Minimum to less to no flow during periods - #26545

Hello Akshita, Start taking these medications, 1.Syp.M2 tone 2 tsf b.d. 2.Tab Aloes compound 1-0-1 3.shatavari tab.2-0-2 with Luke warm milk. *Take 1tsf of powder of large fennel seeds with lukewarm water twice in a day empty stomach. Follow up after 45 days.

Thank you for explaining your condition in detail. Although your PCOS was resolved two years ago with medication and your periods returned, the recent decrease in blood flow along with night shift work suggests possible hormonal fluctuations, mild inflammation, and altered circadian rhythm. Addressing digestion, clearing ama (toxins), improving dhatu formation, and balancing hormones will be key.

Recommended Investigations

1. Pelvic Ultrasound – to check ovaries, endometrium thickness. 2. Hormone profile – LH, FSH, Estradiol, Progesterone, Testosterone, TSH, Prolactin. 3. CBC – to detect anemia. 4. Fasting Insulin for insulin resistance. 5. CRP, ESR – inflammation markers. 6. Vitamin D & B12 – for overall health.

Internal Medicine

Starting with Ama Pachana to improve digestion and clear toxins, then shifting to Artava Pravartaka (menstrual flow enhancers) and Shothahara / Medohara (anti-inflammatory, weight balancing) medicines.

Take this medicine for 7 days 1. Trikatu churna – 1 g with warm water after meals, twice daily.

2. Guduchi kwath – 40 ml twice daily before food.

After 7 days stop the previous medicines start this medicines

1. Kumaryasava+ Ashokarishta – each 10 ml twice daily after meals. 2. Triphaladi guggulu 2-0-2 after food with warm water 3. Punarnavadi kwatha 15 ml with 30ml of warm water before food twice a day

Diet & Lifestyle Tips

Avoid: cold, heavy, oily foods, excess dairy, refined sugar, junk food.

Include: warm spiced water (jeera-ajwain-dhania), leafy greens, beetroot, pomegranate, sesame seeds, soaked raisins.

Maintain regular sleep schedule despite night shifts; sleep in a dark, quiet room.

Yoga asanas: Baddha konasana, Malasana, Bhujangasana, Supta Baddha Konasana.

Daily 20–30 min brisk walk after waking.

Practice Anulom Vilom pranayama for 10 min twice daily.

May your cycles regain healthy flow and your overall balance be restored. Please don’t hesitate to reach out for follow-up or adjustment in medicines.

With kind regards, Dr. Sumi

) dashmoolarishta+ kumariasava- 3 times with water after food

2) tab raja pravartani vati after food with honey 2 times a day

3) sukumar ghrita 15 ml 1 hr after food with warm water 2 times a day

Diet and Lifestyle

Pathya:

Light diet, papaya, white pumpkin, rest.

Apathya:

Spicy, hot foods, exercise, stress.

hello Akshita,

Thank you for sharing clearly. Based on what you’ve described, your condition reflects a Vata-Pitta imbalance due to night shift routine, previous PCOS history, and reduced blood flow during periods. Working at night affects your hormonal cycle and sleep rhythm, which disturbs Apana Vata (which controls menstruation) and increases inflammation (Pitta and Ama) in the system. When periods come but the flow is less, it usually means the uterus is not getting proper nourishment and the blood channels are either underactive or partially blocked due to dryness, poor digestion, and low rasa dhatu (nutritional fluid).

The key goals here are:

To bring back healthy menstrual flow To reduce internal inflammation for better metabolism and weight loss To support your system despite your night shift

Do you experience cramps or clots during periods? Is your digestion regular or do you feel bloated, gassy, or constipated? How many hours of restful sleep do you get after night shift?

