I have isoechoic lession found in my left adenexa....n t4level is 4.2, prolactin is 37....Iwant to conceive.....wht to do ...plzz guide... - #26202

hello riya sahu, From your reports and symptoms, it appears that you are experiencing a mild hormonal imbalance, with the following findings:

Prolactin: 37 ng/ml – slightly raised (normal upper range is ~25 ng/ml for women) T4: 4.2 – may be on the lower side (depending on lab reference) Ultrasound: 10 mm isoechoic lesion in left adnexa – possibly a small cyst or fibrotic tissue Irregular cycle length (25–30 days) with heavy bleeding and clots Minimal fluid in pelvis – usually self-resolving but indicates some local inflammation These suggest a subtle hormonal disturbance, possibly related to stress, underweight body constitution (krisha sharira in Ayurveda), and mild Apana Vata imbalance.

In Ayurveda, your case indicates:

Rasa-Rakta dhatu kshaya (weak nourishment of reproductive tissues) Apana Vata vitiation (irregular cycles, clots, delayed conception) Mild Agnimandya (digestive fire issue affecting hormones) You’re trying to conceive, so we aim at clearing any obstruction, nourishing the uterus (garbhashaya), and balancing hormones naturally.

medications (2–3 months) Please take these under guidance:

Ashokarishta – 15 ml with equal water after meals, twice a day Rajah Pravartini Vati – 1 tablet twice a day before meals (only from 5th to 14th day of cycle) Shatavari Kalpa – 1 tsp with warm milk at bedtime Kanchanar Guggulu – 2 tablets twice a day after meals (to reduce lesion/cyst) Sukumaram Kashayam – 15 ml + 45 ml warm water before meals, twice daily These help regulate periods, strengthen ovulation, reduce inflammation in the pelvic area, and promote healthy conception.

3. Diet and Lifestyle Foods to Include:

Warm, home-cooked food with ghee Soaked almonds, dates, sesame seeds Moringa leaves, beetroot, pomegranate, bottle gourd Turmeric milk at bedtime (1 pinch) Avoid:

Curd, cheese, bakery foods Excess tea/coffee, spicy or sour foods Cold water and refrigerated food Lifestyle:

Early morning sunlight exposure Light exercise or yoga: Baddha Konasana, Viparita Karani, Supta Baddha Konasana Avoid stress and late-night sleeping Maintain ideal weight (gain a little if underweight) 4. Optional Investigations (if needed later) LH, FSH, AMH (for ovarian reserve) Repeat prolactin after 1–2 months Check ovulation through follicular scan around Day 10–16 Partner semen analysis (basic fertility step) 5. Important Consoling Note Your body is already trying to balance itself — the periods are regular though slightly variable. The small lesion and high prolactin are manageable. With Ayurvedic support and calm lifestyle changes, your hormones can naturally come to balance, periods will become healthy, and conception is very much possible soon.

Please don’t worry. You are young, and things are not blocked — just gently imbalanced. We will work step by step.

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

Don’t worry, Start taking1.Sukumar kashayam 20ml with equal amount of Lukewarm water empty stomach twice in a day. 2.Ashokarishta 15 ml with equal amount of Lukewarm water just after having meal twice in a day. 3.shatavari powder 1tsf with Lukewarm milk twice in a day. 4.Tab. Aloes compound 1-0-1 Follow up after 45 days…

You will definitely get relief 😊

HELLO RIYA,

You are 27, married for 1.5 years, trying to conceive.

Your main concerns are 1) HORMONAL IMBALANCE -prolactine 37 ng/mL (normal <25) =high prolactin can block ovulation(egg release), making it harder to get pregnant

T4= 4.2 =slightly low thyroid function can also reduce fertility and disrupts periods

2)ADNEXAL ISOECHOIC LESION(10mm) -found in the left adnexa(near ovary/Fallopian tube) MAY BE -functional cyst-normal in cycles, goes away on its own -Endometriotic cyst may cause pain, infertility -inflammatory mass or tube-ovarian issue

3) MENSTRUAL IRREGULARITIES -cycles= 25-30 days, heavy flow with clots -shows uterine imbalance and incomplete cleansing

TREATMENT GOALS -Balance hormones= normalize prolactin and thyroid levels -Support ovulation= ensure mature egg is released monthly -Resolve lesion/cyst= naturally dissolve the mass or keep it under control -Regulate periods= make cycles regular, healthy, and pain free -Nourish uterus= improve endometrial lining for implantation -Strengthen fertility= build healthy reproductive tissue

