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Gynecology and Obstetrics
Question #26598
82 days ago
372

How to support my body during perimenopause - #26598

Zulfiya

Good morning! Ihave entered perimenopause stage as per the hormones blood test, the period is becoming irregular, haven’t observed other symptoms yet… I would like to try to manage without synthetic hormonal therapy. Is it possible? If yes, what could be done from Ayurvedic perspective? Thank you. Zulfiya

Age: 47
Chronic illnesses: None
300 INR (~3.51 USD)
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Doctors' responses

Don’t worry Zulfiya, Start taking these medications, 1.Ashokarishta 20ml with equal amount of Lukewarm water just after having meal twice in a day. 2.shatavari choorna 1tsf B.d.with lukewarm milk. Follow up after 1 month… *Along with these medications include Meditation, yoga, pranayam in your daily routine. TAKE CARE😊

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Yes Ayurved Protocol help you. Avoid spicy, oily and processed food. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Tab.Shatavari 2-0-2 Tab.Menosen 2-0-2

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Yea absolutely possible without any synthetic harmonal support we can treat with ayurvedic treatment You can start on Shatavari churna Ashwagandha churna- 1/2 tsp each with warm milk at night Asoka aristha Dashamoola aristha- 2 tsp each with equal quantity of water twice daily after food Strirasayana vati-1 tab twice daily after food with lukewarm water Do regular walking pranayama meditation

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Hello Zulfiya

Thank you for your clear and thoughtful question. Ayurveda offers a holistic and effective way to manage perimenopause naturally, without relying on synthetic hormone therapy. We are here to help you out for managing perimenopausal symptoms gracefully 😊

** Ayurvedic Perspective on Perimenopause**

As estrogen begins to decline, Vata increases, and if aggravated, it can cause dryness, anxiety, irregular periods, sleep issues, etc. The goal is to nourish and stabilize Vata, while keeping Pitta balanced (to avoid hot flashes, anger, etc.).

✅ AYURVEDIC PLAN FOR PERIMENOPAUSE ✅ Internal Medicine

1 Shatavari kalp 1 tsp-0- 1 tsp with warm milk twice daily (It is Phytoestrogenic, supports hormones and reduces dryness, fatigue) 2 Ashokarishta 15ml-0-15ml after food ( Helps regulate cycles, controls excessive bleeding if present) 3.Drakshadi Avaleha 1 tsp l with water at night (Cools Pitta, supports sleep and mood)

4. Balamoola ksheerapaka - take 5 gm of bala choorna in 100ml water and 100ml milk boil and reduce to 100ml and take in morning empty stomach (. This will help you to manage all symptom)

✅DIET MODIFICATION

✅Include: soups, stews, ghee, milk, dates Seeds: sesame, flax, pumpkin (natural hormone regulators) Cooked greens, beetroot, carrot, bottle gourd Herbal teas: Shatavari + Brahmi + Licorice

❌Avoid Cold, dry, processed foods Coffee, carbonated drinks, red meat Skipping meals or irregular eating

✅LIFESTYLE MODIFICATION

👉Abhyanga ( you can do weekly once oil massage with sesame oil or Bala Ashwagandha oil) Grounds Vata, improves sleep, calms nerves 👉Gentle Yoga (pls not intense workouts) Helps with circulation, mood, and hormonal balance 👉Bhramari and Nadi Shodhana Pranayama Calms mind and balances hormonal axis 👉Daily 15-min sunlight exposure Natural hormonal regulator, supports Vitamin D

Continue this regimen for 3–6 months, then we will review as per symptoms.

✅ Yes, It’s Absolutely Possible

You can gracefully transition through perimenopause without synthetic hormones. Wish you a Good health 😊

Warm Regards Dr Snehal Vidhate

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Hello Zulfiya, You can start with Cap. Evanova 1-0-1 after food with water Shatavari ghanvati 1-0-1 after food with water Brisk walking atleast 30 mins daily Do pranayam lom -vilom kapalbhatti bhastrika bhamri 5-10mins daily twice. Learn Rajyoga meditation and practice daily, help calm your mind and prevents mood swings. Include seasonal fruits and seasonal vegetables in your diet. Include dryfruits like pistachio, walnuts, almonds in your diet.