Treatment Plan:

Step 1: Ama Pachana (First 5 days) This clears metabolic waste that blocks the channels and helps reduce inflammation. Triphala Churna – 1 tsp with warm water at bedtime (clears gut and supports liver) Hingvashtaka Churna – ½ tsp with warm water before lunch and dinner (for gas and bloating)

Step 2: Restore Blood Flow and Reduce Inflammation (Continue for 2–3 months)

Ashokarishta – 20 ml with equal water twice daily after meals → Regulates Apana Vata, strengthens uterus, improves blood flow Kumaryasava – 15 ml with equal water twice daily after meals → Detoxifies liver, improves hormones and supports digestion Punarnavadi Guggulu – 2 tablets twice daily after food → Reduces inflammation and water retention, supports weight loss Manjistha Churna – ½ tsp with warm water once daily at night → Purifies blood, improves skin and internal circulation

Lifestyle Support:

Warm water sipping throughout the day (clears Ama and improves circulation) Castor oil abhyanga (massage) once a week before bath (reduces Vata, supports blood flow) Avoid cold, dry, and processed food especially at night. Include sesame seeds, jaggery, dates, methi in small amounts (natural emmenagogues)

Dietary Tips: Have a warm, light meal after night shift and rest well in a dark, quiet space Add turmeric + black pepper to cooking to fight inflammation Use ghee or flaxseed oil in food for hormone balance

Please continue for at least 2 cycles and observe changes. We can adjust medicine after 1 month based on your response.

Warm regards, Dr. Karthika

You can reach out anytime for any concern or doubts. You’re being understood and supported fully.

Start Rajapravartini vati 1-0-1 after food with water Tablet M2TONE 1-0-1 after food with water Aloevera juice 10ml twice daily after food with water Get USG pelvic done Follow up after 1 month with reports

HELLO AKSHITA,

You mntioned -You had PCOS which was resolved 2 years ago with treatment. -You now get your periods but with reduced blood flow(hypomenorrhoea) -your work night shifts, which may be affecting your health again. -you are seeing help to - increase menstrual flow - reduce inflammation - support weight loss naturally

Let’s understand what’s going on from both modern and ayurvedic persepctives

AYURVEDIC UNDERSTANDING OF YOUR CONDITION Ayurveda sees your condition as a result of imbalance in Vata and Kapha doshas, along with weak digestion and toxin accumulation. These are likely caused or worsened by -your previous PCOS, which is kapha vata condition -night shifts disrupting your natural body clock -possible irregular meals or poor digestion -residual hormonal imbalances affecting the uterus and ovaries

SCANTY MENSTRUAL FLOW OCCURS DUE TO -weak apana vata -downward energy that controls periods -under-functioning endometrial lining (thinner buildup= less bleeding) -hormonal sluggishness (often from Kapha and ama) -stress or poor sleep increases vata -liver and metabolic sluggishness digestion and hormones are connected

TREATMENT GOALS -regulate hormones and increase healthy flow -cleanse and strengthen the reproductive system -reduce systemic inflammation -stengthen digestion and metabolism -balance your doshas, especially apana vata -adapt your lifestyle around your night shift to miniize harm

INVESTIGATIONS TO BE DONE -TSH,T3,T4= hypothyroid may reduce flow -FSH, LH, PROLACTIN= assess pituitary and ovarian function -SERUM INSULIN + GLUCOSE= check insulin resistance -PELVIC ULTRASOUND= confirm endometrial thickness and cysts -CBC + FERRITIN= rule out anemia or blood deficiencies

INTERNAL MEDICATIONS

1) TO SUPPORT DIGESTION AND CLEAR AMA (TOXINS)

-TRIKATU CHURNA= 1/4 tsp with warm water before meal for 1 month =improves digestion, burns toxins

-PANCHAKOLA CHURNA= 1/4 tsp at bedtime with warm water for 3 weeks =reduces bloating and clears kapha

2) TO REGULATE MENSTRUATION AND NOURISH UTERUS

-ASHOKARISHTA= 20 ml with warm water twice daily after meals =regulates periods, reduces uterine inflammation

-SHATAVARI KALPA= 1 tsp with warm milk at night for 3 months = nourishes female hormones, endometrial health

-KUMARYASAVA= 15 ml with warm water twice daily after meals for 3 months =supports liver and uterus, balances hormones

-RAJAHPRAVARTINI VATI= 1 tab ince daily before periods (for 3-5 days) =stimulates periods if it’s dellayed/scanty

3) TO REDUCE INFLAMMATION AND HELP WEIGHT LOSS

-TRIPHALA GUGGULU= 2 tabs twice daily at night for 3 months =fat burner, anti-inflammatory, helps weight

