Irregular Periods and Delayed Menstruation Concerns - #46180

Avoid oily spicy and processed foods. Regular exercise and meditation. Increase intake of raw vegetables and fruits. sy M2TONE 15ml twice Tab.Aloes compound 2-0-2 Follow up after 4weeks.

No worries Start on Rajapravarthini vati -one tablet twice daily after food with warm water-stop it once the menses starts Asoka aristha 4 teaspoon with equal amount of water twice daily after meals Shatavari churna half teaspoon with warm milk at night

Once check HB us abdomen and thyroid profile to rule out any underlying causes

Hello, Your history of irregular periods for more than 2 years, with cycles delayed up to 6 months and withdrawal bleeding only after progesterone, along with actively trying to conceive, suggests Artava-kshaya / Anovulatory cycles in Ayurveda—most commonly due to Vata–Kapha imbalance with Agni disturbance (often seen in PCOS-like patterns, even without classic symptoms).

⚠️ Important first point (very important for you): Neem + Giloy water is NOT advisable while trying to conceive.

Neem has anti-fertility and ovulation-suppressing action

Giloy, though beneficial in many cases, can interfere with implantation if taken continuously in this context

👉 Please stop Neem–Giloy water immediately if pregnancy is your goal.

Your treatment will focus on restoring natural ovulation, regularising cycles, supporting uterus & hormones, and improving fertility, safely.

🔎 Recommended Investigations (If not done in the last 6 months — very important before planning pregnancy) 1. USG Pelvis – to assess ovaries & endometrium 2. Hormonal profile: TSH,Prolactin,LH, FSH 3. Fasting insulin / HbA1c (hidden insulin resistance can delay periods) 4. Vitamin D3 & B12

💊 Internal Medicines Phase 1 – 45 days (Cycle regulation + ovulation support) 1. Rajapravartini Vati – 1 tablet twice daily after meals. 2. Kanchanar Guggulu – 2 tablets twice daily after meals 3. Ashokarishta – 15 ml + equal water twice daily after food 4. Triphala Churna – ½ tsp at bedtime with warm water

Phase 2 – Fertility-support phase (After cycles start) (Ovulation + conception support) 1. Shatavari Churna / Tablet – ½ tsp twice daily with warm milk or water 2. Phala Ghrita – ½ tsp early morning with warm milk

⚠️ Stop Rajapravartini Vati once periods become regular or pregnancy occurs.

🌿 External & Supportive Therapies 1. Abhyanga (lower abdomen & back) – 3× weekly – Use Ksheerabala Taila or Bala Taila 2. Warm water sipping through the day 3. Avoid cold exposure to lower abdomen

🥗 Diet & Lifestyle Recommendations ❌ Avoid 1. Neem, Giloy, aloe vera juice 2. Fasting, meal skipping 3. Cold foods & drinks 4. Excess tea/coffee 5. Stress & late nights

✅ Include 1. Warm, freshly cooked food 2. Ghee – 1 tsp daily 3. Dates, figs, soaked almonds 4. Milk (daytime or bedtime) 5. Regular meal timings Helpful drink: Cinnamon + fennel boiled water (1 cup daily)

🧘🏻‍♀️ Yoga & Routine (Ovulation-friendly) 1. Baddha Konasana 2. Malasana 3. Bhujangasana 4. Setu Bandhasana 5. Anulom Vilom – 10 minutes

Avoid excessive exercise or weight loss efforts.

• Periods may return naturally in 6–8 weeks • Ovulation improves in 2–3 cycles • Progesterone tablets may no longer be needed • Continue fertility medicines for 3–6 months • Stop/adjust medicines immediately once pregnancy is confirmed

🚨 Consult your doctor urgently if: • Severe abdominal pain • Sudden heavy bleeding • Pregnancy test becomes positive

✨ With correct Apana-Vata balance and ovulation support, natural cycles and conception are very much possible.

With care, Dr. Sumi MS (Ayu)

THANK YOU FOR CONTACTING ASK AYURVEDA

When periods get delayed for months and come only after taking progesterone, it usually means the body is not ovulating regularly and the hormonal rhythm is disturbed. This is common in conditions like PCOD-type imbalance, long-term stress, weight changes or weak digestion. Because you are trying to conceive, it is important to support natural ovulation rather than only forcing periods with medicines.

Neem and giloy water is fine for short-term but when taken regularly it can sometimes be too cooling and drying for the body. In some women, this can actually delay ovulation and periods further, especially when cycles are already absent. So it should not be continued daily for long periods when trying to conceive.

For cycle regulation and fertility support, you may take Shatavari churna 3 grams once daily with warm milk, Ashwagandha churna 3grams at night with milk, and Triphala churna 1 tablespoon at bedtime with warm water. If periods do not start naturally, Rajapravartini vati 1 tablet twice daily after food for 5–7 days can be started

Include warm, freshly cooked food, avoid skipping meals, cold drinks and excessive raw foods. Maintain a regular sleep schedule and reduce stress as much as possible. walking, yoga and pranayama will help improve hormonal balance.

