Effect of Putrajeevakadi Yoga on Dhathukshayajanya Bandhya (Secondary Infertility) due to Low AMH

Abstract

Secondary infertility associated with diminished Anti-Mullerian Hormone (AMH) levels is predominantly linked to endocrine dysfunction. Elevated Follicle Stimulating Hormone (FSH), reduced AMH, and a low Antral Follicle Count (AFC) collectively compromise ovarian reserve, resulting in pregnancy rates below 5% and miscarriage rates exceeding 75%. AMH, secreted by granulosa cells of preantral and antral follicles, is a well-established biomarker for evaluating ovarian reserve and predicting response to controlled ovarian stimulation due to its strong correlation with follicular quantity and recruitment. Women undergoing in vitro fertilization (IVF) with low AMH levels often experience poor outcomes, making donor egg IVF the predominant option. Ayurveda offers a comprehensive and individualized approach to managing Vandhyatva (infertility), focusing on restoring systemic equilibrium, enhancing oocyte quality, and activating the body's intrinsic healing mechanisms. This case study presents a 35-year-old woman with secondary infertility and markedly low AMH levels who was successfully treated with Putrajeevakadi Yoga Ksheerpaka. The intervention resulted in natural conception, highlighting the therapeutic potential of Ayurvedic protocols in addressing complex reproductive disorders and improving ovarian function.