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how to improve egg quality for pcos?
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Infertility Treatment
Question #34378
2 hours ago
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how to improve egg quality for pcos? - #34378

Swenya Stalin

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.

Age: 36
Chronic illnesses: Pcos infertilty
700 INR (~8.19 USD)
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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

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It’s better to take personal consultation

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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

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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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I am Dr. Sushma M and yeah, I’ve been in Ayurveda for over 20 yrs now—honestly still learning from it every day. I mostly work with preventive care, diet logic, and prakriti-based guidance. I mean, why wait for full-blown disease when your body’s been whispering for years, right? I’m kinda obsessed with that early correction part—spotting vata-pitta-kapha imbalances before they spiral into something deeper. Most ppl don’t realize how much power food timing, digestion rhythm, & basic routine actually have… until they shift it. Alongside all that classical Ayurveda, I also use energy medicine & color therapy—those subtle layers matter too, esp when someone’s dealing with long-term fatigue or emotional heaviness. These things help reconnect not just the body, but the inner self too. Some ppl are skeptical at first—but when you treat *beyond* the doshas, they feel it. And I don’t force anything… I just kinda match what fits their nature. I usually take time understanding a person’s prakriti—not just from pulse or skin or tongue—but how they react to stress, sleep patterns, their relationship with food. That whole package tells the story. I don’t do textbook treatment lines—I build a plan that adjusts *with* the person, not on top of them. Over the years, watching patients slowly return to their baseline harmony—that's what keeps me in it. I’ve seen folks come in feeling lost in symptoms no one explained… and then walk out weeks later understanding their body better than they ever did. That, to me, is healing. Not chasing symptoms, but restoring rhythm. I believe true care doesn’t look rushed, or mechanical. It listens, observes, tweaks gently. That's the kind of Ayurveda I try to practice—not loud, but deeply rooted.
5
71 reviews

Latest reviews

Aria
4 hours ago
This advice was super helpful! Felt relieved to get a clear plan to work on my digestion without flaring up my pitta issues. Thanks alot!
This advice was super helpful! Felt relieved to get a clear plan to work on my digestion without flaring up my pitta issues. Thanks alot!
Sofia
4 hours ago
Thank you, this really helped clarify things for me. The advice was thorough and easy to follow. Much appreciated!
Thank you, this really helped clarify things for me. The advice was thorough and easy to follow. Much appreciated!
Avery
4 hours ago
Thanks doc, your advice was really detailed and comforting. Cleared up a lot of doubts I had about using Ayurvedic stuff for my liver troubles. Gonna try those tips!
Thanks doc, your advice was really detailed and comforting. Cleared up a lot of doubts I had about using Ayurvedic stuff for my liver troubles. Gonna try those tips!
David
5 hours ago
Thanks for the detailed advice, Dr. Surya! Super helpful to have clear steps to follow. Really appreciate it!
Thanks for the detailed advice, Dr. Surya! Super helpful to have clear steps to follow. Really appreciate it!