Introduction & aim: Age criteria and hormonal factors have long been used as one of the most important factors in determining successful pregnancy. Decreased anti-Mullerian hormone, increased FSH hormone along with menstrual disorders, has always been associated with the suggestion of IVF and donor eggs. The aim of this report is to evaluate the effectiveness of lifestyle modification using the Tajik method on the treatment of infertility due to premature menopause.

Case presentation: A 39-year-old woman living in Iran, who got married at the age of 36, referred to an infertility treatment center for treatment after 2 years of trying to conceive and failing. In the family history, the patient's two older sisters both had severe menstrual disorders and infertility for more than ten years. Hormonal tests and checkups and ultrasound were prescribed for this patient. Laboratory findings showed AMH= 0.221 and FSH= 22 and hypothyroidism. Hormonal treatment was started for the patient. After 3 months of no response to hormonal treatment, the patient was advised to use donor eggs. Since the patient's wife opposed donor eggs, the patient referred to me for lifestyle modification. The patient was treated with Tajik lifestyle modification, which includes stress reduction techniques, appropriate exercise, sleep pattern modification, and a proper diet. The patient's acceptance of the training was very good and he cooperated very well during the treatment. The patient became pregnant after six months of complete Tajik lifestyle modification and is now in her tenth week of pregnancy.

Conclusion: Given the increasing age of marriage and the increasing rate of infertility, and considering that lifestyle modification is a very low-cost and low-risk method compared to IVF or pharmaceutical methods, more attention to encouraging the treatment of infertility due to premature menopause with Tajik lifestyle modification seems necessary.

Farideh Yazdanpanah has a bachelor's degree in midwifery and a master's degree in embryology, as well as a master's degree in medical education. She is a university lecturer and has 22 years of experience in the midwifery profession and 15 years of experience in embryology. She is the author of three books on the subject of midwifery and has several articles in the field.