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Gynecology and Obstetrics
Question #19897
344 days ago
2,010

Primary amenorrhoea - #19897

Ruby10

Female aged 24 not yet had menstrual period and no breast development. Has not started puberty Always Fatigued Swollen feet from standing or sitting for too long Cracked lips Pubic hairs developed Primary amenorrhoea Stage 1 of Thelarche Primary amenorrhoea Primary amenorrhoea Thyroid test confirmed oky Primary amenorrhoea Tilted uterus, goes back into position sometimes Small cervix entrance

Age: 24
Chronic illnesses: Non
PAID
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Doctors' responses

The above condition appears to be a result of an imbalance in body’s internal energies, particularly reflecting a deficiency in Ojas (vital energy) and Agni (digestive and metabolic fire), which are essential for proper growth and development. To know the underlying cause it’s important to go for further investigations like FSH,LH,oestrogen and prolactin levels… A karyotype analysis to rule out chromosomal conditions, such as Turner syndrome or other genetic factors. pelvic ultrasound to evaluate the structure of the uterus, ovaries, and cervix, ensuring that there are no anatomical issues contributing to the delayed development. These investigations will provide a clear picture of the root causes of above conditions a/c we can go ahead with treatment

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Hi,

I’m sorry to hear about the challenges you’re facing. Do you have any other symptoms like excessive hair growth, acne, or changes in appetite? Is there any family history of similar conditions, or have you experienced any stressors or significant weight changes that could impact hormonal development?

Given the situation, it’s possible that hormonal imbalances may be contributing to the delayed puberty and primary amenorrhea. An Ayurvedic approach could focus on Shatavari (to support reproductive health) and Ashwagandha (to balance stress and energy levels). It’s also essential to consider a thorough evaluation by an endocrinologist or gynecologist to rule out any underlying conditions that may require medical treatment. A balanced diet, stress management, and regular exercise may also help regulate hormonal balance.

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Given these symptoms, the condition you are describing is often associated with primary amenorrhea, which is when a woman hasn’t had her first menstrual period by age 16, coinciding with other signs like lack of breast development. Considering you mention thyroid tests are alright, we need to look deeper into potential hormonal imbalances or genetic factors like Turner syndrome, however these are just a brieve few possibilites.

From an Ayurvedic perspective, this can be seen as an imbalance in the Vata dosha, which governs bodily movements, menstruation, and development processes. The signs of fatigue, cracked lips, and swelling could be indicative of a Vata imbalance combined with Kapha stagnation. The digestive fire (or Agni) could also contribute when not functioning optimally, leading to overall weakness and fatigue.

For addressing these possible imbalances, consider incorporating the following:

1. Diet: Focus on a warm, nourishing diet that pacifies Vata. Have cooked whole grains, root vegetables like sweet potatoes and carrots, ghee, and dairy products for their nutritional properties. Avoid cold, raw, or processed foods which could disrupt digestion further.

2. Lifestyle: Incorporate a routine that calms Vata, such as regular sleep schedules, avoiding over-exertion, and developing mindfulness or relaxation techniques. Gentle yoga or walking could foster circulation and grounding.

3. Herbs: Ashwagandha, known for its rejuvenating qualities, may assist in balancing the hormones and energy levels. Similarly, Shatavari is beneficial for women’s reproductive health by promoting breast and menstrual development.

4. Abhyanga: Self-massage with warm sesame oil can help soothe Vata and improve circulation. Try doing this before baths or sleep to encourage relaxation and detoxification.

These are holistic steps to promote balance but consulting an Ayurvedic practitioner for an individualized assessment would be crucial. Additionally, seeing an endocrinologist or gynecologist for a comprehensive evaluation may help in identifying any underlying medical causes that need attention. Remember, complementary therapy should alongside and never replace medical advice.

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