps to reset hormones. In nearby panchakarma center you may undergo
👉Virechana (therapeutic purgation) – clears excess Pitta and toxins.
👉Uttarbasti (specialized therapy for uterus/ovaries) – highly beneficial for egg quality & implantation.
👉Abhyanga + Swedana (oil massage + steam) – reduces stress and balances Vata.
✅DIET AND NUTRITION
Your food must be Sattvic, antioxidant-rich, warm, and nourishing.
👉Include: pomegranate, apple, seasonal berries, black grapes. green leafy vegetables, beetroot, carrots, pumpkin, bottle gourd. old rice, barley, quinoa, millet in rotation. soaked almonds, walnuts, pumpkin seeds, sunflower seeds, flaxseeds, sesame seeds, paneer, lentils, mung dal ghee (1 tsp daily), olive oil, avocado. turmeric, ginger, cinnamon, cumin (all improve Agni & reduce inflammation).
❌Avoid
Cold drinks, iced foods, packed/processed foods, excess refined sugar. Too much coffee/tea (they increase Vata-Pitta imbalance). Curd at night.
✅LIFESTYLE MODIFICATION
Go to bed by 10:30 pm, wake up by 6 am. Deep, regular sleep is essential for hormone repair.
Chronic stress raises cortisol harms egg quality. Practice daily meditation, chanting, journaling, or nature walks.
Exercise- Gentle yoga, stretching, light cardio (30 mins daily). Avoid over-exercising (as it can harm ovulation). Weight: You mentioned you are of normal weight – that’s excellent, maintain it.
✅YOGA AND PRANAYAMA
Yoga Asanas- Supta Baddha Konasana Viparita Karani Setu Bandhasana
Pranayama: Anulom Vilom, Bhramari
✅SUPPLEMENTS
Omega-3 fatty acids (flaxseed oil, fish oil if non-veg allowed). Vitamin D (if deficient, very common in PCOS). Vitamin E + Selenium – improve egg cell membrane quality. Folate (methylated form) – crucial for embryo development.
Focus on egg nourishment, not numbers. Eat antioxidant-rich, sattvic foods; avoid junk, cold, and processed foods. If possible, mild Panchakarma for PCOS cleansing before next IVF cycle.
Give yourself at least 3–6 months of preparation before another retrieval – this is how long it takes for eggs to mature and improve in quality.
Wishing you a good health😊
Warm Regards Dr Snehal Vidhate
HELLO SWENYA STALIN,
You have polycystic ovary syndrome (PCOS) - a condition where the ovaries make many small follicles but not all of them grow properly. In Ayurveda, this is often seen as an imbalance of kapha (leading to cystic growth), Vata (irregular movement of reproductive hormones ), and Pitta (hormonal fire, sometimes high DHEAS) -EGG QUALITY is high (you have high AMH and many follicles) -EGG QUALITY is weak (they do not mature into strong embryos) -In Ayurveda, this is due to Rasa dhatu and Shukra dhatu kshaya (weak nourishment of the reproductive tissue), and Ama (toxin) accumulation which blocks proper function -Stress, hormonal imbalance, insulin resistance (even if mild), and oxidative stress all damage egg quality.
