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Gynecology and Obstetrics
Question #26398
103 days ago
368

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
300 INR (~3.51 USD)
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Doctors' responses

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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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.
103 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.

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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Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
102 days ago
5

Hello Asha Thank you for reaching this platform and sharing your health concerns, Wat you are going through is natural transition process during menopause Do not worry you can start on Asoka aristha- 4 teaspoon with equal quantity of water twice daily after food Kanchanar guggulu-one tablet twice daily after food with warm water Shatavari churna-half teaspoon with warm milk at night Continue walking, drink, plenty of fluids. Definitely, you will be seeing positive result within few weeks.

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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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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.
103 days 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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All your problem is related to pre menaupause Start Cap. Evanova 1-0-1 after food with water Shatavari ghanvati 1-0-1 after food with water Brahmi vati 1-0-1 after food with water, Do pranamyam daily 5-10mins bhastrika lom -vilom bhamri twice daily Learn Rajyoga meditation and practice daily

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HELLO ASHA,

You are likely in the perimenopausal or early menopausal stage, which is a natural transition that typically occurs between ages 45 and 55. During this time, hormones levels (mainly estrogen and progesterone) fluctuate before eventually decreasing. This leads to the symptoms you’re experiencing

COMMON CHANGES YOU DESCRIBED -irregular or stopped menstrual cycles -abdominal and pelvic Pai (before and after periods) -cysts on the ovary (like oestrogen-driven) -calcified fibroids (non cancerous growths in the uterus) -discomfort when periods are delay

In Ayurveda, this phase of life is called “Rajonivritti” (cessation of menstruation) and is usually dominated by Vata dosha- responsible for movement and nervous system activity. When Vata becomes imbalanced, it can cause -irregular cycles -pain -sleep problems -dryness -anxiety

Because you also have fibroids and cyst, kapha and pitta imbalances may also be involved. So, we aim to balance vata while clearing excess kapha/pitta

TREATMENT GOALS -Balance hormones= to regulate cycle and ease transition -reduce pain and inflammation= for better comfort and quality of life -shrink/maintain fibroid and cyst size= prevent further complications -improve overall vitality= support this new phase of life with strength -avoid unnecessary medications/surgery= as long as symptoms are manageable naturally

INTERNAL MEDICATIONS

1) SHATAVARI GRANULES= 2 tsp with milk twice daily in morning and night for 3 months =it balances female hormones and supply uterus

2) ASHWAGANDHA CAPSULES= 500mg capsule with milk at night for 3 months =calms stress, balances vata, improves sleep

3) KANCHANAR GUGGULU= 2 tabs twice daily after meals with warm water for 3 months =helps reduce fibroids and cysts

4) LODHRA + ASHOKA CAPSULES= 1 cap each twice daily after meals for 3 months =regulates menstruation reduces bleeding

5) PUNARNAVA MANDUR= 1 tab twice daily after meals for 3 months =reduces swelling and helps with blood purification

EXTERNAL TREATMENTS

1) OIL MASSAGE with DHANWANTARAM taila warm applied all over body daily =calms vata ,improves circulation, supports hormones

2) CASTOR OIL PACK ON ABDOMEN= warm castor oil applied to Lower abdomen, cover with cloth and hot water bottle for 30 mins for 2-3 times/week =reduces inflammation and helps with cysts/fibroid size

3) NASYA= instill 2 drops of ANU TAILA in each nostril in morning empty stomach daily =helps balance hormones and improves brain ovary signals

4) WARM SITZ BATH= sit in warm water infused with neem or turmeric for 2-3 times/week =eases pelvic congestion and improves blood flow

HOME REMEDIES YOU CAN USE EASILY

1) FENUGREEK. TEA= 1 tsp seeds boiled in water- balances hormones

2) TURMERIC + GINGER MILK= for pain, inflammation, and detox

3) ALOE VERA JUICE (2tbsp/day)= contains phytoestrogens the balance hormones

4) WARM AJWAIN WATER= excellent for bloating and period related pain

YOGA AND PRANAYAM FOR HORMONAL BALANCE -supta baddha konasana= opens pelvis and relaxes -setu bandhasana= stimulates reproductive organs -viparita karani= relieves pelvic pressure -balasana= relieves pain and calms mind

