Prolonged period with clot form - #32707

Once again repeat us abdomen, and thyroid profile and cbc Meanwhile can start on Asoka aristha - 4 tsp with equal quantity of water twice daily after food But it’s bleeding is heavy and with clots it’s better to consult gynaecologist asap

1.) Pushyanuga Churna-3gm Pradarantaka Rasa-125mg Pravala Pisti-250mg Bolabaddha rasa-125 mg Sphatika bhasma (Allum)-125mg- before food with rice water and honey - 2 times

2.) Ashokarishta+Lodhrasava-4tsf after food 2 times

Hello Akanksha,

I understand your concern about heavy menstrual bleeding. At 25, having long periods with clots, bleeding for more than 7 days, and sometimes having irregular cycles can signal hormonal imbalance and issues with uterine function. But don’t worry, we are here to help you.

✅ WHY IT HAPPENS

1. Hormonal imbalance that leads to irregular ovulation and prolonged bleeding.
2. Weak uterine muscles or endometrium, making it hard to shed properly.
3. Stress, irregular sleep, junk food, and too much tea or coffee can make the problem worse.

✅ AYURVEDIC PLAN OF TREATMENT

1. Ashokarishta – 30 ml with equal water after meals.
2. Pradarantak loha – 1-0-1 after meals.
3. Kanchanar Guggulu – 1-0-1, helps balance hormones and reduce cystic tendencies.
4. Lodhra churna – 1 tsp with water once daily to reduce excess bleeding.

✅ HOME REMEDIES

1. Pomegranate juice, which strengthens the uterus and reduces bleeding.
2. Cooked banana flower with buttermilk, very effective in controlling heavy flow.
3. Rice water (Tandulodaka) – drink once daily to cool Pitta.
4. Coriander seeds tea – boil 1 tsp of coriander in 1 glass of water, reduce it to half, and drink lukewarm.
5. Amla (gooseberry) juice, which balances hormones and improves hemoglobin levels.

✅ DIET AND LIFESTYLE

✅ Include:
Iron-rich foods like dates, black raisins, spinach, and beetroot.
Buttermilk with roasted cumin.
Light, warm meals such as khichdi, moong dal, ridge gourd, and pumpkin.

❌ Avoid:
Spicy, sour, oily, or junk food.
Too much tea or coffee, and carbonated drinks.
Late nights and stress.

✅ LIFESTYLE

Gentle yoga poses like Setubandhasana, Baddha Konasana, and Supta Virasana improve uterine circulation.
Pranayama exercises such as Anulom Vilom and Sheetali help balance Pitta.

Your prolonged bleeding is due to an imbalance of Pitta and Vata, along with hormonal irregularity.

Incorporate home remedies like banana flower, coriander water, and pomegranate juice.

Focus on a cooling diet, managing stress, and getting good sleep.

Wishing you good health.

Warm regards,
Dr. Snehal Vidhate

For emergency take Tab. Pause to stop bleeding.

Repeate your sonography.

Also visit nearby gynecologist for detailed treatment

You are bleeding with cloth suggest hormonal imbalance, leading to irregular cycles Take Himalaya Evecare syrup 10-0-10 ml Baidyanath Asoka aristha 20-0-20 ml with water CHArak M2 Tone Tab 1-0-1 Include iron rich foods like dates, jaggery, spinach, and pomegranate daily

1.Ashokarishta 20 ml with 20 ml water twice daily after meals 2.Shatavri churna 1 tsp at bedtime with warm milk 3.Chandrakala rasa 2 tab twice daily with honey twice daily after meals

Lifestyle & Diet Tips - Avoid spicy, sour, and fermented foods—they aggravate Pitta and worsen bleeding. - Favor cooling foods like pomegranate, amla, coconut water, and rice. - Include iron-rich foods: sesame seeds, jaggery (in moderation), dates, and leafy greens. - Practice gentle yoga: Viparita Karani, Supta Baddha Konasana, and deep breathing. - Apply cold compress on lower abdomen if bleeding feels hot or heavy.

