Namaste Angeliki,
Your body is going through a profound transition, and I truly understand how unsettling it must feel. At 48, you are in the perimenopausal phase, where hormonal fluctuations can be intense—especially when estrogen dominance is present. Fibroids, ovarian cysts, and irregular cycles are common when estrogen is not balanced with progesterone, which naturally declines with age. The feeling of an impending period without actual bleeding, along with lower back pain, abdominal discomfort, and tenderness, is often due to the body's struggle to regulate these hormones. In Ayurveda, we see this as an imbalance in Vata (air & space) and Pitta (fire & water) doshas, causing stagnation in the reproductive system.
To ease your discomfort, we must balance Vata and Pitta, regulate estrogen levels, and support the body's natural transition. Shatavari (Asparagus racemosus) is an excellent herb for perimenopause—it gently balances estrogen, supports ovarian health, and relieves symptoms like bloating and lower back pain. Take ½ tsp Shatavari powder with warm milk before bed. Ashoka (Saraca asoca) is another wonderful herb for hormonal balance, helping to reduce cyst formation and ease menstrual irregularities. A decoction of Ashoka bark boiled in water (1 tsp per cup) can be taken in the morning. Abhyanga (daily self-massage with warm sesame oil) will calm Vata, reduce stress, and improve circulation in the pelvic area.
One of the most powerful natural remedies for fibroids, cysts, and stagnant menstrual energy is the CASTOR OIL pack. Castor oil deeply penetrates the tissues, improves lymphatic drainage, and helps dissolve excess growths over time. To do this, soak a clean cotton cloth in warm castor oil, place it over your lower abdomen, cover it with plastic wrap, and apply a warm water bottle for 30-45 minutes. Do this 3–4 times a week. This will reduce inflammation, promote circulation, and help shrink cysts naturally. After the pack, wipe the area clean and rest for some time.
Your sleep disturbances and stress are linked to your fluctuating hormones and underlying Hashimoto’s thyroiditis, which can further aggravate Vata. To improve sleep, drink a turmeric and nutmeg-infused warm milk (add a pinch of each) before bedtime—it supports hormonal balance and deep rest. Avoid stimulants like caffeine, spicy foods, and excess screen time in the evening. Nasya therapy (applying 2 drops of warm ghee or Brahmi oil in each nostril before bed) can calm the nervous system and reduce night-time stress. Gentle Yogic breathing (Anulom Vilom and Bhramari pranayama) before sleep will relax the mind and stabilize your emotions.
Ovarian cysts and menopause can indeed co-exist, but Ayurveda encourages supporting your body's transition gracefully, rather than suppressing symptoms. A diet rich in healthy fats (ghee, sesame seeds, flaxseeds), whole grains, and cooked vegetables will provide nourishment and prevent further cyst formation. Warm, grounding foods are best. A mild detox—like drinking coriander, cumin, and fennel tea—can help clear hormonal imbalances gently. This is a sacred phase of life, and your body is seeking balance. With Ayurvedic herbs, castor oil packs, nourishing foods, self-care rituals, and a calmer mind, you can move through this transition with more ease and vitality. Wishing you strength and healing on this journey.