Dx: Artava Dushti / Asrigdara Possible cause: Pitta–Rakta dushti with hormonal imbalance/PCOS/thyroid/fibroid possibility ----Advice: Heavy bleeding 25–30 days with clots is not normal. Gynecologist opinion + cbc, Hb, TSH, USG pelvis advised. —Rx: 1) Ashokarishta 15 ml + 15 ml water BD after food 2) Lodhra churna 3 g bd with honey/water 3) Praval Pishti 125 mg BD with honey 4) Shatavari churna 3 g at night with milk, if weakness/dryness present 5) lohasav 15 ml + 15 ml water after meal twice daily ----Diet: Avoid spicy, sour, fried, hot food, tea/coffee. Take pomegranate, coconut water, moong dal, rice, ghee in small quantity. —Emergency: If pad soaking every 1–2 hrs, dizziness, severe weakness — urgent hospital visit.
This pattern is not normal menstruation anymore—bleeding for 25–30 days with clots + gaps between cycles usually suggests a hormonal imbalance or structural issue (like fibroids/polyps). It can also lead to anemia if ignored. You should get checked for: CBC (Hb level) Thyroid (TSH) Pelvic ultrasound (fibroids/endometrium) Supportive care (till evaluation): Ashokarishta – 15 ml twice daily after food Kanchanar Guggulu – 1 tablet twice daily Lodhrasava – 15 ml twice daily with water Diet: Iron-rich foods (dates, beetroot, pomegranate, leafy greens) Avoid junk, excess tea/coffee, and cold foods If bleeding is heavy right now or weakness/dizziness occurs → consult a gynecologist urgently. Regards, Dr Raghuveer (Ayurvedacharya)