HELLO AKANSHA,

You are experiencing prolonged periods with clots (bleeding beyond normal 4-5 days, with passage of clots)

IN MODREN TERMS -This is often called Menorrhagia (heavy/prolonged bleeding) -Common causes= hormonal imbalance, irregular ovulation, thyroid issues, uterine fibroids/polyps, endometrial thickening, stress, low progesterone. -since you had irregular cycles last 2 months and now prolonged flow, it shows hormonal irregularity with possible uterine weakness

IN AYURVEDA -This is described as Rakta pradara/Asrigdara -Main dosha= pitta (heat and flow increasing), supported by Vata (irregular movement of blood) -Dhatu affected= blood, menstrual system -Signs= excessive, continuous, or prolonged menstrual bleeding, sometimes with clots, weakness and mental stress

TREATMENT GOALS -stop excessive bleeding safely -corret hormonal imbalance-> regulate cycle -strengthen uterus -nourish blood -> prevent anemia -balance doshas mainly pitta and vata -promote long term cycle regularity

INTERNAL MEDICATIONS

1) ASHOKARISHTA= 20 ml + equal water after meals twice daily =strengthen uterus, balances hormones, reduces excessive bleeding

2) LODHRASAVA= 20 ml + equal water after meals twice daily =stops bleeding, reduces clotting tendency, pacifies pitta

3) PRAVALA PISHTI= 125mg twice daily with honey or ghee =cooling, stabilises pitta, stops heavy bleeding, calms mind

4) SHATAVARI CHURNA= 1 tsp powder with milk twice daily =nourishes reproductive system, balances hormones, builds strength

5) CHANDRAPRABHA VATI= 2 tabs twice daily after meals =balances hormones, supports reproductive and urinary system

6) NAGKESAR POWDER= 1 gm with honey twice daily =traditionally used to arrest bleeding, strengthens blood vessels

DURATION= usually 2-3 months to regulate cycle, but acute bleeding may reduce within 1-2 weeks with correct medicines

EXTERNAL THERAPIES -OIL MASSAGE= with CHANDAN BALA LAKSHADI TAILA= calms pitta, reduces stress

-YONI PICHU (vaginal oil tampon therapy)= in chronic cases for uterine strengthening

LIFESTYLE MODIFICATIONS -avoid late nights, stress, anger, excessive screen time -Avoid hot climate exposure, sun, sauna, over exercise all increase pitta -Practice restful sleep and regular routine -keep emotional balance, stress strongly affects periods

YOGA ASANAS= gentle restorative only not strenuous during periods -baddhakonasana -supta baddha konasana -viparita karani= improves pelvic circulation -setu bandhasana= strengthens pelvic floor

PRANAYAM -Sheetali/sheetkari= cooling breath -Anulom vilom= balances hormones -Bhramari= calming, reduces stress

DIET

FAVOUR COOLING, LIGHT, PITTA PACIFYING FOODS -Milk, ghee, butter, fresh coconut, cucumber, ash gourd, bottle gourd, pumpkin, pomegranate, black raisins (soaked), amla, coriander water

AVOID -spicy, sour, fried, junk, red chilli, excess tea/coffee, alcohol, fermented foods

HYDRATION= drink cool but not iced water, boiled and cooled water is best

IRON RICH FOODS= black sesame , dates , jaggery in moderation, green leafy vegetables

HOME REMEDIES -Banana flower curry with curd= acts like natural progesterone, regulates bleeding -Coriander seed water= boil 1 tsp seeds in 1 cup water, reduce to half, drink -Pomegranate juice= cooling, strengthens uterus, improves hemoglibin -Soaked black raisins and dates daily= to prevent anemia

INVESTIGATIONS DVISED -CBC -Thyroid profile -Hormonal profile= LH, FSH, prolactin, progesterone, Estrogen -Pelvic ultrasound

