What is AMH?

Anti mullerian hormone (AMH) is a product of granulosa cells of small antral and preantral follicles in woman. AMH is only present in the ovary until menopause.

  • AMH envelop each egg and provide them energy.
  • Serum AMH is a marker for quantitative aspect of ovarian reserve.
  • Ovarian reserve is the term used to determine the capacity of the ovary to provide egg cells that are capable of fertilization and resulting in a healthy and successful pregnancy.
  • As women age, the number of follicles or eggs available for reproduction gradually decline and AMH level also decline with age.

     Causes of Low AMH

A Low AMH level suggests that Ovarian reserve of women is rapidly declining and they must immediately seek infertility treatment; if they are trying to get pregnant.


Low  AMH levels can be associated with:

     Age: As the number of follicles reduce naturally with age, AMH levels are related to your age.

     Genetics: Genetics influence the levels of AMH you have in a specific age.

     Surgery and medications: Treatments and hormone medications which for conditions like endometriosis, ovarian cysts etc can influence AMH levels.

    Medical conditions: Certain autoimmune conditions can negatively affect AMH levels.

    Stress: Studies prove that psychological stress will result in reduced AMH and poor ovarian reserve.

  • Hormonal imbalance
  • High levels of AMH can be seen in PCOD

   How to diagnose low AMH?

Normal levels of Serum AMH:

  1. Normal 1-3
  2. Below normal 0.7-0.9
  3. Low 0.3-0.6
  4. Very Low <0.3

   Why Low AMH causes infertility?

Low  AMH  is not exactly the cause of infertility but an indicator of state of depleted ovarian reserve.

The woman with advanced age and depleted ovarian reserve responds very poorly to the fertility treatment and even stimulation for IVF treatment. So, in these cases oocytes donation is         suggested. As the quality of eggs are also not good; the chances of healthy pregnancy are also lower.

   Ayurvedic treatment gives a new hope in younger women with depleted ovarian reserve.

   Ayurvedic management to improve AMH

As Ayurveda has the holistic approach, one has to modify dietary habits and lifestyle to gain maximum result of treatment.

  • Take healthy diet and modify lifestyle
  • Reduce intake of sweetened and processed packaged food
  • Avoid salty spicy fried junk food
  • Avoid alcohol, tobacco, smoking and caffeine
  • Avoid the combination of foods which are incompatible. For example, milk with food, curd with fish, milk with fruits etc.
  • Take organic fresh local seasonal fruits and vegetables.
  • Eat dry fruits for example black resins with seeds, almonds, walnuts etc.
  • Take at least 10 ml desi cow ghee in your diet.
  • Keep yourself hydrated.
  • Exercise daily to reach a healthy weight.
  • Take proper sleep.
  • Do Yogasana, pranayama, meditation regularly and avoid stress.
  • Follow daily and seasonal regimens explained in Ayurveda according to your body constitution. Know further details about this from nearest Vaidya.

   Ayurvedic  Medicines:

There are many herbs, bhasmas and medicinal preparation which increase quality and quantity of eggs and also give nutrition to reproductive system when taken under proper guidance.

  • For example, Shatavari, Manjishtha, Amalaki, Guduchi, Gokshur, Yashtimadhu, Vidarikanda, Vacha, Brahmi, Abhrakbhasma, Suvarnamakshik bhasma
  • Asparagus racemosus, traditionally known as shatavari means “who possesses a hundred husbands or acceptable to many”.
  • In Ayurveda it is considered a female tonic. In spite of being a rejuvenating herb it is beneficial in female infertility, as it increases libido, cures inflammation of sexual organs
  • Even moistens dry tissues of the sexual organs, enhances folliculogenesis and ovulation
  • prepares the womb for conception, prevents miscarriages, acts as post partum tonic by increasing lactation and normalizing the uterus and the changing hormones.
  • Its use is also advocated in leucorrhoea and menorrhagia
  • Shatavari is the main Ayurvedic rejuvenative tonic for the females, as is Withania for the males.


      Basti acts on vata predominantly. It increases strength of reproductive organs.

      Uttarbasti is an intrauterine instillation of sterile medicated oil or ghee.

      Vamana and Virechana detox the whole body and improve digestive fire for proper nourishment of reproductive hormones and organs and hence, help to increase the quality and quantity           of eggs.

      Yoniprakshalana (Irrigation of vulva and vagina with warm decoction) and Pichudharan (Insertion of a sterile tampoon soaked in medicated ghee or oil in posterior fornix of vagina) are

also  helpful

According to Ayurveda; A Cheerful mind forms the basis of pregnancy; so relaxing panchakarma procedures like massage, steam, head massage, Shirodhara are done to reduce stress and its            impact on infertility treatments.

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