how to improve egg quality for pcos? - #34378

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 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

Hey, You should start with 1.Shatavri kalpa 1 tsp twice daily with warm milk before meals 2.Ashwagandha churna 1 tsp with warm milk at bedtime 3.Phala ghrita 1 tsp twice daily with warm milk twice daily after meals 4.Ashokarishta 20 ml with 20 ml water twice daily after meals 5.Trikatu churna 1/2 tsp with warm water twice daily before meals

Lifestyle & Diet Adjustments: Daily Routine - Wake before sunrise, gentle oil massage (abhyanga) with Bala Taila or Dhanwantaram Taila. - Yoga: Focus on fertility-enhancing poses—Supta Baddha Konasana, Viparita Karani, Malasana. - Pranayama: Nadi Shodhana + Bhramari for hormonal and emotional balance.

Diet - Warm, cooked, ghee-rich meals with spices like cumin, fennel, ajwain. - Avoid: Refined sugar, dairy (except ghee), cold/raw foods, soy, and excessive gluten. - Include: Black sesame seeds, soaked almonds, pomegranate, dates, and seasonal fruits.

Sleep & Emotional Care - Brahmi oil on temples, journaling, and mantra chanting before bed. - Digital detox post 8 PM to support melatonin and egg maturation.

Optional Panchakarma for best results (if feasible)- - Virechana: Gentle purgation to clear Pitta and metabolic toxins. - Basti therapy: Medicated enema with Dashamoola or Shatavari decoction to nourish reproductive tissues.

Best Wishes Dr.Anjali Sehrawat

This is a challenging journey, and it’s understandable that you are looking for ways to improve your egg quality, especially with the high number of eggs retrieved but low blastocyst conversion. The results strongly suggest an issue with egg quality, which is common in PCOS, even with a regular cycle and normal weight.

Ayurveda offers a holistic approach that focuses on addressing the root imbalances (primarily related to the Kapha and Vata doshas in PCOS) and nourishing the reproductive tissues, or Artava Dhatu.

Here are the key areas in which Ayurveda and lifestyle changes can help support egg quality before your next retrieval:

1. Ayurvedic Dietary and Digestive Changes (Ahara)

Ayurveda often links PCOS to poor digestion (Agni Mandya) leading to toxins (Ama), which can block channels and affect tissue nourishment, including the reproductive system. Focus on Warm, Fresh, and Easily Digestible Foods: Favor: Whole grains (quinoa, brown rice, barley), fresh vegetables (especially leafy greens, gourds, carrots, broccoli), legumes (lentils, mung beans, chickpeas), and fruits like apples, berries, and pomegranates. Include Healthy Fats: Ghee (clarified butter) is highly revered for nourishing reproductive tissues (Shukra/Artava Dhatu). Use in moderation along with other healthy fats like olive or coconut oil. Use Metabolism-Boosting Spices: Regularly incorporate Turmeric, Cinnamon, Ginger, Cumin, and Fenugreek in your cooking. Cinnamon and Turmeric, in particular, are noted for improving insulin sensitivity and reducing inflammation, which is vital for egg health. Foods to Minimize or Avoid (as they can increase Kapha/Ama): Processed foods, refined sugar, and artificial sweeteners. Deep-fried, oily, and heavy foods. Cold or frozen foods/drinks (Ayurveda recommends warm or room-temperature water/drinks). Excessive dairy (especially cheese, yogurt, and full-fat dairy). Hydration: Drink plenty of warm or room-temperature water. Herbal teas like ginger or spearmint may also be beneficial.

3. Lifestyle and Stress Management (Vihara)

Your body’s ability to create high-quality eggs is directly linked to its overall state of well-being and stress levels. Moderate and Regular Exercise: Consistent, moderate movement is key to improving insulin sensitivity and circulation without overstressing the body. Focus on: Yoga (especially poses like Baddha Konasana - Butterfly Pose, Bhujangasana - Cobra Pose, and Paschimottanasana - Seated Forward Bend), brisk walking, and gentle strength training. Avoid: Excessive, high-intensity, or strenuous exercise that could deplete your energy (Vata-aggravating). Stress Reduction (Pranayama and Meditation): Chronic stress elevates cortisol, which negatively affects the reproductive hormone axis. Daily Practice: Incorporate deep breathing exercises (Pranayama) like Nadi Shodhana (alternate nostril breathing) and Kapalbhati (for PCOS) to calm the mind and manage stress. Meditation: Dedicate time daily to quiet the mind. Prioritize Sleep: Ensure you get 7-8 hours of quality, restful sleep nightly, as the body repairs and regenerates, and hormones are balanced during this time. Try to avoid screen time at least an hour before bed.