PHASE WISE TREATMENT PLAN

PHASE 1= HORMONAL CORRECTION AND DETOX(1-2 MONTHS) GOAL=detoxify the body, balance hormones, remove toxins, reduce prolactin

1) KANCHANAR GUGGULU= 2 tabs twice daily after meals =shrinks cyst, balances kapha

2) VARUNDAI KASHAYA= 20 ml with warm water twice daily before meals =helps reduce masses and improve pelvic circulation

3) BRAHMI VATI= 1 tab twice daily in morning and at night =calms mind, lowers stress related prolactin

4) AVIPATIKAR CHURNA= 1 tsp with warm water at bedtime -mild digestive detox, clean toxins

5) TRIKATU CHURNA= 1/4 tsp with honey before meals twice daily =boosts metabolism

DETOX= Castor oil (2 tsp in warm milk ) one a week at bedtime cleanses pitta toxins

PHASE 2= MENSTRUAL REGULATION AND CYST MANAGEMENT(FROM 2ND MONTH TO 3RD MONTH) GOAL= improve blood flow, reduce clots, balance pitta and vata in uterus

1) ASHOKARISHTA= 20 ml twice daily with water before meals =strengthens uterus , controls bleeding, regulate hormones

2) RAJAPRAVARTINI VATI= 1 tab twice daily before meals (start 7 days before expected date ) and stop during periods =regulates cycles, reduces clotting

3) DASHMOOLA KASHAYA= 20 ml twice daily after meals with water =reduces pelvic inflammation and pain

4) SHATAVARI KALPA-= 1 tsp at bedtime with warm milk =rebuilds reproductive tissue

PHASE 3= FERTILITY BOSTING AND OVULATION(after 3 rd month of above ) continue this from month 3- month 6 GOAL= improve egg quality, ovulation and chances of conception

1) PHAL GHRITA= 1 tsp with warm milk in morning empty stomach = medicated ghee for fertiltiy

2) PUTRANJEEVAK BEEJ CHURNA + SHIVLINGI BEEJ CHURNA= 1 tsp each with honey or warm water twice daily aftermeals =traditionally used to improve ovulation and conception chances

3) SHATAVARI + ASHWAGANDHA+ VIDARI+ GOKSHURA= mix all and take 1 tsp daily with warm milk at night

NASYA= daily 3 drops of Anutaila in each nostril empty stomach in morning =balance hormones through brain-pitutatry axis

PHASE 4= CONCEPTION SUPPORT AND POST CONCEPTION CARE GOAL= time intercourse well, prepare uterine lining, protect early pregnancy

-OVULATION TRACKING= use ovulation strips or monitor cervical mucus(sticky clear like egg white=fertile days) -TIMING= intercourse every alternate day from day 11 to day 17 of your cycle -Continue shatavari, phal ghrita -After conception switch to gabhapal ras, Sukumar kashaya under guidance

DIET RECOMMENDATIONS

AVOID -cold foods/drinks- ice cream, fridge food or water -excess caffeine- tea/coffee -junk food, fried items, bakery -heavy pulses-chana, Sajna, urad dal if bloating -refined sugar and white flour

INCLUDE -ghee=2 tsp/day = lubricates body, nourishes fertility -milk with shatavari kalpa at bedtime -moong dal khichdi, soups, soft cooked vegetables

FERTILITY FRIENDLY SEEDS -soaked sesame seeds(black), soaked almonds -1 tsp of soaked fenugreek in morning= reduces clots, boosts cycle -fennel water or cumin coriander fennel tea daily

YOGA ASANA = Do gently during non period days only -baddhakonasana= opens pelvic region -viparita karani= improves uterine circulation -Setu Bandhasana= strengthens pelvic floor -bhujangasana= stimulates ovaries -Ustrasana= improves hormonal balance

PRANAYAM= practice 15-20 mins after yoga -Nadi sodhana= balances hormones, calms nervous system -Bhramari=reduce stress, helps with prolactin -Sheetali= useful in pitta high anger, bleeding

HOME REMEDIES -ajwain water 1 tsp ajwain boiled in water=reduces pain, improves digestion -feenel or coriander tea= reduces excessive pitta and bleeding -sesame ladoo with jaggery= nourishing and menstrual supportive -Warm castor oil massage on lower belly 3-4 days before periods- helps clean uterus

LIFESTYLE CHANGES

DO’S -wake up early by 7 am -early dinner by 7 pm-light -regular mild exercise -gentl walks post meals -positive mindset, avoid stress

DON’TS -avoid sleeping during day -avoid late night dinners -no high intensity workouts or long fasting -avoid long sitting without movement -avoid screens time before bed

