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.
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 …
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.
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
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
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.
