Uterus didelphys can introduce unique challenges for menstrual regulation and fertility, particularly in relation to your symptoms of painful periods, heavy bleeding, and hormonal fluctuations. In Ayurveda, the uterine health and reproductive system are intricately linked to the balance of doshas, especially Pitta and Vata. Given your symptoms, it's likely that both these doshas may be out of balance. To begin, it's essential to focus on a diet that pacifies Pitta and Vata. Include grounding foods such as cooked grains like rice and quinoa, nourishing oils like ghee, and sweet fruits. Incorporating plenty of fresh, seasonal vegetables while avoiding excessively spicy, acidic, or processed foods will support your digestive health and promote a balanced menstrual cycle. Herbs like Shatavari, Ashoka, and Lodhra are indeed beneficial for strengthening uterine tissue, balancing hormones, and improving overall reproductive health. For effectivity, you can consume Shatavari as a powder, mixing about 1-2 teaspoons with warm milk or water daily. Ashoka can be taken as a decoction, prepared by boiling the bark in water and consuming a cup once or twice daily, to help with heavy bleeding and cramps. Lodhra, known for its ability to nourish the uterus, can be used similarly in powder form, also mixed with honey or warm water. Additionally, consider integrating a daily routine of yoga that focuses on poses promoting pelvic health, such as Baddha Konasana (Bound Angle Pose) and Supta Baddha Konasana (Reclining Bound Angle Pose). These poses can enhance blood flow to the reproductive organs and help manage stress. For cleansing, practices like gentle Panchakarma therapies can help eliminate toxins and balance doshas but should be done under the guidance of an Ayurvedic practitioner. Regular self-massage with warm sesame oil can also help promote being grounded and rejuvenated. Overall, embracing a lifestyle that reduces stress through meditation, mindful breathing, and proper sleep will complement your dietary and herbal strategies. Consistency is key; consider maintaining this regimen for at least three months to gauge any improvements in your symptoms related to uterus didelphys. Remember to consult with an Ayurvedic practitioner for a personalized treatment plan that considers your complete health picture.