Article: INTEGRATIVE AYURVEDIC MANAGEMENT OF INFERTILITY DUE TO LOW ANTI-MULLERIAN HORMONE: A CASE STUDY

Article Category: Case Reports

DOI: 10.7897/2277-4343.1715

Pages: 17-20

Author: Priyanka Gaikwad *, Kusum Sharma, A. Neelima

Abstract: Infertility is a growing global reproductive concern, and low Anti-Mullerian Hormone (AMH) has emerged as a key indicator of diminished ovarian reserve and poor reproductive potential. AMH, produced by granulosa cells of small antral follicles, reflects the functional ovarian follicular pool. From an Ayurvedic perspective, such depletion corresponds to Dhatu Kshaya, particularly of Artava Dhatu, along with Apana Vata dysfunction and Srotodushti. This case study reports the integrative Ayurvedic management of a 32-year-old woman with low AMH (0.5 ng/ml), chronic constipation, sleep disturbance, mild anxiety, and a history of two failed intrauterine insemination cycles. The treatment comprised Virechana as Shodhana followed by Rasayana-based cycle-specific therapy including Garbha Dharak Yog, Beejpushtikar Ras, Chitrakadi Vati and Drakshasava alongside pathya-apathya, yoga, and lifestyle correction. The patient experienced progressive improvement in menstrual flow, digestion, sleep, mood stability, and libido. Conception occurred within three months and was confirmed by urine pregnancy test and transvaginal ultrasonography. These findings suggest that an integrative Ayurvedic approach focusing on Agni deepana, Ama pachana, dosha balancing, and Artava-shukra nourishment may support fertility even in women with low AMH. Further controlled studies are needed to validate these outcomes.

Keyword: Anti-Mullerian Hormone, Ayurvedic Infertility Management, Beeja, Dhatu Kshaya, Panchakarma, Virechana