how to treat perimenopause/ menopause symptoms - #26398

hello Asha, based on your symptoms irregular periods, past ovarian cyst, fibroids, and abdominal pain it looks like you’re going through the natural shift of perimenopause. Your hormones are fluctuating, which is common in this stage, and it can cause pelvic discomfort, delayed periods, and mood or energy changes. You’ve done well managing with diet, supplements, and regular walking. Now, let’s support your body gently with some Ayurvedic medicines that help regulate hormones, reduce fibroid/cyst-related symptoms, and balance your system. These will help without strong side effects.

Treatment Plan:

Ama Pachana (First 3 days) Hingvastak Churna – 1 tsp with warm water after food, twice a day Triphala Churna – 1 tsp at bedtime with warm water

Medications (Start from Day 4 onward) Ashokarishta – 20 ml with equal water, twice daily after meals Kanchanar Guggulu – 2 tablets twice a day after food Shatavari Kalpa – 1 tsp with milk or warm water, morning and night Pradrantak Churna – ½ tsp twice a day with warm water

These herbs can be continued for 3 months and reviewed after that. Let’s support your body as it transitions gently. Let me know how you feel in 2–3 weeks so we can review.

Don’t worry dear, Start taking, 1.Ashokarishta 20ml with equal amount of Lukewarm water just after having meal twice in a day. 2.Shatavari choorna 1tsf twice in a day with Lukewarm milk. 3.kanchnaar guggulu 2-0-2 for chewing 4.Syp.M2 tone 2 tsf twice in a day. Follow up after 1 month…

Hi asha this is Dr Vinayak as considering your problem…no need to worry maa. Just maintain regular diet and exercise Rx- T amycordil 2-0-2 after food Zymnet SYP 2tsp -0-2tsp before food T chandraprabhaa vati 1-0-1after food Take. These medicines will get relief from your problem

Hlw Asha ji ,

Your Ayurvedic Profile (Initial Analysis) From your symptoms and constitution, you likely have an imbalance in Vata and Pitta doshas:

Vata imbalance → irregular cycles, dryness, bloating, joint aches, disturbed digestion, anxiety.

Pitta imbalance → inflammation, heavy bleeding (in some), heat, cysts, irritability.

Goals of Ayurvedic Treatment: Balance Vata and Pitta Shrink fibroids and cysts Support hormonal health naturally Improve reproductive tissue (Artava Dhatu) Ease perimenopausal transition

Ayurvedic Treatment Plan 1. Herbal Support These herbs can be taken as capsules or powders (churna), or in decoction (kwatha) form. Choose good-quality brands or work with a certified Ayurvedic practitioner locally.

Herb Use Dosage

Ashoka Balances female hormones, helps with fibroids and irregular bleeding 1 tsp powder or capsule twice daily Shatavari Rejuvenates the female system, balances Vata & Pitta, estrogenic support 500–1000 mg twice a day Lodhra Reduces cysts, supports uterus 1 tsp powder or capsule twice daily Kanchanara Guggulu Very good for fibroids, cysts, and hormone regulation 2 tablets twice daily after food Triphala Detox and digestion (clears excess estrogen, supports liver) 1 tsp at bedtime with warm water

2. Dietary Guidelines (Ahara) Favour: warm, cooked meals; mung dal, red rice, pumpkin, spinach, sesame, turmeric, beetroot

Avoid: cold/raw foods, white sugar, red meat, caffeine (limit), processed foods, alcohol

Use: Ghee (clarified butter) daily — 1 tsp in meals for hormone support

Daily Herbal Tea: Boil 1 tsp cumin + 1 tsp coriander + 1 tsp fennel in 3 cups water → reduce to 1 cup → sip warm

3. Lifestyle (Vihara) Oil Massage (Abhyanga): 3x per week with warm sesame oil or castor oil (helps with fibroids and balances Vata)

Castor oil pack on abdomen 2x per week (anti-inflammatory, helps shrink fibroids)

Gentle yoga, meditation, and pranayama (breathing like Anulom-Vilom) daily

Avoid excessive physical or emotional stress — rest is crucial

Thank you !

