Hello Nithya ji, I truly understand your concern. Heavy and prolonged bleeding every month can be draining physically, mentally, and emotionally. But don’t worry we are here to help you out😊
✅ Why Heavy Bleeding Happens
Menorrhagia (excessive menstrual bleeding)= Your complaint of heavy flow lasting 5 or more days is medically termed menorrhagia.
Possible causes in your case:
👉Doctors suspect endometriosis, which means the inner lining of the uterus grows outside and causes pain + heavy bleeding.
👉Hormonal imbalance is also common at your age (37 years) and can worsen the bleeding.
Since you also have diabetes, the body’s metabolism and hormonal balance are already under stress, which can aggravate menstrual issues.
✅ Medicine You’re Taking
Tranexamic acid: This helps by reducing breakdown of blood clots, so bleeding is less. However, it only controls symptoms during the period and does not address the root cause.
Ashokarishtam: A classical Ayurvedic uterine tonic It helps by strengthening uterine muscles, regulating hormonal activity, and calming aggravated pitta, which usually causes excessive bleeding.
✅AYURVEDIC MEDIACTION
1. Ashokarishtam – Continue as it supports the uterus and helps in reducing bleeding over time.
2. Praval Pishti 1 pinch with warm. Water – Cooling medicine, excellent for pitta control and heavy flow.
3 Lodhra churna 1tsp – Can be taken with honey; it specifically strengthens endometrium and reduces excess bleeding.
✅DIET AND LIFESTYLE MODIFICATION
✅ Include:
Iron-rich foods: dates, raisins, pomegranate, spinach, black sesame, jaggery in small amounts.Cooling fruits: apple, grapes, guava. Cow’s ghee in small quantity daily – helps balance pitta and vata.
❌ Avoid:
Spicy, oily, fried, sour foods. Excess tea, coffee, and packaged foods – they aggravate pittaand vata. Too much jaggery, sugar, or sweets – important since you are diabetic.
✅Lifestyle Tips:
Adequate sleep – late nights aggravate hormonal imbalance. Gentle yoga & pranayama: Supta Baddha Konasana, Balasana, and Shavasana relax pelvic muscles.
Stress management – meditation and breathing practices help regulate hormones naturally.
Ashokarishta helps, but usually needs to be combined with other medicines for proper control of menorrhagia. Endometriosis requires deeper management with medicines + panchakarma therapies, not just symptomatic control.
With proper guidance, many women experience better cycle regulation, less bleeding, improved energy, and relief from pelvic pain within a few months.
Wishing you a good health😊
Warm Regards Dr Snehal Vidhate
Hey Heavy menstrual bleeding (menorrhagia) linked to suspected endometriosis can be deeply exhausting—physically and emotionally. You’re already using Tranexamic acid (to reduce bleeding) and Ashokarishtam, which is a good Ayurvedic choice for Rakta dushti and uterine toning.
Does Ashokarishta Help in Menorrhagia? Yes, Ashokarishta is one of the most trusted Ayurvedic formulations for: - Regulating menstrual flow - Reducing uterine inflammation - Balancing Vata-Pitta in the reproductive system - Supporting endometrial health It contains Ashoka bark, Dhataki, Haritaki, and other herbs that act as Stambhana (anti-bleeding), Shoolahara (pain-relieving), and Rakta-prasadana (blood purifying).
You should go with some additions: 1.Kanchnar guggulu 2 tab twice daily with water after meals 2.Pushyanug churna 1/2 tsp with honey or rice water (manda) twice daily after meals 3.Patrangasava 15 ml with 15 ml water twice daily after meals
Diet & Lifestyle Tips - Include: Warm, cooked meals, sesame oil, ghee, beetroot, pomegranate, and iron-rich foods - Avoid: Cold/raw foods, sour/spicy items, caffeine, and late nights - Practice: Gentle yoga (Supta Baddha Konasana, Baddha Konasana, Ustrasana, Setu bandhasana, Viparita Karani), meditation, and journaling to reduce cortisol and pelvic congestion
Panchakarma Therapies for Endometriosis ( at a nearby Panchkarma Center)- Ayurvedic doctors often recommend: - Kshara Basti / Ksheera Basti: Medicated enemas to pacify Vata and reduce pelvic inflammation - Uttara Basti: Vaginal oil therapy (under supervision) to cleanse and nourish the uterus
WARM REGARDS DR.ANJALI SEHRAWAT
Thank you for reaching out and sharing what you’re going through heavy bleeding during periods, especially when it is prolonged and accompanied with pain is often assigned that the inner lining of the uterus is not in a balanced way. In your case, doctors have mentioned the possibility of endometriosis, it means that the tissue with normally the uterus is growing in places where it should not leading to more bleeding, pain, and sometimes even weakness. This is not unusual and many women face similar challenges in their 30s having diabetes alongside makes the situation a little more complex because high sugar levels can increase information and slowdown the healing process.
