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How to stop abnormal uterine bleeding?
Gynecology and Obstetrics
Question #16933
1 year ago
4,398

How to stop abnormal uterine bleeding? - #16933

Blossom
$8.19

I (32y, 70kg) have been bleeding continuously for the last 2 months. The doctor did an endometrial biopsy and told me I have a uterine polyp. She prescribed 15mg of Norethindrone (oral contraceptive) daily to stop the bleeding. I have been taking it for 2 weeks but the bleeding has not stopped. Right now I have medium flow (I change 4-5 pads a day). I am very anemic due to the prolonged bleeding (with palpitations, breathing difficulty and severe fatigue). I want to stop the bleeding until the polyp-removal surgery, which might take about 2 months. I came across this ayurvedic medicine called Styplon and I'd like to know the right dosage and how long to take it. Will it interact with the Norethindrone medication that I'm currently taking? Should I stop using Norethindrone for a certain period of time before I start taking Styplon? I am 10 months postpartum and breastfeeding. Is Styplon safe while breastfeeding?

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Doctors' responses

In Ayurveda, managing prolonged bleeding due to uterine polyps often involves addressing both the root cause (the polyp) and the symptoms (excessive bleeding and anemia). Styplon, an Ayurvedic remedy, is often used to help stop bleeding and reduce menstrual irregularities. It is made with herbs such as Raktashodhak and Kantakari, which are believed to help control bleeding and improve circulation. However, as with any herbal supplement, it’s essential to consider your specific health conditions and current medications, especially because you’re also taking Norethindrone and are breastfeeding.

Regarding dosage, Styplon typically comes in tablet form, and the usual dose is 1–2 tablets twice daily, but it’s important to consult an Ayurvedic practitioner for personalized advice, particularly considering your anemia and postpartum status. Styplon might interact with Norethindrone since both work on hormonal levels, and there could be an increased risk of clotting or other complications. It’s generally advised not to mix these medications without medical supervision.

Since you’re breastfeeding, it’s crucial to check with your healthcare provider before starting Styplon, as some herbs may affect milk supply or be contraindicated during lactation. Ayurvedic herbs can sometimes affect hormones, and while some herbs are considered safe during breastfeeding, others might not be.

You should not stop your Norethindrone medication without consulting your doctor, as it is critical in managing your bleeding and anemia in the short term. It would be best to have a healthcare professional guide you on the correct course of action to ensure the combination of treatments (including any Ayurvedic remedies) is safe and effective.

Lastly, given the severity of your anemia and fatigue, you may also benefit from dietary adjustments, such as increasing iron-rich foods (like leafy greens, lentils, and pomegranate), to support your recovery while you manage the bleeding. Always consult both your doctor and an Ayurvedic practitioner for a safe and coordinated approach.

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Namaste Blossom, I deeply understand the distress and fatigue that prolonged bleeding can cause, especially in your case, where anemia and postpartum recovery are also concerns. Uterine polyps, from an Ayurvedic perspective, can be linked to Pitta-Kapha imbalances, where excess heat (Pitta) leads to inflammation, while Kapha contributes to abnormal tissue growth. Your symptoms—continuous bleeding, anemia, palpitations, and fatigue—indicate a significant depletion of Rakta Dhatu (blood tissue) and Ojas (vital energy), which must be addressed urgently to prevent further complications.

Regarding Styplon, it is a well-known Ayurvedic hemostatic formulation containing herbs like Lodhra, Indian Gooseberry (Amla), and Red Coral (Pravala Pishti), which help control excessive bleeding, strengthen blood vessels, and aid tissue repair. It is generally safe during breastfeeding, as it does not contain strong hormonal herbs. However, since you are currently on Norethindrone (a synthetic progesterone), it is crucial to ensure there is no interaction. While Styplon works differently from hormonal medications, it is best not to abruptly stop Norethindrone and instead introduce Styplon gradually alongside it. You can start with 2 tablets, twice daily after meals, monitoring for a week to assess effectiveness.

To further support hemostasis (stopping the bleeding), Ayurvedic medicines. such as Nagakesar churna with honey (¼ tsp twice daily) or Ashoka Ghrita 1 tbsp on empty stomach in the morning, may help. If the bleeding persists despite Styplon and Norethindrone, a combination of Pravala Pishti (natural calcium supplement) and Yashtimadhu (licorice) with warm milk can be beneficial in cooling Pitta, strengthening the uterus, and promoting healing. Since you are breastfeeding, maintaining adequate hydration and iron levels is crucial—herbal formulations like Drakshasava or Punarnavadi Mandur can help combat anemia without constipation, unlike synthetic iron supplements.

While you wait for the polyp removal surgery, a gentle Pitta-pacifying diet—including moong dal, pomegranates, aloe vera juice, and ghee-infused foods—can help regulate bleeding. Avoid spicy, sour, and excessively salty foods, which can worsen Pitta and prolong bleeding. Gentle Pranayama techniques like Sheetali (cooling breath) and deep belly breathing can help reduce stress-related hormonal fluctuations. If your bleeding does not improve within 1-2 weeks of adding Ayurvedic support, it is important to consult both your allopathic and Ayurvedic doctors to adjust your treatment plan accordingly. Your strength and vitality matter just as much as stopping the bleeding, so a combined approach will give you the best outcome.

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Alright, so dealing with abnormal uterine bleeding like you’re experiencing can be really stressful, and that anemia you’re mentioning is no joke. Let’s make sure you’re tackling this safely. You mentioned a polyp and ongoing bleeding, hence it’s good you’re under a doctor’s care already. Balancing Ayurveda with your current medical treatment effectively needs caution, especially when you’re breastfeeding.

First, ayurvedically speaking, such issues would be tied to an imbalance in the Pitta dosha, leading to an excess of heat and possibly affecting the Rakta and Rasa dhatus (blood and plasma). The root cause needs treating, but right now you’re needing symptom relief until surgery. Ayurveda often suggests calming therapies and herbs, like Ashoka or Lodhra, historically used to manage menstrual disorders, but their use in breastfeeding women should be considered carefully under a practitioner’s guidance.

About Styplon — it’s typically recommended as it contains herbs like Lodhra, Ashoka which are known in Ayurveda to manage bleeding. However, the interaction with Norethindrone isn’t well-studied in both modern or Ayurvedic texts. Without solid evidence, it’s probably safest to not stop your prescribed medication and continue closely with your doctor regarding the risk, combining treatments like this.

You might want to talk to an Ayurvedic physician about a safe dosage if deciding to try Styplon. In general, many would say 2 tablets twice daily, but since you’re breastfeeding, please proceed with caution, your baby’s needs come first. Whatever choice you make, keep your healthcare provider in the loop.

Meanwhile, focus on incorporating Pitta-pacifying lifestyle habits. Cool down with cucumber, pomegranate, something like coconut water can be a friend. Avoid spicy, fried or hot foods, they worsen bleeding and may exacerbate your symptoms.

For anemia, increase iron in your diet through foods like leafy greens, dates, beetroot or consider an iron supplement if your doctor agrees. Breathing exercises like pranayama could support energy levels, just listen to your body and avoid stressors when possible.

And please if those palpitations, difficulty breathing are severe, it’s an urgent reason to see your doctor right away. This isn’t something to wait on. Balancing all this isn’t easy so go step by step and prioritize your and baby’s safety.

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