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Question #26147
42 days ago
247

How to manage perimenopause symptoms? - #26147

Sen

Hi! I am 43 years old and have started experiencing perimenopause symptoms.I have gained weight and getting My period once every 4-5 months. I lead a moderate lifestyle with yoga 5 days a week, home cooked meals, and some alcohol once in awhile! My blood test has confirmed early onset of menopause. Please help me manage!

Age: 43
300 INR (~3.51 USD)
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Doctors’ responses

Dr. Manjula
I am a dedicated Ayurveda practitioner with a deep-rooted passion for restoring health through traditional Ayurvedic principles. My clinical approach revolves around understanding the unique constitution (Prakruti) and current imbalance (Vikruti) of each individual. I conduct comprehensive consultations that include Prakruti-Vikruti Pareeksha, tongue examination, and other Ayurvedic diagnostic tools to identify the underlying causes of disease, rather than just addressing symptoms. My primary focus is on balancing the doshas—Vata, Pitta, and Kapha—through individualized treatment plans that include herbal medicines, therapeutic diets, and lifestyle modifications. I believe that healing begins with alignment, and I work closely with my patients to bring the body, mind, and spirit into harmony using personalized, constitution-based interventions. Whether managing chronic conditions or guiding preventive health, I aim to empower patients through Ayurvedic wisdom, offering not just relief but a sustainable path to well-being. My practice is rooted in authenticity, guided by classical Ayurvedic texts and a strong commitment to ethical, patient-centered care. I take pride in helping people achieve long-term health outcomes by integrating ancient knowledge with a modern, practical approach. Through continuous learning and close attention to every detail in diagnosis and treatment, I strive to deliver meaningful, natural, and effective results for all my patients.
42 days ago
5

Hello, It is good to know that you are already doing yoga quite regularly. Please add pranayama and meditation on daily basis(not 5 days a week) Hydrate yourself well and maintain a good sleep routine. Start having early dinner(before 0630PM) with raw vegetable salad and soup(as metabolism slows down, it is better to have light dinner). I hope your lipid profile is normal. Take care. Kind regards.

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You can start on Strirasayana vati -one tablet twice daily after food with warm water Shatavari churna-teaspoon with warm milk at night

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HELLO SEN,

Perimenopause is the natural transition phase before menopause, usually starting in your 40s. It can last several years, and during this time your hormone levels (especially estrogen and progesterone) start fluctuating , causing physical and emotional symptoms.

COMMON SYMPTOMS -irregular or missed periods- like yours every 4-5 months -weight gain-especially around the abdomen - hot flashes and night sweats - mood swings, anxiety, irritability -sleep problems - vaginal dryness - fatigue, low energy - brain fog, poor memory

Ayurveda explains this phase as a Vata-Pitta imbalance, mainly affecting the Rasa(plasma) and Artava(reproductive) dhatus (tissues). Aging increases vata dosha, which causes irregularity, dryness, and instability. Hormonal fluctuations increase pitta, leading to hot flashes, irritability, and emotional issues

DOSHA INVOLVEMENT -VATA-> irregular cycles, anxiety, dryness, sleep issues -PITTA-> hot flashes, anger, irritability -KAPHA-> weight gain, sluggishness

TREATMENT GOAL -balance vata and pitta doshas -stabilise hormones naturally -nourish reproductive tissues(artava dhatu) - improves digestion and detoxify gently -promote restful sleep and mental calm -support weight management naturally

INTERNAL MEDICATIONS

1) RAJA PRAVARTINI VATI= 1 tab twice daily after meals with warm water for 2 months =supports menstrual regularity and balances hormones

2) ASHOKARISHTA= 2 tsp with equal water twice daily after meals for 3-6 months =balances estrogen, strengthens uterus and reduces bleeding issues

3) SHATAVARI KALPA= 1 tsp with warm milk at bedtime for 3 months =nourishes reproductive tissues, boosts estrogen naturally

4) SUKUMARAM KASHAYAM= 15ml with warm water twice daily before meals for 3 months =Balances Vata, relieves bloating, constipation, and hormonal discomfort

5) CHANDRAPRABHA VATI= 2 tabs twice daily after meals for 2 months = improves urinary and reproductive health, boosts energy

