Menopause or amenorrhea - #153
Hello. I'm 41 years old. Weight 160, weight 40 kg, maybe less, was 42 in August, now I feel that I have lost weight. I am worried about the lack of menstruation and feeling hot during the day. The last menstruation was on 08/27/2024, normal, moderate. In September, I didn't wait, I donated blood, went for an ultrasound, to a gynecologist. The doctor's verdict: the beginning of menopause, if it's simple. On ultrasound, there is a decrease in ovarian reserve. There is an ultrasound on 07.2024, without pathology. There were no complaints. The doctor said it was wrong, it doesn't happen that way. I appointed Femoston 2/10 after the UAC. She said the tests for estradiol, lh and fsh were normal, she took them in vain. I want to hear alternative opinions of doctors about the whole picture of the disease
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Hello Vangala, Can you give details of your last USG scan here? It could be a phase of peri-menopause itself if the ovarian reserve is showing a decrease.
At 41 years old, you are experiencing weight loss, hot flashes, and changes in your menstrual cycle, which may indicate the onset of menopause, especially given the ultrasound findings of decreased ovarian reserve. While traditional medicine may suggest hormone replacement therapy like Femoston 2/10, exploring Ayurvedic perspectives can provide additional insights and alternatives for managing symptoms associated with this transition. In Ayurveda, menopause is viewed as a natural phase of life linked to a decline in Vata and Pitta doshas. To manage symptoms like hot flashes and weight changes, consider dietary adjustments, such as incorporating whole grains, healthy fats (like ghee and sesame oil), and plenty of fruits and vegetables while avoiding overly spicy foods. Herbal formulations like Shatavari (Asparagus racemosus), known for supporting female reproductive health, Ashwagandha (Withania somnifera) for stress relief, and Brahmi (Bacopa monnieri) for mental clarity can also be beneficial. Engaging in detoxification therapies such as Abhyanga (full-body oil massage) and Shirodhara (pouring warm oil over the forehead) can help reset your body’s balance. Additionally, adopting stress-relieving practices like yoga and meditation, ensuring proper hydration, and getting adequate rest are vital. It’s essential to consult with an experienced Ayurvedic practitioner to create a tailored plan that aligns with your specific needs and to address any concerns regarding your overall health during this transitional phase.
Alright, so you’re 41 and noticing no period, starting to feel those hot moments popping up unexpectedly during the day. Sounds like something’s definitely shifted, right? With your doc suggesting early menopause and all, let’s dig a bit into what’s going on from an Ayurvedic standpoint.
Now, at your age, menopause isn’t uncommon and often might begin healthily, but sudden weight drop and hot flashes indicate some imbalance. The menstrual irregularity you’re experiencing, combined with feeling overheated, usually points to an imbalance in Pitta dosha, which is associated with heat in the body—especially in this kapha season when grounding is essential.
You mentioned a decrease in ovarian reserve in the ultrasound, suggesting your body is possibly entering a natural, transitional stage. Ayurveda doesn’t see menopause as a disease but a natural life stage called ‘Sandhi’, or a time of transition, where doshas naturally fluctuate.
For your situation, I’d look at nourishing your body with grounding, soothing practices. Diet-wise, consider more sweet, cooling foods which harmonize Pitta—like rice, ghee, coconut, and cucumbers. Avoid excess spicy, sour, or fried foods; they can ignite more heat within. Eats meals on time, keeping your agni (digestive fire) strong.
Ayurvedic herbs like Shatavari or Ashwagandha might help. Both are adaptogens that assist in balancing hormones and giving that nourishing feel your body needs right now. Generally recommended to take Shatavari powder with warm milk before bedtime for a calming effect.
Oh also, keep an eye on your routine. Include calming practices like yoga nidra or gentle yoga to steady the mind and balance the mind-body connection.
About the hormonal replacement therapy your doc suggested—Femoston—I’d advise reviewing this with your healthcare provider since incorporating some Ayurveda habits along with modern medicine can be harmoniously beneficial.
If the symptoms become more severe or you’re not conformatable, considering a second medical opinion wouldn’t be a bad idea, given the complexity of personal health. Prioritize peace & balance, yeah?

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