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Infertility Treatment
Question #43536
89 days ago
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Can I Get My Periods Back at 36 with Low AMH? - #43536

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My amh is 0.02 ..I amnot getting any periodsince last 2 years . AndI am 36 yearsold.. Anyway canI getmy periods back

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Ok no worries start on Rajapravarthini vati Strirasayana vati One tablet twice daily after food with warm water Asoka aristha -4 teaspoon with equal amount of water twice daily after meals

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Avoid oily spicy and processed foods. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Shatavari 2-0-2 Sy.M2Tone 15ml twice Tab.Aloes compound 2-0-2 Follow up after 4weeks.

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Take rajahpravathini vati 1tab, satavari ghurtam 1tsp, phalaghritam 1tab bd, pushyangachuna churna 1tsp, arogya vardini vati 1tab bd, ashokarista 20ml bd

Dr RC BAMS MS

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hello ma ,

With an AMH of 0.02 and no periods for 2 years, the ovaries have become very quiet and are not producing hormones regularly. Periods may not fully return, but we can strengthen your body, correct digestion, reduce tiredness, improve sleep, balance mood, reduce hot flashes, support bones, and help you feel healthy and stable again. Ayurveda works beautifully for improving your overall health, even when natural cycles don’t restart.

1. Ama Pachana (first 7–10 days):

This step removes digestive toxins so your body can absorb medicines better.

Amapachana Vati – 2 tablets twice daily after food with warm water.

This will improve bloating, heaviness, low appetite, and fatigue.

2. Internal Medicines (from day 8 onwards, for 2–3 months)

Ashokarishta – 15 ml with equal water twice daily after food. Shatavari Kalpa – 1 teaspoon with warm milk in the morning. Brahmi Vati (plain) – 1 tablet at night with warm milk. Punarnavadi Mandura – 1 tablet twice daily after meals.

3. External Support Abhyanga (oil massage) with warm sesame oil or Dhanwantharam Taila, 3–4 times a week.

Dhanyamla wash or warm compress if she has body stiffness or heaviness.

4. Investigations To understand the complete picture: Thyroid profile (TSH, T3, T4) Vitamin D Vitamin B12 FSH, LH, Estradiol (to assess current hormone levels)

Even if periods don’t return fully, your health, strength, energy, mood, and sleep can definitely improve with treatment. Many women with very low AMH feel healthier, calmer, and more balanced after supporting their body with the right Ayurvedic medicines. You’re not alone in this, and your body can still recover beautifully with the right care.

Warm regards, Dr. Karthika

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Hi dear this is Dr soukhya … Can you please share your USG abdomen and pelvis report maa… Your amh is low but I want to know the thickness of endometrium… And is there any other problems… Plz share the USG abdomen and pelvis report…

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Hello I‍‌‍‍‌‍‌‍‍‌ really comprehend emotionally it is a hard thing to stop your periods and especially at a young age like 36 with such a low AMH. Certainly, a feeling of fear and being unsure of what is going to happen may arise.

✅AYURVEDIC PLAN OF MEDICATION

👉For Hormonal Nourishment (Artava Dhatu)

Phala Ghrita – 1 tsp every morning Shatavari Kalpa – 1 tsp twice daily Ashokarishta – 20 ml twice daily (healthy uterus helper) Rajapravrutti vati 1-0-1 by after food

👉For Vata Regulation

Dashmoolarishta – 20 ml after lunch & dinner Ksheerabala 101 oil (internal) – 5 drops at night

✅ Panchakarma (Strongly Recommended)

In case if it is available:

1. Basti Chikitsa (Most effective) Anuvasana Basti with Bala taila / Ksheerabala Niruha Basti with Dashmool

It is the best procedure to renew Artava dhatu & hormonal axis.

2. Uttarbasti Uterine basti → providing endometrium with nutrients.

✅DIET MODIFICATION

✔️Foods to Include (Artava-enhancing) Warm milk with ghee Black sesame seed Healthy fats, ideally from cow ghee, must be put consistently into the daily diet. Khichdi made out of mung dal Homemade ghee + turmeric

❌Foods to Avoid (They worsen Vata & dryness)

Cold water Excess fasting Tea/coffee excess Processed foods Smoking/alcohol Dry foods

☑️ Lifestyle Advice

For Hormonal Balance Go to bed before 11 PM Warm oil massage (Abhyanga) 3–4 times weekly Do not get involved in situations that cause you to be stressed (your mind has a great influence on your cycles)

Light yoga: Baddhakonasana Vajrasana Setubandhasana Butterfly pose

✅Realistic Expectation:

With an AMH of 0.02, the chance of natural ovulation occurring is minimal.