PRANAYAM -nadi sodhana= balances hormones -sheetali= if there is hot flush or heat -bhramari= reduces anxiety and balances vata

do for 10-15 minutes daily. yoga helps your body stay flexible , calm, and supports your hormones naturally

DIET AND LIFESTYLE

GENERALLY -eat warm, freshly cooked food -include healthy fats-ghee, sesame oil, olive oil -focus on easily digestible grains= rice, millet, oats -eat plenty of cooked vegetables, especially beets, carrots, spinach, pumpkin -avoid cold drinks, processed food, red meat, excessive sugar

INCLUDE -almonds soaked overnight 4-5 -dates 2-3 per day -sesame seeds -leafy greens -fresh turmeric and ginger

AVOID -cold/raw foods like salads in excess -carbonated drinks -cafffeine/alcohol -overeating or irregular eating

TEST RECOMMENDED -pelvic ultrasound= to monitor fibroid or cyst size -complete blood count= to check for anemia -thyroid panel= thyroid changes can mimic menopause -liver function test -hormonal profile- LH, FSH, ESTRADIOL

Asha, your symptoms are very typical for someone entering menopause, and your approach combining supplements, physical activity and awareness is already excellent.

Ayurveda offers you a gentle, holistic way to transition through this phase without unnecessary medications or surgeries, You don’t need to fight menopause- it’s not a disease. Instead we support your body’s natural shift using ayurvedic therapies, diet, movements and rest.

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Hello Asha, navigating perimenopause can be challenging, and it sounds like you’re managing multiple symptoms and conditions. Ayurveda offers several strategies to address the symptoms you’re facing. Let’s discuss some personalized approaches.

Regarding your irregular cycles and abdominal pain, Ayurveda views this through the lens of Vata imbalance, particularly Apana Vata, which governs pelvic functions. Regularity and warmth are essential. Start by including warming spices like ginger and cinnamon in your diet. Fenugreek tea, taken once daily, can also support menstrual regularity.

Concerning the ovary cyst and calcified fibroids, while Ayurveda might not resolve these without surgical intervention, dietary and holistic practices can help manage symptoms. Triphala, a traditional Ayurvedic remedy, can aid detoxification and balance your hormones. Consider taking it 1 hour before bed in a warm water.

As for the symptoms of menopause, herbs like Ashwagandha and Shatavari can be beneficial. Shatavari in particular is known for balancing hormones and may help ease hot flashes and mood swings. Start with 1/4 teaspoon of Shatavari powder mixed in warm milk, once daily in evening.

Exercise is essential, and your walking routine is excellent. You can add gentle yoga or pranayama practice in your daily routine to calm the mind and balance the Vata dosha, especially focusing on forward bends and twists.

About Shilajit, it’s generally safe and beneficial for supporting stamina and energy during menopause, but one should ensure it’s a pure source. Start with a quarter pea-sized amount in warm milk or water.

Avoid cold foods and drinks as much as possible as they can aggravate Vata. Also, ensure your diet is rich in iron, calcium, and vitamin D, considering your history of fibroids.

Finally, please continue to consult with a qualified healthcare professional to monitor your cysts and fibroids regularly. For any acute symptoms, it’s wise to seek immediate medical attention.

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Experiencing perimenopause and menopause can bring about a myriad of challenges. From an Ayurvedic perspective, it’s essential to focus on vata balance, as it often becomes aggravated during the perimenopause phase. Vata imbalance can lead to irregular cycles, and the associated pain, making it crucial to address through diet, lifestyle, and herbs.

Firstly, make sure to have warm, cooked meals that are easy to digest, which helps in balancing vata. Consider incorporating more healthy fats like ghee, coconut oil, and nuts in your diet. They are nourishing and help in maintaining tissue strength which is often depleted during menopause.

Herbs like Ashwagandha and Shatavari can be particularly beneficial. Ashwagandha helps in reducing stress levels, while Shatavari nourishes and supports the reproductive system, improving overall hormonal balance. You might take them in powdered form—mix 1 teaspoon with warm milk or water daily.

With fibroids, it’s good to eat more vegetables like broccoli and cabbage while reducing red meat, caffeine, and alcohol. These can exacerbate fibroid growth and symptoms.

