A CASE REPORT ON MANAGEMENT OF FEMALE INFERTILITY DUE TO LOW ANTI MULLERIAN HORMONE WITH AYURVEDIC TREATMENT PROTOCOL

Abstract

Complex series of events that are inevitable for a successful pregnancy include the formation of healthy sperm and ovum, their development and maturation, ovulation, fertilisation, transportation of fertilised ovum into the uterus, and implantation into a receptive uterine cavity. The recent trend of delaying conception may be associated with declining ovarian reserve, increasing the need for IVF with donor ovum. Anti mullerian Hormone *AMH+ is considered a surrogate marker for ovarian reserve and an indicator of healthy ovulation. So the reduced level of AMH is a great concern in the field of infertility management. Ayurveda emphasizes four main factors viz Rithu (ovulation), Kshetra (functional reproductive organs), Ambu (represents proper nutrition after fertilization, that can be correlated with corpus leuteal function upto the establishment of placenta and then onwards placental function), and Beeja (healthy sperm and ovum) which are essential for conception. Infertility due to Diminished ovarian reserve (DOR) can be considered under Dhatukshayajanya Vandhya explained in Harita Samhita. This case study focuses on a 27 year old female patient who approached came to OPD with complaints of inability to conceive even after 8 years of unprotected sexual life. A thorough history taking revealed that all infertility investigations were normal with the exception of the AMH count, which was found to be reduced. She was given medications for Agni deepana and Dhatuposhana as well as Panchakarma treatments, including Musthadi Rajayapana Vasti and Uttaravasti. With the abovementioned treatments for 3 courses, the patient approached our OPD, 2 months after discharge with the complaint of secondary amenorrhoea. The urine pregnancy test was found to be positive and the patient was advised for proper antenatal care and timely follow-up. She delivered a full-term healthy female baby on 14.9.23.