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Dear Zulfiya,

Good morning, and thank you for reaching out so openly. Yes it is absolutely possible to manage perimenopause naturally, especially when you’re tuned into your body as you already seem to be. Ayurveda sees this stage not as a disease but as a natural transition like the graceful evening of a long, active day.

At around 47, your body is slowly moving from Pitta dominance toward Vata, and this brings changes not just in hormones but in energy, emotions, and even digestion and sleep. The irregularity in your cycles is one of the earliest signs of this shift. What’s important now is to support this transition gently, without forcing or suppressing anything which is where Ayurveda shines.

Let’s understand a few simple things first.

What’s happening in your body?

Perimenopause is a time when your ovaries start reducing estrogen and progesterone. This natural hormonal decline can make your cycles irregular. In Ayurveda, Artava Kshaya (reduced reproductive tissue function) happens due to increasing Vata, especially when Pitta has been high for many years.

Right now, your goal should be: • Balancing Vata (to maintain stability, sleep, and mental calm) • Cooling Pitta (to prevent hot flashes, mood swings, etc. before they even begin) • Supporting Shukra Dhatu (the reproductive tissue, even post-menopause, nourishes vitality)

Step-by-step Ayurvedic Approach:

1. Ama Pachana – Clean up toxins gently

Even if you’re not showing any obvious digestive issues, minor undigested toxins (Ama) can interfere with hormonal balance. • Start your day with:

Warm water with 1 pinch of dry ginger + cumin seeds (let it steep 5 min) • Take for 5–7 days: • Avipattikar Churna – 1 tsp with warm water at bedtime (to clear mild pitta-ama) • Hingvashtaka Churna – ¼ tsp with ghee, before lunch and dinner (to regulate digestion)

2. Internal Medications (after Ama Pachana)

From Day 6–7 onwards, start rejuvenating herbs that: • Support hormonal harmony • Nourish the reproductive tissues • Calm Vata and Pitta

•	Shatavari Kalpa – 1 tsp with warm milk, morning and night

(Deeply nourishing to Shukra dhatu and helps hormonal modulation) • Ashokarishta – 15 ml + equal warm water, after lunch and dinner (Regulates cycles and supports uterine health) • Brahmi Vati – 1 tab at bedtime with warm water (Calms overactive nervous system and aids restful sleep)

(These are gentle and age-appropriate. You can source all of them easily in India or from trusted Ayurveda pharmacies online.)

Diet Tips: • Favor warm, cooked foods — soups, lightly spiced vegetables, well-cooked grains • Add ghee and sesame oil to meals – they nourish Vata and hormones • Reduce raw, cold, or dry foods • Avoid too much coffee, sour curd, spicy pickles, and overly processed snacks • Include dates, soaked almonds, sesame seeds, pumpkin seeds (natural hormone-supportive foods)

Lifestyle Practices: • Abhyanga (oil massage) 2–3 times/week with warm sesame oil before bath – balances Vata, relieves dryness and mental fatigue • Evening routine – dim lights after sunset, no screens for 30–60 mins before sleep • Meditation or slow breathing for 10 mins before bed this calms hormonal triggers • Walk gently after meals, and aim for a grounding sleep routine (10 pm bedtime ideal)

Best Timing for Remedies: • Morning: Ginger-cumin water + Shatavari Kalpa • After meals: Ashokarishta • Bedtime: Brahmi Vati + light warm milk with nutmeg or a pinch of cardamom

Investigations (if not done already): • FSH, LH, Estradiol (to assess transition stage) • Thyroid profile (TSH, T3, T4 – sometimes gets affected in perimenopause) • CBC, Vitamin D3, B12 (nutrient backup check) • Bone density scan (if you’ve had any joint stiffness)

You’re doing the right thing by listening to your body early. With the right nourishment and balance, Ayurveda can help you move into menopause not with discomfort, but with grace, strength, and confidence.

Take this as a sacred transition a new chapter where your body calls for gentleness, not pressure.