-MEDOHARA GUGGULU= 1 tab after meals twice daily for 3 months =reduces excess kapha(fat), boosts metabolism

-PUNARNAVA MANDUR= 2 tabs twice daily after meals for 3 months =reduces water retention and inflammation

DIET PLAN

FOODS TO INCLUDE

1) WHOLE GRAINS -millets= foxtail, barnyard, kodo, little millet- regulate insulin and reduce fat -quinoa, amaranth, red/brown rice -rolled oats(not instant)

2) VEGETABLES -focus on bitter, pungent, and astringent food -bitter gourd, drumstick, methi -cabbage, cauliflower, spinach, ash gourd -avoid raw salads, cook lightly and digestive spices

3) FRUITS(LOW GLYCEMIC) -amla=fresh or churna -pomegrante -apples, pears, papaya, berries

4) PROTEINS -Plant based= Moong dal, massor dal, horse gram, sprouted lentils -Animal based (if non veg)= boiled eggs, grilled fish(2 times/week)

5) HEALTHY FATS -cold pressed sesame oil -ghee=1 tsp/day -flax seed oil -seeds= flax, chia, pumpkin seeds- support estrogen balance

6) HERBS AND SPICES -turmeric, cinnamon, fenugreek, cumin, coriander, ajwian, -black pepper+ ginger

FOODS TO AVOID -cold and raw foods like smoothies, raws salads - sugar and white bread=causes weight gain and acne -fried or packaged foods= increases toxins -milk,panner,cheese= can make cysts worse -stress and late night= disrupts hormones

LIFESTYLE CHANGES FOR DEEP HEALING

1) DAILY RHYTHM -wake up before 7 am= sets hormonal rhythm -hydration=warm water with lemon+pinch of turmeric or methi seeds water(soaked overnight) -meal timing= eat meals at regular intervals; no skipping -sleep= sleep by 10-10:30 pm to optimise melatonin and cortisol balance -avoid excessive screen time, especially before sleep

DETOX PRACTICES TO FOLLOW these helps removes toxins and reduce cyst formation -Triphala churna= 1 tsp at night with warm water -CASTOR OIL=montly one 10 ml in milk at night -Self oil massage= sesame oil daily before shower -TAKRA- buttermilk spiced with cumin and ginger daily after lunch

YOGA AND MOVEMENT

BEST YOGA ASANAS -malasana= opens pelvic region -baddha konasana= improves circulation to ovaries -Bhujangasana= stimulates abdominal organs -setu bandhasana= balances thyroid and pelvic hormones -suryanamskar= 5-7 rounds

PRANAYAM -nadi sodhana= balances hormones, calms mind - bhramari= reduces anxiety and supports pitutary -kapalbhati= light version, support metabolism

HOME REMEDIES

-1/2 pinch TURMERIC+pinch of BLACK PEPPER + GHEE= daily anti-inflammatory balances hormones

-warm sesame oil massage o lower abdomen daily before bath =improves uterine circulation

-Cumin-coriander-fennel tea = reduces bloating supports digestion and flow

-Fenugreek seed water= helps with weight, hormones, flow

-Dry ginger powder+jaggery= 1/2 tsp each before meals= improves circulation and digestion

-Your body has the natural intelligence to heal- Ayurveda supports that -you’ve already done great progress by resolving pcos- now it’s about sustaining balance -consistency is key- Ayurveda works gradually but deeply -take time to tune into your cycle, track flow, mood, and pain- your body gives signals -maintain hope and self compassion during your healing journey

DO FOLLOW

HOPE THIS MIGHT BE HELFPUL

THANK YOU

DR. MAITRI ACHARYA

Have you done Hb test?

Hello Akshita, your decreased flow during menses might be due to - 1. Hormonal imbalance which can be due to Thyroid disorder,PCOS etc 2. Chronic stress 3. Low nutrient diet 4. Lack of proper sleep schedule 5. Lack of nutrients like vitamin D ,as you work in night shift. 5. Low Hemoglobin

Treatment - 1. Raj pravartini vati 2-0-2 after meal 2. Ashokaristha 15ml with 15 ml water twice a day after meal 3. Haridra capsules 1-0-1 after meal 4. Shatavari churna - 1 tsp with milk at bedtime Diet- Increase intake of turmeric, garlic,amla, papaya . Avoid maida, oily food,junk food, colddrink, icecreams especially during periods.

