Can Ayurveda Help Women with Low AMH?

What one remarkable case - and a larger review - can tell us

For many women trying to conceive, hearing the words "low AMH" can feel devastating. Anti-Müllerian Hormone (AMH) is commonly used as a marker of ovarian reserve, and very low levels often lead to discussions about IVF or concerns about limited fertility options. Even though just AMH levels are not indicative of fertility success rates. And also this biomarker always comes together with AFC, FSH and specific estrogen levels.

While conventional medicine offers important evidence-based treatments, many women also explore complementary therapies, including Ayurveda. A recent systematic review by Rathi et al. (2024) examined the available evidence for Ayurvedic treatments in infertility, and one case in particular stood out: a woman with an extremely low AMH level who experienced a dramatic improvement after a comprehensive Ayurvedic treatment program (Muraleedharan et al., 2018).

So, what happened—and what can we realistically learn from it?

The Bigger Picture

The systematic review by Rathi et al. (2024) analysed 14 studies involving 248 patients who received Ayurvedic treatment for infertility.

The review found encouraging results across a range of fertility challenges, including:

• Male infertility with low sperm count and poor motility

• Polycystic ovary syndrome (PCOS)

• Blocked fallopian tubes

• Ovulation disorders

• Thin endometrium

• Low AMH

However, the authors were careful to point out that the evidence is still limited. Only two of the fourteen studies were randomized controlled trials, while eight were individual case reports. This means the findings are promising but cannot yet prove that Ayurvedic treatments are effective for infertility (Rathi et al., 2024).

The Low AMH Case

One of the most interesting reports included in the review was published by Muraleedharan et al. (2018).

It described a 36-year-old woman with a very low AMH level of 0.07 ng/mL, suggesting a severely diminished ovarian reserve. She had been advised to consider assisted reproductive treatment.

Rather than focusing on a single herb or supplement, her Ayurvedic physician used a comprehensive, individualized treatment approach over approximately three months.

The treatment included:

• Vaisvanara Churna (an Ayurvedic herbal formulation)

• Snehapana (internal medicated oil therapy)

• Snehana (therapeutic oil massage)

• Swedana (herbal steam therapy)

• Mridu Virechana (gentle cleansing therapy)

• Basti (medicated enemas)

• Uttarabasti using Mahanarayana Taila, a specialised therapy directed toward the reproductive tract (Muraleedharan et al., 2018).
  

The Outcome

After approximately three months, her AMH reportedly increased from:

0.07 ng/mL → 2.11 ng/mL. For someone starting with an extremely low ovarian reserve marker, this represents a remarkable change. The authors suggested this may indicate an improvement in ovarian function following the Ayurvedic treatment protocol (Muraleedharan et al., 2018).

Does This Mean Ayurveda Can Raise AMH?

The author's acknowledge that this is one woman's experience. From a science perspective we can't draw any conclusions. But from a mind body connection and a quantum perspective we can see that there is way more possible than we think.

What Does the Larger Review Suggest?

When viewed alongside the other studies in the review, a consistent pattern begins to emerge. Ayurvedic fertility care generally focused on improving the body's overall reproductive environment rather than treating a laboratory value alone.

Common themes included:

• improving ovulation

• supporting menstrual regularity

• addressing inflammation and reproductive tract health

• reducing stress

• improving sperm quality in men

• using personalised herbal medicine together with lifestyle interventions and traditional therapies (Rathi et al., 2024).

Interestingly, the strongest scientific evidence in the review was actually for male infertility, where randomized controlled trials found improvements in sperm count, sperm motility and testosterone levels following treatment with Ashwagandha (Ambiye et al., 2013) and a polyherbal formulation (Hussain et al., 2018).

For female infertility, the evidence was encouraging but relied largely on smaller clinical studies and individual case reports (Rathi et al., 2024).

A Holistic Rather Than Isolated Approach

One aspect that stands out is that the woman with low AMH did not simply take a supplement.

Her treatment involved multiple therapies designed to support digestion, metabolism, circulation, stress reduction and reproductive health according to Ayurvedic principles (Muraleedharan et al., 2018).

Whether or not every component was necessary remains unknown, but the case illustrates Ayurveda's emphasis on treating the whole person rather than focusing on a single hormone level.

References

Ambiye, V. R., Langade, D., Dongre, S., Aptikar, P., Kulkarni, M., & Dongre, A. (2013). Clinical evaluation of the spermatogenic activity of the root extract of Ashwagandha (Withania somnifera) in oligospermic males: A pilot study.

Hussain, S. A., Hameed, A., Nasir, F., Wu, Y., Suleria, H. A. R., & Song, Y. (2018). Evaluation of the spermatogenic activity of a polyherbal formulation in oligospermic males.

Muraleedharan, A., Unnikrishnan, P., Narayan, P., & Krishnarajabhatt, H. S. (2018). An Ayurvedic treatment protocol to improve anti-Müllerian hormone: A prerequisite for assisted reproductive technique: A case report.

Rathi, I., Mavi, A., Shannawaz, M., Saeed, S., Yadav, A., & Hasan, S. (2024). Effectiveness of Ayurveda intervention in the management of infertility: A systematic review. Cureus, 16(4), e57730.