All your problem is related to pre menaupause Start Cap. Evanova 1-0-1 after food with water Shatavari ghanvati 1-0-1 after food with water Brahmi vati 1-0-1 after food with water, Do pranamyam daily 5-10mins bhastrika lom -vilom bhamri twice daily Learn Rajyoga meditation and practice daily

HELLO ASHA,

You are likely in the perimenopausal or early menopausal stage, which is a natural transition that typically occurs between ages 45 and 55. During this time, hormones levels (mainly estrogen and progesterone) fluctuate before eventually decreasing. This leads to the symptoms you’re experiencing

COMMON CHANGES YOU DESCRIBED -irregular or stopped menstrual cycles -abdominal and pelvic Pai (before and after periods) -cysts on the ovary (like oestrogen-driven) -calcified fibroids (non cancerous growths in the uterus) -discomfort when periods are delay

In Ayurveda, this phase of life is called “Rajonivritti” (cessation of menstruation) and is usually dominated by Vata dosha- responsible for movement and nervous system activity. When Vata becomes imbalanced, it can cause -irregular cycles -pain -sleep problems -dryness -anxiety

Because you also have fibroids and cyst, kapha and pitta imbalances may also be involved. So, we aim to balance vata while clearing excess kapha/pitta

TREATMENT GOALS -Balance hormones= to regulate cycle and ease transition -reduce pain and inflammation= for better comfort and quality of life -shrink/maintain fibroid and cyst size= prevent further complications -improve overall vitality= support this new phase of life with strength -avoid unnecessary medications/surgery= as long as symptoms are manageable naturally

INTERNAL MEDICATIONS

1) SHATAVARI GRANULES= 2 tsp with milk twice daily in morning and night for 3 months =it balances female hormones and supply uterus

2) ASHWAGANDHA CAPSULES= 500mg capsule with milk at night for 3 months =calms stress, balances vata, improves sleep

3) KANCHANAR GUGGULU= 2 tabs twice daily after meals with warm water for 3 months =helps reduce fibroids and cysts

4) LODHRA + ASHOKA CAPSULES= 1 cap each twice daily after meals for 3 months =regulates menstruation reduces bleeding

5) PUNARNAVA MANDUR= 1 tab twice daily after meals for 3 months =reduces swelling and helps with blood purification

EXTERNAL TREATMENTS

1) OIL MASSAGE with DHANWANTARAM taila warm applied all over body daily =calms vata ,improves circulation, supports hormones

2) CASTOR OIL PACK ON ABDOMEN= warm castor oil applied to Lower abdomen, cover with cloth and hot water bottle for 30 mins for 2-3 times/week =reduces inflammation and helps with cysts/fibroid size

3) NASYA= instill 2 drops of ANU TAILA in each nostril in morning empty stomach daily =helps balance hormones and improves brain ovary signals

4) WARM SITZ BATH= sit in warm water infused with neem or turmeric for 2-3 times/week =eases pelvic congestion and improves blood flow

HOME REMEDIES YOU CAN USE EASILY

1) FENUGREEK. TEA= 1 tsp seeds boiled in water- balances hormones

2) TURMERIC + GINGER MILK= for pain, inflammation, and detox

3) ALOE VERA JUICE (2tbsp/day)= contains phytoestrogens the balance hormones

4) WARM AJWAIN WATER= excellent for bloating and period related pain

YOGA AND PRANAYAM FOR HORMONAL BALANCE -supta baddha konasana= opens pelvis and relaxes -setu bandhasana= stimulates reproductive organs -viparita karani= relieves pelvic pressure -balasana= relieves pain and calms mind

PRANAYAM -nadi sodhana= balances hormones -sheetali= if there is hot flush or heat -bhramari= reduces anxiety and balances vata

do for 10-15 minutes daily. yoga helps your body stay flexible , calm, and supports your hormones naturally

DIET AND LIFESTYLE

GENERALLY -eat warm, freshly cooked food -include healthy fats-ghee, sesame oil, olive oil -focus on easily digestible grains= rice, millet, oats -eat plenty of cooked vegetables, especially beets, carrots, spinach, pumpkin -avoid cold drinks, processed food, red meat, excessive sugar

INCLUDE -almonds soaked overnight 4-5 -dates 2-3 per day -sesame seeds -leafy greens -fresh turmeric and ginger

AVOID -cold/raw foods like salads in excess -carbonated drinks -cafffeine/alcohol -overeating or irregular eating

TEST RECOMMENDED -pelvic ultrasound= to monitor fibroid or cyst size -complete blood count= to check for anemia -thyroid panel= thyroid changes can mimic menopause -liver function test -hormonal profile- LH, FSH, ESTRADIOL

Asha, your symptoms are very typical for someone entering menopause, and your approach combining supplements, physical activity and awareness is already excellent.