4. Panchakarma (Detoxification)

For deeper and more lasting change preparatory phase of detoxification known as Panchakarma before starting the main rejuvenating herbs. This is not always mandatory but can be highly effective. Virechana (Therapeutic Purgation): Used to detoxify the liver and hormonal pathways. Basti (Medicated Enema): Often considered one of the most important therapies for balancing Vata dosha, which governs the downward energy (Apana Vata) crucial for reproductive function and ovulation. Uttara Basti (Medicated Vaginal/Uterine Instillation): A specialized therapy aimed at nourishing and clearing the reproductive tract and improving uterine health. By focusing on deep nourishment of the reproductive tissue through a personalized approach combining diet, herbs, and stress management, you aim to create the optimal internal environment to produce a higher quality egg in your next cycle.

1) Ashokarishta + Dashamularishta-4 tsf after food 3 times with water

2) Shatavari choorna-2gm Shatapushpa Churna-2gm + Pushpadhanva Rasa-250mg + Nashtapushpantaka Rasa-250mg + Shuddha Shilajatu-250mg- before food 2 times with ghee and honey

3) Phala Kalyanaka Ghrita-2 tsf-1 hr after food

4) Tab. Leptaden-2- after food 2 times with water

Hello, Please consult a nearby ayurveda doctor who has panchakarma clinic. Panchakarma helps to improve the egg quality largely along with ayurveda medicines. Take care, Kind regards.

Hello Swenya. Start with Tablet M2TONE 1-0-1 will help balance your hormones. Phalgrith 2tsp twice daily before food with warm milk, will improve your fertility Shivlingi beej churan 1/2tsp + Putrajivika churan 1/2 tsp mix and take twice daily before food with cow’s milk. Do pranayam lom -vilom bhastrika bhamri 5-10mins daily Yogasana under expert guidance for strength your pelvic muscles. Include seasonal fresh fruit and seasonal fresh vegetables in your diet Include green leafy vegetables in your diet Walking atleast 30 mins daily in open fresh air area. Be relaxed and remain stress free.

Improving egg quality, especially with PCOS, involves a combination of lifestyle, dietary, and Ayurvedic interventions aligning with individual constitution (prakriti) and dosha balance. Here’s a framewerk to start working on your egg quality:

First, focus on nourishment through diet, as food is the primary foundation for healthy dhatus. Opt for warm, freshly prepared meals rich in antioxidants and good fats. Include ghee, which enhances ojas and nourishes reproductive tissues. Favor whole grains, ample vegetables, and organic root veggies. Spices like turmeric, ginger, and cinnamon help balance hormones and should be incorporated. Avoid processed foods, excessive sugar, and refined carbs which aggravate Kapha and increase ama (toxins).

Regular exercise plays a crucial role. A balanced routine with moderate activities such as walking, swimming, or yoga helps maintain hormonal balance and improves blood circulation, essential for egg rejuvenation. Yoga asanas like Baddha Konasana and Supta Baddha Konasana are beneficial for reproductive health.

Herbal support from Ayurvedic perspective can be highly beneficial. Ashwagandha and Shatavari are well-regarded for enhancing fertility by reducing stress and supporting hormonal balance. These herbs improve resilience, including in egg quality. Consult with an Ayurvedic practitioner for customized formulations.

Stress management is key. Techniques like meditation, pranayama, and maintaining a regular sleep schedule fortify the mind-body connection, reduce cortisol, and consequently improve overall reproductive health. These help in calming Vata which may be disrupted under stress.

Regular cleansing practices, such as mild panchakarma therapies, help clear toxins that might impede oocyte quality. This involves therapies like gentle massages and warm oil (snehana) ingestion. However, it should be customized to your health profile by a qualified practitioner.

Lastly, it’s fundamental to maintain regular follow-ups with both Ayurvedic and conventional healthcare practitioners to monitor your progress and adjust strategies as necessary. Always ensure compatibility with current treatments to avoid unwanted interactions.