"PCOS with 5.8 cm Cyst, Grade 2 Fatty Liver & Irregular Spotting – Need Ayurvedic Guidance" - #25357

Hi Mahi as you mentioned , for your Pcod and fatty liver changes we have to focus on your metabolism since both are interconnected and also connected with insulin resistance. Along with medication you need a healthier lifestyle too.

Internally 1.punarnavadi kwatham tab 2-0-2 before food 2.Livokot tab 2-0-2 after food 3.Thriphala tab 2-0-2 after food 4.Kanchanaguggulu 1-0-1after food

*Weekly once Avipathy churnam (1packet/10gm) with hot water in empty stomach followed by light diet This for cleansing/Detoxifying your body

*Please do consult your Gynecologist if the symptoms persist and do needed tests

*Do’s 3-4litres of water /day More veggies Millets and Sprouted grains you can include Daily 1hour walking Do Yoga /SURYANAMASKARA regularly along with pranayama

Don’ts Processed foods Junk items Carbonated drinks Maida and bakery items Daytime sleep Continues sitting
Too much of thinking and over worrying

This is all result of wrong eating and lyfstyle habbits.

Usually the cyst is benign, but large enough to monitor regularly. May affect hormone levels. To Regulate Periods & Improve Flow (Build Endometrium)

Aloe Vera Pulp + 1 tsp Amla juice every morning – supports uterus and estrogen

Shatavari powder (1 tsp) + lukewarm milk or water at night – balances estrogen, builds uterine lining

Ashoka rishta (10 ml after lunch and dinner) – enhances menstrual flow and tone

Liv52 DS or – 1 tablet twice daily after meals

Avoid cold food/drinks during periods, and warm castor oil pack on lower abdomen 3x/week helps improve blood flow.

Coriander + fennel seed tea (boil 1 tsp each in 2 cups water) – sip warm daily

Don’t worry Mahi, First of all avoid any kaphavardhak ahar vihar (excessive sweet,salty,sour food etc.),oily or fried food,refined flour, guru ahar( heavy to digest)×2 months Start taking1.Arogyavardhini vati 1-0-1 2.Triphala guggulu 1-0-1 for chewing 3.Hinguashtak choorna 1 tsf with buttermilk twice in a day. 4.charak pharmacy syrup livomyn 2 tsf with equal amt. Of Lukewarm water just after having meal twice in a day Follow this for about 2 months… Review after 2 months… And along with above medications start taking 1tsf of powder of large fennel seeds with lukewarm water empty stomach once in a day…

Along with these medications include meditation, yoga,pranayam in your daily routine…

Stri rasyana vati- Kanchanar guggulu- Tab liv 52 - 1 tab twice daily after food with lukewarm water Asoka aristha- 4 tsp with equal quantity of water twice daily after food

Hello Mahi Chandrakar, Thank you for sharing your concern . You’re just 21 year old , and already facing PCOS, obesity (98 kg), fatty liver (Grade 2), and a 5.8 cm para-ovarian cyst . this shows that your hormones, metabolism, and reproductive health are struggling together. But dont worry we are here to help you out😊

AYURVEDIC PERSPECTIVE

Your case can be considered as - ☑️Aartava Dushti (disturbed menstruation) ☑️Kapha + Meda Dushti (obesity, fatty liver) ☑️Yoni Granthi (para-ovarian cyst) ☑️Agnimandya (sluggish metabolism leading to toxin build-up)

TREATMENT GOALS ✅ Shrink the ovarian cyst naturally ✅ Kickstart weight loss safely ✅ Restore normal periods and ovulation ✅ Improve energy and digestion

AYURVEDIC TREATMENT ✅ Internal medication

1 Kanchanar Guggulu 1-0-1 after food (Helps to shrinks cyst and also reduces kapha) 2 Triphala Guggulu 1-0-1 after food (helps to reduce inflammation and reduce fats ) 3 Arogyavardhini Vati 2-0-2 after food (Acts as Liver cleanser) 4 Ashokarishta 15 ml-0-15ml with equal water after food (Regulates periods)

✅Daily Exercise and Yoga (30–40 min)
❗Must for you❗

✅ Focus on:

Surya Namaskar (start with 5 rounds and gradually increase Kapalbhati , Anulom Vilom Brisk walking 45 minutes daily (no compromis)

Even mild consistency will lead to major changes over 3 months.

