I am getting low blood flow during periods

Question

I am getting poor blood flow during periods . Although periods are often regular . I got my endometrial linning checked via usg . It is 6.9 mm on 20th day of cycle . I am not abke to conceive though trying for 7-8 months

Dr. Arun Desai · Accepted Answer

Hello Shaily

"NO NEED TO WORRY' 
" 
I WILL HELP YOU UNDERSTAND & RECOVER WITH UR THIN ENDOMETRIUM & INFERTILITY ISSUES SAFELY EFFECTIVELY "

UR PRESENT ISSUES

* Low Period Flow 
* Thin Endometrial  Thickness - 6.9 mm on 20 th Say ( Expected 8 mm to 12 mm 
*  Unable to Conceive with Normal Period Cycle trying since 7 - 8 Months

FINDINGS

• USG - Mild POD Free Fluid ( change during Ovulation or Pelvic Inflammatory issue)

INTERPRETATION

AS PER MODERN SCIENCE

* Oligomerrhoea ( Less Periods Flow ) - Nutritional Deficiencies Iron Low Hb Malnutrition

* Thin Endometrial lining - Hormonal Imablance 
* Estrogen FSH Prolactin Thyroid Imbalance 
* Nutritional Deficiencies Uterine Hypoplasia 
* Anxiety Stress

Unable to Convince 
Thin Endometrium so Implantation Failure 
Improper Nutritional Status

AS PER AYURVEDA

Rasa Kshay - Malnutrition Nutritional Deficiencies due to saman Vayu 
Artav Kshay ( Menses ) - Less Production of Arthav ( Menses ) due to Improper Uterine Nutrition and Less flow due to Apan vata Imabncce

AYURVEDIC TREATMENT

PHASE 1 MENSTRUAL PHASE ( 1-6 Days)

• Motive 
Ensure Complete Menstrual Flow Apana Vat Balance and Hormonal Balance and add lost nutrition

• Ayurvedic Medicines :- 
* Syrup.Patrangasav ( Baidyanth Pharma) 10 ml -0 - 10 ml Night After Food 
* Syrup.Ashokarista ( Baidyanath Pharma) 15 ml -0- 15 ml After Food 
* Tab.Punrnavadi Mandoor ( Dhootapapeshwar Pharma) 1 -0- 1 After Food

• Recovery Diet :-
Diet - Normal Diet Highly Nutritious Rich in Iron Calcium with Cold Potency Leafy Vegetables Salads Apple Pomegranate Papaya Ragi Beet Palak Carrot dates anjeer Kishmish Moringa Drumstick Methi Flaxseed Plenty of water Fluids Juices intake Etc
Avoid Spicy Salty Sour Masala Fried Fast Juck Bakery Foods 
 
• Easy Home Remedies:- 
Drink - Milk + Turmeric + Elayachi + Jaggery 
Drink - Homes made Palak Soup

• External Application :- 
Mild Luke Warm Castor Oil/ Pack Application lower Lower Abdomen followed by Gental mild Clockwise lower Abdominal massage

• Physical Activities & Lifestyle- Complete Rest No Heavy Travels Works

• Yoga - Shavasan Balasan (Child Pose )

• Pranayam - Anuloma Vilom Pranayam

PHASE 2 FOLLICULAR PHASE ( 6-12 Days )

• Motive - 
Rebuilding Lost Endometrium Lining and Nourishment 
Support Estrogen Follicular Stimulating Hormone

• Ayurvedic Medicines

* 1.Shatavari Kalpa ( Dhootapapeahwar Pharma) 2 Tsf twice a Day After Food Preferably with 1 Glass of Luke Warm Milk 
* 2.Phala kalyanak Ghrita ( Kottakal Pharma) 1 Tsf Morning with 1 Glass of Luke Warm Milk on empty stomach 
* 3.Kshreeebala Tailam Massage Whole Abdomen Back and thighs

• Nourishing Diet - Highly Nutritious Leafy Vegetable Fruits salads Soaked Dry Fruits High Protein - Soya Panner All Mullti Millets Cereals  Pulses Plenty of Fluids Juices intake 
Avoid Spicy Salty Sour Masala Fried Fast Juck Bakery Foods

