Management of female infertility presenting with low AMH and AFC count - A Case Study

Abstract

Diminishing ovarian reserve is the most important cause for poor ovarian response (POR). It is distinct from menopause and premature ovarian failure. It is often noted in women in their mid to late thirties and it may also affect younger females also. DOR is a common term refers to three different but related parameters like reduction in oocyte quantity, reduction in oocyte quality and reduction in oocyte reproductive potential. The AMH (Anti mullerian hormone) and AFC (antral follicular count) are the most reliable markers to assess the ovarian reserve. A lady aged 29 years came to my op, complaining of low AMH (1.2ng/ml) and AFC 3 on right ovary and 4 on left ovary. DOR can be done with Dhatukshaya Vandya explained in Harita Samhita.[1] Dhatukshaya Vandhya, occurs due to depletion of Dhatus or due to inadequate formation of Dhatus, especially Arthava and Sukradhatu which in turn leads to reduction in fertility potential and ultimately Anapathyatha. Agnideepana, Srothoshodhaka and Dhathuposhana line of management was adopted and the patient got UPT positive on 10thfeb 2019 and delivered a healthy male baby on 20/10/2019.