DIET MODIFICATION ✅ Include

Warm homecooked meals with ghee (½ tsp daily) Green moong dal, lauki, red rice, methi papaya, pomegranate, apple, amla ginger, turmeric, black pepper Herbal teas: jeera + ajwain + tulsi, or cinnamon tea Eat before 7 pm always. Start your day with warm lemon + jeera water.

❌ Avoid:

Maida, bakery, sweets Fried food, cold drinks Excess rice at night Milk, paneer, cheese (switch to buttermilk)

✅ Detox Water (Sip Throughout the Day)

Boil 1 tsp each: Ajwain + methi + jeera in 1L water Boil, strain, and sip warm all day. Helps Melts fat, supports liver & reduces cysts.

You’re just 21. Don’t rush, don’t be harsh be consistent. Weight loss, cyst reduction, and hormone healing will happen together in harmony .

If you stay with this plan even 3–4 months, you’ll see results Many of my patients are having normal cycles so i will advise you to be consistent 😊

Wish you a good health and stronger you 😊

Warm Regards Dr. Snehal Vidhate

You’re dealing with a combination of metabolic and hormonal imbalance. The PCOS, fatty liver, and the para-ovarian cyst are all connected, and they’re signs that your digestion, liver function, and reproductive system are not in sync.

Even though your periods are coming monthly, the lack of proper bleeding shows that Apana Vata (which controls menstrual flow) is blocked. Your body is just doing the bare minimum (spotting), but the hormones are not rising or falling in a healthy way that’s why it doesn’t feel like a real period.

From an Ayurvedic point of view, this is a clear case of: -Kapha imbalance (weight gain, cyst, fatty liver) -Pitta involvement (liver inflammation) -And Vata obstruction (irregular flow, poor cycle quality) Also, your Agni (digestive/metabolic fire) is weak that’s why you’re not losing weight easily, your liver is getting fatty, and the cyst is persisting. The liver plays a big role in hormone processing so when it’s fatty and sluggish, your cycle also suffers.

1. Internal Ayurvedic Medicines

1.Kanchnar Guggulu – 2 tabs after food, twice a day Reduces cyst, shrinks lymphatic and fat accumulations 2.Punarnavadi Kashayam – 15 ml with warm water, twice a day before meals For fatty liver, water retention, bloating 3.Lodhrasava – 15 ml with equal water, after food Regulates periods, reduces PCOS-related spotting issues 4.Arogyavardhini Vati – 1 tablet twice daily after food Targets fatty liver, boosts digestion and metabolism 5.Triphala Churna – 1 tsp at bedtime with lukewarm water Daily cleansing + weight loss support 6. Varunadi Kashayam – if cyst is persistent or causes pain Can help break down para-ovarian mass with regular use

2. External Therapies (optional but helpful)

1.Udwartana (dry herbal powder massage) – helps reduce Kapha, water retention, and upper body fat 2.Abdominal hot fomentation with castor oil + ajwain – improves circulation to reproductive area 3.Basti (Vata-pacifying enema therapy) – 1 cycle/month after weight and digestion improves

ADVICES: Eat only warm, light, fresh food. Avoid cold drinks, bakery, packaged snacks. Strictly no curd, milkshakes, sugar, or heavy dairy. Have jeera + methi + ajwain water throughout the day Eat early dinner (before 8 PM), avoid lying down after eating Include 30 mins walking + 15 mins yoga daily (focusing on abdomen + pelvic area) Sleep early and avoid screen use at bedtime

-Investigations to Track Every 3 Months 1.USG pelvis (to monitor cyst size) 2.Liver Function Test 3.Lipid Profile 4.Fasting insulin + blood sugar 5.Hormone panel (LH, FSH, AMH, TSH, prolactin)

thank you ! REGARDS-DR.KARTHIKA

DON’T WORRY MAHI ITS TOTALLY CURED TAKING MEDICINE AT LEAST 3 MONTHS THEN DO YOUR ULTRASOUND…

DIVYA SARWAKALP KWATH=100GM DIVYA DASHMOOL KWATH=100GM DIVYA KAYAKALP KWATH=100GM… MIX ALL IN A BOX TAKE 1 TSP BOIL 200ML OF WATER TILL REDUCES 100ML STRAIN AND TAKE EMPTY STOMACH TWICE DAILY