So, the approach is stage -wise correction- clean the system, balance hormones, nourish eggs, build Ojas (reproductive vitality), and prepare body + mind for conception
STAGE 1= DETOXIFICATION AND BALANCE GOAL= clear toxins, balance hormones, regulate kapha and pitta, and prepare the body
TREATMENT Panchakarma therapies under Ayurvedic doctor guidance -SNEHANA (internal and external oiling) with medicated ghee like Phil ghrita- nourishes tissues
-SWEDANA (steam/sudation)- removes toxins
-VIRECHANA (purgation therapy)= clears pitta and toxins from liver, improves hormone metabolism
-BASTI (medicated enema)= best for Apana vata (reproductive function)
INTERNAL FORMULATION -TRIPHALA CHURNA 1 tsp at night with warm water. (mild detox, improves digestion)
-KANCHANAR GUGGULU= 500mg twice daily with warm water after meals =reduces ovarian cysts, balances kapha
DURATION= 2 months
LIFESTYLE -avoid cold, heavy, oily, processed foods -avoid late nights, overeating, and stress -drink warm water throughout the day
STAGE 2= NOURISHMENT AND EGG QUALITY GOAL= strengthen reproductive tissues, improve egg mitochondrial health, reduce oxidative stress
INTERNAL FORMULATION
1) PHAL GHRITA= 1 tsp in warm milk daily, empty stomach morning for 3 months =excellent fertility tonic , nourishes ovaries, balances vata and pitta
2) SAPTAMRIT LAUH + YASHTIMADHU CHURNA + AMALAKI RASAYANA -Saptamrit lauh= 250mg twice daily after meals -yashtimadhu churna= 2 gm with warm milk -amalaki rasayana= 5gm in morning all for 3 months =improves egg quality by reducing oxidative stress, strengthens reproductive dhatu
3)ASHWAGANDHADHI LEHYAM = 1 tsp twice daily with warm milk for 3 months =potent rasayana for vitality, improves DHEA balance, supports mental calm
4) RAJAHPRAVARTINI VATI= only if cycles became irregular= 1 tab twice daily after meals, if cycles delayed =regulates menstruation and clears channels in pcos
5) SHATAVARI GHRITA= 1 tsp with warm milk at bedtime for 2 months =improves uterine and ovarian nourishment
EXTERNAL TREATMENTS -OIL MASSAGE with dhanwantaram taila= reduces stress, balances vata -SHIRODHARA (oil pouring on forehead)- if stress is high, to calm mind and hormones
STAGE 3= LIFESTYLE AND ROUTINE GOAL= support natural circadian rhythm, reduces insulin resistance, and optimise hormones
DIET -warm, freshly, cooked meals avoid leftovers -whole grains= red rice, barley, quinoa -vegetables= especially leafy greens, beetroot, pumpkin, drumstick, bitter gourd -fruits= pomegranate, figs, dates 2-3 per day, apple, papaya -protein= mung dal, lentils, panner, nuts, seeds -healthy fats= ghee small amounts, sesame oil, flaxseeds, walnuts
AVOID= junk food, refined sugar, too much dairy, excess caffeine, alcohol
YOGA ASANAS -baddha konasana -supta baddha konasana -setu bandhasana -bhujangasana -malasana
PRANAYAM -Nadi sodhana= balances hormones -Bhramari= reduces stress -Kapalbhati= stimulates ovaries
duration= 20-30 min daily
STAGE 4 = PRE CONCEPTION PRIMING (3-4 months before IVF or natural try) GOAL= prepare body and mind, support follicle maturation (90 days) -continue Rasayana formulation- pal ghrita, ashwagandhadhi lehyam, chyawanprasha= 1 tsp in morning
-Add Swarna bhasma= 2 mg once daily with ghee + honey usually for 30-90 days
-Mental well being- mantra chanting, meditation, journaling
-CoQ10, Inositol, Vitamin D can be combined with Ayurveda for better results
HOME REMEDIES -Saffron milk= 2-3 strands in warm milk at night for Ojas -Fenugreek seeds water= soak 1 tsp overnight, drink in morning balances hormones -Flaxseed powder= 1 tsp daily omega 3 , hormonal balance -Dates + almonds + ghee 2-3 soaked dates with 5 soaked almonds and 1 tsp ghee in morning- fertility tonic
INVESTIGATIONS TO MONITOR -AMH, FSH, LH, Estradiol= day 2-3 of cycle -DHEA- S, Testosterone, Prolactin -Thyroid profile -Vitamin D, Vitamin B12 -Fasting insulin and glucose to monitor PCOS metabolic impact -Ultrasound for ovarian morphology
FINALLY -You have the numbers (high AMH, many follicles). what you need is quality. Quality improves slowly- with at least 3 months of focused care. -Ayurveda’s strength is cleansing, nourishing, and balancing- exactly what egg quality needs -A combined approach (ayurveda + modern fertility supplements + lifestyle + mind care) gives best success -Most importantly ; reduce stress. Many women with PCOS conceive after calming the mind + balancing the body
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA

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