Ayurveda offers you a gentle, holistic way to transition through this phase without unnecessary medications or surgeries, You don’t need to fight menopause- it’s not a disease. Instead we support your body’s natural shift using ayurvedic therapies, diet, movements and rest.

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Hello Asha, navigating perimenopause can be challenging, and it sounds like you’re managing multiple symptoms and conditions. Ayurveda offers several strategies to address the symptoms you’re facing. Let’s discuss some personalized approaches.

Regarding your irregular cycles and abdominal pain, Ayurveda views this through the lens of Vata imbalance, particularly Apana Vata, which governs pelvic functions. Regularity and warmth are essential. Start by including warming spices like ginger and cinnamon in your diet. Fenugreek tea, taken once daily, can also support menstrual regularity.

Concerning the ovary cyst and calcified fibroids, while Ayurveda might not resolve these without surgical intervention, dietary and holistic practices can help manage symptoms. Triphala, a traditional Ayurvedic remedy, can aid detoxification and balance your hormones. Consider taking it 1 hour before bed in a warm water.

As for the symptoms of menopause, herbs like Ashwagandha and Shatavari can be beneficial. Shatavari in particular is known for balancing hormones and may help ease hot flashes and mood swings. Start with 1/4 teaspoon of Shatavari powder mixed in warm milk, once daily in evening.

Exercise is essential, and your walking routine is excellent. You can add gentle yoga or pranayama practice in your daily routine to calm the mind and balance the Vata dosha, especially focusing on forward bends and twists.

About Shilajit, it’s generally safe and beneficial for supporting stamina and energy during menopause, but one should ensure it’s a pure source. Start with a quarter pea-sized amount in warm milk or water.

Avoid cold foods and drinks as much as possible as they can aggravate Vata. Also, ensure your diet is rich in iron, calcium, and vitamin D, considering your history of fibroids.

Finally, please continue to consult with a qualified healthcare professional to monitor your cysts and fibroids regularly. For any acute symptoms, it’s wise to seek immediate medical attention.

Experiencing perimenopause and menopause can bring about a myriad of challenges. From an Ayurvedic perspective, it’s essential to focus on vata balance, as it often becomes aggravated during the perimenopause phase. Vata imbalance can lead to irregular cycles, and the associated pain, making it crucial to address through diet, lifestyle, and herbs.

Firstly, make sure to have warm, cooked meals that are easy to digest, which helps in balancing vata. Consider incorporating more healthy fats like ghee, coconut oil, and nuts in your diet. They are nourishing and help in maintaining tissue strength which is often depleted during menopause.

Herbs like Ashwagandha and Shatavari can be particularly beneficial. Ashwagandha helps in reducing stress levels, while Shatavari nourishes and supports the reproductive system, improving overall hormonal balance. You might take them in powdered form—mix 1 teaspoon with warm milk or water daily.

With fibroids, it’s good to eat more vegetables like broccoli and cabbage while reducing red meat, caffeine, and alcohol. These can exacerbate fibroid growth and symptoms.

You can continue using Shilajit, but moderation is key—it’s quite potent and might best in small doses like once or twice a week, particularly as it helps with overall energy levels.

Your routine of walking is commendable! It’s crucial to continue as it promotes circulation and alleviates vata issues. Increasing the steps gradually could also be beneficial, aiming for more consistent 8000 steps daily.

Remember, maintaining regular sleep patterns and managing stress through meditation or yoga can do wonders for managing symptoms. Sometimes personalized guidance is needed, so consulting a local practitioner who combines Ayurvedic principles with an understanding of modern treatments can also be of great help. If your symptoms persist or worsen, consider seeking further evaluation from a healthcare professional.

