What to do if my periods are missing and I have low AMH and high FSH levels at 43 years old? - #52661

Hi! I’m an assistant to the Ask Ayurveda doctors. I’ve carefully reviewed your question.

I will explain your symptoms through the Ayurvedic perspective so you understand what is happening in your body as a whole.

The symptoms you’re experiencing, such as missed periods, low AMH, and high FSH levels, suggest a potential imbalance in your reproductive and hormonal health. In Ayurveda, these symptoms can be linked to the decline of reproductive tissue (Shukra Dhatu) which naturally occurs with age. The missing periods, or amenorrhea, may indicate a Vata imbalance, as Vata governs all movements and cycles in the body, including the menstrual cycle.

Breastfeeding can also affect menstrual cycles due to the body’s focus on nourishing the child, which may temporarily alter hormonal balance. The high FSH and low AMH indicate a decrease in ovarian reserve, a natural progression as women age, but Ayurveda focuses on balancing the body to support natural functions as much as possible.

From an Ayurvedic perspective, supporting your Agni (digestive fire) and reducing any accumulated Ama (toxins) is crucial. This can help rebalance the body’s natural rhythms and support reproductive health. Stress, lifestyle, and diet are also important factors that can influence your hormonal balance.

To give doctors a precise and effective treatment plan, your answers to the questions below are essential. Without this information, the recommendations will be more general and less accurate.

Please answer each question as clearly as possible:

1. How long have you been experiencing missed periods? Please choose from: Less than 1 month, 1-3 months, 3-6 months, or More than 6 months. 2. Have you noticed any other symptoms along with missed periods, such as hot flashes, weight gain, or mood swings? 3. What was your menstrual cycle like before it became irregular? Was it regular and predictable, or irregular but manageable? 4. Have you had any recent medical check-ups or tests related to your reproductive health? If so, were they recent or a while ago? 5. What is your current breastfeeding status? Are you fully breastfeeding, partially breastfeeding, weaning off, or have you stopped breastfeeding? 6. How would you describe your overall health and energy levels? Is it very good, good but occasionally tired, fair and often fatigued, or poor with very low energy? 7. Have you discussed fertility options with a healthcare provider? Are you actively exploring options or not yet?

Your detailed responses will assist in crafting a more personalized approach for your health and fertility journey.

I understand your concern very deeply—especially when you’re hoping for another pregnancy. You’ve just delivered recently, you’re breastfeeding, and now periods have stopped with low AMH + high FSH. This can feel confusing and worrying, but let’s go step by step with clarity and honesty. Right now, 3 important factors are overlapping: 1️⃣ Breastfeeding Effect 👉 When you breastfeed, the hormone prolactin increases 👉 This naturally suppresses ovulation and periods This condition is called lactational amenorrhea ✔ Very common ✔ Can last months (sometimes longer) 2️⃣ Age Factor (43 years) At this stage: AMH (ovarian reserve) naturally becomes low FSH increases 👉 This indicates perimenopause transition may be starting 3️⃣ Symptoms like Hot Flashes 👉 These suggest hormonal decline (estrogen) 👉 Supports the possibility of early menopausal changes Your periods may return if the main cause is breastfeeding 👉 BUT if it is due to ovarian reserve decline, then: ❗ Periods may become irregular or may not fully return ❗ Natural conception chances become low at 43 with low AMH Can You Conceive Again? ✔ Possible but challenging If ovulation still occurs → chance exists But probability is low naturally