seeking ayurvedic solutions for fluid in pod—struggling with chronic pelvic pain

Question

About three months ago, I started experiencing severe pelvic pain and discomfort, especially around my period. My doctor ordered an ultrasound, and the results showed “fluid in POD” (pouch of Douglas). The gynecologist said it might be due to pelvic inflammatory disease or endometriosis, but I’m reluctant to go down the route of heavy antibiotics again since they didn’t help much last time. I’m exploring Ayurvedic options and wonder if there’s an effective treatment for fluid in POD that can help reduce the inflammation naturally. Have any of you faced a similar diagnosis? What herbs, therapies, or lifestyle changes worked for you in managing the pain and fluid buildup?

Dr. Harsha Joy · Accepted Answer

Fluid in the pouch of Douglas (POD) can be associated with conditions like pelvic inflammatory disease (PID), endometriosis, or ovarian cysts, and it’s important to address the underlying cause. In Ayurveda, the goal would be to balance the aggravated doshas, reduce inflammation, and support detoxification and healing. Herbs like **Kanchanar Guggulu**, **Ashoka**, **Shatavari**, and **Turmeric** can help reduce inflammation and support uterine health. **Triphala** and **Guggulu** are also commonly used to support detoxification and improve circulation. For pain management, **Dashmool** and **Nirgundi** can be beneficial in reducing discomfort. Panchakarma treatments like **Basti (medicated enema)**, **Udwarthanam (dry massage)**, and **Swedana (herbal steam)** can help in detoxification and restoring balance, especially if there is a buildup of excess fluid. Lifestyle changes like a diet rich in anti-inflammatory foods (warm, light, and easy-to-digest foods), avoiding cold and oily foods, and practicing stress-reducing techniques like **yoga** and **meditation** can also be supportive in managing your symptoms. However, it’s important to consult an experienced Ayurvedic practitioner for a personalized treatment plan based on your specific condition and constitution.

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