Post-menopausal bleeding should always be evaluated carefully, especially when the endometrial thickness is 9 mm and bleeding returns after stopping medicines. In Ayurveda, this condition is usually understood as a combination of Vata-Pitta imbalance with Rakta dushti and Artavavaha srotas dysfunction, while fibroids are considered a form of Mamsa granthi / Arbuda-like growth due to Kapha accumulation and disturbed tissue metabolism. Since your bleeding is persistent for more than 6 months and you are also passing tissue-like material with abdominal cramps, it is important to first rule out conditions such as: Endometrial hyperplasia Endometrial polyp Precancerous changes Malignancy So before deciding against hysterectomy completely, you should undergo: Transvaginal ultrasound follow-up Pap smear Endometrial biopsy / hysteroscopy if advised by gynecologist This is very important because post-menopausal bleeding is never considered “normal.” From an Ayurvedic perspective, treatment aims to: Control abnormal bleeding Reduce fibroid growth tendency Improve uterine tissue health Correct aggravated Pitta and Rakta dushti Prevent recurrence Ayurvedic management can help many women avoid surgery when reports are stable and no malignant changes are present. Useful Ayurvedic medicines Kanchanar Guggulu – helps in reducing fibroid growth tendency Pradarantak Lauh / Churna – supports control of bleeding Ashokarishta – uterine support and bleeding regulation Chandraprabha Vati – supports pelvic circulation and inflammation Pushyanug Churna – helpful in irregular bleeding Lodhra, Ashoka, Nagkesar – classical herbs for Rakta-Pitta control If bleeding is moderate to heavy repeatedly, physicians may also advise: Mukta Pishti Bolbaddha Ras Sheeta-Pitta pacifying medicines Panchakarma may also help in selected cases: Virechana (Pitta cleansing) Basti therapy for Vata regulation Uttarbasti
Post-menopausal bleeding should always be evaluated carefully, especially when the endometrial thickness is 9 mm and bleeding returns after stopping medicines. It can be serious and nothing to ignore . Plz consult personally.
Hello, Post-menopausal bleeding (PMB) with an endometrial thickness of 9mm requires a thorough medical evaluation, as any thickness over 4mm or 5mm in post-menopausal women typically necessitates a biopsy (D&C or Pipelle) to rule out hyperplasia or malignancy. While small fibroids are generally considered clinically insignificant, the presence of tissue-like discharge and recurrence after stopping medication suggests a need for deeper systemic management. In Ayurveda, this is viewed as Asrigdara (excessive or irregular uterine bleeding), primarily caused by an imbalance of Pitta and Vata Doshas affecting the Rakta Dhatu (blood tissue). The goal is to pacify Pitta, cool the blood, and tone the uterine muscles. Prescription : 1. Ashokarishtam Primary uterine tonic; regulates bleeding and tones the endometrium. 15–20 ml with equal water, twice daily after food. 2. Punnarnavadi Kwath Helps reduce inflammatory thickness and supports fluid balance. 15 ml with 45 ml lukewarm water, twice daily before food. 3. Chandraprabha Vati Addresses growths (fibroids/thickness) and balances Kapha-Vata. 1–2 tablets, twice daily with lukewarm water. If malignancy and hyperplasia are ruled out by a biopsy, you may consider these alternatives to a hysterectomy: Hormone Therapy: Low-dose progestin (pills or injections) to thin the uterine lining. Mirena IUD: A progestin-releasing intrauterine device that significantly reduces endometrial thickness and bleeding. Endometrial Ablation: A procedure that destroys the thin layer of the lining of the uterus to stop bleeding. Uterine Artery Embolization (UAE): If fibroids are determined to be the cause, this cuts off their blood supply.
Hello, Fibroid is a noncancerous growth in or around uterus. It’s made of muscle and fibrous tissue. Your fibroid is located on the posterior wall of your uterus , which Is large YOUR CURRENT SYMPTOMS -heavy bleeding This means the fibroid might be interfering with your hormonal balance or uterine lining TREATMENT GOALS -shrink the fibroid naturally -regulate menstruation - balances hormones especially estrogen - prevent further growth or complications -avoid surgery, if safely possible In Ayurveda, Uterine fibroid is known as “GRANTHI” in Ayurveda(hard,tumor like growth) -caused by imbalance in kapha(growth), vata(movement), and pitta(inflammation) -weak digestion , hormonal imbalance, and toxin accumulation also contribute INTERNAL MEDICATIONS 1) KANCHANAR GUGGULU= 2 tabs thrice daily after meals with warm water =breaks down fibrous growths and tumors 2) VARUNADI KASHAYA= 20 ml with equal water before food twice daily =balances kapha and vata, helps shrink fibroid size 3) ASHOKARISHTA= supports healthy menstruation, tones uterus -20 ml with equal water twice daily after meals 4) Triphala guggulu 2 tabs twice daily after meals =cleanses system, supports metabolism, detoxifies 5) Arogyavardhini vati= 2 tabs twice daily after food =improves liver function and hormone detoxification 6) Tamra bhasma = with honey 50mg twice daily =very effective 7) Pradarantak lauha= 1 tab twice daily after meals =controls heavy bleeding Diet -warm, light, fresh cooked meals -barley, millets, bajra, ragi, horse gram - green leafy vegetables- drumstick, laves, methi, bitter gourd - spices= turmeric, cumin, coriander, ginger -amla fresh or juice - Aloe vera juice-10ml on empty stomach - cow ghee in small amount improves digestion Avoid -cold, stale, or processed foods - dairy=curd, panner, cheese -deep fried food, maida, white bread -refined sugar, and sugary drinks - soy products they mimic oestrogen - red meat and eggs - packaged or canned foods Lifestyle changes Good habits -wake up early before 7 am - stay physically active- walk 30 mins daily - keep digestion strong- avoid heavy night meals - manage stress- anxiety, and anger disturb hormones -sleep 7-8 hours regularly Avoid -day time sleeping -overeating or skipping meals - late night eating - constipation Home remedies 1) Castor oil pack -soak cloth in warm castor oil, place over lower abdomen for 45 mins, 3-4 times/week =reduces inflammation and supports shrinkage 2) Aloe vera + shatavari juice -mix 10 ml each with warm water. take on empty stomach =helps nourish uterus and regulate periods 3) Turmeric milk =1/2 tsp turmeric in warm almond or nut milk at night. Anti inflammatory Yoga asanas very helpful -Supta baddha konasana -viparita karani -setu bandhasana - paschimottanasana -balasana -ustrasana these improves pelvic circulation, reduce fibroid pressure and balance hormone pranayam -anulom vilom -bhramari -sheetali practice 10 mins daily visible improvement in bleeding= within 2-3 months Fibroid shrinkage= usually needs 6-12 months Ultrasound check= every 3-4 months Do follow Hope this might be helpful Thank you
Thank you doctor. I will follow your advice.