• Easy Home Remedies:- 
Drink - Milk + Turmeric + Elayachi + Keshar+ Ashwagandha Churna 1 Tsf+ Jaggery 
Drink - Homes made Mix Vegitable Soup

• Physical Activities & Lifestyle Modifications :- 
Be Active Walking Mild Mobility Flexibility Exercise 
Avoid Heavy Weight Lifting pushing pulling Heavy Travels Works Avoid Mental Stress

• Yoga - Paschimottanasan Badhakonasan Setu bandhasana Suptabadhav konasan

• Pranayam - Anuloma Vimom Bhramari Pranayam

PHASE 3 (12 -16 Days )

• Motive - Proper Ovulation Function Egg Nourishment and Support High Estrogen FSh activities Improving thickening Endometrial lining

• Ayurvedic Medicines

* Tab.Pushpadhanva Ras ( Dhootapapeahwar Pharma) 1 -0-1 After Food 
* Tab.Garbhapal Ras ( Dhootapapeahwar Pharma) 1 -0- 1 After Food 
* Phala Kalyan Ghrita ( Kottakal Pharma) Tsf Morning and Evening on Empty Stomach with 1 Glass of Luke Warm Milk 
* Syrup.Ovutaline Forte  ( Zandu Pharma) 15 ml-0-15 ml Night After Food

• Nourishing Diet - Phytoestrogen & Omega Diet ruch in Soya Flaxseeds Sunflower Seeds Highly Nutritious Leafy Vegetable Fruits salads Soaked Dry Fruits High Protein -  Panner All Mullti Millets Cereals  Pulses Plenty of Fluids Juices intake 
Avoid Spicy Salty Sour Masala Fried Fast Juck Bakery Foods

• Easy Home Remedies:- 
Drink - Milk + Turmeric + Elayachi + Keshar+ Ashwagandha Churna 1 Tsf+ Shatavari Churma+ Jaggery 
Drink - Homes made Mix Vegitable Soup Fruits Salads

• Physical Activities & Lifestyle Modifications 
Be Active Walking Mild Mobility Flexibility Exercise 
Avoid Heavy Weight Lifting pushing pulling Heavy Travels Works Avoid Mental Stress

• Yoga - Paschimottanasan Badhakonasan Setu bandhasana Suptabadhasan konasan Virabhadrasana Trikonasan

• Pranayam - Kalapbhati Bramari Bhastrika Anuloma Vilom

PHASE 4 - LUTEAL PHASE ( 17 to 28/30 Day )

• Motive - To Increase Uterine Thickness Improve Fertilization & Healthy Implantation

• Ayurvedic Medicines

* Tab.Santati Sudha ( Patanajali Pharma) 1 -0- 1 After Food 
* Tab.Garbhadharak Yog 5 Grams ( Vyas Pharma) 1 -0- 1 After Food 
* Syrup.Merytone ( Vasu Pharma) 15 ml -0- 15 ml Night After Food

• Nourishing Diet -Highly Nutritious Leafy Vegetable Fruits salads Soaked Dry Fruits High Protein -  Panner All Mullti Millets Cereals  Pulses Plenty of Fluids Juices intake 
Avoid Spicy Salty Sour Masala Fried Fast Juck Bakery Foods 
Avoid Papaya

• Easy Home Remedies:- 
Drink - Milk + Turmeric + Elayachi + Keshar+ Ashwagandha Churna 1 Tsf+ Vidarikand Churma + Jaggery 
Drink - Homes made Leafy Vegetables Soup Fruits Salads Sprouts mixes

• Physical Activities & Lifestyle Modifications :- 
Be Active Walking Mild Mobility Flexibility Exercise 
Avoid Heavy Weight Lifting pushing pulling Heavy Travels Works Avoid Mental Stress

• Yoga - Shavasan Yog Nidra

• Pranayam - Anulom Vilom Pranayam

INVESTIGATION NECESSARY TO IDENTIFY CAUSE BEHIND THIN ENDOMETRIUM AND INFERTILITY

CBC Urine Routine Microscopy RBS TSH Prolactin AMH Day 3-5 Estrogen Day 20 Progesterone 
TVS Scan After Flow Stops 5-8 Days 
Follicular Study 12 14 16 th Day 
Husband's Semen analysis