DIET TO BE FOLLOWED -warm, cooked foods- soups, stew,khichdi - whole grains= brown rice, quinoa, barley, millets -healthy fats= ghee, sesame oil, flaxseed oil -protein sources= mung dal, moog sprouts, tofu, soaked almonds -veggies= carrots, beets , pumpkin, ash gourd, spinach(cooked) -spices= cumin, coriander, fennel ,turmeric- helps inflammation -herbal teas= CCF tea(cumin-coriander-fennel), shatavari tea

AVOID STRICTLY -raw or cold foods -excess caffeine, alcohol, sugar -fried, spicy, sour, fermented foods -overeating or skipping meals

WHY DIET= because it pacifies vata and pitta, improves digestion, reduce inflammation, and supports hormonal balance

YOGA(gentle but concisely follow) -supta baddha konasana= hormone balancer -Setu Bandhasana= stimulates ovaries, relieves back pain -Viparita karani= relieves fatigue, improves blood flow -balasana= relaxes nervous system -Bhujangasana= strengthens spine, improves digestion

Do yoga 4-5 times/week. Avoid overheating or overly strenuous postures

PRANAYAM FOR HORMONE BALANCE -nadi sodhana= calms mind, balances hormones -bhramari= reduces anxiety, improves sleep -sheetali= helpful for hot flashes

5-10 minutes daily is enough. always practice on an empty stomach

STRESS AND MENTAL MANAEGEMENT stress worsens hormone imbalances -journaling thoughts every morning or night -listening to calming music(raag Yaman, soft flute) -Aromatherapy= use lavender ,sandalwood oil -say affirmations= :“MY BODY IS STRONG. MY HORMONES ARE BALANCING”

HOME REMEDIES

1) FLAX SEED POWDER -1 tsp daily with warm water or in smoothies =contain phytoestrogen (natural oestrogen-like compounds)

2) ALOE VERA JUICE -10 ml daily in morning =cleanses uterus, regulates hormones

3) FENUGREEK SEEDS -soak 1 tsp overnight, eat in morning =improves digestion, balances hormones, reduces weight

4) SESAME SEEDS -rich in calcium and natural estrogen, roast and eat 1 tsp daily

WHAT TO EXPECT AND HOW TO STAY POSITIVE -perimenopausal is a natural transition, not a disease.It’s your body preparing for a new phase of balance -Many women thrive during and after this phase once their routine supports hormone health -Be gentle with yourself. some days will feel off-that’s normal -Ayurveda treats root cause, not just symtoms

BE PATIENT- HEALING TAKES 3-6 MONTHS

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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You can take cap. Evanova 1-0-1 after food with water Brahmi vati 1-0-1 after food with water Since metabolism also gets changed, becomes slower at this stage, easy weight gain occurs You will have to follow low calorie diet. Brisk walking atleast 30 mins daily. Do pranayam lom -vilom bhastrika bhamri kapalbhati daily 5-10 minutes twice.

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Hi avoid spicy masala foods, pickles,junk foods Add more fruits cooling to body. Do pranayama, sethubandhasana pavamuktasana ushtarasana suryanamaskara. Guluchyadi kashayam 15ml twice daily before food diluted with 45ml Luke warm water Saribadyasava 30 ml twice daily after food Woman fourt plus powder 1-2 tsp with milk Pancharavindachoornam1-2 tsp with milk at night Stay hydrated Do full body workouts Thankyou

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Hello sen , You’re 43 and entering the perimenopausal phase, which is a natural transition but can cause significant hormonal shifts irregular periods, weight gain, mood changes, fatigue, and changes in metabolism. Despite your healthy lifestyle with yoga and home-cooked food, these changes occur due to gradual depletion of estrogen and ojas (vital essence), along with Vata and Pitta aggravation.

In Ayurveda, this stage is called “Rajo-nivritti avastha”, and it needs gentle balancing, nourishment, and hormonal rhythm restoration — not suppression.

Internal medication (8 weeks minimum):

Sukumaram Kashayam – 15 ml with 45 ml warm water before food, twice daily Ashokarishta – 20 ml + 20 ml water after meals twice daily (to regulate periods and tone uterus) Shatavari Gulam – 1 tsp with warm milk at bedtime (improves estrogenic support, calms system) Ashwagandha Churna – ½ tsp with milk in the morning (for strength, mood, and metabolism) Punarnavadi Mandooram – 1 tablet twice daily if fatigue or water retention is present

2. External Therapies : Abhyanga – Full body massage 3–4 times/week with Ksheerabala Taila or Dhanwantaram Taila Nasyam – Anu Tailam 2 drops in each nostril every morning (after tongue cleaning and oil pulling) Basti – Monthly Matra Basti (medicated oil enema) if constipation, dryness, or Vata symptoms are strong

Cow ghee, warm soups, cooked greens, beetroot, sesame seeds Cooked moong dal, red rice, barley Turmeric, jeera, methi, and coriander in meals Dates, figs, raisins (soaked overnight) Herbal tea: Shatavari + Licorice + Dry ginger

Cold foods, carbonated drinks, excess raw food Excessive sour/spicy foods (disturbs Pitta) White sugar, maida, bakery foods Late meals and irregular timings Alcohol frequency should be minimal during this phase

Practice Bhramari and Nadi Shodhana pranayama every morning Yoga poses like Paschimottanasana, Supta Baddha Konasana, Viparita Karani are ideal Maintain strict sleep hygiene asleep by 10:30 PM Stay emotionally connected and reduce screen exposure after sunset

Tests (If Not Done): Serum FSH & LH Estradiol TSH Vitamin D3 HbA1c (to monitor metabolism)

You don’t need to fear menopause. It is a second spring when supported well. With Ayurvedic rhythm, nourishment, and a little structure your hormones can settle smoothly, your weight can rebalance, and your energy can be restored.

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

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Dr. Khushboo
I am a dedicated Ayurvedic practitioner with a diverse foundation in both modern and traditional systems of medicine. My journey began with six months of hands-on experience in allopathic medicine at District Hospital Sitapur, where I was exposed to acute and chronic care in a high-volume clinical setting. This experience strengthened my diagnostic skills and deepened my understanding of patient care in an allopathic framework. Complementing this, I have also completed six months of clinical training in Ayurveda and Panchakarma, focusing on natural detoxification and rejuvenation therapies. During this time, I gained practical experience in classical Ayurvedic treatments, including Abhyanga, Basti, Shirodhara, and other Panchakarma modalities. I strongly believe in a patient-centric approach that blends the wisdom of Ayurveda with the clinical precision of modern medicine for optimal outcomes. Additionally, I hold certification in Garbha Sanskar, a specialized Ayurvedic discipline aimed at promoting holistic wellness during pregnancy. I am passionate about supporting maternal health and fetal development through time-tested Ayurvedic practices, dietary guidance, and lifestyle recommendations. My approach to healthcare emphasizes balance, preventive care, and customized wellness plans tailored to each individual’s constitution and health goals. I aim to create a nurturing space where patients feel heard, supported, and empowered in their healing journey. Whether treating seasonal imbalances, supporting women’s health, or guiding patients through Panchakarma therapies, I am committed to delivering care that is rooted in tradition and guided by compassion.
42 days ago
5

Simple Remedies

1. Take 4gm of powders of Ashwagandha, Asparagous recemosus(shatavari) Tinospora cordifolia(giloy) , fenugreek, Saraca indica.

2. Take triphala, Asparagus recemosus, Saraca indica and Tribulus terrestris.

pishti-100mg

Diet and Lifestyle

ment, Rasayana,

Pathya: Nutritious food, milk and ghee, carrot, wheat grass juice, soya protein, meat soup, fish, cod liver oil, seafood, green vegetables-methi,spinach, green onions, exercise, weight bearing exercise especially walking and climbing stairs.

Apathya: Kashaya, Amla, Lavana rasa, abhishyandi, Vidahi Ahara.

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In pre menopause follow guidelines and management:-

Divya nari kanti tab=2-2 tab before meal twice daily

DASHMOOLARIST=3-3 tsp twice daily after meal with same amount of water

Do yoga=konsana/TITLIASNA/vazrasana/kapalbhati/anulom vilom bhramri Pranayam…

AVOID sour/fermented/packed food

You can cured eaisly

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Hello

Firstly avoid oil fried items, processed foods, carbonate juices, coffee and tea, sweet,

Try to take vegetables and green leafy vegetables Avoid rice in night time. Increase vegetables and pulses and cereals portion in meal. Finish your dinner within 7:30 p.m. No fruit juice only can fruits.

Take soya milk without sugar weekly twice for 2 weeks then continue for one month weekly one time better to take soya milk without sugar.

1) tab menosan 1-0-1 after food 2) cap stresscom 1-0-1 after food

Everyday walk at least 30-45 minutes.

240 answered questions
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Do meditation for 10 to 15 minutes everyday by chanting Om Mantra.

The symptoms will reduce within 15 days. If any doubt consult me.

Thank you

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Perimenopause period is in around menopause. It usually starts at 40 and may last for 4-10 years.

Perimenopausal period may vary depending on hereditary factors, nature, body constitution, mental status, stress levels, working condition, country of residence etc.

Advice -Active lifestyle, exercise, hobbies

Engage yourself in one or the other activity to keep yourself busy. By this, your body and mind will be engaged, which is very important for physical and mental health. Reading books, social service, interaction with family and friends, listening to music, mind games with family members or members of ladies club etc. are few of the ways to keep the mind occupied.

Visit to religious centers (according to ones liking), early morning walk for 15-20 minutes, outdoor games, charitable works.

oil massage everyday especially foot massage with sesame oil

Avoid alcohol

Recommended diet

A diet rich in calcium green leafy vegetables, cabbage, soya food, lady finger, beans, almonds, sesame seeds, flax seed. garlic, basil

A diet rich in iron- cooked beans, cereals, pumpkin seed, carrot, dates, sesame seed, chickpeas, peanuts, pecans, walnuts, pistachios, roasted almonds, roasted cashews, or sunflower seeds, raisins, peaches, or prunes, spinach, bread, A variety of fruits and vegetables.

Include a teaspoon of ghee in diet. It promotes memory and concentration.

Foods to avoid

Avoid high amounts of fried foods, oils.

Avoid excess salt intake.

Avoid sugar, if you can.

If you are suffering from hot flashes, avoid excess spicy foods and coffee.

Ayurvedic medicines which will help you to manage the symptoms and get rid of perimenopause

Tab Chandraprabha vati 2 tablet 2 times a day before food

Ashokaristha 20 ml with 100 ml water 2 times a day after food

Praval panchamrit tab 1 tablet 2 times a day after food

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Hi sen This is Dr Vinayak as considering your problem…as already know perimenopause symptoms… Only life style changes is more then enough to balance bcz it is completely stop by at the age of 45 yrs

* Have proper sleep… * Do exercise and yoga

Rx- varunadi kashaya 10ml twice before food. Chandraprabha vati 1-0-1after food

236 answered questions
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Perimenopause marks a transition and can come with various symptoms influenced by doshic imbalances in Ayurveda. Based on your lifestyle and symptoms, vata and pitta doshas might need balance. Your irregular periods and weight gain indicate these imbalances. To begin with, focus on regularizing your meals. Eating at the same times each day supports agni, or digestive fire, crucial for maintaining metabolism. Opt for warm, cooked foods that are easier on digestion. Include grounding foods like whole grains (oats, rice) and cooked veggies (squash, sweet potatoes). Reduce raw and cold foods which might aggravate vata.

Your yoga practice can be adjusted to include more calming poses and breathing exercises like Nadi Shodhana (alternate nostril breathing) which helps in balancing the nervous system and reducing stress hormones, a hidden factor sometimes in weight gain. As for lifestyle tips, ensure at least 7-8 hours of restful sleep; this supports hormonal balance. Regularize sleep patterns by going to bed and waking up around the same time daily.

Consume herbs like Ashwagandha or Shatavari, traditionally known to support hormonal balance. Shatavari, in specific, helps balance heat in the body due to its cooling properties. Deal with emotions directly—journaling or meditating helps. Avoid excessive alcohol, as it impacts liver function crucial in hormonal regulation.

You may also consider a regular Abhyanga, a self-massage with warm sesame oil, which is calming and helps promote circulation. However, if excessive fatigue, mood swings or other intense symptoms occur, it’s wise to consult an Ayurvedic practitioner or seek medical advice, ensuring you’re on the right track.

1742 answered questions
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Perimenopause involves a variety of symptoms due to shifting hormones, and managing it requires a focus on balancing doshas and supporting your body’s changes. Given your symptoms, we want to prioritize stabilizing vata and pitta doshas, which often fluctuate during this phase of life.