According to Ayurvedic point of view, this condition reflects long standing imbalance in circulation, digestion and oral rhythm. When the blood and tissue channels are not flowing smoothly. It leads to accumulation pain and excessive bleeding. The good news is that with consistent lifestyle, correction proper diet and right herbal support many women study, improvement, and relief
You asked about Ashok Arista, yes, it is traditionally used for heavy bleeding, but it usually works best when combined with other supportive measures. Ayurveda never looks. At1 medicine as a fix, but rather as a part of a complete plan, that includes what you eat, have you rest? Have you move and have stresses managed
Keep your sleep regular. Avoid late night and give your body proper rest during periods. Do not overexert with heavy workouts or long-standing work during the bleeding days, gentle Yoga posters like butterfly pose and supported bridge. Post can be done during non-bleeding days. Stress as a very strong link with heavy bleeding and pain. So regular Pranayam meditation or mild evening walks will come your system.
Focus on light, warm, and easily, digestible means like move the steamed vegetables, red rice, or lightly spices, soups include pomegranate, apple and cook drumstick use regularly. Avoid various spicy, oily sour foods as well as coffee and tea. Stay hydrated with warm water.
Along with Asoka aristha Start - Stri rasayana vati 1-0-1 Tab M2 Tone 1-0-1 Giloy satva -2 pinch with warm water
Hello Nithya.
Keep a follow up with your gynac and get your USG done and confirm endometriosis. We can treat that issue with ayurvedic medications as well if the picture is clear.
For your mehnoragia take
Tab. Bolbaddha Ras 2 tabs thrice a day for 10 days Syp. Evecare forte 3 tsp thrice a day for 10 days
Tranexamic acid 1 tab twice a day after food.
Include BOTTLE GOURD, WAX APPLE, PETHA (sweet made from wax apple), FENNEL SEEDS in your diet.
Take shatavarighritam 1tsp, ashokarista 20ml bd
Hello, 1. Can you please share all the recent reports? 2. Do you have painful menstruations?
If it is suspected endometriosis, it requires long term treatment and a physical consultation for effective management. Take care, Kind regards.
Hello, Yes it can reduce your conditions Start taking Shatavari powder 1/2 tsf with warm milk Chandraprabha vati 1-0-1
Avoid spicy and oily food
1. Does Ashokarishta clear Menorrhagia? Ashokarishta is a well-known Ayurvedic formulation traditionally used to address various gynecological issues, including menorrhagia (abnormal heavy or prolonged periods), which it often refers to as Rakta Pradar.
. Alternate Medicines/Supplements for Heavy Bleeding
Since you are already on Tranexamic acid (an antifibrinolytic, a proven medical treatment for heavy bleeding) and Ashokarishta, any additional medication or supplement should only be considered after consultation with and approval from your healthcare provider to ensure safety and prevent interactions.
3. Solution for Endometriosis Causing Heavy Bleeding
Endometriosis is a complex, chronic condition where tissue similar to the uterine lining grows outside the uterus. When this tissue bleeds during your period, it can cause heavy bleeding (menorrhagia), pain, and inflammation. There is no single “cure” for endometriosis, but there are very effective treatments to manage symptoms, including heavy bleeding and pain.
Treatment options focus on:
A. Medical Management (often the first line of defense): Hormonal Therapy: These treatments aim to suppress the growth of endometrial tissue and reduce or stop menstruation, thereby reducing bleeding and pain. Options include:
Combined Hormonal Contraceptives (Pill, Patch, Ring): Taking these continuously can stop periods altogether.