INSPITE OF FOLLOWING ABOVE IF NOT GETTING PREGNANCY THEN

AYURVEDIC PANCHAKARMA DETOXIFICATION

" I Recommend u to Undergo Following Panchakarma Detoxification in Good Reputed Efficient Ayurvedic Panchakarma Center and Under Guidance of Ayurveda Panchakarma Physician "

• Langhan Deepan Pachan - Agnisadneepan Churna /Chitrakadi Vati 
• Abhyankar Snehapan -  Kalyanak Ghrita 
• Sarwang Abhyang - Balaashwagandhadi Tailam 
• Sarvang Baspa Sweda 
• Niruha Basti Erand -  Erandmuladi Niruh basti
• Anuvasan Basti - Jeevaniya & Maduroushadi siddha Tails Basti 
• Classical Virechan - Trivritt Leham 
• Uttar Basti - Shatavari Ghrita 
• Nasya - Anu Tailam

REGARDS

Dr Arun Desai

God Bless You 😊🙏

If you have any questions u can ask me.I will answer to the level of your satisfaction.U have text option here

Dr. Kahekashan Awatif Khanam · Answer

Hii shailya this side dr kahekashan 
so I have gon through this all I have some questions 1. year of marrege and have you done the cbc test then tell me the your Hb percentage as one chance as low hb level leads to low flow during periods .
And come to the endometrial lining as it shows 6.9 mm in 20th day but usually it is 8 to 10mm in leutial phase  i.e on 20th day for proper implantation which is usually less then normal this may also the reason you may not conciving.
And for free fluid it shows ovulation may have occured that is not the main concern. This is of modren aspect.
AS per ayurveda it is usually due to Apana vata imbalance which is type of vata . 
And due to low digestive power if you have then tell me that also.1. Ayurvedic Treatment Plan
A. Internal Medications 
Phase 1: Menstrual Cleansing (Day 1–5)

Pushyanug Churna or Patrangasava – 1 tsp with soaked rice water empty stomach at morning To normalize flow

Ashokarishta –10 ml twice a day For uterine toning and better blood flow

Punarnava Mandoor – 1 tab twice a day If signs of anemia or fatigue are present

Phase 2: Follicular Phase (Day 6–14)

Shatavari churna/capsules – 1 twice a dayNourishes endometrium and improves ovum quality

Phala Ghrita – half tea spoon with warm water before food Strengthens reproductive tissues

Lodhrasava –1oml twice a day with warm water Helps hormonal balance and improves endometrial receptivity

Phase 3: Luteal Phase (Day 15–28)

Dashamoola Kwatha – 10ml twice a day To stabilize implantation.
Optional: Rasayana Therapy (with Panchakarma) if no conception in 3–6 months.

B. Local Therapy
Yoni Pichu with medicated oils like Phala Ghrita or Shatavari Taila – Deeply nourishes uterus

Yoni Dhavana with Triphala decoction – Cleansing

Basti (Medicated enema) – If Apana Vata is significantly disturbed

4. Diet & Lifestyle Guidelines
Fertility-Boosting Diet:

Ghee, milk, sesame seeds, soaked almonds, dates

Cooked moong, drumsticks, beets, pomegranate

Warm, moist foods; avoid dry/cold/raw foods

Herbal tea: Shatavari + licorice + cinnamon (1 cup daily)

Avoid:

Excessive fasting, spicy/junk food, caffeine

Stress, late nights, over-exercising

5. Further Diagnostic Measures to Consider
To arrive at a precise root cause, these additional steps may help:

Hormonal Profile: TSH, FSH, LH, Prolactin, Estradiol (E2), Progesterone (Day 21)

Transvaginal USG on Day 2–5 – To assess antral follicle count and ovarian health

Serial follicular study (Day 10–20) – To track follicle growth, ovulation, and endometrial changes

AMH test – If not done already (you had mentioned low AMH earlier; please confirm current value)

HSG (Hysterosalpingography) – To check for tubal patency

Semen analysis (partner) – To rule out male factor

6. Panchakarma (Optional but Beneficial)
If you've been trying for 7–8 months with poor endometrial response, a short detox + fertility-enhancing Panchakarma can be effective:

Uttara Basti – Very effective for endometrial nourishment and enhancing fertility

Virechana – To balance Pitta, support hormonal cleansing

Abhyanga + Basti – To pacify Vata and nourish reproductive tissues.