Start with diet, emphasizing warm, cooked foods that are nourishing and easy to digest. Incorporate foods like ghee, whole grains, root vegetables, and sesame seeds to bolster agni and pacify vata. Limit cold, raw foods and avoid excessively spicy foods to balance pitta.

Herbal support can be beneficial. Consider using Ashwagandha for its adaptogenic properties, which help in managing stress and energy levels. A decoction of Shatavari is also recommended, supporting hormonal balance and reproductive health.

Since you practice yoga, focus on gentle poses like forward bends and warriors that enhance relaxation and stability. Regular pranayama, especially Nadi Shodhana and cooling breaths, can help maintain emotional balance.

Stay hydrated but moderate alcohol intake, as it can disrupt natural hormone metabolism. Keeping regular sleep patterns can also help in calming the mind and rejuvenating the body’s systems.

Since this condition relates to hormonal changes, it’s crucial to keep in touch with your healthcare provider. Regular check-ups can ensure there are no other underlying conditions affecting your health, and it avoids complications. If symptoms change or worsen, seek medical advice to properly address concerns.

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Dr. Hemanshu Mehta
I’m Dr. Hemanshu, a second-year MD scholar specializing in Shalya Tantra (Ayurvedic Surgery), with a focused interest in para-surgical interventions such as Agnikarma, Viddhakarma, and Kshara Karma. My academic and clinical journey is rooted in classical Ayurvedic surgical wisdom, complemented by a modern understanding of patient care and evidence-based approaches. With hands-on training and experience in managing chronic pain conditions, musculoskeletal disorders, hemorrhoids, fistula, and other ano-rectal conditions, I provide treatments that emphasize both relief and long-term wellness. I am deeply committed to offering individualized treatment plans that align with the patient’s prakriti (constitution), disease progression, and lifestyle factors. I believe healing is not limited to procedures alone; it also requires compassion, communication, and continuity of care. That’s why I ensure each patient receives personalized guidance—from diagnosis and therapy to post-treatment care and preventive strategies. I also incorporate Ayurvedic principles like Ahara (diet), Vihara (lifestyle), and Satvavajaya (mental well-being) to promote complete healing and not just symptomatic relief. Whether it's managing complex surgical cases or advising on conservative Ayurvedic therapies, my goal is to restore balance and improve the quality of life through authentic, safe, and holistic care. As I continue to deepen my clinical knowledge and surgical acumen, I remain dedicated to evolving as a well-rounded Ayurvedic practitioner who integrates traditional practices with modern sensibilities.
34 days ago
5

HELLO SEN,

Perimenopause is a natural phase, and managing it with ayurvedic approach can be very effective- especially since you’re already practicing yoga and eating home-cooked meals.

Perimenopausal is usually associated with vata and pitta imbalances, leading to symptoms such as -irregular periods -weight gain -hot flashes -mood swings -insomnia or fatigue -vaginal dryness

DIETARU GUIDELINES

1) FAVOUR WARM, NOURISHING FOODS -cooked vegetables , khichdi, soups or porridge -include ghee, olive oil, sesame oil-helps balance vata

2) HORMONE BALANCING HERBS AND SPICES -Turmeric= anti inflammatory -Fenugreek=balance estrogen -Shatavari= top ayurvedic herb for female hormone balance -Ashwagandha= adaptogen, supports adrenals and mood

3) LIMIT OR AVOID -cold,raw or dry foods- they aggravate vata -caffeine , processed sugar, excess alcohol -too much spicy or sour foods -aggravates pita

4) HELPFUL ADDITIONS -soaked almonds and walnuts daily -herbal teas= licorice root tea, fennel tea, or cumin coriander fennel tea -add flaxseeds -phytoestrogens

LIFESTYLE

1) DAILY ROUTINE -wake up early -oil massage with warm sesame oil -gentle yoga and pranayam-nadi sodhana, bhramari -meditation=5-10 min to reduce cortisol and stress

2) SLEEP HYGIENE -go to bed before 10 pm -avoid screens 1 hour before bed -warm turmeric milk with nutmeg helps sleep

