How to heal endometriosis/ovarian cyst with big swollen - #26065
Hello Doctor, I’m a 23-year-old female. A CT scan earlier this year showed a chocolate cyst on one ovary, and the gynecologist diagnosed it as endometriosis. But I have no period pain or overflow. In fact, my periods last only one day each month, with light flow. My main and most distressing problem is my swollen, bloated belly. It looks like I’m 5–6 months pregnant. I feel full all the time, and it prevents me from eating full meals or gaining weight. I honestly don’t even know what is causing this belly swelling. The CT scan only mentioned endometriosis, but the doctor didn’t clearly explain whether that is the actual reason behind this bloating. I have no confirmed answer, and I feel stuck. I have been eating clean for over a year—no processed food, no fast food, no sugar. I drink jeera-saunf-methi water in the morning, take beetroot, amla, haldi, basil seeds, and I do yoga every day. Still, there has been no improvement. My belly bloating is affecting my daily life, confidence, and mental peace. Also, since I got my first period at the age of 10, my skin has always been compromised—pimples, open pores, and breakouts have been constant. I feel this may be related to internal imbalance too. I’m now seeking proper Ayurvedic guidance—herbs, food, and hormonal support—to reduce this bloating, restore balance, and improve skin and periods. I would prefer to continue this consultation through chat only. Thank you so much. I truly hope you can help me heal naturally.
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Doctors’ responses
hello laisa, , from what you’ve shared, it’s very clear that your system is holding onto deep-seated Apana Vata imbalance and Ama (toxic buildup) in the pelvic and digestive region. The chocolate cyst (endometrioma) you saw on CT confirms endometriosis, which often silently causes pelvic congestion, stuck circulation, poor digestion, and bloating even if there’s no pain or excess bleeding. Your one-day scanty periods show that the uterus isn’t fully emptying due to blocked Vata flow. That’s why despite clean eating and yoga, the belly remains swollen, appetite is low, and weight doesn’t go up because digestion and absorption are choked at the root level. Your skin issues since puberty also reflect long-standing hormonal imbalance, likely worsened by early menarche (at age 10), and this has continued as internal heat and toxin buildup under the skin. You’re doing many good things already, but now your body needs targeted Ayurvedic medicines and deeper cleansing to open up the blocked channels, restore hormone flow, and melt down the stuck cystic tissue.
Internal Ayurvedic Medicines (8 weeks):
Sukumar Kashayam – 15 ml + 45 ml warm water twice daily before food Kanchnar Guggulu – 2 tablets twice daily after food Ashokarishta – 20 ml + 20 ml water after lunch and dinner Punarnavadi Mandoor – 1 tablet twice daily after food (for bloating + blood) Gandharvahastadi Kashayam – 15 ml + 45 ml water at bedtime (for gas + Vata clearing)
Shodhana / External Therapies (if possible near you):
Abhyanga (massage) over abdomen and back with Dhanwantaram taila – 3 times/week Bashpa Swedana (steam) after oil massage to reduce bloating Matra Basti (oil enema) with Narayana taila – 7 days course if under supervision
Pathya (What You Should Eat & Follow):
Begin day with warm water + 1 tsp cow ghee Eat soft, cooked meals: rice, moong dal, bottle gourd, beetroot, spinach Soak 7 raisins + 2 dates + 5 almonds overnight – eat in morning Use cumin, ajwain, hing, turmeric in all meals Gentle yoga + 15 mins Bhramari or Ujjayi pranayama daily Early sleep (before 10:30 pm)
Apathya (Strictly Avoid):
Cold water, fridge food, raw salads, smoothies Curd, paneer, cheese Skipping meals, late dinners Tea/coffee on empty stomach Stress, overexertion, sleeping late
Investigations Suggested (If not done recently):
Pelvic USG (for cyst + endometrial thickness- as u have done u can omit this if its done just 3 months or 2 months before) Hormone profile: LH, FSH, AMH, TSH, Prolactin Vitamin D3, B12, Ferritin CBC + ESR (for hidden inflammation)
This condition is fully manageable through consistent Ayurvedic care. With time, your bloating will reduce, cycles will improve, and skin will start reflecting internal balance. You’ve taken the right step now and nature will support you back.
