HELLO ARWA,
At age 45, you are in the stage called perimenopause- the years before menopause when periods become irregular due to changes in hormones (mainly estrogen and progesterone)
WHAT’S HAPPENING IN YOUR CASE -Normally , the menstrual cycle is ~ 28-30 days, bleeding lasts 3-5 days, and then it stops completely until the next cycle
In your case -cycle is becoming short (every 15-20 days) -you bleed for 3 days, but instead of stopping completely, you continue to have brown discharge for 10-13 more days -brown discharge = old, stagnant blood that is not expelled properly
This means your uterus is not cleaning itself completely and blood remains inside, coming out slowly as brown discharge
POSSBILE CAUSES -Hormonal imbalance (perimenopause, thyroid changes, insulin resistance, obesity etc -Uterine conditions: fibroid, endometrial polyp, adenomyosis -Thickening of uterine lining -less common but important : precancerous or cancerous changes in the uterus/ cervix at this age
In Ayurveda, your symptoms are described as Rakta pradara (excessive or irregular bleeding/discharge due to pitta and vata imbalance -Pitta= heat in the body-> causes more bleeding, burning, early cycles -Vata= dryness/irregularity-> causes incomplete expulsion, leading to spotting and brown discharge
So, the goal is to -balance pitta= reduce excess heat, bleeding, and inflammation -balance vata= ensure proper expulsion of menstrual blood, regulate cycle -strengthen uterus-> tone the endometrium so bleeding starts and stops properly -support hormonal balance-> calm fluctuations in perimenopause
INTERNAL MANAGEMENT
1) ASHOKRISHTA = 20 ml + equal water twice daily after meals =strengthen uterine muscles, reduces bleeding, regulates cycle
2) KUMARYASAVA= 15 ml + equal water twice daily after meals =balances hormones, improves digestion and liver function (important for hormones)
3) PRAVAL PISHTI= 250mg twice daily with ghee after meals =cooling, reduces excess pitta, controls heavy/irregular bleeding
4) KAMDUDHA RAS (with mukta)= 125mg twice daily with water =balances acidity, pitta, calms body heat, useful in spotting
5) LODHRA CHURNA= 2gm with honey twice daily after meals =astringnt herb, tones uterus, stops excess discharge
6) TRIPHALA CHURNA= 1 tsp at bedtime with warm water =detoxifies, improves digestion, prevents constipation
duration= usually 2-3 months
DIET -prefer cooling, stack diet -milk, ghee, rice, moong dal, pomegranate, apples, grapes, dates -green leafy vegetables - spinach, drumstick leaves, methi -seeds= flaxseeds, sesame (black), pumpkin seeds (natural hormone balancers) -Spices in moderation:- cumin, coriander, fennel(all balance pitta)
AVOID -spicy, sour, fried, junk food -red meat, alcohol, excessive tea/coffee -packaged/processed foods
LIFESTYLE -maintain regular sleep routine (10-11pm bedtime) -avoid overexertion, fasting, skipping meals -gentle exercise only-> walking,ygoa -manage stress-> as stress worsens hormonal imbalance
YOGA ASANAS -baddhakonasana= improves pelvic circulation -setu bandhasana= tones uterus -supta baddhakonasana= relaxes uterus -viparita karani= calms pitta and vata
PRANAYAM -Anulom vilom= balances hormones -Sheetali and sheetkari= cooling, reduces pitta -Bhramari= calms mind, reduces stress
HOME REMEDIES -Cumin-coriander-fennel water= drink lukewarm in morning -Pomegranate juice= 1/2 glass daily- natural astringent, reduces spotting -Banana flower curry (with moong dal)- traditional remedy for excessive bleeding -Aloe vera pulp- fresh 1 tsp with honey daily- balances hormones
INVESTIGATIONS NEEDED
1) Pelvic ultrasound-> to check uterus (fibroid, endometrium thickness , polyp) 2)CBC 3) THYROID PROFILE 4) PAP SMERA
-Your symptoms are common in perimenopause, but at age 45 we must not ignore them. -Investigations will ensure there is no serious cause -with consistent care 2-3 months , your periods can become lighter, shorter, and more regular and you can move smoothly toward menopause
DO FOLLOW
HOPE THIS MIGHT HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Hi Arwa please do A USG scan of Abdomen and pelvis ,for finding the exact cause of your issue. Meanwhile you can have
1.Gandharvahasthadi kwatham tablet 2-0-2 before food 2.Ashokarishtam 15ml twice daily after food 3.Dhanwantharam gulika 2-2-2 after food (chew and swallow with jeeraka water) 4.Avipathy churnam 1tsp with hot water at bedtime
*Have more vegetables and fruits *Take Sufficient amount of water *Avoid too spicy/oily /sugary/sour /salty food items *Avoid carbonated drinks/tea/coffee/junks (if any ) * Practice mild YOGA /Walking and Meditation regularly which can helps to regulate your hormonal activities
Let me know from how long are you facing this pattern with your cycles.