You can continue using Shilajit, but moderation is key—it’s quite potent and might best in small doses like once or twice a week, particularly as it helps with overall energy levels.

Your routine of walking is commendable! It’s crucial to continue as it promotes circulation and alleviates vata issues. Increasing the steps gradually could also be beneficial, aiming for more consistent 8000 steps daily.

Remember, maintaining regular sleep patterns and managing stress through meditation or yoga can do wonders for managing symptoms. Sometimes personalized guidance is needed, so consulting a local practitioner who combines Ayurvedic principles with an understanding of modern treatments can also be of great help. If your symptoms persist or worsen, consider seeking further evaluation from a healthcare professional.

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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.
99 days ago
5

Sure, Asha Ji,

Here’s a short and clear Ayurvedic medication and diet plan for your perimenopause/menopause symptoms:

1.Ashokarishta – 20 ml + 20 ml water, after lunch & dinner

2.Kanchanar Guggulu – 2 tablets, twice daily after meals

3.Shatavari Tablet – 1 tablet at bedtime with warm milk

4.Ashwagandha Tablet – 1 tablet at bedtime

5.Shilajit (Optional) – 300–500 mg in the morning on empty stomach Diet Plan (Pitta-Vata Balancing)

Is Shilajit Safe in Perimenopause? Yes, pure Shilajit (resin or capsule) is safe and beneficial in small doses:

Boosts energy, libido, and mood. Improves bone health and metabolism.

How to Take:

300–500 mg daily in the morning with warm water or milk. Do not take it if you’re having heavy bleeding or heat-related symptoms.

Include:

Warm, cooked meals: soups, stews, khichdi Ghee, sesame seeds, soaked almonds Cooked beets, carrots, pumpkin, ash gourd Herbal tea: Cumin + Fennel + Coriander (boil & sip) Warm milk with turmeric or Shatavari at night

Avoid:

Spicy, oily, fried foods Excess caffeine, sugar, and cold/raw foods Sour or fermented items (pickles, vinegar, curd at night)

Thank You!

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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.
97 days ago
5

HELLO ASHA,

PRIMARY CONCERN= perimenopause, ovarian cyst (previous), fibroids (calcified), irregular periods, pelvic pain CHRONIC CONDITION= uterine fibroids CURRENT CONDITION= 3 months without menstruation, no major complaints of fatigue or sleep disturbance

Based on the symptoms you’ve shared , there appears to be an imbalance in vata and Pitta doshas, which is typical in the perimenopausal phase.

-Vata aggravation= irregular cycles, pelvic pain, dryness, delayed menstruation -Pitta involvement= inflammation, cyst formation, fibroid growth, occasional heat symptoms

Fibroids and ovarian cysts are viewed in Ayurveda as manifestations of Ama (toxins), rakta dushti (vitiation of blood), and kapha-vata accumulation in the reproductive tissues (Artava dushti)

1) DIET Adopt a vata-pitta pacifying diet to support hormonal balance and reduce fibroid activity.

INCLUDE -war, soft, nourishing foods like cooked vegetables, soups, khichdi -Ghee, sesame oil -cumin, fennel, coriander, turmeric, ginger, cardamom -iron rich foods= moringa, beets, dates, sesame seeds

AVOID -cold/raw foods, carbonated drinks, fried foods -processed meats, excessive sugar or caffeine -refined flours, vinegar, sour fermented items

HYDRATION= drink warm water or herbal teas (like ginger-fennel or tulsi tea)

2) LIFESTYLE MODIFICATIONS Routine and grounding practices are essential during perimenopause -DAILY ROUTINE= wake and sleep at consistent times (ideally before 10 pm) -OIL MASSAGE= use warm dhanwantaram taila n the lower abdomen and body thrice week to reduce pain, support lymph flow and calm vata -practice gentle yoga and pranayam alternate nostril breathing -optional=warm baths with epsom salt twice weekly

3) INTERNAL MEDICATIONS

-SUKUMARA KASHAYA= 15 ml with 45 ml of water before meals twice daily =balances vata pitta, reduces pelvic pain, supports reproductive health, eases bowel movement

-ASHOKARISHTA= 25ml with water twice daily after meals =uterine tonic, regulates menstrual cycle, helps in fibroids, reduces excessive bleeding