If you have any doubts, you can contact me. Take care, Regards, Dr. Karthika
mam I am not on medication right now I only do home remedies like drink warm saunf meethi water in empty stomach. I had done several blood works please have a look attached below👇
Pelvic Ultrasound (3 Sept 2024): Retroverted uterus, thickened endometrium
Abdominal Ultrasound (21 Dec 2024): Multiloculated cystic lesion in left adnexa (56×28 mm), no solid components
CT Scan (2 Apr 2025): Cystic lesion approx. 3.5×4.9 cm in left adnexa with septae, left ovary not seen separately; uterus and right adnexa normal
Blood Tests:
CBC (10 Sept 2024):
Hemoglobin: 12.5 g/dL
RBC: 4.98 million/µL
PCV: 40.4%
MCV: 81.2 fL
MCH: 25.2 pg
MCHC: 31.0 g/dL
Total Leukocyte Count (TLC): 8,500 /µL
CBC (21 Dec 2024):
Hemoglobin: 12.4 g/dL
RBC: 5.41 million/µL
PCV: 36.0%
MCV: 66.6 fL
MCH: 23 pg
MCHC: 15.7 g/dL
Total Leukocyte Count (TLC): 6,600 /µL
Other blood tests:
Prolactin (10 Sept 2024): 64.92 ng/mL
RDW: 14.9%
Neutrophils: 78%
Lymphocytes: 40%
Monocytes: 1%
ESR (21 Nov 2024): 30 mm/hr
CRP: Negative
IgE (21 Nov 2024): 1080 IU/mL
LDH (1 Apr 2025): 310 IU/L
CA-125 (1 Apr 2025): 14.0 U/mL
CA 19.9: 27.3 U/mL
CEA: 1.6 ng/mL
Urine Test (1 Apr 2025): Slightly hazy appearance; RBC 15–20 /HPF; epithelial cells 2–3; pH 6.0
Kidney Function (1 Apr 2025): Sodium 134 mEq/L.
Thanks for sharing ur blood reports laisa, (Based on all reports)-
1.Endometriosis 2 ( multiloculated cyst, CT scan + thickened endometrium) 2.High Prolactin (64.92 ng/mL) – suppresses ovulation and disrupts hormonal flow 3.Anemia of chronic inflammation – Your CBC from Dec 2024 shows 4.microcytic hypochromic picture (low MCV 66.6, low MCHC 15.7), indicating poor iron absorption and chronic blood stagnation (Ayurvedically, Rakta dhatu dushti with Ama). 5.Elevated IgE (1080 IU/mL) – points to underlying immune hypersensitivity or chronic inflammation 6.Urine RBCs 15–20/HPF – slight pelvic congestion or possible uro-genital irritation (matches Apana Vata dushti) 7.ESR 30 – confirms mild inflammation 8.LDH 310 – suggests tissue stress or cystic breakdown (in line with endometrioma behavior) 9.Retroverted uterus + thick endometrium – shows improper flow of Apana Vata and uterine stagnation (very typical in endometriosis)
Laisa, considering how deep-rooted your symptoms are especially the persistent cyst, high prolactin, scanty periods, and long-standing bloating it’s very important that you reach out to a nearby Ayurveda hospital or authentic Panchakarma center and begin the Shodhana (cleansing) therapies I mentioned earlier. While internal medicines like Kashayams and Guggulu will definitely help clear Ama and regulate Apana Vata, they alone can only push your system to a certain limit. Since your condition involves long-standing congestion in the pelvic and digestive tract, full relief will come only when Shodhana therapies like Abhyanga (oil massage), Bashpa Swedana (steam), and Matra Basti (medicated oil enema) are done under supervision. These treatments go deeper into the tissues, clear the blocked Vata channels, and slowly melt the cystic mass while improving hormonal flow and digestion. Starting these therapies in the correct seasonal window will also enhance their effectiveness. Please don’t delay this step it is the most essential part of your healing journey.
You’re doing good with your warm fennel-methi water, but it’s too mild for the depth of imbalance now. Ayurveda teaches us that once Ama + Vata become chronic, proper Shamana + Shodhana (medicine + cleansing) is essential to unblock the flow.
so , Starting these therapies in the correct seasonal window will also enhance their effectiveness. Please don’t delay this step it is the most essential part of your healing journey. take care and be consistent in ur treatment Diets and lifestyle !
