Successful Natural Conception Following Ayurvedic Management in Severe Diminished Ovarian Reserve and Early Menopausal Transition: A Case Report

Early menopausal transition and diminished ovarian reserve (DOR) are significant contributors to female infertility, particularly when occurring at a young age. These conditions are characterized by reduced ovarian follicular activity, hormonal imbalance, and impaired ovulation, leading to decreased chances of conception. This case study presents a 26-year-old female with a history of delayed menstruation, severe ovarian reserve depletion (AMH 0.01 ng/mL), along with a male partner diagnosed with normospermia. Conventional management options in such cases often include hormone replacement therapy or assisted reproductive techniques such as IVF, which may have limited success in cases of extremely low ovarian reserve. The couple opted for an Ayurvedic treatment approach, which included proprietary formulations—Poshini, Tulha, Vardhini—aimed at restoring hormonal balance, improving ovarian function, reducing inflammation, and enhancing ovulation. The male partner was treated with Beehj, Kavachbeej, Makar to address semen quality and infection. Following treatment, natural menstruation resumed without hormonal support, ovulation was successfully induced, and follicular development improved. The couple achieved natural conception in the same ovulatory cycle. This case highlights the potential of Ayurvedic interventions in managing complex infertility cases involving early menopausal transition and severe ovarian reserve depletion.