- Written by Dr. Keerthi Balanchandran, Consultant at UWAY Health
Over the last few years, more women have started consulting Ayurveda doctors after being told that their AMH levels are low. Most of them come when:
1. They have already tried conventional fertility treatments but wish to explore natural, supportive options.
2. They have been advised IVF or donor eggs and want to improve their fertility health first.
3. They experience hormonal imbalances, irregular cycles, or stress-related issues alongside low AMH.
This growing trend reflects a deeper shift in how women view fertility care. All this while fertility decisions mainly revolved around four numbers. AMH, FSH, follicle count, age. These are valuable indicators, but they don’t always give the full picture.
According to the World Health Organization (2023) one in six couples experiences infertility globally. Among women under 35, low AMH is becoming increasingly common, often linked to stress, poor sleep, nutritional gaps, and hormonal disruption. In India, the trend is even more visible. A Times of India report (2024) noted that every alternate woman visiting fertility clinics in Bengaluru — including those in their twenties showed signs of low ovarian reserve. Doctors attributed this rise to urban stress, delayed pregnancies, erratic sleep schedules, and the growing prevalence of PCOS and obesity. Data from the Indian Society of Assisted Reproduction (ISAR) suggests that lifestyle-related infertility now accounts for nearly 30–40% of all fertility cases in major Indian cities. This shift has led many women to explore more integrative approaches where Ayurveda and modern diagnostics work together.
What Is AMH and What Does It Indicate?
| AMH Range (ng/mL) | Interpretation |
| 1.0 – 4.0 | Healthy ovarian reserve |
| Above 4.0 | High reserve / possible PCOS |
| Below 1.0 | Diminished ovarian reserve |
AMH helps fertility specialists predict how a woman might respond to treatments such as ovulation induction or IVF. However, AMH is not the final verdict on fertility. Many women with levels below 1 ng/mL still conceive naturally. A 2023 study published in Human Reproduction confirmed that while AMH predicts egg quantity, it doesn’t always reflect egg quality. Other factors such as age, stress, metabolic health, sperm quality, and endometrial receptivity play equal roles in conception.
Why AMH Alone Doesn’t Define Fertility
Two women with the same AMH level can have very different outcomes. That’s because fertility is an intricate network of physical, metabolic, and psychological factors. Major influencers include age (egg quality declines faster than AMH after 35), hormones (thyroid, insulin resistance, and prolactin affect ovulation and implantation), lifestyle (irregular eating, high stress, and lack of sleep raise oxidative stress in ovarian tissue), and environment (exposure to plastics and chemicals can lower ovarian function). Therefore, a low AMH doesn’t mean infertility — it’s simply an indicator that the body may need deeper restoration.
How Ayurveda Medical Protocols Manage Low AMH
Ayurveda offers a more holistic view to interpret Low AMH what modern medicine calls diminished ovarian reserve. With out getting into technicalities, simply put its depletion or dysfunction of the reproductive tissue . This can arise due to
1. Imbalance (mental overactivity, anxiety, irregular eating, excessive travel, or work stress)
2. Disturbance (poor digestion leading to inadequate nourishment of tissues),
3. Systemic depletion caused by chronic stress or nutritional deficiency
As per Ayruveda medical protocols conception depends on four factors Ritu (timing), Kshetra (uterine environment), Ambu (nutrition), and Beeja (quality of ovum and sperm). AMH corresponds closely with the Beejacomponent. Hence, improving Agni, balancing Vata, and nourishing Artava Dhatu can indirectly support ovarian health.
Why Women Choose Ayurveda for Low AMH
Women usually approach Ayurveda with three intentions:
1. To optimize natural fertility before attempting assisted techniques.
2. To improve overall health — better sleep, regular cycles, reduced PMS, more energy.
3. To prepare for IVF or IUI, ensuring the body responds well to stimulation and implantation.
Ayurveda helps through hormonal balance (correcting lifestyle, digestion, and circadian rhythm), improved egg quality (reducing oxidative stress and improving nutrient assimilation), and emotional support (calming the nervous system, reducing cortisol, and promoting optimism). A 2023 case series in the Journal of Ayurveda and Integrated Medical Sciences (JAIMS) documented measurable improvements in AMH and successful conceptions after Ayurveda-based therapy in women diagnosed with diminished ovarian reserve.
The Ayurvedic Approach to Low AMH
Lifestyle and Diet:
Maintain consistent sleep and wake times. Include nourishing foods such as warm milk, ghee, fresh vegetables, and seasonal fruits. Avoid excessive fasting, processed foods, caffeine, and late-night work.
Therapeutic Procedures:
Panchakarma (detoxification) to remove metabolic toxins, Virechana (mild purgation) to balance Pitta, and Matra Basti (medicated oil enema) to pacify Vata and strengthen pelvic tissues.
Herbs prescribed as tonic:
Commonly prescribed herbs include Shatavari, Ashwagandha, Kapikacchu, Talmakhana, and Rasayanas they enhance reproductive vitality. Formulations are tailored to individual Prakriti (body constitution) and health profile.
Mind-Body Practices:
Yoga āsanas, gentle walking, and pranayama help reduce anxiety and improve pelvic circulation — both vital for hormone regulation.
Integrating Ayurveda with Modern Fertility Care
In this context Ayurveda treatments does not replace modern fertility medicine. It complements it addressing the body’s internal readiness while modern treatments handle procedural precision. At UWAY Health our integrative model brings both systems together: Ayurveda improves internal balance, metabolism, and resilience, while modern medicine tracks follicular development, AMH, FSH, and endometrial health. This dual approach reduces anxiety, enhances treatment response, and helps couples make informed, confident choices.
The Way Forward
Low AMH is a feedback from your body. It means your system needs care, nourishment, and balance. Through Ayurveda, it’s possible to restore that balance: strengthen digestion and nutrient absorption, reduce oxidative stress and hormonal fluctuations, and improve sleep, mood, and reproductive vitality. Combining Ayurveda’s personalized care with modern diagnostics gives couples a more complete view of fertility — one that values both data and wellbeing. If you’ve been told your AMH is low, don’t rush into despair. Seek guidance, make lifestyle changes, and explore an integrative path. Many women have improved their fertility outcomes and quality of life through this balanced approach.
About Author
Dr. Keerthi Balachandran
Dr. Keerthi Balachandran is a dedicated Ayurvedic doctor with a strong clinical focus on General Medicine and Gynecology (Women’s Health). She holds a B.A.M.S. degree and a Master of Public Health (M.P.H.) from SDM College of Ayurveda and Hospital, Hassan (Rajiv Gandhi University of Health Sciences).
She has worked as a Medical Officer and Consultant, gaining valuable experience in women’s healthcare. Her expertise lies in supporting women through every stage of life—addressing menstrual health, hormonal imbalances, fertility care, and overall well-being.