Take tablet M2TONE 1-0-1 after food with water Kanchanar guggul 1-0-1 after food with water Vriddhivadhika vati 1-0-1 after food with water Avoid processed fatty fast junk, sugary foods Brisk walking atleast 30 mins daily. Include seasonal fruits and seasonal vegetables in your daily diet. Do pranayam lom -vilom bhastrika kapalbhati daily. Follow up after 45 days
If there are some blood investigations TSH, CBC , do share Are you on any medication now.? With above medication you can also start with Yoga & Pranayama to Improve Digestion + Hormones
Practice 20–30 mins daily on empty stomach:
Asana Benefits
Supta Baddha Konasana Opens pelvic circulation, reduces congestion Apanasana Releases gas, aids digestion Setu Bandhasana Improves ovarian blood flow Malasana (deep squat) Tones reproductive organs Anulom Vilom + Bhramari (5–7 mins) Calms mind + balances hormones
🛑 Avoid deep twists or heavy ab work while healing cysts.
💆♀️ 4. Body Therapies (Optional, but Powerful)
If possible at home or at a panchakarma center:
Castor oil abdominal packs 3x/week → reduces bloating & cysts. *Abhyanga (oil massage with warm sesame oil) 2 times a week as improves lymphatic drainage *Nasya with Anu Tailam – balances hormones via brain.
No mam I am not on medication right now I only do home remedies like drink warm saunf meethi water in empty stomach. I had done several blood works please have a look attached below👇
Pelvic Ultrasound (3 Sept 2024): Retroverted uterus, thickened endometrium
Abdominal Ultrasound (21 Dec 2024): Multiloculated cystic lesion in left adnexa (56×28 mm), no solid components
CT Scan (2 Apr 2025): Cystic lesion approx. 3.5×4.9 cm in left adnexa with septae, left ovary not seen separately; uterus and right adnexa normal
Blood Tests:
CBC (10 Sept 2024):
Hemoglobin: 12.5 g/dL
RBC: 4.98 million/µL
PCV: 40.4%
MCV: 81.2 fL
MCH: 25.2 pg
MCHC: 31.0 g/dL
Total Leukocyte Count (TLC): 8,500 /µL
CBC (21 Dec 2024):
Hemoglobin: 12.4 g/dL
RBC: 5.41 million/µL
PCV: 36.0%
MCV: 66.6 fL
MCH: 23 pg
MCHC: 15.7 g/dL
Total Leukocyte Count (TLC): 6,600 /µL
Other blood tests:
Prolactin (10 Sept 2024): 64.92 ng/mL
RDW: 14.9%
Neutrophils: 78%
Lymphocytes: 40%
Monocytes: 1%
ESR (21 Nov 2024): 30 mm/hr
CRP: Negative
IgE (21 Nov 2024): 1080 IU/mL
LDH (1 Apr 2025): 310 IU/L
CA-125 (1 Apr 2025): 14.0 U/mL
CA 19.9: 27.3 U/mL
CEA: 1.6 ng/mL
Urine Test (1 Apr 2025): Slightly hazy appearance; RBC 15–20 /HPF; epithelial cells 2–3; pH 6.0
Kidney Function (1 Apr 2025): Sodium 134 mEq/L.