An Ayurvedic regimen may sometimes bring about the occurrence of slight bleeding in some women

The fact is that the treatment will still bring about many positive changes to your body

Wishing you a good health 😊

Warm Regards Dr Snehal Vidhate

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As ever AMH is 0.02. A no periods for two years at 8:36 strongly suggest premature over and in sufficiency or very low over in reserve. When AMH is low, the ovaries or functioning at a very minimal level, which is why your periods have completely stopped, but this does not mean your situation is hopeless. The treatment which you take should focus on hormone, nourishment, improving uterine health, and supporting whatever activity is still present.M Ayurveda will help by strengthening the reproductive system and improving quality of whatever follicles have remaind… Start on Shatavari gritha -1 teaspoon with warm milk at night Kanchanar guggulu one tablet twice daily after food with warm water Tab M2 tone -one tablet twice daily after food with warm water Asoka aristha 15 ML twice daily after food Sukumaram kashayam-15 ML twice daily after food Include warm ghee milk, sesame seeds, dates, move the rice Avoid cold water, Lotus skipping meals, executive stress Daily walking and exposed to early morning sunrise for 10 to 15 minutes

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Start with Tablet M2TONE 1-0-1 after food with water Rajapravartini vati 1-0-1 after food with water Aloevera juice 10ml twice daily after food with water Avoid processed fatty fast foods street foods, junk food. Do Brisk walking atleast 30 mins daily Do pranamyam lom -vilom bhastrika kapalbhati daily for 5-10mins twice

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1.Ashokarihsta 20 ml with 20 ml water twice daily after meals 2.Rajah pravartini vati 2 tab twice daily with water after meals 3.Nashta pushpantak rasa 1 tab twice daily with water after meals 4.Shatavari kalpa 1 tsp twice daily with warm milk 5.Triphala churna 1/2 tsp at bedtime with warm water

Lifestyle & Diet - Include: Milk, ghee (if tolerated), sesame seeds, dates, figs, almonds, moong dal, leafy greens. - Avoid: Excess spicy, sour, and very dry foods. - Yoga/Pranayama: Gentle practices like Anulom Vilom, Bhramari, and restorative yoga. - Stress management: Meditation and grounding routines are essential, as stress worsens hormonal imbalance.

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Hello Dear I can imagine how heavy and confusing this feels, especially when your body has been silent for two years. Let me explain things gently and clearly so you know exactly what’s going on and what your realistic options are — both medically and through Ayurveda.

First, about your AMH = 0.02 AMH this low usually means the ovarian reserve is extremely depleted, and very often the body enters premature ovarian insufficiency (POI) or early menopause. When this happens: * Periods may stop completely * Hormone levels like estrogen drop * Ovulation does not occur * Periods don’t return naturally in most cases

But — and this is important — every woman’s body is different, and a small percentage do get cycles back when hormones are supported properly.

So yes, there is a possibility, but we must be realistic and gentle with ourselves: it is usually difficult, not impossible.

Can your periods return? You might get them back if: ✔ Your estrogen levels are supported ✔ The endometrium (uterine lining) responds ✔ There is still minimal ovarian activity left ✔ Lifestyle, stress, diet, and hormones are corrected

But cycles returning does not guarantee fertility.

Still, your pattern can improve, and your body can feel much better with the right plan.

🩺 You must check these tests first These show whether ovulation or natural cycles are still possible:

1. FSH (Follicle-stimulating hormone) 2. LH 3. Estradiol (E2) 4. Prolactin 5. TSH, T3, T4 6. Vitamin D & B12

If FSH is very high and estrogen is very low, it means menopause is already established.

But if hormones are borderline, there is still a window to work with.

Treatment focuses on: Nourishing the reproductive system Stabilizing hormones Supporting the uterus Building Ojas (vital energy)

🌿 Ayurvedic Treatment Plan Stage 1: Hormone Nourishment (First 6 weeks) 1️⃣ Shatavari Ghrita-½ tsp with warm milk at night 2️⃣ Ashwagandha Lehyam - 1 tsp after dinner 3️⃣ Dashamoola Kashayam 15 ml with 30ml of warm warm twice daily before meals

Stage 2: Ovarian Support + Cycle Stimulation 1️⃣ Phalaghrita-½ tsp morning on empty stomach 2️⃣ Rajah Pravartini Vati-1 tablet once daily for 10 days each month 3️⃣ Kumaryasava - 20 ml with 20ml of warm water after lunch

🌸 External Therapies (optional but very effective) 1.Abhyanga (warm oil massage) - 3–4 times/week with Dhanwantara tailam 2.Nadi Swedana on lower abdomen 3.Basti (medicated enema therapy)

Very effective for POI → Done only in Ayurveda centres 🍎 Diet & Lifestyle Include 1.Milk with ghee 2.Dates, figs, soaked almonds 3.Sesame seeds 4.Warm foods, soups, stews 5.A2 ghee, homemade butter 6.Fresh fruits 7.Warm water

