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Gynecology and Obstetrics
Question #26097
228 days ago
897

Hormonal problems and light period - #26097

Laxmi Agrawal

Hello doc ,Im 20 year old ,I have pms which experience 10 days before period and after also like ,anxiety , digestive issues bloating , gas , improper bowl movement , loss of appetite , fatigue , and experiencing light periods

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Doctors' responses

Avoid spicy, oily and processed food. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Sy.Amycordil fort 15ml twice Tab.Erandbhrushta haritaki 0-0-3 with lukewarm water at bedtime

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Ashokarishta+kumaryasava- 3tsf after food 2 times a day with water Tab pushpadhanva rasa 1-1-1 with phala sarpi before food Exercise asana and pranayam Avoiding stress high calorie fat bakery items

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HELLO LAXMI ,

You are 20 years old and experiencing -PMS=mood changes, anxiety , gas, constiption, fatigue -LIGHT PERIODS= less bleeding than normal -DIGESTIVE ISSUES= bloating, loss of appetite

Your body is mainly showing Vata and Pitta imbalances

Anxiety, fatigue= vata excess(mind+energy disturbance )

Bloating, gas, poor appetite= digestive fire low due to vata

Light periods= rasa dhatu(nutritional fluid) not forming properly; Apana Vata weak

Mood swings, irritability= pitta imbalance affects emotions

Constipation= vata dryness in intestines

TREATMENT GOALS -balance vata and pitta - improves digestion and reduce bloating/ gas - strengthen Apana Vata(controls periods and elimination) - nourish and build dhatus(body tissues like blood and hormones) -stabilize mood and energy

AYURVEDA TREATMENT

1) SHATAVARI CHURNA= 1 tsp with warm milk twice daily in morning and night for 3months = natural hormone balancer, builds rasa and shukra dhatu(reproductive tissue), supports periods, relieves PMS

2) ASHOKARISHTA= 20 ml with equal water after meals twice daily for 3 months = regulates uterine function, strengthens endometrium, normalize period flow

3) SUKUMARAM KASHAYAM= 15 ml with warm water before food twice daily for 3 months =Balances Vata-pitta, helps with gas, bloating, constipation, and menstrual pain

4) TRIPHALA CHURNA= 1 tsp with warm water at night =gentle bowel cleanser, reduces constipation, improves digestion and nutrient absorption

5) HINGVASTAKA CHURNA= 1/2 tsp with warm water before meals, 2-3 times daily =excellent for bloating, flatulence, weak digestion

DIET PLAN

FOODS TO INCLUDE

1) WHOLE GRAINS -millets= foxtail, barnyard, kodo, little millet- regulate insulin and reduce fat -quinoa, amaranth, red/brown rice -rolled oats(not instant)

2) VEGETABLES -focus on bitter, pungent, and astringent food -bitter gourd, drumstick, methi -cabbage, cauliflower, spinach, ash gourd -avoid raw salads, cook lightly and digestive spices

3) FRUITS(LOW GLYCEMIC) -amla=fresh or churna -pomegrante -apples, pears, papaya, berries

4) PROTEINS -Plant based= Moong dal, massor dal, horse gram, sprouted lentils -Animal based (if non veg)= boiled eggs, grilled fish(2 times/week)

5) HEALTHY FATS -cold pressed sesame oil -ghee=1 tsp/day -flax seed oil -seeds= flax, chia, pumpkin seeds- support estrogen balance

6) HERBS AND SPICES -turmeric, cinnamon, fenugreek, cumin, coriander, ajwian, -black pepper+ ginger

FOODS TO AVOID -cold and raw foods like smoothies, raws salads - sugar and white bread=causes weight gain and acne -fried or packaged foods= increases toxins -milk,panner,cheese= can make cysts worse -stress and late night= disrupts hormones

LIFESTYLE CHANGES FOR DEEP HEALING

1) DAILY RHYTHM -wake up before 7 am= sets hormonal rhythm -hydration=warm water with lemon+pinch of turmeric or methi seeds water(soaked overnight) -meal timing= eat meals at regular intervals; no skipping -sleep= sleep by 10-10:30 pm to optimise melatonin and cortisol balance -avoid excessive screen time, especially before sleep

DETOX PRACTICES TO FOLLOW these helps removes toxins and reduce cyst formation -Triphala churna= 1 tsp at night with warm water -CASTOR OIL=montly one 10 ml in milk at night -Self oil massage= sesame oil daily before shower -TAKRA- buttermilk spiced with cumin and ginger daily after lunch