Dr. Atul Painuli · Answer

Divya curcumin gold tab=1-1 tab before meal twice

Divya raj PRAWARTNI VATI 
Divya naari kanti tab=2-2 tab after meal twice daily

ITSS normalised the mensis flow ..

Dr. Nisha Bisht · Answer

Shaily your reports are ol about normal.yes if your observe your flow being low, then medication+ yogasanas+ diet 
Will cure.
1Dashmoolarishta- 15ml in warm water twice a day.

2Ashokarishta - 15ml in warm water twice a day.
3Hinguashtak churna mix with ghee or water half an hr after meals.
4Shatavari tab - twice a day

5.Warm oil massage and castor oil packs on the abdomen may help improve blood flow.

Diet & Lifestyle

Include iron-rich, estrogen-boosting foods: sesame seeds, flaxseeds, dates, beetroot, leafy greens.

Avoid excessive caffeine, processed sugar, and cold foods.
Manage stress with yoga, meditation, and proper sleep.
Drink cinnamon + ginger tea daily.Use fennel seed water (soaked overnight) in the morning.

Gentle uterine massage with warm sesame oil.

Panchakarma is also good for infertiliy cases, you can consult a good ayurvedic fertilty expert for this.

Dr. Surya Bhagwati · Answer

Rajapravartini vati 1-0-1 after food with water for 2 months 
M2TONE 1-0-1 after food with water 
Phalgrith 2tsp twice daily before food with warm water

Dr. Maitri Bhavesh Kumar Acharya · Answer

Hello Shailey, 
Low flow during periods, a thin endometrial lining(6.9mm on day 20) and difficult conceiving despite regular cycles

Modern view- 
Endometrial thickness on day 20 should ideally be 8-12 mm for optimal implantation.  A 6.9 mm lining is considered suboptimal which may hinder implantation even if ovulation occurs
Low menstrual flow indicsyed suboptimal shedding of endometriL lining often due to 
Poor blood circulation utetyd
Estrogen deficiency
Uterine hypoplasia
Hormonal imbalance 
Stress or nutritional deficinecies

Ayurvedic view:- 
Rajo kshaya refers to scanty flow or thinning of menstrual blood due to
Apana vata dusti - disrupted downward moving vata
Rasa rakta dhatu kshaya- nutritional depletion of blood and plasma tissue
Weak digestiin affecting tissue nutrition
Reproductive tissue weakness
Blocked pelvic circulation

If not corrected this  can lead to infertility

Phase wise ayurvedic plan 
1) Menstrual phase (day 1-5)- cleansing plase
Goal- Allow complete shedding + clear apana vata
-patrangasava- 10 ml with water twice daily after food
-ashokarista- 15 ml with equal water after meals twcie daily
-lohasava - 10 ml with water before meals twice daily

Home remedies- 
Warm cow milk with 1 tsp ghee + saffron+jaggery
1 tsp sesame seed+ jaggery daily

Diet- 
Avoid cold dry and raw food
Use warm soupy iron rich food like beetroot dates sesame drumstick
Hydrate well

Lifestyle- avoid strenous work
Keep abdomen warm
Gentle nadi sodhana pranayam

Yoga- supta baddha konsana,shavasana with abdominal breathing
Mild nadi sodhana
Bhramari - 5 min morning and night

2) follicular phase(day 6-12) norishment and follicle growth
Goal-Build rasa rakta dhatu thicken endometrium

-phala ghrita- 1tsp empty stomach with warm milk
-shatavari kalpa- 1tsp with watm milk twice daily
-narayan taila massage- gentle lower abdomen and back massage

Diet- increase healthy fats- ghee,nuts,seeds
Iron rich foods - raisins,dates,beetroot,spinach
Protein- moong,urad,soaked almond,milk 
Use turmeric,ashwagandha,methi in diet
Avoid- coffee,proccesed food,raw and cold items 
Mental stress or excessive travel

