
Hello Doctor, My Sister Is 31 Years Old, Married For

My sister is 31 years old, married for over 7 years and has a male child aged 4 years staying in US from the last 6 years. My sister and brother-in-law were trying for a second child from almost a year without any success.
Recently they met a doctor in US who has requested certain tests and told them AMH, or anti-mullerian hormone is low which could be the reason for not getting conceived. Is this true? Can anything be done? What are the reasons for this hormone getting reduced in my sister's body, are there any medicines to improve this levels and help her bear a second child naturally?
Yes,it is very very low in her case.
Detailed Answer:
Hello dear,
Thanks for trusting us about your healthcare.
I have gone through your history and report and understand your concern.
Your sister AMH level is very very low in her case and AMH level directly related with ovarian reserve means if AMH is high means fertility is better, if low fertility is not good.
Your sister AMH is very very low that is one of the cause of difficult conception.
And as her levels are very low,natural conception is not possible in her case.
It could be due to hormonal imbalance caused by PCOD ( is she suffering with the same)
She should go for artificial fertilization because natural conception not possible in her case.
Hope found useful, feel free to ask more information.
Good luck
Regards


1) can you tell the reason why is her AMH very low even after she gave a normal birth to a health child?
2) Would there be medicines to improve this AMH count?
3) Any dietary changes to be followed to get natural conception?
It could be due to hormonal imbalance .
Detailed Answer:
Hello dear,
As you are not having PCOD but AMH is low most likely due to hormonal imbalance and due to decrease follicle size.
You can take DHEA supplement to increase AMH level.
You have to take high protein diet with lots of vegetables and fruits.
You can try naturally but chances are very low in your case.
Hope found useful.
Good luck
Regards


Are there any specific vegetables or fruits to be consumed more?
Yes,she can take it from pharmacy.
Detailed Answer:
Hello dear,
Sorry for the delay in my response.
She can take it from pharmacy and any brand which is available there.
She can eat lots of vegetables and fruits and high protein diet.
Hope found useful.
Good luck
Regards

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