1.) Ashokarishta + Lodhrasava-4tsf- after food with water 3 times
2.) Pushyanuga Churna-2gm + Bolabaddha Rasa-250mg + Svarnamakshika Bhasma-100-mg + Pravala pishti-100mg + Guduchi Sattva-500mg- after food with rice water and honey 3 times
At 45 irregular bleeding, every 15 days with prolonged brown discharge is often duringperimenopause when hormonal changes cause irregular shedding of the endometrium
I advise you to start on Pradarantaka lauh 1-0-1 Asoka aristha 10-0-10 ml with water Patrangasava 10-0-10 ml with water Avoid very spicy, sore and fried food. Include more pomegranate, grapes and buttermilk in the diet and take adequate rest if bleeding becomes very heavy clothes are passed or weakness increases, then get an ultrasound thyroid profile and haemoglobin checked immediately
Your menstrual cycle is highly irregular before starting any treatment. It is advisable to get immediate ultrasound abdomen along with hormonal test.( FSH LH prolactin and thyroid profile)
As mentioned you are 45 yrs age. It is a phase of menopause so please do sonography.
Also may be doctor will suggest for D&C get that also done.
Start Syp. Evecare forte 3 tsp twice a day after food.
This will be helpful for your uterus as it will work like uterine tonic and also will help to keep your mind calm happening because of pre menopausal syndrome.
Whatever might be the allopathy treatment keep evecare forte syrup continue for a year or two.
1.Ashokarishta 20 ml with 20 ml water twice daily after meals 2.Shatavri churna 1 tsp twice daily with warm milk after meals 3.Pradarantak 1 tab twice daily with water after meals
✅ DOs - Warm, cooked meals: Rice, moong dal, pumpkin, beetroot, ghee. - Cooling teas: Coriander-fennel-cumin or rose-petal infusion. - Gentle yoga: Supta Baddha Konasana, Viparita Karani, and forward bends. - Foot massage: With Bala or Ksheerabala oil before bed. - Sleep hygiene: Early bedtime, no screens after 9 pm. 🚫 DON’Ts - ❌ Spicy, sour, or fermented foods - ❌ Cold drinks or raw salads - ❌ Overexertion or emotional suppression - ❌ Skipping meals or irregular routines
Start with Cap. Evanova 1-0-1 after food with water M2TONE forte 1-0-1 after food with water Brahmi vati 0-0-2 at bedtime with milk. Follow up after 1 month
The symptoms you’re experiencing could be part of a perimenopausal transition, a time when irregular cycles and bleeding are quite common due to hormonal changes. Given your age, it’s crucial to consider these hormonal shifts. However, any persistent or unusual bleeding pattern warrants a deeper investigation to rule out other potential issues like fibroids, polyps, or even hormonal imbalances like estrogen dominance or low progesterone levels.
From an Ayurvedic viewpoint, such irregular bleeding can be linked to an imbalance in the Pitta dosha. This dosha governs hormones and blood, and when aggravated, it may cause excess heat and issues in the reproductive system. Here are some steps you might consider, but remember, continuous symptoms like this should be assessed by a healthcare professional for accurate diagnosis and treatment.
1. Dietary Adjustments: Aim to reduce Pitta-aggravating foods - avoid spicy, oily, and sour foods. Instead, incorporate more cooling, sweet, and astringent foods like cucumber, watermelon, and leafy greens.
2. Herbal Support: Shatavari, a well-respected herb in Ayurveda, is known to support women’s health and balance hormones. You might consider taking Shatavari in powder form, about 1 teaspoon mixed with warm water or milk, once or twice daily.
3. Lifestyle Modifications: Stress management is crucial. Practices like Yoga and meditation can help soothe the mind and stabilize hormones. Consistent routine around sleeping and eating can also support body balance.
4. Cooling Therapies: Applying aloe vera gel on the lower abdomen or drinking aloe vera juice can provide cooling relief and help regulate your cycle.
5. Regular Exercise: Engage in moderate physical activity like walking or swimming to maintain a healthy weight and improve overall vitality.
Always consider visiting a qualified healthcare provider for a comprehensive evaluation, especially if your symptoms do not improve or worsen. Balancing your body can involve complex interactions, and professional guidance can ensure safety and efficacy in managing these symptoms.
