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how to treat perimenopause/ menopause symptoms
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Gynecology and Obstetrics
Question #26398
22 hours ago
40

how to treat perimenopause/ menopause symptoms - #26398

Asha

Hi Doctor, My name is Asha I'm a 48-year-old woman living in Dar es Salaam, Tanzania. I've been having perimenopause symptoms for a couple of years now. It took me a long time to realise what I was suffering from. Below are things I have experienced thus far. 1. Last year I was diagnosed with a cyst on my left ovary, and I treated it using Sarsapilla tabs for 6 months. 2. My cycle became irregular a few years back, and I had to use Evening Primrose 1000mg every day to regulate it. 3. I get pain in my abdomen before I start my period and after I finish my period. If my period is delayed, I get a lot of pains, especially on my left side during those days that I should have had my period. 4. I haven't had my period for 3 months now after I stopped using Primrose Oil. 5. I have 3 calcified fibroids, gave birth once to a daughter, 13 years ago. 6. I'm using Seamoss, Co Enzyme 10, Omega 3, just started using collagen and menopause supplements. 7. I sleep well, I'm energetic, and I have maintained my weight. 8. had used Shilajit and stopped, wondering if it's safe to continue using it. 9. I walk 5 days a week about 2000 steps at least, but I average at 6000 to 8000 steps my contacts: a.rwambangulu@<link removed> Thank you, Doctor

Age: 48
Chronic illnesses: Fibroids
#perimenopause
#menopause
#ovarycyst
#fibroids
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Doctors’ responses

hello Asha, based on your symptoms irregular periods, past ovarian cyst, fibroids, and abdominal pain it looks like you're going through the natural shift of perimenopause. Your hormones are fluctuating, which is common in this stage, and it can cause pelvic discomfort, delayed periods, and mood or energy changes. You've done well managing with diet, supplements, and regular walking. Now, let's support your body gently with some Ayurvedic medicines that help regulate hormones, reduce fibroid/cyst-related symptoms, and balance your system. These will help without strong side effects. Treatment Plan: Ama Pachana (First 3 days) Hingvastak Churna – 1 tsp with warm water after food, twice a day Triphala Churna – 1 tsp at bedtime with warm water Medications (Start from Day 4 onward) Ashokarishta – 20 ml with equal water, twice daily after meals Kanchanar Guggulu – 2 tablets twice a day after food Shatavari Kalpa – 1 tsp with milk or warm water, morning and night Pradrantak Churna – ½ tsp twice a day with warm water These herbs can be continued for 3 months and reviewed after that. Let’s support your body as it transitions gently. Let me know how you feel in 2–3 weeks so we can review.
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Don't worry dear, Start taking, 1.Ashokarishta 20ml with equal amount of Lukewarm water just after having meal twice in a day. 2.Shatavari choorna 1tsf twice in a day with Lukewarm milk. 3.kanchnaar guggulu 2-0-2 for chewing 4.Syp.M2 tone 2 tsf twice in a day. Follow up after 1 month..
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Hey dear as per your symptoms all the symptoms seems vata aggrevation Lyfestyle modification is required. Start- Revital womens- one on alternate days Or Shilajeet caps- start one in alternate days for 1month. Maditation is good for you Diet & Lifestyle Avoid dairy, red meat, processed sugar – can aggravate fibroids. Add flax seeds (phytoestrogens) – 1 tsp ground per day. Focus on cruciferous vegetables, turmeric, ginger – help with hormone detox. Hydration is crucial – Seamoss helps, but add lemon water or cucumber-mint water.
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Hi asha this is Dr Vinayak as considering your problem..no need to worry maa. Just maintain regular diet and exercise Rx- T amycordil 2-0-2 after food Zymnet SYP 2tsp -0-2tsp before food T chandraprabhaa vati 1-0-1after food Take. These medicines will get relief from your problem
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Dr. Sanchi Damodhar
I am an Ayurvedic doctor with about 3 years of hands-on experience, mainly dealing with lifestyle disorders like PCOD, weight gain, diabetes, stress, and gut stuff—like bloating or weak digestion or just that feeling something’s off. I did my BAMS coz I was really drawn toward natural healing, not just the herbs part, but how everything connects—mind, food, sleep, mood... all of it. What I really try to focus on is not just giving medicine n sending people off. I like to understand what’s behind the symptoms... like why their metabolism’s slowed down or why they keep getting acidity despite eating less. That’s where my work with diet and mindset come in. I use Ayurvedic principles, yes, but I also mix it with small practical stuff—daily routines, sleep hygiene, stress release, food planning, whatever feels doable for that person. It’s not always about detoxes or strict regimens, though sometimes that helps too. Depends, really. I’ve seen good results when people actually get that they don’t need to do huge things. Just right guidance at the right time. I try to keep things light in consultation, make people feel heard, not rushed. I genuinely like when someone says “no one explained it to me like this before” — that feels nice. My whole approach is basically trying to make health feel natural again. Nothing fancy. Just rooted in the real Ayurvedic logic and a lot of listening. And yes, there’s trial and error sometimes, every case is different. But that’s what makes it kind of real. If you're dealing with any of those everyday-but-tiring health issues, I’ll do my best to figure it out with you—not just for now, but in a way that holds up longer term.
19 hours ago
5
Hlw Asha ji , Your Ayurvedic Profile (Initial Analysis) From your symptoms and constitution, you likely have an imbalance in Vata and Pitta doshas: Vata imbalance → irregular cycles, dryness, bloating, joint aches, disturbed digestion, anxiety. Pitta imbalance → inflammation, heavy bleeding (in some), heat, cysts, irritability. Goals of Ayurvedic Treatment: Balance Vata and Pitta Shrink fibroids and cysts Support hormonal health naturally Improve reproductive tissue (Artava Dhatu) Ease perimenopausal transition Ayurvedic Treatment Plan 1. Herbal Support These herbs can be taken as capsules or powders (churna), or in decoction (kwatha) form. Choose good-quality brands or work with a certified Ayurvedic practitioner locally. Herb Use Dosage Ashoka Balances female hormones, helps with fibroids and irregular bleeding 1 tsp powder or capsule twice daily Shatavari Rejuvenates the female system, balances Vata & Pitta, estrogenic support 500–1000 mg twice a day Lodhra Reduces cysts, supports uterus 1 tsp powder or capsule twice daily Kanchanara Guggulu Very good for fibroids, cysts, and hormone regulation 2 tablets twice daily after food Triphala Detox and digestion (clears excess estrogen, supports liver) 1 tsp at bedtime with warm water 2. Dietary Guidelines (Ahara) Favour: warm, cooked meals; mung dal, red rice, pumpkin, spinach, sesame, turmeric, beetroot Avoid: cold/raw foods, white sugar, red meat, caffeine (limit), processed foods, alcohol Use: Ghee (clarified butter) daily — 1 tsp in meals for hormone support Daily Herbal Tea: Boil 1 tsp cumin + 1 tsp coriander + 1 tsp fennel in 3 cups water → reduce to 1 cup → sip warm 3. Lifestyle (Vihara) Oil Massage (Abhyanga): 3x per week with warm sesame oil or castor oil (helps with fibroids and balances Vata) Castor oil pack on abdomen 2x per week (anti-inflammatory, helps shrink fibroids) Gentle yoga, meditation, and pranayama (breathing like Anulom-Vilom) daily Avoid excessive physical or emotional stress — rest is crucial Thank you !
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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.
17 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. 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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