Pcos from last one year and not get pregnant - #24737

PCOS can often be troublesome, especially when you’re trying to conceive. It’s a condition tied closely with hormonal imbalance, affecting ovulation, and as you’ve experienced, can lead to missed periods. The key in Ayurveda is to balance the doshas, primarily Kapha and Vata in such conditions, and improve the Agni, your digestive fire. This helps in cleansing, hormonal balance, and strengthening the reproductive tissue, or Shukra Dhatu.

### Dietary Recommendations Start with assessing your diet. Incorporating foods that balance Kapha and boost metabolism can be helpful. Warm foods, avoiding cold and raw foods can help balance Vata. Focus on including whole grains like brown rice and quinoa, lots of leafy greens, and proteins like lentils and beans. Turmeric and ginger, acting as natural anti-inflammatory and digestive aids, should be a regular part of your meals. Essential to avoid processed foods and those high in sugar and refined carbs since they can contribute to insulin resistance, often associated with PCOS.

### Herbal Remedies For herbal remedies, Shatavari is considered beneficial for reproductive health and hormonal balance. Take it as a powder with warm milk or water daily. Dashamoola, a combination of ten herbs, may also support in regulating menstrual cycles and balancing hormones. Please consult with an ayurvedic practitioner before starting these herbs.

### Lifestyle Modifications Having a structured daily routine is key. Incorporate Yoga poses like Baddha Konasana and Supta Baddha Konasana which directly support the reproductive organs and help in grounding Kapha. Regular exercise, even a moderate 30-minute walk, is critical to manage weight and improve insulin sensitivity.

### Managing Stress Mindfulness practices like meditation can significantly aid in managing stress, known to exacerbate PCOS symptoms. Aim for at least 10 minutes a day, gradually increasing as you feel comfortable.

### Ayurvedic Therapy Consider Panchakarma therapies such as Virechana (therapeutic purgation) to cleanse and detoxify the system; however, it’s to be done under the guidance of a trained Ayurvedic therapist.

Before implementing any new routine, consult with a healthcare provider to ensure safety and effectiveness, especially given previous miscarriages and hormone treatments. PCOS can be managed effectively with a holistic approach, but personalized advice from an expert considering past miscarriages and hormonal treatments would be beneficial for safe and achievable conception.

PCOD is a kapha- vata dominant disorder involving low metabolism, obstruction , and reproductive channel disorder. Treatment is focused on -lekhana= scraping/ metabolic correction -Agnideepana= digestive fire enhancement -Srotosodhana= channel cleansing -Artava janana= ovulation inducing therapy -Mano balancing= mental harmony

INTERNALLY START WITH

1) KANCHANAR GUGGULU= 2 tabs twice daily after meals for 3-6 months =reduces cysts, anti-inflammatory, improves lymphatic drainage

2) TRIKATU CHURNA= 2g with warm water before meals twice daily for 2 months = corrects metabolism and supports weight loss

3) CHANDRAPRABHA VATI = 2 tabs twice daily with warm water for 2-3 months =systemic detox and hormonal regulator

4) SHATAVARI CHURNA= 1 tsp with warm milk at bedtime till conception = promotes oocyte quality, balances pitta

5) ASHOKARISHTA= 20 ml with equal water after meals twice daily for 3 months = helps regularise bleeding, corrects endometrial lining

6) PUNARNAVADI MANDOOR= 1 tab twice daily after meals for 2 months = useful in reducing bloating, edema and helps metabolism

DIET TO BE FOLLOWED 1) WHOLE GRAINS -millets= ragi, bajra, jowar -brown rice, red rice, quinoa -steel cut oats

2) PULSES -moong dal, horse gram, masor dal chickpeas, rajma, lentils

3) VEGETBLES -cruciferus= broccoli, cauliflower, cabbage greens= spinach, moringa, fenugreek -bottle gourd, carrots, pumpkin, beets, capsicum, ridge gourd

4) FRUITS - pomegranate, papaya, apples, pears, berries, guava -amla

5) HEALTHY FATS -cold pressed coconut oil, ghee - 1tsp/day, flaxseeds, sesame seeds -soaked almonds, walnuts, sunflower seeds

6) PROTEIN SOURCES -panner-homemade -eggs- rich in choline -tofu or tempeh -sprouts-mung, matki, chana

7) SPICES -turmeric, cumin, fenugreek, ajwain, cinnamon, black pepper, ginger

8) HERBAL TEAS -spearmint tea- 2 cups/day -tulsi tea, ginger tea, cinnamon tea

STRICTLY AVOID SUGARS= white sugar, sweets, desserts, sweetened drinks REFINED CARBS= white bread, maida, noodles, biscuit DAIRY(EXCESS)= ice cream, cheese, cold milk, flavoured. yogurt FRIED/PROCESSED FOODS= chips, fast food, bakery items COLD FOODS= chilled drinks, refrigerated leftovers, curd at night FRUITS= bananas, mangoes, grapes, sapota CAFFEINE= more than 1 cup of coffee or tea/day

FLUIDS AND HYDRATION -drink 2.5- 3 litres pf warm or room temperature water daily -avoid cold or carbonated drinks -warm water with lemon, or cumin/fennel water aids digestion

Eat freshly cooked foods, avoid packaged and reheated meals include 1 tsp ghee daily for hormonal balance eat only when hungry- avoid emotional or time based eating do not skip meals, especially breakfast-worsen insulin sensitivity

YOGA ASANAS ADVISED -baddha konasana= improves blood flow to pelvic area -bhujangasana= stimulates ovaries and uterus -setu bandhasana= strengthens pelvic organs - dhanurasana= balances hormones -malasana= opens hips and improves reproductive circulation -viparita karani= relieves stress, boosts endocrine glands -supta baddha konasana= deep pelvic relaxation, helpful post ovulation

PRANAYAM -anulom vilom= nerve calming, hormonal balance -bhramari= relieves stress and anxiety - kapalbhati= improves metabolism, stimulate ovaries -ujjayi= mind body connection, balances thyroid

LIFESTYLE MODIFICATIONS

SLEEP= sleep by 10 pm, 7-8 hrs of restful sleep

WEIGHT MANAGEMENT= target BMI between 20-24; even 5-10% weight loss boosts ovulation

SCREEN TIME= reduce blue light exposure post 7 pm(affects melatonin and fertility hormones)

STRESS MANAGEMENT= journaling, therapy, nature walks

AVOID PLASTIC= especially food in plastic containers- disrupts hormones

SEXUAL HEALTH= intercourse every 2-3 days during fertile window(day 10-18 of cycle)

TRACK CYCLE= use fertility apps, ovulation kits of cycles are irregular

NO SKIPPING MEALS= increases insulin resistance and worsens hormonal health

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA