LOW AMH – AYURVEDIC PERSPECTIVE | Dr. Avinash Deore (Infertility Specialist)

1. What is AMH?
AMH is an anti-mullerian hormone. It is a protein hormone made by the cells lining the follicles(sacs that hold the eggs) in females & the testicles( or testes) in males.AMH is an important hormone for the sexual development of both males & females & plays different roles in both genders.
A good AMH level for pregnancy is between 1.0 and 4.0ng/ml.
2. What is low AMH & high AMH?
LOW AMH: Low AMH & pregnancy are often discussed simultaneously. This is because low AMH levels signify a decreased or very low number of eggs in the ovarian reserve.
HIGH AMH: High levels of AMH mean more antral follicles & a higher yield of oocytes during ovarian stimulation which can ultimately lead to the formation of more embryos.
An important thing to remember here is that AMH is only a market of the number of eggs & not their quality which is more important in forming good-quality embryos & ultimately a successful pregnancy.
3. Causes of low AMH & high & AMH?
LOW AMH CAUSES:
There are various factors affecting the AMH level in a woman’s ovaries :
a) Stress level
b) Age factor
c) Vitamin deficiency (especially vit d )
d) Eating habits
e) Birth control pills

HIGH AMH CAUSES :
A lack of sensitivity to injection FSH: if someone’s ovaries don’t respond well to follicles stimulating hormone( FSH) which helps eggs grow & mature.
AYURVEDIC TREATMENT :
1. Pushpadhanva rasa (250mg): before lunch & before dinner.
2. Suvarna Malini Vasant rasa(gold) 125 mg:1 tab in the morning empty stomach with warm milk.
3.Tapyadi loha with rajat (bhasma)125mg :1 tablet after lunch & 1 tab after dinner.
PANCHAKARMA THERAPIES IN LOW AMH:
1. UTTRABASTI with phalasarpi ghrit using 1.5cc syringe for 3 days in each cycle continue upto6 to 8 months.
2. VIRECHAN KARMA:
A) Ghrutapan with Ashok Ghrita followed by 5 to 6 days.
B) Sarvang snehan swedan for 3 to 4 days.
C) Virechana dravyas withichhabhedi rasa or Trivrutta avaleha.
3. YOG BASTI:
To be done for 8 dasy followed by sarvang snehan swedan with alternate day Anuvasan & Niruh Basti.
Anuvasan basti with saptabhavit ksheerbala oil, Niruh basti with Dashmool+ prajasthapan gana sidda qwath.
4. NASYA KARMA:
With shatavari ghrita in morning empty stomach.
LIFESTYLE MANAGEMENT:
1. STRESS MANAGEMENT: It’s important to manage stress through meditation, exercise &therapies to help improve fertility health & potentially improve AMH levels.
2. ADEQUATE SLEEP: Ensure you get at least 7-8 hours of sleep each night lack of sleep can lead to hormonal imbalance.
3. HEALTHY DIET: Adopt a healthy diet following a healthy diet can help to improve your ovarian reserve you can include the following things- fresh fruits, vegetables, nuts, whole grains, eat organic, reduce refined carbs, avoid processed foods, limit sugar intake, avoid packaged food, etc.
4. MAINTAIN HEALTHY WEIGHT: Your weight influences your AMH level so keep it in a healthy range.
5. Avoid smoking and Excessive Alcohol: Smoking and Excessive Alcohol consumption may harm fertility, so it’s advisable to avoid or limit these substances.
A. What should you eat or include in your diet?
1. Adopt a healthy Diet.
2. Fresh fruits and vegetables
3. Nuts, Whole grains.
4. Eat Organic.
5. Beans & lentils, Seeds, Dry fruits, etc…
6. Green Leafy vegetables.
B. What to avoid?
1. Reduced refined carbs.
2. Avoid processed food.
3. Limit Sugar intake.
4. Avoid Packaged food
5. Ready to eat food.
EFFECTS OF ALCOHOL AND SMOKING ON FERTILITY.
1. From disrupting hormone production to impairing sperm quality and motility. Smoking can make it difficult to initiate the process essential four successful conception.
2. Hormonal Imbalance: Prolonged alcohol/smoking consumption disrupts the delicate balance of hormones crucial for reproductive function
3. Drinking alcohol targets sperm. morphology & sperm producion.
4. Smoking releases toxins that primarily hamper sperm mobility and seminal fluid quality and affect or cause Brechile dysfunction.
5. Alcohol-induced oxidative stress can damage. Sperm DNA, altering their morphology & Increasing the likelihood of genetic abnormalities. in offspring.

WE HAVE MORE THAN 2000 CASES SUCCESSFUL OF LOW AMH.

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