3) ALCOHOL -occaional is okay, but reduce frequency

AYURVEDIC FORMULATION FOR PERIMENOPAUSAL

-SHATAVARI= 3 parts- hormonal balace, uterine support, cooling -ASHWAGANDHA= 2 parts- reduces stress, supports energy and thyroid -LODHRA= 2 parts- regulates menstruation, tones uterus -BALA= 1.5 parts- strengthens reproductive tissue, anti-vata -YASHTIMADHU= 1 part- soothes dryness, balances pitta -GUDUCHI= 1 part- detox, supports immunity and liver -TRIPHALA= 1 part- digestion, mild detox, prevents weight gain -DASHMOOLA= 1 part-deep vata balancing relieves fatigue and joint issues

ADD 1/2 part of praval pishti if experiencing hot flashes, night sweats or insomnia

take 1/2 tsp daily twice with warm milk in morning and before bed

ADDITIONAL SUGGESTIONS

DETOX= A gentle seasonal cleanse or panchakarma can balance hormones and improve metabolism

MONITOR THYROID= hypothyroidism can mimic or worsen menopause symptoms.

DAILY WALK = 30-45 minutes after dinner

THANK YOU

DR. HEMANSHU MEHTA

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I am an Ayurvedic physician with an MD from AIIMS—yeah, the 2008 batch. That time kinda shaped everything for me... learning at that level really forces you to think deeper, not just follow protocol. Now, with 15+ years in this field, I mostly work with chronic stuff—autoimmune issues, gut-related problems, metabolic syndrome... those complex cases where symptoms overlap n patients usually end up confused after years of going in circles. I don’t rush to treat symptoms—I try to dig into what’s actually causing the system to go off-track. I guess that’s where my training really helps, especially when blending classical Ayurveda with updated diagnostics. I did get certified in Panchakarma & Rasayana therapy, which I use quite a lot—especially in cases where tissue-level nourishment or deep detox is needed. Rasayana has this underrated role in post-illness recovery n immune stabilization, which most people miss. I’m pretty active in clinical research too—not a full-time academic or anything, but I’ve contributed to studies on how Ayurveda helps manage diabetes, immunity burnout, stress dysregulation, things like that. It’s been important for me to keep a foot in that evidence-based space—not just because of credibility but because it keeps me from becoming too rigid in practice. I also get invited to speak at wellness events n some integrative health conferences—sharing ideas around patient-centered treatment models or chronic care via Ayurvedic frameworks. I practice full-time at a wellness centre that’s serious about Ayurveda—not just the spa kind—but real, protocol-driven, yet personalised medicine. Most of my patients come to me after trying a lot of other options, which makes trust-building a huge part of what I do every single day.
4.95
20 reviews
Dr. Anirudh Deshmukh
I am Dr Anurag Sharma, done with BAMS and also PGDHCM from IMS BHU, which honestly shaped a lot of how I approach things now in clinic. Working as a physician and also as an anorectal surgeon, I’ve got around 2 to 3 years of solid experience—tho like, every day still teaches me something new. I mainly focus on anorectal care (like piles, fissure, fistula stuff), plus I work with chronic pain cases too. Pain management is something I feel really invested in—seeing someone walk in barely managing and then leave with actual relief, that hits different. I’m not really the fancy talk type, but I try to keep my patients super informed, not just hand out meds n move on. Each case needs a bit of thinking—some need Ksharasutra or minor para surgical stuff, while others are just lifestyle tweaks and herbal meds. I like mixing the Ayurved principles with modern insights when I can, coz both sides got value really. It’s like—knowing when to go gentle and when to be precise. Right now I’m working hard on getting even better with surgical skills, but also want to help people get to me before surgery's the only option. Had few complicated cases where patience n consistency paid off—no shortcuts but yeah, worth it. The whole point for me is to actually listen first, like proper listen. People talk about symptoms but also say what they feel—and that helps in understanding more than any lab report sometimes. I just want to stay grounded in my work, and keep growing while doing what I can to make someone's pain bit less every day.
0 reviews
Dr. Maitri Bhavesh Kumar Acharya