-DASHMOOLARISHTA= 30 ml twice daily with warm water after meals =anti inflammatory, reduces pain and vata imbalance in the pelvic region

-PRADRANTAKA CHURNA= 1 tsp with honey twice daily after rmeals =targets fibroids, cysts, and hormonal imbalance

4) REGARDING SHILAJI -Shilajit is a Rasayana in Ayurveda. It can support energy, mineral balance, and reproductive tissues -Yes, you can resume shilajit at a low dose, ideally in the morning with warm milk or water ** AVOID during menstruation

TIPS -BE CONSISTENT= natural formulations work gradually -warm water enhances absorption -allow for weekly rest days from medications if using long term -monitor symptoms monthly

THANK YOU

DR. HEMANSHU MEHTA

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I am someone who really ended up settling deep into the whole reversal space—chronic disorders, lifestyle chaos, all the long-haul stuff people usually carry around for years without much shift. Over the last 4+ years in clinical practice, I’ve worked a lot with type 2 diabetes, high BP, obesity cases, thyroid things (esp. subclinical or fluctuating TSH), PCOS, hormonal imbalances, and weird in-between patterns that don’t always fit textbook categories but clearly show metabolic distress. Most of my work revolves around getting to the *why* underneath—why is the sugar staying high despite meds, why is the weight stuck despite diets, why the cycle is irregular even when scans look "normal". Once we catch that core disruption, I use a combination of proper Ayurvedic detox (when required), internal herbal meds, food corrections, and small lifestyle shifts—nothing fancy but consistent stuff that’s aligned to that person’s nature and stage. I’ve seen many patients who came in frustrated, stuck in loops of test-repeat-dose-adjust and just kinda tired of being ‘managed’ rather than understood. Honestly, a lot of that changes when digestion gets strong again, sleep starts coming on time, or energy returns mid-morning without 2 coffees... those are the cues I track more than just lab values. My focus isn’t just removing meds fast—it’s about actually getting the body to *not need* them over time, which takes clear follow-ups, adjusting plans as things shift, and teaching people how to read their own signals. I don’t use one-size fits all panchakarma either—if detox makes sense, we do it right. If rebuilding is needed first, we wait. Gut healing, liver regulation, insulin sensitivity, cycle rhythm—all those have very specific Ayurvedic pathways that I like to apply carefully, not blindly. And yeah, some cases do surprise me with how fast they respond when the direction’s right. My work feels most real when a patient slowly starts feeling like *themselves* again... not just "treated". That’s what I aim for every time.
0 reviews
Dr. Maitri Bhavesh Kumar Acharya
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
515 reviews
Dr. Gursimran Jeet Singh
I am Dr. Gursimran Jeet Singh, born and raised in Punjab where culture and traditions almost naturally guided me toward Ayurveda. From very early days I felt more drawn to natural ways of healing, and this curiosity finally led me to pursue Bachelor of Ayurvedic Medicine and Surgery (BAMS) at Shri Dhanwantry Ayurvedic College, Chandigarh—an institution known for shaping strong Ayurvedic physicians. During those years I learned not only the classical texts and treatment methods, but also how to look at health through a very practical, human lense. For the past five years I worked in clinical practice, where patients come with wide range of concerns—from chronic digestion troubles to autoimmune illness—and I try to integrate both Ayurveda and modern medical knowledge to give them the most complete care I can. Sometimes western diagnostics help me to understand the stage of disease, while Ayurveda helps me design treatment that address root cause. This bridging approach is not always easy, but I believe it’s necessary for today’s health challanges. Currently I am also pursuing higher studies in Panchakarma therapy. Panchakarma is an area I feel very strongly about—it is not just detox, it is a whole system of cleansing, rejuvenation, rebalancing, and I want to deepen my expertise here. In practice, I combine Panchakarma with lifestyle guidance, diet planning, herbal remedies, yoga and mindfulness practices depending on what a patient actually needs at that moment. No two cases are same, and Ayurveda reminds me daily that healing must be personal. My approach is always focused on root-cause management rather than temporary relief. Diet, herbs, therapeutic oils, meditation routines, and simple daily habits—they all work together when chosen rightly. Sometimes results come slow, sometimes faster, but I try to keep care sustainable and compassionate. Helping someone regain energy, sleep better, or reduce pain, that is the real achievement in my journey. And I continue learning, because Ayurveda is deep, it doesn’t finish with one degree or one training, it grow with every