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