YOGA AND MOVEMENT

BEST YOGA ASANAS -malasana= opens pelvic region -baddha konasana= improves circulation to pelvic -Bhujangasana= stimulates abdominal organs -setu bandhasana= balances thyroid and pelvic hormones -paschimottanasana= relieves PMS, calms vata -balasana= calms nervous system -apanasana= relieves gas and bloating -suryanamskar= 5-7 rounds

PRANAYAM -nadi sodhana= balances hormones, calms mind - bhramari= reduces anxiety and supports pitutary -kapalbhati= light version, support metabolism

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Strirasayana vati Medha vati One tablet each twice daily after food with warm water Hingwastaka churna-half teaspoon with warm water after food twice daily Ashwagandha capsule-one capsule daily with warm milk Do regular pranayama Yoga Sanam meditation

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Hi Laxmi , please do a bloodtest of TSH, T3 AND T4, Hb ,and Vitamin D.

Start, 1.Mensokot tab 2-0-2 after food 2.Ashokarishtam 15ml twice daily after food 3.Thriphala tab 2 at bedtime.

Weekly once Virechana(Purgation) with Avipathy churnam (1packet/10gm) with ½glass hot water in empty stomach followed by light diet only - this is to cleanse your body and to balance your PITA dosa

*You can also do Kashaya vasthi(medicated enema) from nearby Ayurvedic treatment center/14days once, for bodily detoxification.

*Do’s 3-4litres of water /day More focus on fruits and vegetables Include Sprouted grains Practice yoga and meditation regularly

*Don’ts Tea /coffee Oily too salty sour sweet foods Junk foods Carbonated/soft drinks Maida and its products

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Don’t worry dear, Start taking1.Shatavari choorna 1 tsf with lukewarm milk twice in a day. 2.Tab.Aloes compound 1-0-1 3.Syp.M2 tone 2tsf twice in a day with equal amt.of Lukewarm water. 4.Kbir liverzyme syp.20ml with equal amount of Lukewarm water just after having meal twice in a day. Include meditation pranayam in your daily routine… Follow up after 45 days…

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Hello dear,

You’re only 20, and your body is still finding its balance. What you’re feeling isn’t “all in your head” your body is actually going through real hormonal ups and downs before and after your periods. PMS (Premenstrual Syndrome) is a sign that your hormones, digestion, and nervous system aren’t in sync, especially when symptoms like anxiety, bloating, gas, constipation, tiredness, and light bleeding are happening together.

In Ayurveda, this is mostly due to an imbalance of Apana Vata (which controls periods and digestion) and Sadhaka Pitta (which affects emotions). When these are disturbed, your digestion slows, moods become unstable, and periods get irregular or light.

But don’t worry this can definitely be brought back to balance. We don’t need harsh medicines. Just the right routine, natural herbs, and regularity in food and sleep will help you feel much better month by month.

Medicines (6 weeks minimum)

Sukumaram Kashayam – 15 ml with 45 ml warm water, twice daily before food Ashokarishtam – 15 ml with equal water, twice daily after meals Manasamitra Vatakam – 1 tablet at bedtime (for anxiety and restlessness) Avipattikar Churna – 1 tsp at night with warm water (for gas, bloating, and bowel movement)

External Therapy

Abhyanga (body oil massage) with Dhanwantharam Tailam 2–3 times/week, especially lower belly and back

Warm water bath after that Use hot water bag over lower belly during PMS days

Diet Plan (Very Important for You)

Morning empty stomach – Warm jeera + ajwain water – 5 soaked raisins + 1 date

Main food to include

– Moong dal, beetroot, lauki, pumpkin, methi – Ghee with rice or roti – Turmeric milk at bedtime (3–4 days a week) – Small frequent meals (don’t skip)

Avoid

– Cold drinks, fridge water, raw salad – Bread, biscuits, packaged food – Curd, paneer, cheese before or during periods – Sleeping late at night

Lifestyle Routine Sleep before 10.30 PM Walk for 20–30 mins daily or do gentle yoga like vajrasana, setu bandhasana, cat-cow pose Practice Bhramari pranayama + Anulom vilom for 10 minutes

Investigations If symptoms continue after 2 months:

CBC TSH Vitamin D3 Serum Ferritin Pelvic USG

You are still very young, and your body wants balance, not struggle. With a little routine, care, and support, your hormones and digestion will both settle down. Don’t panic — your body listens when you treat it kindly and consistently.