DIVYA CYSTOGHRIT DIVYA LIVOGRIT=2-2 TAB BEFORE MEAL TWICE DAILY

DIVYA KANCHNAR GHAN VATI DIVYA PUNARNAWADI MANDOOR DIVYA VIRRIDHIVADHIKA VATI=2-2 TAB AFTER MEAL TWICE DAILY

DIVYA NARI KANTI TAB=2 TAB AT BED TIME

AVOID TAKING FAST FOOD/SWEETS/JUNK FOOD/MAIDA

DO REGULAR BRISK WALKING 5000STEPS/VAZRASANA/KAPALBHATI/TITLIASNA/BHUJANGASANA …

YOU CAN CURED

Trifala powder 1/2 tsf at bed time Dadimashtak churna 1/2 tsf before food Chandraprabha vati 1-0-1 Kanchnar Guggulu 1-0-1 Punarnava mandoor 1-0-1

Avoid spicy , oily and junked food Practice Surayanamskar aasana steps regularly

HELLO MAHI,

YOU MENTIONED -PCOS -5.8 cm para-ovarian simple cyst on the left side -grade 2 fatty liver -irregular and light periods-mostly spotting -obesity (weight 98 kg at age 21)

WHAT IS HAPPENIING IN YOUR BODY?

* PCOS PCOS is a hormonal disorder where our ovaries dont release eggs regularly, and you may develop small cysts. It Causes -hormonal imbalance -irregular or very light periods -weight gain -sometimes hairfall or acne

* PARA OVARIAN CYST-5.8 CM this is a fluid filled sac near(but not inside) your ovary. It is a simple non cancerous, but 5.8 cm, it is considered large -may cause pain -if it twists, it can become an emergency -needs regular monitoring

* GRADE 2 FATTY LIVER this means your liver is storing too much fat, making it weak in doing its job: -poor digestion -low metabolism -hormonal imbalance worsens -weight gain increases

* OBESTIY(98 KG) excess wight is both cause and effect of PCOS and fatty liver. It makes periods more irregular, causes cysts to grow, and slows liver function

GOALS OF TREATMENT -reduces size of the para ovarian cyst -balance your hormones and restore normal periods -reduce fatty liver and improve digestion -lose weight gradually -prevent further cysts and other complications

PHASE WISE TREATMENT PROTOCOL TO FOLLOW

PHASE 1= DETOX= FOR 1 MONTH goal= clean uterus and liver, activate metabolism, prepare body for healing

1) TRIPHALA + PUNARNAVA CHURNA(MIX EQUAL PARTS) - 1 tsp with warm water at bedtime = liver detox, digestion, remove excess kapha

2) AROGYAVARDHINI VATI- 1 tab twice daily after meals =liver support, improves metabolism, balances hormones

3) VARUNADI KASHAYA= 15 ml with water twice daily before meals = helps dissolve cysts support liver and urinary system

4) LODHRASAVA= 15 ml with equal water twice daily after meals =reduces spotting balances females hormones

DIET -warm, cooked, easy-to-diggest food -AVOID= milk curd, fried food, sugar , cold drinks, refined flour, maida, and late night eating

EAT -vegetables= lauki, karela, methi, palak, drumstick -grains= barley, millet(bajra, ragi), red rice -spices= turmeric, cumin, ginger, garlic, ajwain -fruits(limited)= apple, pomegranate papaya

LIFESTYLE -no sleeping during the day - early wake up , light walk after meals -warm water with lemon in morning

PHASE 2= BALANCING HORMONES AND REDUCING CYST FOR NEXT 2 MONTHS AFTER PHASE 1 goal= regulate periods, shrink cyst, support uterus, start weight loss

1) KANCHANAR GUGGULU= 2 tabs twice daily after meals = shrink cyst, remove deep seated kapha

2) ASHOKARISHTA= 15 ml with equal water twice daily after meals =uterine tonic, regulate bleeding and cycle

3) CHANDRAPRABHAVATI= 2 tabs twice daily after meals =hormone regulation , uterine health, balances vata

4) PUSHYANUG CHURNA= 2-3 gm with honey once daily =strengthens uterus reduces abnormal bleeding

DIET= same as phase 1, now reduce quantity slightly

ADD -herbal tea= cinnamon + ginger+ coriander - 1 tsp flax seeds daily -soaked fenugreek seeds in morning

PHASE 3 = STRENGTHENING AND REJUVINATION NEXT 2 MONTHS AFTER PHASE 2 goal= keep hormones in balance, prevent cyst return, maintain weight, support liver

1) SHATAVARI CHURNA= 1 tsp with warm milk once daily in morning = nourishes female hormones, improve fertility and balances pitta

