Abstract

Abstract

Infertility is defined as failure to conceive within 1 or more years of regular unprotected coitus, though it is not physically disabling disorder but has far reaching psychological and social consequences. The conception depends on multiple factors in which low ovarian reserve is major cause for infertility.Ovarian reserve implies the quantity as well as the quality of follicles present in the ovary.AMH value predicts the future reproductive life span of follicles, therefore it is considered as the best endocrine marker for assessing decline of Ovarian pool in healthy women. It is produced by granulosa cells of primordial follicles (< 8mm),Helps for maturation, follicular development and recruitment of dominant follicle. In present case study women of age 26years withanxious to conceive, irregular cycle& AMH value 0.5 mg/ml treated with amapachana by followed by snehapana with shatavaryadighrita and virechanawith eranda tail. Uttarabasti with shatavaryadi ghrita given subsequently & Orally shatapushpa churna was given. Significant result was seen after the treatment;her menstrual cycle became regular and AMH value has been raised. In Present case study streevandhyatwa(low AMH) treatment principle followed was shodhana chikitsa followed by bhrimhana chikitsa. Virechana karma relieves the avarana. As bhrimhanarta uttarabasti was given. As shatavarighrita is having sheetaveerya does bhrimhana effect and acts as uterotonic so helps to improve the quality of follicles.