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How can I improve my fertility with low AMH and high FSH?
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Infertility Treatment
Question #49372
20 days ago
351

How can I improve my fertility with low AMH and high FSH? - #49372

Client_4d73ab

My age is 40. I have very low amh 0.20 and high fsh. Period don't come since a year due this. Pls tell how to come back it. Fir this I am not able to get pregnant

How long have you been trying to conceive?:

- 1-2 years

Have you experienced any other symptoms related to your menstrual cycle?:

- Irregular periods

What is your current lifestyle like?:

- Moderate exercise, balanced diet
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AMH 0.20 is very low. - Indicates severely reduced ovarian reserve With high FSH + no periods, this fits late perimenopause / early ovarian failure Natural return of periods is unlikely - At 40, with low AMH + high FSH and no periods for ~10 months, this likely means perimenopause / early ovarian insufficiency. Periods usually don’t come back naturally once this happens. Lifestyle or supplements won’t restart periods. - If pregnancy is the goal → see a fertility specialist As soon as possible in person offline, don’t recommending u any online treatment for this bcz there is need of proper checkup, investigation for hormonal imbalance etc. Understand it as for more clearity- Low AMH → very low remaining egg reserve High FSH → ovaries are not responding well No period for months → ovaries may not be ovulating consistently (or at all) - offline consultantation is important

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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 33- 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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THANK YOU FOR SHARING THIS AND IT IS NATURAL TO FEEL WORRIED AND TIRED AFTER GOING THROUGH THIS FOR SO LONG AT THE AGE OF 40 WITH AMH AT 020 HIGH FSH AND ABSENCE OF PERIODS FOR ONE YEAR THIS INDICATES THAT OVARIAN FUNCTION HAS REDUCED AND HORMONAL SIGNALS BETWEEN BRAIN OVARIES AND UTERUS HAVE BECOME WEAK THIS IS THE MAIN REASON FOR STOPPED PERIODS AND DIFFICULTY IN CONCEIVING THIS SITUATION DOES NOT MEAN EVERYTHING IS LOST BUT IT DOES REQUIRE A REALISTIC AND STEADY APPROACH WHEN PERIODS STOP FOR SUCH A DURATION IT IS USUALLY ASSOCIATED WITH LONG TERM STRESS POOR SLEEP DIGESTIVE ISSUES WEIGHT FLUCTUATIONS OR PREVIOUS HORMONAL TREATMENTS EVEN WITH A BALANCED DIET AND MODERATE EXERCISE THE BODY MAY STILL NOT BE RECEIVING ADEQUATE INTERNAL SUPPORT FOR HORMONE PRODUCTION AND CYCLE REGULATION THE FIRST FOCUS SHOULD BE ON RESTORING HORMONAL RHYTHM AND UTERINE HEALTH RATHER THAN IMMEDIATE PREGNANCY WITH PROPER TREATMENT AND LIFESTYLE CORRECTION MENSTRUAL ACTIVITY CAN SOMETIMES RESTART IN A MILD FORM SUCH AS SPOTTING OR LIGHT FLOW WHICH IS A POSITIVE INDICATION OF RESPONSE LOW AMH DOES NOT INCREASE SIGNIFICANTLY BUT THE QUALITY OF REMAINING EGGS HORMONAL RESPONSE AND UTERINE ENVIRONMENT CAN STILL BE SUPPORTED WITH CONSISTENT CARE OVER TIME THIS SUPPORT ALSO HELPS IN IMPROVING THE POSSIBILITY OF CONCEPTION EITHER NATURALLY OR WITH MEDICAL ASSISTANCE OVER EXERCISING FASTING STRICT DIETING LATE NIGHTS AND CONSTANT MENTAL PRESSURE ABOUT RESULTS CAN FURTHER WEAKEN THE SYSTEM SO THESE SHOULD BE AVOIDED AND THE BODY SHOULD BE GIVEN PROPER NOURISHMENT REST AND EMOTIONAL BALANCE A DETAILED REVIEW OF THYROID LEVELS VITAMIN STATUS SLEEP QUALITY STRESS LEVELS WEIGHT PATTERN AND ANY PREVIOUS FERTILITY TREATMENT IS IMPORTANT BEFORE DECIDING THE NEXT COURSE OF ACTION THIS PHASE NEEDS PATIENCE CONSISTENCY AND A PRACTICAL APPROACH WITHOUT FALSE PROMISES

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Don’t Worry Take Phalasarpi 1tsp AF Satavari ghurtam 1tsp AF Arogya vardini vati 1tab bd AF Gynosin 1tab bd AF Go for vasti karma U ll get results Avoid oily spicy food meat alcohol smoking Dr RC BAMS MS

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Please consult Ayurved Gynaecologist for better management.

