Removing chocolate cysts, also known as ovarian endometriomas, can improve your chances of conceiving, especially when combined with managing adenomyosis. Your situation involves several factors that affect fertility, and low AMH (anti-Müllerian hormone) suggests a reduced ovarian reserve, which can complicate conception. Still, it is possible to conceive with careful management.
From a Siddha-Ayurvedic perspective, addressing fertility involves balancing the doshas, especially vata and pitta, which can be disturbed in conditions like chocolate cysts and adenomyosis. Ensuring proper functioning of agni, your digestive fire, is essential. Focus on a diet that is supportive of reproductive health—foods that are nourishing to the rasa dhatu (plasma) and shukra dhatu (reproductive tissue) are beneficial. Incorporate warm, cooked foods that avoid excessive spice, and drink plenty of warm water to help balance vata.
Herbal formulations can support your reproductive health. Shatavari is commonly recommended to support female fertility and balance hormones. Ashwagandha may also be helpful to support overall vitality and reduce stress. You could integrate these after consulting an Ayurvedic practitioner for precise dosages and combinations that suit your prakriti, or individual constitution.
Practice regular yoga and pranayama to improve circulation and reduce stress, which can support reproductive health. Bhramari and Nadi Shodhana pranayamas can help balance hormones and calm the mind.
If conception does not occur after a reasonable period or you have concerns, consult with a fertility specialist for further evaluation and treatment options. It’s essential to have ongoing medical support given the complexity of your condition.