Avoid 1.Cold foods 2.Skipping meals 3.Over-exercising 4.Stress 5.Caffeine 6.Late nights

Warm regards Dr.Sumi MS(Ayu)

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Start with these - 1 Raja Pravartini Vati – 2 tablets morning + 2 tablets night (day 15 of cycle) 2 Kumaryasava – 20 ml + 40 ml warm water after lunch & dinner daily 3 Phal Ghrita – 10 gm morning empty stomach with warm milk daily 4 Ashwagandha + Shatavari + Lodhra powder (1:1:1) – 5 gm morning + 5 gm night with milk

Compulsory Add-ons 1 Nasya – 4 drops Phal Ghrita OR Ksheerabala Taila each nostril every morning 2 Uttara Basti (medicated oil enema through vagina) with Phal Ghrita + Bala Taila – 7-day course every month for first 3 months (must be done by experienced lady Panchakarma doctor – this alone restarts periods in 80 % cases) 3 Castor oil pack on lower abdomen nightly (hot water bag 20 min

Diet & Lifestyle Daily: cow milk 250 ml + 2 tsp ghee + 6 almonds + 4 dates + 1 banana Zero tea/coffee, cold drinks, maida, sugar, packaged food Sleep 9:30 PM–5:30 AM strictly No exercise first 60 days, then only yoga (Viparita Karani, Supta Baddha Konasana)

Regards Dr Gursimran Jeet Singh MD Panchakarma

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Low AMH levels indicate diminished ovarian reserve, and lack of periods at your age suggests a menopausal state or other hormonal imbalance. In Ayurveda, this condition may be linked to Vata dosha imbalance impacting the reproductive system. While completely restoring fertility might be challenging, regulating menstrual cycles can sometimes be addressed through Ayurveda with a holistic approach. Here are some recommendations:

1. Dietary Changes: Prioritize a Vata-pacifying diet. Include warm, cooked foods with healthy fats like ghee and olive oil. Root vegetables, whole grains, and warming spices (ginger, cumin, cinnamon) are beneficial. Avoid dry, cold, and overly processed foods. Regular meals at consistent times support digestion and balance.

2. Herbs and Remedies: Ayurvedic herbs such as Ashwagandha, Shatavari, and Bala may help nourish the reproductive tissues. A tailor-made formulation by a qualified Ayurvedic practictioner can be prescribed for your specific needs. Having these under supervision ensures proper dosage and usage.

3. Lifestyle Adjustments: Implement daily routines (dinacharya) to ground Vata dosha. Wake early, practice gentle yoga, and meditatoin to reduce stress. Regular sleep patterns and rest are crucial. Abhyanga (self-massage with warm sesame oil) daily can help calm the nervous system.

4. Exercise and Movement: Gentle exercises like walking, mild yoga or Tai Chi are good. Avoid excess intensity which could aggravate Vata. Consistent, relaxed physical activity helps circulation and prana flow.

5. Mind and Emotion: Practices in self-reflection and stress management are essential. Journaling or engagement in hobbies that brings joy can stabilize mind. Consider guided meditations focusing on the sacral chakra as it connects with reproductive organs.

While these suggestions align with Ayurveda’s holistic principles, integrating them gradually and observing how your body responds is key. It’s important to also consult healthcare professionals on alternative therapies or interventions suitable for you. Addressing any potential underlying serious medical conditions should take priority.

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✔️ Do’s: ✔️ Millet roti Buttermilk (daily include in your meal) Moong dal (green and yellow both are ok) All fruit vegetables Leafy vegetables (except methi and dil)

🧘‍♀️ Yogasan : 🧘‍♀️

1. Bhujangasana (Cobra Pose) 2. Dhanurasana (Bow Pose) 3. Ardha Matsyendrasana (Half Lord of the Fishes Pose) 4. Paschimottanasana (Seated Forward Fold) 5. Halasana (Plow Pose) 6. Sarvangasana (Shoulder Stand Pose) 7. Matsyasana (Fish Pose) 8. Supta Matsyendrasana (Reclined Spinal Twist) 9. Surya Namaskar 10. Malasan (Squats Pose)

🧘‍♀️ Pranayam : 🧘‍♀️ 1. Anulo Vilom 2. Bhramari 3. Kapalbhati 4. Jyoti Tratak

❌ Donot’s: ❌ Tea Coffee Addictions Dals (except moong) Sour Packed food Processed food Achar (pickles) Papad Fried food Avoid dairy completely Non veg products

💊 Medication: 💊

Cap. Femigen 2 caps twice a day before food Tab. Ampachak Vati 2 tabs twice a day before food Tab. Raspachak Vati 2 tabs twice a day before food Tab. Rajapravartini Vati 2 tabs twice a day before food

Pushyanug Churna ½ tsp twice a day after food Syp. M2 Tone 3 tsp twice a day after food

Castor oil 3 tsp at bed time with hot water.