patient and every experiance.My specialties lie in treating a range of chronic and lifestyle-related conditions using Ayurveda’s time-tested principles, tailored to each individual’s unique constitution (Prakriti). I have significant expertise in managing digestive disorders, such as irritable bowel syndrome (IBS), acid reflux, constipation, diabetes, obesity and inflammatory bowel diseases. I also specialize in addressing stress-related and mental health conditions, including anxiety, depression, insomnia, and burnout, which are increasingly common in today’s fast-paced world. By integrating therapies like Shirodhara (oil pouring on the forehead) to calm the nervous system, Abhyanga (herbal oil massages) to balance Vata dosha, and adaptogenic herbs like Ashwagandha and Brahmi, I help patients achieve mental clarity and emotional resilience. In the field of musculoskeletal and joint health, I excel in treating conditions like arthritis (rheumatoid and osteoarthritis), back pain, sciatica, and sports injuries. Using therapies such as Kati Basti (localized oil retention on the lower back) and potent anti-inflammatory herbs like Guggulu and Shallaki, I focus on reducing inflammation, improving joint mobility, and strengthening tissues. My treatments have helped many patients, particularly those seeking non-invasive alternatives, regain mobility and reduce pain through a blend of internal medications and external therapies. Skin disorders are another key area of my practice, where I address conditions like eczema, psoriasis, acne, and pigmentation issues holistically. By focusing on blood purification and balancing Pitta dosha and detoxifying Panchakarma techniques like Raktamokshana (bloodletting). My approach targets dietary and lifestyle triggers, offering sustainable results for clients who previously relied on temporary solutions like topical steroids. My dual expertise in Ayurveda and modern medicine allows me to create integrative treatment plans that are both effective and safe. I am deeply committed to patient education, empowering individuals to embrace Ayurvedic principles for sustainable health. Through this online platform, I am excited to offer virtual consultations, making the profound benefits of Ayurveda accessible to all. Whether you seek relief from a specific condition or aim to enhance overall vitality, I look forward to guiding you on your journey to balance and well-being with compassion and expertise.
5
76 reviews
Dr. Vinayak Kamble
I am about 1 year into my practice journey n honestly that feels both small n big at the same time. When I first started, I wasn’t sure how quickly I could adjust from academic space into real clinical care, but gradually with each patient I learnt something more. My main focus is on pain management—conditions like knee joint pain, sciatica, lumbar back ache, spondylitis, tennis elbow, golfer elbow, frozen shoulder, heel pain etc. I try to combine careful diagnosis with treatments rooted in Ayurveda yet explained in practical way so patients don’t feel lost. Sometimes progress is slow, sometimes quick, but always there is learning in it. During this year I also kept my dedication toward research and evidence-based approach. I worked on presenting ideas and papers in academic forums whenever I got chance, and even managed to publish in journals that value Ayurveda in modern context. That gave me confidence that my small contributions can add to bigger discussions in medical field. In my postgraduate study I had finished Medicine with top score in my batch, which felt rewarding but also left me with responsibility to keep proving that I deserve that position. Honestly, academic achievements are good but real test is when someone walks in pain and goes back with relief, even if just partial at first. Sometimes patients expect instant cure, n that is where I try to keep balance—explaining how pain relief in conditions like frozen shoulder or spondylitis may take staged approach, while also keeping them hopeful. Ayurveda gives a framework but patient trust makes the treatment effective. One year is not a long time but it has been enough to show me the value of consistency, clarity and listening more than talking. My aim is not just treating pain but helping people understand their body better, manage lifestyle triggers, and feel supported in the journey of healing!!
5
81 reviews
Dr. M.Sushma