If you have any doubts, you can contact me. Take care, Regards, Dr. Karthika

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Hello . Stop spicy oily dry snacks and junk sale foods. Have fresh warm healthy food and sleep at proper time . Do regular yoga. Tab Shankh vati 2 tab before food with warmwater. Dashmoolarisht 10 ml + 10 kumari asav after meals. 2 tab jatamasi Ghana at night

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Take tablet M2TONE 1-0-1 after food with water Aloevera juice 15 ml twice daily after food with water Hingvastak churan 1tsp twice daily after food with warm water. Avoid processed fatty fast sugary foods Brisk walking atleast 30 mins 4days in a week. Follow up after 1 month

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Hi Laxmi This is Dr Vinayak as considering your problem . Have you checked USG abdomen and pelvis if not done it once to clear diagnosis… *Regular exercise should be done *Maintain proper diet *Avoid spicy and fried items Rx- varunadi kashaya 10ml twice before food Rajapravartini vati 1-0-1 after food SYP Activ pushpa 10ml twice after food

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Hello Laxmi Do you facing all these problems regarding your periods since your menarche - first periods? Have you undergone for any hormonal reports or Ultrasound?

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To address the hormonal imbalance causing your PMS symptoms and light periods, it’s important to first understand your body type, or prakriti, in Ayurveda. Considering your symptoms, it appears there might be an imbalance in Vata and possibly Pitta doshas. Let’s focus on some natural and achievable interventions.

Firstly, diet plays a crucial role. Include warm, grounding foods like cooked vegetables, whole grains such as rice or quinoa, and easily digestible proteins like lentils and mung dal. Ginger tea with a pinch of cumin can help improve digestion and reduce bloating. Avoid raw foods, cold beverages, and processed foods which can aggravate Vata.

On the lifestyle front, maintaining regular routines can help balance Vata. Try to wake up and go to bed at consistent times. Engage in calming activities such as yoga or meditation, focusing on poses or breathwork that emphasize relaxation. Nidra yoga, particularly, can be effective for managing anxiety and fatigue.

For herbal support, Ashwagandha can be beneficial for both anxiety and fatigue. Take Ashwagandha capsules or powder with warm milk before bed to promote restful sleep and balance hormones. Shatavari is another great option, traditionally used to nourish the reproductive system. Add Shatavari powder to your daily routine—mixing a teaspoon with warm milk or water.

If indigestion and bloating persist, consider taking Triphala at night. It supports digestion and bowel movement regularity. Half a teaspoon with warm water can be effective.

Ensure you’re managing stress, as it can significantly impact hormonal balance. Practicing gentle, daily self-massage (Abhyanga) with warm sesame oil can soothe Vata imbalances and support relaxation.

If symptoms continue or worsen, seeking professional evaluation from an Ayurvedic practitioner or a healthcare provider is advisable, as more tailored interventions may be require.

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Based on your symptoms, you’re experiencing an imbalance likely rooted in vata and pitta doshas. PMS and digestive issues like bloating, gas, and irregular bowel movements suggest a disruption in your digestive fire (agni) and possibly issues related to your nadis (energy channels). To address this, you’ll want to consider lifestyle and dietary adjustments aimed at balancing these doshas.

First, let’s focus on diet. Minimize consumption of raw and cold foods, which can aggravate vata. Instead, favor warm, cooked meals that are easily digestible. Foods such as kichadi (a combination of rice and lentils), soups, and stews are nourishing. Incorporate spices like ginger, cumin, and coriander to enhance digestion. Also, avoid overly spicy or sour foods, which can unsettle pitta.

For fatigue and hormonal balance, consider incorporating ashwagandha or shatavari supplements, as they can help regulate your energy levels and improve hormonal equilibrium. Before starting any supplement, consult with an Ayurvedic practitioner to ensure they align with your specific constitution (prakriti).

In terms of daily routine, maintaining a regular sleep schedule and incorporating practices like gentle yoga or meditation can help pacify anxiety and support nervous system balance. Additionally, self-massage with warm sesame oil can help soothe vata and promote relaxation.

If your symptoms persist or worsen, particularly the light periods, it might be necessary to seek a professional consultation. Addressing potential underlying health conditions should be immediate to ensure comprehensive care. Remember, these steps should be considered as complementary to any professional medical advice you receive.