Luke warm sesame seed oil massage on the tummy area after food.

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HELLO,

Low AMH- Suggests reduced egg reserve. Doesn’t mean pregnancy is impossible , but conception may take time and needs strong ovarian support

Hormonal imbalance- can distrup ovulation and endometrial lining health

Age factor- natural egg decline occurs, so time sensitive strategy is key.

According to ayurveda, 1)Low AMH- dhatukshaya (depletion of shukra dhatu and Artava), often due to age, stress, toxins, irregular food/sleep, chronic illness=reduced quality and quantity of egg.ovulation may still happen if cycle is regular

2) Hornonal imbalance - vitiation of Vata(apana), and pitta irregular Artavavaha srotas, disturbed hypothalamic- pitutary-ovarian axis= delayed/missed ovulation, weak endometrium , PCOS/bleeding tendency

#Treatment goals 1)Revive ovaries+increase egg quality 2)balance reproductive hormones(FSH,LH,ESTROGEN,PROGESTERONE) 3) prepare uterus to hold pregnancy naturally 4) enhance natural conception chances within 6 months

#PHASE - WISE AYURVEDIC MANAGEMENT PLAN

PHASE 1- detox+ foundation Duration- month 1-2 Focus- cleanse system, prepare ovaries and uterus , stabilise hormones and sugar

1) Putranjeevak + shivlingi beej churna- 1gm each with honey on empty stomach = Egg nourishment and ovarian rejuvenation

2) Ashokarista (dootpapeshwar brand) - 15ml+15ml water twice after food= hormone balance, cycle correction

3)Chandraprabha vati- 1 tab twice a day after food=antioxidant and insulin control

4) Nishaamalaki churna- 3gms at bedtime with warm water=sugar,pcod, cysts

5) Punarnava mandur- 2 tabs daily+ pomegranate juice (50ml)=blood builder

6)Arogyavardhini vati- 1 tab daily, improves estrogen clearance after lunch

Yoga(daily,30 min) -baddhakonsana- butterfly pose -paschimottanasana- forward bend -Setu bandhasana- bridge pose -viparita karani- legs up pose

Pranayam -Anulom vilom- 7 min -bhramari- 5 min -ujjayi- 5 mins

#PHASE 2- FERTILITY ACTIVATION duration - 3-4 month Focus- ovulation support+endometrial strength + blood and energy restoration

1)Phal ghrita (AVN/kottakal)- 5ml in warm milk morning empty stomach =Ovulation and egg health

2)Shatavari kalpa (zandu) - 1 tsp with warm milk at night =fertility rejuvenation

3) Ashwagandha churna - 5gm with milk at bedtime= improve endometrial lining

4) Optional if irregular periods Rajapravartini(5 days before period date) - 1 tab twice daily = hormonal support

Start ovulation tracking(Day 10-18 of your cycle) Use LH ovulation strips daily. Have intercourse every alternate day in fertile window

#PHASE 3- conception support Duration- month 5-6 Continue- Putranjeevak +shivlingi Chandraprabha vati Shatavari+ashwagandha Add dashmoolarista = 15 mL post meals to stabilise uterus after ovulation

insert a tampon soaked in warm Arjuna ghrita post intercourse- once a week during ovulation week only

#DIET- fertility and diabetes balance Must include- -2 soaked walnuts+5 soaked almonds+1 tsp flaxseed daily -cow ghee-1 tsp/day -turmeric milk at night -iron rich - cooked spinach, pomegranate, beet root, jaggery water -warm foods only- avoid raw salads/cold smoothies

#AVOID -High sugar= sweets,bakery,juices -Estrogen blockers=soy, flax in excess -Uterine irritants =cold water, pineapple, papaya -Gut disrupts = fermented food,milk+salt combo, maida

Panchakarma if feasible go for it very much effective in your case - Uttar basti therapy (if tubal block not fully clear) - ⁠virechana or basti t clear pitta and vata

#BLOOD TESTS TO TRACK (repeat every 2-3 months) AMH- track egg reserve HbA1c- sugar control TSH, prolactin, FSH, LH- hormone balance TVS follicular scan- track ovulation from day9-16

#MIND AND SPIRIT SUPPORT -chanting santaan Gopal mantra -Garbha Sanskara readings daily -Keep a fertility journal- mood, cycle ,ovulation , prayer

Final words- Yes, you can conceive naturally at 36- even with low AMH - if you focus on strengthening the quality of the eggs, not just quality. Ayurvedic treatment have. Deep nourishing impact, and time is critical Consistency of 4-6 months is essential Stay positive, stress free

Do follow and see 100% results Hope this might be helpful

And may you blessed with healthy pregnancy naturally and have a beautiful healthy Baby

Thank you

Dr.Maitri Acharya

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