2) GUDUCHI CHURNA= 1 tsp with lukewarm water morning or evening =liver and immunity rejuvenation

DIET -increase proteins- moong dal, sprouted beans, cooked tofu -add light fermented foods =kanji, rice kanji- avoid curd -seasonal fruits in moderation

YOGA AND LIFESTYLE

-baddhakonasana= opens pelvic region - setubandhasana= improves blood flow to ovaries -bhujangasana= balances hormones - paschimottanasana= detox and stretch -supta baddha konasana= for calming and hormone balance - suryanamaskar= 5-7 rounds daily

PRANAYAM -Anulom Vilom= balances hormones -Bhramari= reduces stress hormones -Kapalbhati= helps fat burning

LIFESTYLE -sleep by 10:30 pm, wake before 7:00 am - no gadgets or screens 30 minutes before sleeping - no daytime sleeping - especially after eating - take short walks after meals

AVOID ENTIRELY -dairy= curd, panner, cheese, milkshakes -junk food, chips, bakery products -cold water, soft drinks, canned juices -late night meals, irregular eating meals - excessive emotional stress- use journaling , meditation or calming music

Ayurveda works gradually but deeply. you may start noticing -less pain and bloating in 2-3 weeks - improved periods in 1-2 months - weight drop from 2 month onwards -cyst size reduction in 2-4 months

DO REPEAT ULTRASOUND AFTER 2.5 MONTH

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

IN CASE ON ANY DOUBT FEEL FREE TOO REACH OUT

DR. MAITRI ACHARYA

HELLO MAHI,

Diagnosis

In Ayurveda, your symptoms suggest - kapha-vata imbalance - agnimandya- weak digestive fire - artava dushti- menstrual irregularity - medoroga- obesity/fatty liver

AYURVEDIC MANAGEMENT PLAN

FOR PARA-OVARIAN CYST AND PCOS -KANCHANAR GUGGULU= 2 tabs twice daily after meals with warm water =shrinks cyst, balance kapha

- PUSHYANUG CHURNA= 5 gm with honey twice daily after meals =stops abnormal discharge, regulates periods

ASHOKARISHTA= 20 ml with equal water after lunch and dinner = supports regular menstrual flow

-SHATAVARI CHURNA= 1 tsp with milk at bedtime =supports female hormones

FOR FATTY LIVER GRADE 2 -BHUMI AMLA CHURNA= 1/2 tsp twice daily before meals =liver detox, reduces fatty inflitration

-PUNARNAVA MANDUR= 2 tabs twice daily, before meals =diuretics, reduces liver congestion

FOR WEIGHT/ METABOLIC BOOST -MEDOHAR VATI= 1 tab twice daily 30 mins before meals =breaks down fat, boost metabolism

-TRIKATU CHURNA= 1/2 tsp with honey after meals twice daily =improves digestion and burns out toxins

DETOX AND GUT - TRIPHALA CHURNA= 1 tsp with warm water at bedtime =regulates bowel, mild detox, balances doshas

DIET -warm ,light, cooked foods -millet-ragi, bajra - moong dal khichdi with ghee - turmeric, ginger, cumin, ajwain - fresh green vegetables especially bitter taste= karela, methi, bottle gourd - herbal teas= ginger-tulsi, cumin- coriander- fennel tea -buttermilk diluted, not curd

AVOID -cold, fried, and processed foods -refined sugar, white rice, and maida - dairy milk, panner , cheese - heavy pulses like chana, rajma -cold drinks and alcohol

LIFESTYLE -wake before sunrise = balances hormones -daily oil massage with warm sesame oil -light exercise/yoga for 30-40 mins -regulates stress hormones - avoid day sleeping = worsens kapha and slows metabolism

YOGA FOR PCOS AND CYST -baddhakonasana -bhujangasana - setu bandhasana - ustrasana - nadi sodhana and Bhramari Pranayam

PANCHAAKARMA- IF POSSIBLE GO FOR THIS -VIRECHANA= clears toxins from liver and reproductive organs -BASTI= best for balancing vata and reducing cyst -UDVARTANA=. reduces fat

SUGGESTED TIMELINES

1-2 MONTHS= hormonal and digestive balance 3-6 MONTHS= cyst size reduction, improved flow 6+ MONTHS= weight loss, regular cycles, improved liver health

IMPORTANT -a 5.8 cm cyst is significant , regular monitoring via ultrasound is essential;

THANK YOU

DR. HEMANSHU MEHTA