I am Dr. Sushma M and yeah, I’ve been in Ayurveda for over 20 yrs now—honestly still learning from it every day. I mostly work with preventive care, diet logic, and prakriti-based guidance. I mean, why wait for full-blown disease when your body’s been whispering for years, right? I’m kinda obsessed with that early correction part—spotting vata-pitta-kapha imbalances before they spiral into something deeper. Most ppl don’t realize how much power food timing, digestion rhythm, & basic routine actually have… until they shift it. Alongside all that classical Ayurveda, I also use energy medicine & color therapy—those subtle layers matter too, esp when someone’s dealing with long-term fatigue or emotional heaviness. These things help reconnect not just the body, but the inner self too. Some ppl are skeptical at first—but when you treat *beyond* the doshas, they feel it. And I don’t force anything… I just kinda match what fits their nature. I usually take time understanding a person’s prakriti—not just from pulse or skin or tongue—but how they react to stress, sleep patterns, their relationship with food. That whole package tells the story. I don’t do textbook treatment lines—I build a plan that adjusts *with* the person, not on top of them. Over the years, watching patients slowly return to their baseline harmony—that's what keeps me in it. I’ve seen folks come in feeling lost in symptoms no one explained… and then walk out weeks later understanding their body better than they ever did. That, to me, is healing. Not chasing symptoms, but restoring rhythm. I believe true care doesn’t look rushed, or mechanical. It listens, observes, tweaks gently. That's the kind of Ayurveda I try to practice—not loud, but deeply rooted.
5
418 reviews
Dr. Prasad Pentakota
I am Dr. P. Prasad, and I’ve been in this field for 20+ years now, working kinda across the board—General Medicine, Neurology, Dermatology, Cardiology—you name it. Didn’t start out thinking I’d end up spanning that wide, but over time, each area sort of pulled me in deeper. And honestly, I like that mix. It lets me look at a patient not just through one lens but a whole system-wide view... makes more sense when treating something that won’t fit neatly in one category. I’ve handled everything from day-to-day stuff like hypertension, diabetes, or skin infections to more serious neuro and cardiac problems. Some cases are quick—diagnose, treat, done. Others take time, repeated check-ins, figuring out what’s really going on beneath those usual symptoms. And that’s where the detail matters. I’m pretty big on thorough diagnosis and patient education—because half the problem is ppl just not knowing what’s happening inside their own body. What’s changed for me over years isn’t just knowledge, it’s how much I lean on listening. If you miss what someone didn’t say, you might also miss their actual illness. And idk, after seeing it play out so many times, I do believe combining updated medical practice with basic empathy really shifts outcomes. Doesn’t have to be complicated... it just has to be consistent. I keep up with research too—new drugs, diagnostics, cross-specialty updates etc., not because it’s trendy, but cuz it’s necessary. Patients come in better read now than ever. You can’t afford to fall behind. The end goal’s the same tho—help them heal right, not just fast. Ethical practice, evidence-based, and sometimes just being there to explain what’s going on. That’s what I stick to.
5
667 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
1018 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
1055 reviews
Dr. Shaniba P
I am an Ayurvedic doctor, someone who’s pretty much built her clinical journey around natural healing, balance and yeah—just trying to help ppl feel a bit more whole again. I work mostly with conditions that kinda stay with people... like joint pain that won’t go away, periods all over the place, kids falling sick again n again, or just the kind of stress that messes up digestion n sleep n everything in between. A lot of my practice circles around arthritis, lower back pain, PCOD-ish symptoms, antenatal care, immunity problems in kids, and those quiet mental health imbalances ppl often don't talk much about. My approach isn’t just pulling herbs off a shelf and calling it a day. I spend time with classical diagnosis—checking Prakriti, figuring out doshas, seeing how much of this is physical and how much is coming from daily routine or emotional burnout. And treatments? Usually a mix of traditional Ayurvedic meds, Panchakarma (only if needed!!), changing food habits, tweaking the daily rhythm, and honestly... just slowing down sometimes. I’m also really into helping ppl understand themselves better—like once someone gets how their body is wired, things make more sense. I talk to patients about what actually suits their dosha, what throws them off balance, and how they can stop chasing quick fixes that don’t stick. Education's a big part of it. And yes, I’ve had patients walk in for constant cold and walk out realizing it’s more about weak agni n poor gut routines than just low immunity. Every case’s diff. Some are simple. Some not. But whether it’s a young woman trying to fix her cycles without hormones or a 6-year-old catching colds every week, I try building plans that last—not just short term relief stuff. Healing takes time and needs trust from both sides. End of the day, I try to keep it rooted—classical where it matters but flexible enough to blend with the world we're livin in rn. That balance is tricky, but worth it.
5
110 reviews

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