With consistent treatment and lifestyle correction, cycles usually become regular and chances of conception improve naturally

REGARDS DR PRASAD

Possible issue: Neem may not be ideal if you’re actively trying to conceive, as it can sometimes interfere with reproductive strength (garbha sthapana shakti). Giloy is gentler and more supportive, but combining the two daily for periods may not directly help regulate cycles.

1.Ashokarishta 20 ml with 20 ml water twice daily after meals 2.Rajahpravartini vati 2 tab twice daily with water after meals 3.Shatavari kalp 1 tsp twice daily with warm milk after meals

Got it, Anjali 🌸. Since your cycles have been irregular for more than 2 years and you’re trying to conceive, diet and lifestyle play a big role in supporting hormonal balance and gentle Ayurvedic routines. Here’s a structured plan you can follow:

🍲 Diet Tips (Ayurvedic + Practical) • Warm, cooked foods: Prefer khichdi, dal, soups, lightly spiced vegetables. Avoid cold/raw salads at night. • Healthy fats: Ghee, sesame oil, flaxseed, soaked almonds/walnuts — they nourish Vata and support hormones. • Iron-rich foods: Dates, jaggery, spinach, beetroot — helpful for building blood (Rakta dhatu). • Cycle-supportive herbs in diet: -Shatavari powder with warm milk (evening). -Ashoka bark decoction (morning, under guidance). • Avoid excess bitterness: Too much neem or bitter foods can reduce fertility strength. Keep them minimal. • Limit refined foods: Reduce packaged snacks, excess sugar, and fried items — they aggravate Kapha and block cycles. • Hydration: Warm water or herbal teas (ginger, cinnamon) to improve circulation.

🧘 Lifestyle Tips - Daily routine (Dinacharya): Wake up early (before 7 am). Gentle yoga: Setubandhasana (bridge pose), Bhujangasana (cobra pose), Baddha Konasana (butterfly pose) — all improve pelvic circulation. Evening walk for 20–30 minutes.

- Stress management: Meditation, pranayama (Anulom Vilom, Bhramari) — stress often delays ovulation.

- Sleep: Aim for 7–8 hours, avoid late nights.

- Massage (Abhyanga): Weekly sesame oil massage for calming Vata and improving circulation.

- Tracking: Maintain a simple chart of cycle dates, flow, and symptoms. This helps see progress and patterns.

Stop the Neem-Giloy water immediately. Neem has anti-fertility (contraceptive) properties. It is the wrong herb when trying to conceive. Your body needs Heat to induce a period. Neem is Cooling. It will further delay your cycle.

The Correct Approach 1. Home Remedy (To start the flow) Boil 1 tsp Black Sesame Seeds, 1 tsp Jaggery, and ½ tsp Dry Ginger in a cup of water. Drink warm every morning. It will Generate the necessary heat (Pitta) to break the uterine blockage. 2. Medicines (To replace Progesterone) Rajahpravartini Vati: 2 tablets twice daily with warm water. (Stop immediately if you suspect pregnancy). Phala Ghrita: 1 tsp with warm milk/water on an empty stomach. Nashtapushpantak Ras: 1 tablet twice daily. Specific for long-term absence of periods (Amenorrhea).

A 6-month gap suggests severe stagnation (likely PCOS). Reduce sugar intake strictly.

Regards Dr Gursimran Jeet Singh MD Panchakarma

take rajapravartini vati 2 bd take shatavri 2 bd take phala ghurth 2 drop each nostril at 6 pm and 6 am take brahmi 2 tab folowp after 30 days

Neem and giloy can be quite beneficial in Ayurveda, but their use should be personalized based on specific dosha imbalances. In your case with delayed periods and the medicine dependence, it’s crucial to first understand the root cause. Imbalances in Vata and possibly Pitta could affect menstruation, so focusing on balancing these doshas might help.

Let’s start with your diet. Prefer warm, cooked meals with healthy fats like ghee and avoid excessively cold or raw foods that might aggravate Vata. You can include more warming spices such as ginger, cinnamon, and cardamom in your meals to help improve circulation and support digestion, which can influence menstrual regularity.

Lifestyle adjustments can also make a significant difference. Regular schedule with ample rest is vital. Stress-reduction techniques like yoga and meditation could help balance hormones and improve cycle regularity. Moderate exercise is beneficial, but avoid strenuous activities that can disturb Vata further. Yoga asanas which focus on the pelvic area, such as Baddha Konasana and Viparita Karani, can be supportive.

Concerning neem and giloy, there are no direct contraindications for these herbs in promoting hormonal balance, but their impact varies. Neem has cooling properties, which could imbalance Vata if overused, whereas giloy is traditionally considered safe. It would be best to consult with a practitioner directly to gauge the doshas involved and potential herbal combinations.

Considering you’re trying to conceive, it’s necessary to maintain a balanced and nurturing approach. If Ayurveda doesn’t quickly bring relief, continue with your healthcare provider for immediate concerns, as irregular cycles and conception can be complex and sometimes require integrated care. Safety and effectiveness should always be your first priorities when using any Ayurveda remedy while attempting to conceive.