MENTAL AND EMOTIONAL WELLNESS -stress is a major cause of hormonal imbalance -practice gratitude, self affirmations, and limit comparison with others -talk openly with your spouse- mental support is crucial -practice meditation and chanting “OM” or listening to calming music

RECHECKS TO DO EVERY 2-3 MONTHS -tsh,t4,t3 -prolactin -pelvic ultrasound -day 21 serum progesterone= confirms ovulation

FINALLY

Yes, you can conceive naturally with right holistic treatment… Many women in similar situations have conceived within 6-9 months of Ayurvedic treatment, especially with dedication to diet, lifestyle and medications

MOST IMPORTANT THINGS YOU CAN DO -reduce stress -balance hormones with medications -supports digestion -follow clean uterine practices -track ovulation and time intercourse wisely

ALSO CAN GO FOR PANCHAKARMA -UTTAR BASTI= best effective for conception

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Take tablet M2TONE 1-0-1 after food with water, This will balance your hormones. Phalgrith 2tsp twice daily before food with warm milk. This will improve your fertility. Do pranayam lom -vilom kapalbhatti twice daily. Be stress free and relaxed. Should have adequate sleep.

To address your concerns and enhance your fertility, it’s essential to take a holistic approach in alignment with Ayurveda. An isoechoic lesion in the left adnexa and elevated prolactin levels need attention. Since you mentioned a variable menstrual cycle with heavy bleeding, we need to focus on balancing your hormonal levels and strengthening the reproductive system as per Ayurvedic wisdom.

First, your thin body type might indicate a Vata-dominant prakriti. Vata imbalance can often lead to irregular cycles, so focus on grounding and nourishing your body. Start with your diet; consume cooked, warm meals that are rich in healthy fats, like ghee, which can balance Vata. Include freshly cooked grains, root vegetables, and well-cooked greens. Avoid cold and raw foods as they can increase Vata dosha.

For managing prolactin and T4 levels, incorporate herbs like Ashwagandha and Shatavari in your daily regimen. Ashwagandha has adaptogenic properties that help manage stress, which can improve hormonal balance, while Shatavari nourishes the female reproductive system. Take Shatavari powder with warm milk in the mornings and evenings.

Practicing a daily self-abhyanga (oil massage) with sesame oil can help pacify Vata and improve circulation, aiding in regularity and reducing clots during menstruation. A relaxed mind also contributes to a balanced hormonal state, so engage in Yoga practices focusing on calming postures and pranayama, such as Anulom Vilom, that balances the mind and body.

Hydration is crucial; drink plenty of water, and include herbal teas with ginger and cinnamon which can enhance digestive fire, essential for proper hormone metabolism.

Minimize stressors, and establish a regular sleep routine, turning off screens at least an hour before bed to ensure restful sleep. This helps in stabilizing your bodily systems.

Consult with a healthcare professional regarding the adnexal lesion, as this requires appropriate medical guidance. Ayurveda can complement these medical treatments to optimize your reproductive health.

Stay committed consistently, as these changes can take a few cycles before you might see significant differences. But patience and persistence is key when harmonizing your body’s natural rhythms.

For your situation, it’s important to approach both your reproductive health and hormonal balance together. You’re dealing with a few different imbalances, so let’s take a look at each with a Siddha-Ayurvedic perspective.

An isoechoic lesion in the left adnexa might indicate an imbalance in your reproductive system. In Ayurveda, this could relate to a disturbance in Vata and Pitta doshas, affecting the rasa and rakta dhatus (blood tissue energy dynamics). To help balance these, consider incorporating more grounding and calming practices into your daily life. This means eating warm, nourishing foods such as kitchari, warm milk with a dash of turmeric and ashwagandha, and ghee to aid in lubrication and balance.

The irregular menstrual cycle suggests a possible Vata imbalance. Abhyanga, an oil massage, using sesame oil before bathing can be calming and restoring. Herbal teas made from fennel and cumin can also aid digestion and metabolic fire (Agni), making periods smoother and less painful. As for your T4 and prolactin levels, they indicate a need to stabilize your thyroid and hormonal health. Ashwagandha and Shatavari are classical herbs that support the endocrine system, promoting reproductive health.

To optimize chances of conception, try to maintain a regular daily routine, with consistent sleep and meal times, as erratic schedules can further aggravate Vata. Yoga and pranayama (breathing exercises), especially ones promoting pelvic circulation like baddha konasana (butterfly pose), can be very beneficial.

However, it’s crucial not to neglect conventional medical advice here, particularly regarding the adnexal lesion and hormone levels. Consulting with an integrated healthcare provider or specialist for these findings would ensure a comprehensive approach covering all necessary safety and health considerations.