ChatGPT said: I am Dr. Maitri, currently in my 2nd year of MD in Dravyaguna, and yeah, I run my own Ayurvedic clinic in Ranoli where I’ve been seeing patients for 2 years now. Honestly, what pulled me into this path deeper is how powerful herbs really are—when used right. Not just randomly mixing churnas but actually understanding their rasa, virya, vipaka etc. That’s kinda my zone, where textbook knowledge meets day-to-day case handling. My practice revolves around helping people with PCOD, acne, dandruff, back pain, stiffness in knees or joints that never seem to go away. And I don’t jump to giving a long list of medicines straight away—first I spend time figuring out their prakriti, their habits, food cycle, what triggers what… basically all the small stuff that gets missed. Then comes the plan—herbs (single or compound), some diet reshuffling, and always some lifestyle nudges. Sometimes they’re tiny, like sleep timing. Sometimes big like proper seasonal detox. Being into Dravyaguna helps me get into the depth of herbs more confidently. I don’t just look at the symptom—I think okay what guna will counter this? Should the drug be snigdha, ushna, tikta? Is there a reverse vipaka that’ll hurt the agni? I ask these questions before writing any combo. That’s made a huge diff in outcomes. Like I had this case of chronic urticaria that would flare up every week, and just tweaking the herbs based on sheetala vs ushna nature... helped calm the system in 3 weeks flat. Not magic, just logic. I also work with women who are struggling with hormonal swings, mood, delayed periods or even unexplained breakouts. When hormones go haywire, the skin shows, digestion slows, and mind gets foggy too. I keep my approach full-circle—cleansing, balancing, rejuvenating. No quick fixes, I tell them early on. What I’m hoping to do more of now is make Ayurveda feel practical. Not overwhelming. Just simple tools—ahara, vihara, aushadha—used consistently, with some trust in the body’s own healing. I’m still learning, still refining, but honestly, seeing people feel in control of their health again—that’s what keeps me rooted to this.
5
217 reviews
Dr. Hemanshu Mehta
I am Dr. Hemanshu—right now a 2nd year MD scholar in Shalya Tantra, which basically means I’m training deep into the surgical side of Ayurveda. Not just cutting and stitching, btw, but the whole spectrum of para-surgical tools like Agnikarma, Viddhakarma, and Kshara Karma... these aren’t just traditional, they’re super precise when done right. I’m not saying I know everything yet (still learning every day honestly), but I do have solid exposure in handling chronic pain issues, muscle-joint disorders, and anorectal conditions like piles, fissures, fistulas—especially where modern treatments fall short or the patient’s tired of going through loops. During clinical rounds, I’ve seen how even simple Kshara application or well-timed Agnikarma can ease stuff like tennis elbow or planter fasciatis, fast. But more than the technique, I feel the key is figuring what matches the patient’s constitution n lifestyle... like one-size-never-fits-all here. I try to go beyond the complaint—looking into their ahar, sleep, stress levels, digestion, and just how they feel in general. That part gets missed often. I honestly believe healing isn’t just a “procedure done” kind of thing. I try not to rush—spend time on pre-procedure prep, post-care advice, what diet might help the tissue rebuild faster, whether they’re mentally up for it too. And no, I don’t ignore pathology reports either—modern diagnostic tools help me stay grounded while applying ancient methods. It’s not this vs that, it’s both, when needed. My aim, tbh, is to become the kind of Ayurvedic surgeon who doesn't just do the work but understands why that karma or technique is needed at that point in time. Every case teaches me something new, and that curiosity keeps me moving.
5
141 reviews
Dr. Suchin M
I am someone who’s honestly just really drawn to how deep Ayurveda goes—like really deep—not just treating what’s showing on the surface but getting into what’s actually causing it underneath. I really believe that even those complicated lifestyle diseases, stuff like diabetes or BP or obesity that people think they’ll just have to live with forever, can totally be managed with Ayurvedic principles. Not magically or overnight, but through proper diagnosis, diet tweaks, daily habits, and herbs that actually work if you use them right. That’s the part I focus on—making Ayurveda work practically, not just in theory. After finishing my BAMS, I’ve worked with chronic conditions for over a year now in clinical setups. Mostly patients dealing with long-term stuff that doesn’t go away with one pill—usually the kind of disorders rooted in stress, wrong food choices or too much sitting. I’ve seen that if you really listen first, like actually listen—hear their story, feel where they’re coming from—half the work’s already done. Then when you assess their Prakriti, figure out where the doshas are out of balance, and connect that with their history (plus any modern test reports they might bring), it gives you this full picture that’s so valuable. My treatment plans aren't one-size-fits-all. Sometimes it’s about bringing agni back into balance. Sometimes just clearing aam helps. Most people are shocked that things like bloating or even periods issues can shift just by aligning food and herbs with their constitution. And if the case is acute or there’s a red flag, I have no problem referring for emergency allopathic care. Integrative care makes sense—Ayurveda doesn’t have to be isolated from modern medicine. My aim? It's not just to fix a symptom. I want people to feel at ease in their own body again. To build habits they don’t need to break later. To know their own rhythm, not just follow some generic health trend. That’s what Ayurvedic healing means to me... not perfect, but real.
