It is very common in perimenopause stage. Longer periods, heavier flow, and shorter cycles are due to estrogen dominance.
Kindly check hb level, USG.
Vitamin D - 4 is very low. Took supplement.
1. Musalikhadiradi kashayam 15 ml+ 45 ml lukewarm water twice daily before food. 2. Pushyanuga choornam 1 tsp with honey once. 3. Satavari gulam 1 tsp at night. 4. Mandoora vatakam 1 with butter milk at lunch.
Took these medicines and follow up about the next period flow. You want to continue medicines for 3 months or 6 months.
Along with these some dietary changes want to follow. Iron rich diet - like spinach, lentils, if non vegetarian meat can be included. Grapes, raisins, dates, seeds can be included.
Follow a regular bed time. Sleep helps in hormonal regulation. Before 10:00 is the best bed time.
Take care, Dr. Shaniba
Hi sree this is Dr Vinayak as considering your problem Rx -T chandrakala rasa 1-1-1 Lodrasava 10ml twice after food T M care 1-0-1 after food
See maa as you are near to menapause stage this is common symptoms…but you shouldn’t neglect this condition…
For safer side do USG abdomen and pelvis and share report along with just CBC report… Then we will go with Proper treatment
It is very common in female Initially check hb Internally taken medicine. 1) satavari churn+pug khand mix properly then 1 tsp after food BD with water 2)pushyanug churn 1 tsp BD after food BD with water 3) Ashoka aristh 3 tsp after food BD with water 4) lohasav 3 tsp after food BD with water Party Eat healthy green vegetables,fruits, Stay happy stress free Proper sleep Apthya: Avoid used of spicy food Avoid late night mobile use
After HB and USG investigation U find hb is very low You add 1)Mandoor bhsm 125 mg after food BD with madhu 2)punarnava mandoor 2 tab after food BD with water After USG investigation U will find and cyst U will add 1)Kanchnar gugglu 2 tab.after food BD with water
HELLO SREE,
You are experiencing heavy menstrual bleeding (menorrhagia) lasting up to 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
FOR VITAMIN D KIMDLY TAKE
CALCIUM SUPPLEMETS
Taka ashokarista 20ml bd, usherasava 20ml bd, arogya vardini vati 1tab bd
Hello Sree
At the age of 42yrs is a age of menopause with a lot of things going on in the body with the hormones
It is safe to take TAB. PAUSE if you have too much bleeding (More that 5 days or more than 3 pads per day.)
Also would suggest to get a USG abdo pelvis done and if required go for D&C
Supportively you can strat with
Syp. Evecare forte 3 tsp twice a day for good uterine health. You can take it till a year post menopause
Balancing your menstrual cycle through the lens of Ayurveda involves a keen understanding of dosha imbalances, particularly focusing on Vata and Pitta doshas, as they govern the movement and transformation in the body and are often involved in such conditions. Since you are experiencing over bleeding and prolonged periods, it’s important to prioritize activities and nutrition that pacify these doshas.
First, pay attention to your diet. Avoid spicy, sour, and salty foods which can increase Pitta, leading to more bleeding. Instead, favor sweet, bitter, and astringent tastes. Incorporate cooling foods like cucumber, watermelon, and leafy greens. Cooked meals with ghee can help; they stabilize Vata and are easy to digest. Eating warm, freshly-cooked foods three to four times a day can provide consistent nourishment.
Addressing your thyroid issue and low Vitamin D levels holistically can also impact your menstrual health. Include foods rich in Vitamin D such as mushrooms and fortified foods if access to sunlight is limited. Ensure adequate iodine levels through sea vegetables like kelp and nori, supporting thyroid health.
Ayurvedic herbs like Ashoka and Lodhra may help regulate menstrual flow. These should be taken under the supervision of an experienced Ayurvedic practitioner, as the dosage must be individualized. Consume decoctions or tablets as directed.
Practicing relaxation through Yoga and Pranayama (breathing exercises) can significantly reduce stress, which can worsen or destabilize both thyroid function and menstrual regulation. Regular cycles can be supported by postures like Supta Baddha Konasana and Setu Bandhasana, but avoid strenuous exercises during active bleeding.
Since your thyroid levels are significantly off balance, consulting an endocrinologist or your healthcare provider for tailored treatment is crucial. A synergy between modern medical guidance and Ayurvedic principles will offer a more comprehensive support to your health needs.
Start on Tab m2 tone 1-0-1 Stri rasayana vati 1-0-1 Asoka aristha 20 ml -0-20 ml with equal warm water
Start with Cap. Evecare fort 1-0-1 after food with water Nagkesar tablet 1-0-1 after food with water Thyrogrit 2-0-2 after food with water, will bring thyroid hormones to normal.
Lodhra tablet 1-0-1 Kanchanar guggulu 1-0-1 Strirasayana vati 1-0-1 Asoka aristha 15-0-15 ml after meals with warm water Avoid exc tea coffee sugar spicy sour foods
Managing over bleeding and prolonged periods at age 42, especially when thyroid function is low (TSH level of 9) and vitamin D is deficient (level of 4), requires a holistic approach. In Siddha-Ayurvedic understanding, this could be linked to an imbalance in the doshas, particularly Vata derangement affecting the reproductive system. Thyroid imbalance might contribute to excessive bleeding and irregular cycles by affecting metabolic processes.
First and foremost, it’s crucial to consult a healthcare provider to address the thyroid imbalance, as it can significantly affect menstrual cycles. Medication or appropriate treatment for hypothyroidism from a medical doctor is essential and must not be delayed.
From an Ayurvedic perspective, consider the following:
1. Dietary Adjustments: Enhance your diet with cooked, warm, and easily digestible foods. Incorporate ghee, almonds, and sesame seeds, which are nourishing and can help balance Vata. Avoid cold, raw, and dry foods that can further aggravate the issue.
2. Herbal Remedies: Use herbs like Ashoka (Saraca indica) and Lodhra (Symplocos racemosa), known for their benefits on female reproductive health. They help manage bleeding and strengthen the uterine muscles. One can take these as prescribed by an Ayurvedic practitioner.
3. Lifestyle Modifications: Practice regular, gentle yoga and pranayama to improve circulation and reduce stress, which can alleviate some hormonal fluctuations and menstrual irregularity. Emphasis should be on relaxation and reducing any strenuous activities that increase Vata.
4. Vitamin D: Replenish vitamin D levels with safe sun exposure and possibly supplementation. Work with your healthcare provider to determine the right dose.
5. Iron Supplementation: Due to heavy bleeding, ensure your iron stores are adequate to prevent anemia, consult with your healthcare provider for the need of supplementation.
Keeping a check on digestion, maintaining a regular eating schedule, and ensuring proper hydration are basic yet crucial factors to sustain overall balance. If over bleeding persists or if any symptoms worsen, it’s essential to again reach out to a healthcare professional without delay.