Don’t worry dear, Start taking 1.Ashokarishta 20 ml with equal amount of Lukewarm water just after having meal twice in a day. 2.syp.M2 tone 2tsf twice in a day. 3.Kanchnaar guggulu 2-0-2 for chewing. 4.shankh vati 1-0-1 Follow up after 30 days. Include meditation, yoga and pranayam in your daily routine…
Along with these start taking 1.KBIR liverzyme syp.20 ml with equal amount of Lukewarm water just after having meal twice in a…
Endometrial cyst is a condition in which kapha prakopa takes place in garbhashaya so we need to cleanse the garbhashaya( uterus) So start with medicines like Kanchanara Guggulu Tab 2 bd for 30 days Chandraprabha vati 1-0-1 after food Varunadi kwatham 20 ml twice a day before food Ashokarishtam 5 ml with equal quantity of water after food twice a day Add more of sesame oil in ur diet Take fruits like papaya pineapple apple pomegranate In vegetables like bottle gourd, ash gourd, radish
HELLO LAISA,
Thank you for sharing your story so openly- what you’re experiencing is very real and understandably distressing. While your symptoms may seem confusing (light periods despite endometriosis, persistent bloating, poor appetite, skin issues)
Based on what you’ve shared, here’s how your symptoms map to Ayurvedic imbalances
1) ENDOMETRIOSIS WITH CHOCOLATE CYST -associated with kapha(cyst formation), vata (abnormal movement of blood), and rakta dhatu dushti(vitiation of blood tissue) -The fact that you have no pain or heavy periods but cysts formation points more towards kapha-vata dominant endometriosis
2) BLOATING AND DISTENDED BELLY (as if 5-6 months pregnant) -classic sign of Apana Vata + samana vata imbalance- impaired digestion, accumulation of gas, and sluggish elimination -could also indicate Ama(toxic buildup), which bloats the abdomen and prevents nutrient absorption
3) VERY LIGHT PERIODS -indicative of Rakta kshaya(low blood quality) and or vata aggravation (causing suppression of menstrual flow)
4) PIMPLE AND SKIN ISSUES (Since early menstruation) -A sign of rakta (blood) and pitta imbalances with hormonal disturbances -hormonal imbalance is likely contributing to both skin issues and cystic formation
TREATMENT GOAL -shrink the chocolate cyst and reverse endometriosis -relieve chronic bloating and abdominal swelling - normalise periods -clear skin and reduce acne
INTERNAL MEDICATIONS
* FOR ENDOMETRIOSIS AND CHOCOLATE CYST
1) KANCHANAR GUGGULU= 2 tabs twice daily after meals =helps dissolve cysts, clears kapha and lymphatic congestion
2) ASHOKARISHTA= 20 ml with equal water, twice daily after meals =supports healthy menstruation and uterine tone
3) VARUNADI KASHAYA= 20 ml with warm water twice daily before meals =reduces ovarian cysts and bloating caused by kapha accumulation
* FOR BLOATING AND GAS
1) HINGWASTAKA CHURNA= 1/2 tsp with warm water before meals = improves digestion, relieves gas, and stimulate digestive fire
2) AVIPATTIKAR CHURNA= 1 tsp at bedtime with warm water =keeps bowels clean and removes ama(toxins)
* FOR SKIN AND HORMONAL BALANCE
1) MANJISTHA GHAN VATI= 1 tab twice daily with warm water after meals =blood purifier, helps in skin issues and hormonal balance
2) SHATAVARI GRANULES= 1 tsp twice daily with warm milk in morning and night = restores reproductive and hormonal health in females
DIET SHOULD BE FOLLOWED since you’re already eating healthy, this is more about balancing your doshas and improving digestion
INCLUDE -warm, cooked, easy to digest food- khichdi, soups, stewed vegetables - spices like= cumin, ginger, ajwain, fennel, coriander- all help vata and kapha - Ghee- 1 tsp daily improves digestion, Balances Vata and nourishes tissues -beetroot, amla, and turmeric- excellent, continue that - ash gourd juice or bottle gourd juice- on empty stomach for bloating -Coconut water- once or twice a week, cools down pitta
AVOID -cold drinks, raw salads, dry foods, bread, fermented foods - dairy(unless its organic and boiled milk), as it can worsen cysts and kapha - heavy legumes - rajma, chana -difficult to digest when vata is imbalanced -overeating or eating without hunger
LIFESTYLE AND YOGA
DAILY PRACTICE -pawanmuktasana -ardha matsyendrasana -supta baddha konasana -vajrasana after meals - suryanamaskar = 12 rounds
PRANAYAM -Nadi sodhana -Bhramari
ABHYANGA(self oil massage with warm sesame oil- 3-4 times/week =helps balance vata, reduces bloating, improves circulation
NIGHT ROUTINE -1 tsp ghee in warm milk at night to improve bowel movements and nourish reproductive system -sleep by 10 pm to balance hormones naturally
IF NOT DONE - GO FOR THIS INVESTIGATIONS
1) PELVIC IMAGING= to monitor endometriosis, cyst size and other structural issues -pelvic ultrasound -MRI pelvis
2) HORMONAL PROFILE=LH,FSH(day 2 or 3 of cycle) -ESTRADIOL -PROGESTERONE -AMH(anti-mullerian hormone)- to assess ovarian reserve -THYROID PROFILE -PROLACTIN AND TESTOSTERONE -DHEA-S= elevated in pcos and adrenal imbalance -Insulin fasting + glucose fasting
Although your CT scan mentioned endometriosis , your primary suffering is from bloating and gut imbalances, not painful periods. That means your digestive fire must be your primary focus now, alongside hormonal healing
In Ayurveda, the uterus is supported by digestion. When digestion improves, toxins reduce, periods normalize, and cysts shrinks
You are doing so many right things already- your discipline is commendable. What’s needed now is proper, dosha aligned regimen with consistent ayurvedic medicines and digestive correction. Ayurveda works gently but deeply, and with commitment, you can absolutely reverse this bloating and restore hormonal balance naturally
DO FOLLOW CONSISTENTLY
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
you should consult physically with an ayurveda gynec so they can do proper checkups and provide treatment accordingly
In Ayurveda, your symptoms tie back to dosha imbalances, likely involving Vata and Pitta. Both symptoms like bloating and skin issues often link with these imbalances. The endometriosis, or the “chocolate cysts” you mentioned, can also have roots in this imbalance, particularly when influenced by excessive Pitta. Often these cystic conditions need internal cooling and reduction of inflammation as a primary focus.
