Abstract

LOW AMH AND AYURVEDA: A CASE STUDY

Dr. Manasi P. Udagikar, Dr. Ashwini D. Sonalkar, Dr. Jayshree V. Changade*

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Abstract

A potential indicator of ovarian reserve, anti-Mullerian hormone (AMH) is produced by granulosa cells of preantral and antral follicles. The "egg reserve" or "ovarian reserve" of a woman is indicated by her AMH values. In other words, the amount of AMH in the blood can help medical professionals determine how many follicles are present in the ovaries. It can be used to forecast the ovarian reaction to controlled ovarian stimulation. With a low AMH, a woman having in vitro fertilization (IVF) has a poor success rate, leaving the couple with only choice to try IVF using donor eggs. AMH's clinical application has lately been expanded upon. AMH has been studied for its potential applications in the diagnosis of polycystic ovary syndrome, the prediction of the beginning of menopause, and the evaluation of ovarian function prior to and following gynaecological procedures or the administration of gonadotoxic medications like chemotherapy. Artavadhusti can be compared with insufficient AMH levels. The current case study provides evidence of the effectiveness of an Ayurvedic therapy regimen in raising the AMH value, a requirement for preganancy.31-year-old female patient came with low AMH report and ultra sound showing low AFC. The patient was given an Ayurvedic management regimen, for 4 months which included herbal drugs only like Hingavastak churna, Pushpadhanwa rasa, combination of shatvari and shatpushpa and phalghruta. Three months were spent on the follow-up. After that, the AMH level showed a noticeable increase and, in that month, only patient conceive naturally.

Keywords: AMH, low AFC, Ayurveda, Infertility, Vandhyatwa.