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Hello I totally get how tough it is when your periods stop and you’re not getting pregnant, especially with low AMH and high FSH. Seriously, though, it’s not the end of the road to motherhood. Ayurveda aims to fix the cause of ovarian aging, not just the hormone levels. YOUR CONCERN You’re 40 and dealing with: – AMH at 0.20 (super low) – FSH is high – No periods for a year – Trying for a baby for 1–2 years – Irregular cycles before all this – Still no pregnancy Basically, your ovaries seem to be failing early (premature ovarian aging). WHAT AYURVEDA SAYS This is seen as: “Beeja Kshaya + Artava Kshaya due to Vata-Pitta” Which means: – Ovarian follicles are dried out – Less blood is flowing there – Ojas (vital energy) is low – Hormones aren’t working well This can happen because of: – Stress – Weight swings – Inflammation – Thyroid issues – Autoimmune problems – Lack of nutrients Here’s What’s Important AMH shows the number of eggs, not how good they are. Even with a low AMH like 0.2, you can still get pregnant if just one good egg shows up. We’re not trying to force AMH up. We’re trying to wake up those sleepy follicles. What We Want to Do – Get your periods back – Wake up the ovaries – Make the eggs better – Get FSH back to normal – Make your uterus ready for a baby – Help you get pregnant AYURVEDIC PLANOvary Boost 1 Shatavari Kalpa 1 tsp in the morning and at night with warm milk 2.Ashwagandha capsule 1 in the morning, 1 at night → Gets the ovaries working better ✅Hormone Help 1. Kanchanar Guggulu 2 tablets, twice a day → Helps the ovaries and thyroid ✅ Uterus Care 1.Phal Ghrita: 1 tsp at night with warm milk → Helps with implantation ✅Clear Out Hormone Blockages 1. Triphala: ½ tsp at night ✅IMPORTANT A Course of Panchakarma therapy for three month is very important I can guide you further in making persoanlized panchakarma therapy for 3 months DIET PLANINCLUDE – Milk – Ghee (clarified butter) – Dates – Almond paste – Coconut – Rice – Moong dal (lentils) – Beetroot – Pomegranate ❌AVOID – Tea – Coffee – Junk food – Gluten – Sugar – Staying up late How Long It Takes – 2 months → sleep gets better – 3–4 months → spotting or periods might start – 5–6 months → ovulation is possible – Pregnancy could happen on its own or with a little help from IVF Hang in There Lots of women with AMH between 0.1–0.3 get pregnant after trying Ayurvedic stuff to wake up their ovaries. Your ovaries aren’t dead, they’re just asleep! Warm Regards Dr. Snehal Vidhate

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AP KI YE FSH HIGH MEANS APKA PERIOD BANDH HONE VALA HE YE AK NATURAL PROCESS HE AGR AP PREGNENCY RAKHNA CHAHTE HO TO BINA TIME BIGADE PANCHAKARMA KIJYE USKE BAD THODA TIME AYURVEDA TRETMNT KIJYE AGAR FYDA NAI HOTA HE TO IVF IS BEST OPTION AGAR APKO INDETAIS JANANA HE TO AP PERSNAL CONSULTION KAR SKTE HO

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Start on Tab santati sudha 1-0-1 Syp Nari Sudha 10-0-10 ml Shatavari churna 1/2-0-1/2 tsp with warm milk Kalyanaka gritha 1 tsp at morning

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I hear your concern clearly — low AMH (0.20), high FSH, and no periods for a year strongly suggest that your ovaries have very low reserve and are not producing eggs regularly. In modern medicine this is often called premature ovarian insufficiency / early menopause. At age 40, this makes natural conception very difficult. Rx 1.Phala ghrita 1 tsp with warm milk empty stomach in the morning 2.Shatavari granules 1/2 tsp twice daily with warm milk after meals 3.Rajahpravartini vati 2 tab twice daily with water after meals 4.Ashokarishta 20 ml with 20 ml water twice daily after meals Diet & Lifestyle Include: - Amla, sesame seeds, dates, cow’s milk, ghee, soaked almonds. - Warm, freshly cooked meals; avoid fasting or skipping meals. Avoid: - Excess spicy, sour, fermented foods. - Late nights, stress, over‑exercise. Yoga/Pranayama: Gentle routines — Baddha Konasana, Setubandhasana, Anulom‑Vilom — to improve pelvic circulation.

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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. Shitali 5. Sitkari ❌ 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. Rasapachak Vati 2 tabs twice a day before food. Syp. M2 Tone 2 tsp twice a day before food. Tab. Gandharva Haritaki 2 tabs at night with one glass hot water. Phalaghrit 3 tsp twice a day with warm water /cow milk Shatavari Kalp 3 tsp in cow milk twice a day

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Start with Phalgrith 2tsp twice daily before food with warm milk 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. Do pranayam lom -vilom bhastrika bhamri 5-10mins twice daily Follow up after 2 months.

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Natural conception chance is extremely low. Most women in this situation need donor eggs for pregnancy. ✓What Ayurveda can realistically do Improve uterine lining, reduce stress, support overall reproductive health & possibly resume very light/scanty periods but cannot increase AMH or reverse ovarian failure. Goal is to prepare body for best possible IVF outcome (own eggs or donor). ✓Recommended Ayurvedic Support (90–180 days) Shatavari Kalpa – 10 gm morning + 10 gm night with warm milk + ½ tsp ghee Phala Ghrita – 10 gm morning with warm milk Dashmoolarishta – 15 ml + 30 ml warm water twice daily after meals Kanchanar Guggulu – 1 tablet twice daily after food ✓Lifestyle & Diet (critical) Continue moderate exercise – add gentle yoga (supta baddha konasana, viparita karani 10 min daily) Diet: pomegranate, beetroot juice 100 ml, soaked almonds (6–8), sesame seeds 1 tsp, ghee 1–2 tsp/meal Avoid: cold, spicy/sour, caffeine excess, processed food, late dinner Sleep 10 pm – 6 am strictly (hormone recovery) Stress reduction: 10 min Anulom-Vilom daily ✓Urgent next steps Consult fertility specialist immediately (do not delay at 40 with AMH 0.20) Tests: repeat AMH, FSH, LH, Estradiol, AFC (antral follicle count), TSH, prolactin Discuss: Short-term hormone therapy to induce withdrawal bleed IVF with own eggs (low success ~5–10%) vs donor eggs (high success) DHEA / CoQ10 / myo-inositol if specialist recommends (mild supportive) Regards Dr Gursimran Jeet Singh MD Panchakarma

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