Sure, Asha Ji,

Here’s a short and clear Ayurvedic medication and diet plan for your perimenopause/menopause symptoms:

1.Ashokarishta – 20 ml + 20 ml water, after lunch & dinner

2.Kanchanar Guggulu – 2 tablets, twice daily after meals

3.Shatavari Tablet – 1 tablet at bedtime with warm milk

4.Ashwagandha Tablet – 1 tablet at bedtime

5.Shilajit (Optional) – 300–500 mg in the morning on empty stomach Diet Plan (Pitta-Vata Balancing)

Is Shilajit Safe in Perimenopause? Yes, pure Shilajit (resin or capsule) is safe and beneficial in small doses:

Boosts energy, libido, and mood. Improves bone health and metabolism.

How to Take:

300–500 mg daily in the morning with warm water or milk. Do not take it if you’re having heavy bleeding or heat-related symptoms.

Include:

Warm, cooked meals: soups, stews, khichdi Ghee, sesame seeds, soaked almonds Cooked beets, carrots, pumpkin, ash gourd Herbal tea: Cumin + Fennel + Coriander (boil & sip) Warm milk with turmeric or Shatavari at night

Avoid:

Spicy, oily, fried foods Excess caffeine, sugar, and cold/raw foods Sour or fermented items (pickles, vinegar, curd at night)

Thank You!

HELLO ASHA,

PRIMARY CONCERN= perimenopause, ovarian cyst (previous), fibroids (calcified), irregular periods, pelvic pain CHRONIC CONDITION= uterine fibroids CURRENT CONDITION= 3 months without menstruation, no major complaints of fatigue or sleep disturbance

Based on the symptoms you’ve shared , there appears to be an imbalance in vata and Pitta doshas, which is typical in the perimenopausal phase.

-Vata aggravation= irregular cycles, pelvic pain, dryness, delayed menstruation -Pitta involvement= inflammation, cyst formation, fibroid growth, occasional heat symptoms

Fibroids and ovarian cysts are viewed in Ayurveda as manifestations of Ama (toxins), rakta dushti (vitiation of blood), and kapha-vata accumulation in the reproductive tissues (Artava dushti)

1) DIET Adopt a vata-pitta pacifying diet to support hormonal balance and reduce fibroid activity.

INCLUDE -war, soft, nourishing foods like cooked vegetables, soups, khichdi -Ghee, sesame oil -cumin, fennel, coriander, turmeric, ginger, cardamom -iron rich foods= moringa, beets, dates, sesame seeds

AVOID -cold/raw foods, carbonated drinks, fried foods -processed meats, excessive sugar or caffeine -refined flours, vinegar, sour fermented items

HYDRATION= drink warm water or herbal teas (like ginger-fennel or tulsi tea)

2) LIFESTYLE MODIFICATIONS Routine and grounding practices are essential during perimenopause -DAILY ROUTINE= wake and sleep at consistent times (ideally before 10 pm) -OIL MASSAGE= use warm dhanwantaram taila n the lower abdomen and body thrice week to reduce pain, support lymph flow and calm vata -practice gentle yoga and pranayam alternate nostril breathing -optional=warm baths with epsom salt twice weekly

3) INTERNAL MEDICATIONS

-SUKUMARA KASHAYA= 15 ml with 45 ml of water before meals twice daily =balances vata pitta, reduces pelvic pain, supports reproductive health, eases bowel movement

-ASHOKARISHTA= 25ml with water twice daily after meals =uterine tonic, regulates menstrual cycle, helps in fibroids, reduces excessive bleeding

-DASHMOOLARISHTA= 30 ml twice daily with warm water after meals =anti inflammatory, reduces pain and vata imbalance in the pelvic region

-PRADRANTAKA CHURNA= 1 tsp with honey twice daily after rmeals =targets fibroids, cysts, and hormonal imbalance

4) REGARDING SHILAJI -Shilajit is a Rasayana in Ayurveda. It can support energy, mineral balance, and reproductive tissues -Yes, you can resume shilajit at a low dose, ideally in the morning with warm milk or water ** AVOID during menstruation

TIPS -BE CONSISTENT= natural formulations work gradually -warm water enhances absorption -allow for weekly rest days from medications if using long term -monitor symptoms monthly

THANK YOU

DR. HEMANSHU MEHTA