5
11 reviews
Dr. Narendrakumar V Mishra
I am a Consulting Ayurvedic Physician practicing since 1990—feels strange saying “over three decades” sometimes, but yeah, that’s the journey. I’ve spent these years working closely with chronic conditions that don’t always have clear answers in quick fixes. My main work has been around skin disorders, hair fall, scalp issues, and long-standing lifestyle stuff like diabetes, arthritis, and stress that kinda lingers under everything else. When someone walks into my clinic, I don’t jump to treat the problem on the surface. I start by understanding their *prakriti* and *vikriti*—what they’re made of, and what’s currently out of sync. That lets me build treatment plans that actually *fit* their system—not just push a medicine and hope it works. I use a mix of classical formulations, panchakarma if needed, dietary corrections, and slow, practical lifestyle changes. No overnight miracle talk. Just steady support. Hair fall and skin issues often feel cosmetic from outside—but internally? It’s about digestion, stress, liver, hormones... I’ve seen patients try 10+ things before landing in front of me. And sometimes they just need someone to *listen* before throwing herbs at the problem. That’s something I never skip. With arthritis and diabetes too, I take the same root-cause path. I give Ayurvedic medicines, but also work with *dinacharya*, *ahar* rules, and ways to reduce the load modern life puts on the body. We discuss sleep, food timing, mental state, all of it. I’ve also worked a lot with people dealing with high stress—career burnout, anxiety patterns, overthinking—and my approach there includes Ayurvedic counseling, herbal mind support, breathing routines... depends what suits them. My foundation is built on classical *samhitas*, clinical observation, and actual time with patients—not theories alone. My goal has always been simple: to help people feel well—not just for a few weeks, but in a way that actually lasts. Healing that feels like *them*, not just protocol. That’s what I keep aiming for.
5
443 reviews
Dr. Surya Bhagwati
I am a Senior Ayurveda Physician with more than 28 years in this field — and trust me, it still surprises me how much there is to learn every single day. Over these years, I’ve had the chance to treat over 1 lakh patients (probably more by now honestly), both through in-person consults and online. Some come in with a mild cough, others with conditions no one’s been able to figure out for years. Each case brings its own rhythm, and that’s where real Ayurveda begins. I still rely deeply on classical tools — *Nadi Pariksha*, *Roga-Rogi Pariksha*, proper *prakriti-vikriti* mapping — not just ticking symptoms into a list. I don’t believe in ready-made cures or generic charts. Diagnosis needs attention. I look at how the disease behaves *inside* that specific person, which doshas are triggering what, and where the imbalance actually started (hint: it’s usually not where the pain is). Over the years I’ve worked with pretty much all age groups and all kinds of health challenges — from digestive upsets & fevers to chronic, autoimmune, hormonal, metabolic and degenerative disorders. Arthritis, diabetes, PCOD, asthma, thyroid... but also things like unexplained fatigue or joint swelling that comes and goes randomly. Many of my patients had already “tried everything else” before they walked into Ayurveda, and watching their systems respond slowly—but surely—is something I don’t take lightly. My line of treatment usually combines herbal formulations (classical ones, not trendy ones), Panchakarma detox when needed, and realistic dietary and lifestyle corrections. Long-term healing needs long-term clarity — not just short bursts of symptom relief. And honestly, I tell patients that too. I also believe patient education isn’t optional. I explain things. Why we’re doing virechana, why the oil changed mid-protocol, why we pause or shift the meds after a few weeks. I want people to feel involved, not confused. Ayurveda works best when the patient is part of the process, not just receiving instructions. Even now I keep learning — through texts, talks, patient follow-ups, sometimes even mistakes that taught me what not to do. And I’m still committed, still fully into it. Because for me, this isn’t just a job. It’s a lifelong responsibility — to restore balance, protect *ojas*, and help each person live in tune with themselves. That’s the real goal.
5
429 reviews

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