Progestin Therapy (Pill, Injection, or Hormonal IUD): Progestin-only options are very effective at reducing bleeding and often stopping periods. The Hormonal IUD (e.g., Mirena) is often considered one of the most effective medical treatments for reducing heavy bleeding.
GnRH Agonists and Antagonists: These medications induce a temporary, reversible menopause-like state to stop the menstrual cycle and suppress endometriosis.
Tranexamic Acid: As you are already taking, this medication helps the blood clot, directly reducing the amount of blood loss during your period. It does not treat endometriosis itself, but manages the symptom of heavy bleeding.
NSAIDs (Nonsteroidal Anti-inflammatory Drugs): Such as Ibuprofen or Naproxen, are used to manage pain and may also reduce blood loss.
B. Surgical Management: Laparoscopy (Keyhole Surgery): This is the most common surgical procedure. It involves removing or destroying the visible patches of endometriosis tissue and scar tissue. This can significantly reduce pain and bleeding, but symptoms may return over time.
Hysterectomy: In severe cases where other treatments have failed and a woman does not plan to have children, removing the uterus (with or without the ovaries) may be considered.
In summary, since your doctors suspect endometriosis:
Tranexamic Acid is a specific, evidence-based treatment for the heavy bleeding.
Ashokarishta is a traditional herbal remedy that may be complementary.
The overall solution for the heavy bleeding caused by endometriosis often involves hormonal medication (like a hormonal IUD or continuous birth control) or laparoscopic surgery to target the root cause.
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 BD after food 4 tsf 2 times
3) Hip bath - Panchavalkala kvatha cold
Bolabadda rasa 1-0-1 Mukta pusthi 1 pinch with rose water Shatavari kalpa 1 tsp -0-0 with warm Milk Patrangasava 10-0-10 ml with equal quantity of water Asoka aristha 10-0-10 ml equal quantity of water Drink pomegranate juice and rice water during periods Avoid hot, spicy fermented food Rest well during periods. Avoid excessive strain
Hi Nithya Start with Tablet M2TONE forte 1-0-1 after food with water Tablet nagkesar,1-0-1 after food with water avipattikar tablet 1-0-1 after food with water Include cow’s ghee 2-4tsp in your ,diet
The heavy bleeding during periods, often referred to as menorrhagia, can indeed be distressing. Ashokarishta is a classical Ayurvedic formulation often used to manage such issues. It’s designed to balance the hormones due to its action on the uterine system, as well as to strengthen the tissues involved. While it’s beneficial, its effects might take some time and can vary from person to person. So it’s important to keep an eye on how your body responds to it.
Considering you mentioned that doctors suspect endometriosis, it’s crucial to have a thorough medical evaluation to understand the extent of the condition. Ayurveda views endometriosis as an imbalance of the Apana Vata, a sub-type of Vata dosha, which is responsible for the downward flow of bodily processes. To address this, apart from Ashokarishta, you might consider the use of other traditional remedies.
Lodhara (Symplocos racemosa) is another herb known for its ability to manage heavy bleeding and support uterine health. It’s often taken as a powder (churna) mixed with warm water, around 1-2 grams twice daily. Additionally, Punarnava (Boerhavia diffusa) can help in reducing inflammation, which might ease the symptoms associated with endometriosis.
Diet also plays a key role in managing Vata disorders. Opt for a diet that’s warm, moderately spiced, and rich in easily digestible foods like rice, moong dal, and steamed veggies. Avoid cold, raw, and excessively spicy foods that can aggravate Vata dosha. Ginger tea with a little honey can assist in balancing Vata and help in soothing pain during menstruation.
Engaging in regular gentle yoga, particularly poses that support the lower abdomen, and pelvic region, can be beneficial, but always consult a qualified instructor. For endometriosis, it’s essential always to seek professional medical advice alongside Ayurvedic remedies to ensure comprehensive treatment. Avoid delaying critical care if necessary.
HELLO NITHYA,
You are experiencing heavy menstrual bleeding (menorrhagia) lasting up to 5 days, which is more than what is usually considered normal. Normally, menstrual bleeding lasts 3-5 days with moderate flow. heavy bleeding can lead to weakness, fatigue, and anemia if not managed.