Yoga- baddhakonsana,pachimottasana,bhujangasana,setu bandhasana,anjaneyasana
Pranayam- anulon vilom ,ujjayi

3) OVULATION phase(day13-17)- conceptiin window
Goal- improce ovulation + uterine receptivity
-Garbhapal ras- 1 tab morning and night
-pushpadhanva rasa- 1 tab morning and night
Phala ghrita contine 1 tsp empty stomach

Home remedy- black sesame +dry coconut +mishri mixture- 1 tsp/day

Diet- dates figs soaked walmuts ghee based sweets
Rice with ghee, warm milk with saffron

Timing- intercourse every alternate day during this phase

Yoga- baddha konsana,viparita karani,ustrasana , matsyasana, chakki chalanasana
Pranayam-  kapalbhati anulom vilom,bhramari

4) Luteal phase (day 18-28) implantatiin support
Goal- maintain warmt and stable hormones

Continue phal ghrita empty stomach
Ashwagandha churna- 1tsp with warm milk at bedtime
Shatavari+ lodhra churna- 1/2 tsp each twice daily

Diet- ajwain,jeera,hing,saunth
Avoid cold yogurt , excessive tea, fried food 
Lifestyle- stay warm,  avoid heavy exercise
Stay mentally realxed
Sleep by 10 pm

Asana- vajrasana after food
Yoga nidra
Marjadriasana
Balasana
Pranayam- nadi sodhana, bhramari + chandra bhedana

Panchakarma if feasible go for
Uttar basti - best for conceiving Nd for thin endometrium + poor flow

And nasya - instill 2 drops of anu taila in each nostril every morning

Avoid exceesive workout,stress,late nught
Hormone disrupting plastics,perfumes etc
Skipping meals or heavy fasting
Maintaok regular sleep wake cycle 
Use organic cotton pads and avoid synthetic liners during menstruation 
Keep abdomen warm - wear wadm clothes,avoid bare feet on cold floor

Fertility boosting foods
Iron rice- beetroot raisuns dates methi
Omega-3 rich - flax seeds walnuts 
Ghee 1 tsp daily

Do follow 
Thank you 
Hope this might be helpful

Dr. Ayush Varma · Answer

Your situation with low blood flow during menstruation along with difficulty conceiving can indeed be concerning. From an Ayurvedic perspective, we might attribute this to an imbalance in the doshas, often linking it with Vata or Kapha predominance, affecting the reproductive system, and specifically the Apana Vayu, which governs the downward flow of energy and menstruation. Additionally, the condition of the endometrium lining directly affects conception capabilities.

To address this, consider a few methods that align with Ayurvedic principles and experience. Firstly, focusing on your diet is key. Include warm, cooked foods like stews or soups with spices such as ginger, cumin, and fennel. These enhance Agni (digestive fire) and help support healthy menstrual flow by nourishing the Rasadhatu or plasma tissue. Avoid cold or raw foods, as they may aggravate Vata.

Consuming herbs such as Shatavari can be particularly beneficial, as it's known to support the female reproductive system by balancing hormones and nourishing the endometrium. You should take 500 mg of Shatavari powder with warm milk once daily, preferably in the evening. But do consult a qualified Ayurvedic practitioner before starting any herbal regimen.

Next, lifestyle adjustments include practicing gentle yoga and breathing exercises like Anulom Vilom pranayama to stabilize the mind and body. Ensure you have a consistent sleep schedule, as irregular sleep can increase Vata imbalance. Aim for about eight hours every night, with a regular bedtime to support circadian rhythms.

Abhyanga, a daily self-massage with warm sesame oil, could greatly assist in balancing Vata dosha. Massage in a slow, methodical manner in circular motions on the joints and long strokes on the limbs and back. Let the oil sit for 15-20 minutes before taking a warm shower.

Lastly, maintaining health means understanding when professional medical advice is critical. Monitoring your cycle with a healthcare provider is essential, especially since you're trying to conceive. For any concerns or unexpected changes, consult a healthcare professional promptly to ensure your well-being alongside Ayurveda's supportive role.

I am getting low blood flow during periods - #22890

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