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HELLO LAXMI,

DOSHA IMBALANCE -vata pitta imbalance= especially Apana Vata and pachaka pitta -signs of Rasa dhatu kshaya- low nourishment, and rakta dhatu kshaya- low blood quality

PROBABLE CAUSES -irregular eating habits -cold and dry foods -emotional stress/ anxiety - poor sleep -excessive fasting or skipping meals

1) DIET

INCLUDE -warm, cooked meals= balance vata, support digestion -Ghee 2 tsp.day= rejuvinates reproductive tissues, supports hormones -sesame seeds black = rich in calcium, iron, balance vata -Figs, raisins, dates all soaked= nourishes rakta dhatu, improves periods -Whole grains-rice, wheat, millets= easy to digest, grounding -Mung dal khichdi= Balances Vata and supports digestion -Turmeric= reduces inflammation, balances pitta -Cumin, fennel, ajwain, gingr= boost digestion, reduce gas -Ashwaganda or shatavari milk= hormonal balance and nourishment

AVOID STRICTLY -cold foods or drinks- ice creams, smoothies -dry snacks- chips, crackers -excess raw salads -carbonated drinks -coffee/tea - limit 1 cup/day or stop -spicy , sour, or fermented food may aggravate pitta -excess fasting or dieting

LIFESTYLE CHANGES

DAILY ROUITNE -wake up by 6:30-7:00 am -warm water with lemon or cumin water in morning -light walk or yoga 20-30 mins -regular meals at fixed times -avoid screen time 1 hour before bed -sleep by 10:30 pm

YOGA FOR HORMONAL AND DIGESTIVE BALANCE

-MALASANA= improves Apana Vata flow -SUPTA BADDHA KONASANA= opens pelvic area -BHUJANGASANA= stimulates reproductive organs -SETU BANDHASANA= supports thyroid and hormones

Practice yoga 20-30 mins/day,especially 10 days before your periods

MEDICINES INTERNALLY

1) SHATAVARI CHURNA= 1 tsp with warm milk at bedtime =supprots estrogen, fertility and reduces PMS

2) ASHOKA GHRITA= 1 tsp twice daily with warm water after meals =regulates menstrual flow

3) KUMARYASAVA= 15 ml with equal water after meals =regulates periods, improves digestion

4) LOHASAVA= 15 ml twice daily after meals with warm water =corrects hormonal imbalance, controls PMS

5) DASHMOOLA KASHAYA= 20 ml. with water twice daily before meals =reduces vata, bloating ,fatigue

6) HINGWASTAKA CHURNA= 1/2 tsp before meals with warm water =improves digestion, relieves gas

7) ASHWAGANDHA CHURNA= 1 tsp with warm milk at bedtime =calms anxiety, strengthens body and mind

8) TRIPHALA CHURNA= 1 tsp with warm water at night =improves bowelmovements, detoxifies

TAKE THES EALL FOR ATLEAST 3-6 MONTHS

PANCHAKARMA THERPAIES (optional but highly effective) If symptoms are chronic or unresponsive, the following therapies are recommended under expert ayurvedic doctor

ABHYANGA WITH SAHACHARADI TAILA= Balances Vata , improves circulation, reduces PMS

SWEDANA= reduces bloating, stiffness, and improves detoc

BASTI= most effective for hormonal balance

NASYA= relieves anxiety , improves hormonal axis

SHIRODHARA= calms the mind, reduces hormonal fluctuations

PRANAYAM AND MEDITATION -nadi sodhana= balances all doshas, calms nervous system -Bhramari= relieves stress , improves sleep -Sheeetali/ sheetkari= useful if pitta symptoms are present

MEDITATION -simple 5-10 mins of mantra meditation or OM chanting can regulate the hypothalamic pitutatary ovaries axis(HPO AXIS), responsible for your hormonal rhythm

MONITORING AND RESULTS

1 MONTH= improved digestion, reduced bloating, better energy

2-3 MOONTH= lighter PMS, better mood, regular bowel movement

3-6 MONTHS= improves period flow, reduced anxiety, balanced hormones

AYURVEDIC TONIC RECIPE A natural tonic to improve flow and hormones

-1 tsp shatavari powder -1/2 tsp wshwagandha powder - 1 pinch dry ginger -mix in warm milk with 1 tsp ghee =take every night before bed for 3-6 months

THANK YOU

DR. HEMANSHU MEHTA

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