-Ayurvedic management aims to stop excessive bleeding, balance hormones, strengthen uterus and nourish blood. -With internal medicines, diet, lifestyle and yoga cycles can stabilize in 2-3 months

But since you already have 7 days of ongoing bleeding with clots, please do not delay modern investigation (CBC, ultrasound, hormones)-> to rule out fibroids, PCOS, thyroid or anemia

DO FOLLOW

HOOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Start with Tablet M2TONE forte 1-0-1 after food with water Nagkesar tablet 1-0-1 after food with water Raktastambak vati 1-1-1 after food with water continue till bleeding stops. Avipattikar tablet 1-0-1 after food with water.

Heavy or prolonged menstrual bleeding along with clots can indicate an underlying imbalance. In Ayurveda, menstrual issues like these are often related to a disturbance in Vata dosha or Pitta dosha, or could be due to certain lifestyle or dietary habits. Since you’ve experienced inconsistency with your cycle recently and an ultrasound & thyroid tests from last year didn’t show issues, this might be more functional than structural.

First of all, from a safety perspective, if this persists or if you feel weak or dizzy, it’s important to see a medical professional to ensure that there’s no serious underlying condition that requires immediate attention.

For an Ayurvedic approach, supporting your Agni (digestive fire) and balancing your doshas will be beneficial:

1. Dietary Adjustments: - Opt for Vata and Pitta pacifying foods. Warm, cooked meals can be soothing. Include ghee, cumin, coriander, and turmeric in your diet. Avoid cold, dry, or spicy foods as these can aggravate Vata and Pitta. - Staying hydrated is crucial, but avoid icy drinks that may slow digestion. Warm herbal teas like ginger or chamomile can be soothing.

2. Herbal Remedies: - Ashoka (the bark of the Ashoka tree) is known for supporting the female reproductive system and can help balance menstrual patterns. Dosage should be in consultation with an Ayurveda practitioner. - Shatavari is another rejuvenative herb for women known to support hormonal balance.

3. Lifestyle Changes: - Stress and irregular schedules can exacerbate doshic imbalances. Incorporate mindfulness practices like yoga or meditation to help manage stress. - Ensure you get adequate rest during your cycle. Overexertion can disturb Vata.

4. Regularity in Routine: - Maintain a regular schedule for meals and sleep. Irregular eating and sleeping patterns can disrupt your doshas.

This personalized regime could help, but do keep monitoring the situation closely, and prioritize seeking medical advice if needed.

Prolonged periods with clot formation can be signs of underlying hormonal imbalances, often related to doshic imbalances in Ayurveda. Women can particularly experience an imbalance in pitta dosha, leading to excessive bleeding when there is excess heat in the body. Additionally, vata dosha may be disturbed, causing irregularity in the menstrual cycle.

First, consider cooling your body and calming the pitta. Dietary changes can significantly aid in this process. Start incorporating more cooling foods such as cucumbers, watermelons, and coconut water into your routine — these help to balance the excess heat. Avoid spicy, fermented, or acidic foods which can aggravate pitta.

For vata balancing, ensure a regular daily routine to stabilize this dosha. Having meals at the same time daily, getting adequate rest, and practicing gentle yoga or meditation can stabilize vata. Ashoka (Saraca indica) and Lodhra (Symplocos racemosa) are traditionally recommended herbs for balancing female reproductive health, regulating menstrual flow, and reducing excessive bleeding. You can find these herbs in capsule or powder form. Take them according to the package directions or consult a local practitioner for precise dosages.

However, this symptom could signify conditions that require urgent medical assessment, so I must advise you to visit a healthcare provider to rule out any serious issues. Especially since your periods are irregular and there’s changes in bleeding pattern, it’s critical to ensure no underlying disorders such as fibroids or hormonal imbalances are causing it. Meanwhile, keep track of your symptoms daily, note any changes, and provide that information to your doctor. Balancing doshas helps, but timely medical attention is crucial for safe treatment.