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How to manage perimenopause symptoms?
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Question #26147
12 hours ago
53

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
Perimenopause
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Doctors’ responses

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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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.
10 hours 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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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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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 , 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.
3 hours 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 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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