POSSIBLE CAUSES
1) ENDOMETRIOSIS (uterine lining grows outside the uterus): causes heavy, prolonged, and painful periods
2) HORMONAL IMBALANCE : irregularities in estrogen and progesterone can increase bleeding
3) OTHER STRUCTURAL ISSUES= fibroids or polyps in the uterus
AYURVEDIC UNDERSTANDING -This is usually called asrigdara or rakta pradoshaja vyadhi -it happens when Pitta dosha (heat, metabolism) and rakta dhatu (blood tissue) are imbalanced. -symptoms of pita imbalance in periods include bright red bleeding, burning sensation, fatigue, irritability
TREATMENT GOALS -Stop or reduce excessive bleeding during periods -balance pitta and rakta dhatu in the body -strengthen the uterus and reproductive system -prevent anemia and weakness -manage underlying causes like endometriosis -maintain overall health with diabetes in mind
INTERNAL MEDICATIONS
1) ASHOKARISHTA= 20 ml + warm water twice daily after meals for 3 months =balances pitta, strengthen uterus, reduces heavy bleeding
2) LODHRA CHURNA= 5gm with milk twice daily =reduces bleeding
3) DARUHARIDRA CAPSULES= 500mg twice daily with water =anti inflammatory, reduces uterine bleeding
4) SHATAVARI CHURNA= 1 tsp with milk in morning =hormone balancing, strengthen reproductive tisssues
5) YASHTIMADHU CHURNA= 5gm with milk =stregthen uterine lining, balances pitta
LIFESTYLE RECOMMENDATIONS -Rest during heavy flow, avoid strenuous activity -stress management= yoga, meditation, pranayam -avoid excessive heat- hot showers, sun, spicy foods -gentle exercise= walking, swimming, stretching
YOGA ASANAS -supta baddha konasana= relaxes pelvis -viparita karani= reduces pelvic congestion -setu bandhasana= strengthen lower abdomen
PRANAYAM -nadi sodhana = balaces hormones -bhramari= redues stress, calms nervous system
DIET -cooling, pitta pacifying, rice, barely, ghee, milk, green vegetables -iron rich= spinach, beetroot, legumes -include proteins= lentils, panner, eggs
FOODS TO AVOID -spicy, sour, salty, deep fried foods -caffeine and alcohol -excessive sugar - important for diabetes
HOME REMEDIES -Ashoka bark decoctio= drink once daily -fenugrek seeds= soak overnight drink water +seeds in morning, helps reduce bleeding -pomegranate juice= strengthen blood, redcues bleeding -alomnd milk with a pinch of turmeric- nourishing and cooling for pitta
ADVISED ULTRASOUND= to check for endometriosis, polyps, or fibroids AND CA-125= if endometriosis suspected
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Heavy menstrual bleeding, or menorrhagia, can be quite distressing, and if endometriosis is suspected, it’s important to closely monitor your symptoms. Ashokarishtam is commonly used in Ayurveda for its uterine tonic properties and may help in managing symptoms associated with heavy bleeding and hormonal imbalance. It works by balancing the doshas, particularly the pitta dosha, which is often aggravated in cases of heavy menstruation.
Alongside Ashokarishtam, consider incorporating some lifestyle and dietary practices that align with Ayurvedic principles. Foods that pacify pitta, such as those sweet, bitter, and astringent in taste, should be favored. This means including more fruits like melons, pears, and pomegranates, and vegetables like broccoli and cucumbers. You should avoid spicy foods, alcohol, and caffeine as they can aggravate symptoms.
Herbal formulations like Chandraprabha Vati, and Pradarantak Ras can also be beneficial. These formulations help manage heavy bleeding by strengthening the endometrium and reducing inflammation. It’s crucial to have these recommended by a qualified practitioner familiar with your complete health status—so, don’t self-prescribe.
If heavy bleeding continues, it’s vital to seek more immediate attention to rule out serious underlying conditions. For endometriosis, specific treatments like Panchakarma therapies can be helpful to manage the root cause. Techniques such as Basti (medicated enema) can support in alleviating endometriosis symptoms by detoxifying the colon and balancing Vata dosha.
Consult with a gynecologist or Ayurvedic specialist regularly to ensure the issue is addressed holistically and safely within both conventional and Siddha-Ayurvedic frameworks. Likewise, any severe pain or complications should be addressed urgently to prevent further health concerns.