Lifestyle modification - Yoga- Anulom vilom,dhanurasan,malasan,kapalbhati Stress management -Through meditation, walking, journaling,foot massage etc Take atleast 7 hours of sound sleep.

Keeping record of date and duration for further comparison.

Tests needed to be done- 1. Hb level 2. USG lower abdomen 3. Thyroid profile 4. Vit D ,vit B12 Don’t worry Akshita, follow the above mentioned points, you will definitely get relief.Do share your review.

Decreased menstrual flow may suggest hormonal imbalances or lifestyle factors impacting your cycle. Ayurveda views menstrual health as a reflection of balance in the doshas, primarily Vata and Pitta. Since you have a history with PCOS, maintaining hormonal equilibrium is pivotal. Your current night shift may also disrupt your body’s natural rhythm because it affects your sleep cycle and digestion.

To support healthy menstrual flow, consider incorporating herbs like Ashoka (Saraca asoca) and Shatavari (Asparagus racemosus), which is known to balance female hormonal fluctuations. Ashoka is particularly useful for uterine health and may help regulate menstrual flow. You can consume these herbs in powdered form, approximately 1/2 teaspoon twice day, mixed with warm water, ideally on an empty stomach in morning or evening. Consistency is key, so aim for regular use over several cycles.

Regarding inflammation and weight management, Triphala, a combination of three fruits – Amalaki, Bibhitaki, and Haritaki – helps improve digestion and detox the body. Take Triphala churna at bedtime, around 1 teaspoon with warm water, which can aid in maintaining healthy weight by supporting digestive fire (agni) and providing mild laxative effect to clear channels.

Lifestyle adjustments are crucial, especially given your night pattern. Try to establish regular mealtimes, even on odd working hours, to maintain a steady agni. Aim for foods that are warm, cooked, and easy to digest, avoiding processed or excessively cold items. Include leafy greens and root vegetables, as they provide necessary nutrients while keeping your digestive health in check.

Ensure you hydrate well; sipping warm water throughout the day helps. Also, include activities like yoga or light exercise, which can aid circulation and relieve stress. Practicing mindfulness or meditation benefits balancing your circadian rhythms disrupted by night shifts. Emphasize routine rest periods and adequate sleep in between shifts, to support your hormonal and overall health balance.

Polycystic ovary syndrome (PCOS) often impacts menstrual health and can affect blood flow during periods. Even after resolution, certain lifestyle and work-related factors might contribute to ongoing imbalances. Since you work night shifts, it’s crucial to address the disruption in the natural circadian rhythm which can affect hormonal balance.

First, to improve blood flow during periods, focus on balancing your doshas. An imbalanced Vata can particularly lead to scanty periods. Incorporate warm, nourishing foods into your diet like cooked vegetables, whole grains, and warm soups. Spices like cinnamon and ginger can help stimulate circulation. Try including a small amount of sesame oil in your meals or as an oil massage to increase warmth and circulation in the body. Herbal formulations such as Ashokarishta might also help in maintaining regular flow; consult a qualified practitioner for personalized advice.

For inflammation and weight management, it’s important to support your Agni—the digestive fire. Avoid cold, raw, or heavy foods that may dampen it. Drinking warm water or herbal teas with turmeric, ginger, and a pinch of black pepper can be beneficial. These help reduce inflammation and improve metabolism. Regular physical activity is essential, so aim for some gentle or moderate exercise, maybe yoga or brisk walking, after your night shifts to get your circulation moving.

Moreover, since you work night shifts, aim to maintain a regular sleep schedule as much as possible and ensure you’re getting quality sleep. Consider integrating practices like meditation or light yoga to keep your stress levels balanced, as stress can aggravate inflammation and hormonal imbalances. If problems persist, consult with a healthcare professional to ensure there are no other underlying issues affecting your menstrual health.