First, consider your agni (digestive fire) - it might be impaired. Even though you eat clean, the sensation of fullness without feeling satisfied indicates issues with absorption or digestion. Try panchamoola decoction to stimulate digestive fire mildly. Drink it before meals to help digest food properly, counter bloating by absorbing ama (toxins).
Your morning routine with jeera-saunf-methi water is good, yet add Hingvastak churna after meals to reduce gas and assist digestion. Avoid raw salads or cold foods, as they might aggravate Vata further. Consume foods that are easy on digestion – think moong dal khichdi. Introduce kanji, a fermented grain drink with cumin, fenugreek, and rock salt.
For skin, try neem leaves; make a paste to apply on affected areas. For internal usage, Guduchi tablets may help balance Pitta and support healthier skin. Pitta balancing herbs like Shatavari and Ashoka can support hormonal balance, aid menstruation. Use Aloe Vera juice each morning to pacify Pitta and cleanse.
Yoga’s a great choice, but consider poses focusing on the lower abdominal region such as Pavanamuktasana and Bhujangasana. Emphasize stress-reducing practices like Pranayama. Balance daily routine by adhering to a schedule; improper or erratic daily routines often disturb biological cycles, aggravating Vata.
Since you are experiencing this starting from age 10, continue monitoring your condition under a healthcare provider or get a second opinion if things do not improve. Swollen abdomen should not be ignored, always consult a health practitioner for potential complications.
These strategies are meant for moderation. Follow them as per the capacity of your body, and observe changes. Adjust your approach if discomfort or adverse changes arise. It’s also crucial to monitor mental peace since stress-induced exacerbations can affect your condition.
Bloated belly and endometriosis often stem from imbalances in your doshas, particularly vata and pitta. Your symptoms suggest vata might be obstructed by kapha. Your light periods could indicate low agni—digestive fire—leading to improper digestion and residual accumulation. Let’s start by addressing these imbalances.
To soothe vata and enhance agni, try adding a small piece of fresh ginger with a pinch of rock salt to your meals. This simple remedy can aid digestion and reduce bloating. Meanwhile, increase warm, cooked foods in your diet and minimize raw or refrigerated items, which can aggravate vata.
Herbs like Ashoka and Lodhra can be helpful in managing endometriosis and balancing hormones. These should be taken under guidance from a qualified practitioner. For the persistent skin issues, Turmeric (Haridra) along with Neem, taken before meals may help clear impurities from blood, often connected to pitta imbalance.
Additionally, practice regular oil massage (Abhyanga) with warm sesame oil to calm vata and promote circulation. Castor oil packs applied to the belly once a week, followed by a hot water bottle, can provide relief from discomfort and help reduce swelling.
Stay consistent with your yoga routine, focusing on poses that involve twisting and gentle abdominal stretches, to promote proper circulation and digestion.
Keep in mind, though your practices are beneficial, these conditions can become serious. If you observe any intensifying symptoms, see your healthcare provider promptly. Continuing these steps with proper medical supervision ensures you take holistic and safe approaches to manage your health.

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