Warm regards, Dr. Karthika

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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.
82 days ago
5

1) Shatavari leha -1tsf before food 2 times with warm milk 2) pushyanuga churna -2 gm+laghumalini vasant rasa-500mg + svarnamakshika bhasma- 100 mg+ pravala pishti-100 mg after food 2 times with water

Diet and Lifestyle

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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HIE ZULFIYA EVERY FEMALE SUFFERS THIS SCENARIO IF PREMENOPAUSE CONDITION…DNT WOORY YOU ARE DEFINITELY BENIFITS THROUGH AYURVEDA… DO FOLLOW:-

DIVYA NARIKANTI TAB=2-2 TAB BEFORE MEAL TWICE DAILY

DIVYA SHATAVAR CHURNA 100GM

1 TSP WITH MILK AT NIGHT TIME…

AVOID SPICY/JUNK/PROCESSED FOOD

DO REGULAR YOGA AND PRANAYAM=BUTTERFLY ASANA/VAZRASANA CAN HELP TO IMPROVE YOUR HORMONAL HEALTH…

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Don’t worry just take Rx. Chandrprabha Vati 1-0-1 Shatavari Powder 1/2 tsf with warm water

avoid spicy and oily food

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Dr. Anupriya
I am an Ayurvedic doctor trained at one of the most reputed institutes (yeah, the kind that makes u sweat but also feel proud lol) where I completed my BAMS with 70%—not just numbers but real grind behind it. My focus during & after graduation has always been on treating the patient not just the disease, and honestly that philosophy keeps guiding me even now. I usually see anywhere around 50 to 60 patients a day, sometimes more if there's a health camp or local rush. It’s hectic, but I kinda thrive in that rhythm. What matters to me is not the number but going deep into each case—reading every complaint, understanding symptoms, prakriti, current state, season changes etc. and putting together a treatment that feels “right” for that person, not just for the condition. Like, I don’t do one-size-fits-all plans. I sit down, make case reports (yup, proper handwritten notes sometimes), observe small shifts, modify herbs, suggest diet tweaks, even plan rest patterns when needed. I find that holistic angle super powerful. And patients feel it too—some who come in dull n restless, over weeks show clarity, skin settles, energy kinda gets back... that makes the day worth it tbh. There’s no shortcut to trust, and i get that. Maybe that’s why patients keep referring their siblings or maa-papa too. Not bragging, but when people say things like “you actually listened” or “I felt heard”, it stays in the back of my mind even when I’m dog tired lol. My goal? Just to keep learning, treating honestly and evolving as per what each new case teaches me. Ayurveda isn’t static—it grows with u if u let it. I guess I’m just walking that path, one custom plan at a time.
82 days ago
5

Good morning Zulfiya, Regarding your question, yes it is completely possible to manage this condition with ayurveda. Ayurveda focuses on the root cause of disease and complete overall well being of the patient rather than simply suppressing the symptoms. Treatment - 1. Ashokaristha -30ml with 30 ml water twice a day after meal 2.Stri rasayan vati-1-0-1 after meal 3. Shatavari churna - 1tsp with milk at bedtime Diet- 1.Avoid spicy,oily or fast food, colddrink, icecreams especially during periods 2. Take nutritious diet including - green leafy vegetables, fruits,milk and dryfruits. Yoga - Practice anulom vilom,malasan. Lifestyle - Walking for atleast 20mins a day Abhyanga - Massage your foot with Bala tel. Stress management -Through meditation, walking, journaling Follow these and don’t hesitate to reach out for any further query. Take care Zulfiya Regards, Dr.Anupriya

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Dr. Deepali Goswami
I am Dr. Deepali Goswami, BAMS graduate n working mainly around women's health. Right now m running my own clinic where i treat all kind of gyne problems—from irregular periods to PCOD, white discharge, fertility-related issues, menopausal symptoms n lot more that affects everyday life of females. I usually try to keep the language simple while dealing with patients cause honestly half of them come already confused or like really scared of what's happening inside their body... and if I use too much technical terms it just make it worse. I’ve been practicing in this space for couple of years now—don’t remember the exact month, maybe two or three year back? but anyway, what matters is I’ve seen how many of these problems get ignored till they turn serious. That’s something I feel strongly about. My goal is to help women understand their symptoms early and explain how Ayurveda can help gently but properly, whether it’s hormonal stuff or pain or cycle issues. I use classic Ayurvedic concepts like dosha analysis, ritucharya, n yoni vyapad chikitsa wherever it fits, but sometimes modern lifestyle really needs to be factored in too. Like if someone working night shift, no point telling them to wake up at 5am and do abhyanga daily—it won’t work. I’m practical about it. Anyway, I try my best to create a space where women feel heard. Lot of them said nobody actually explained them what’s going on before. And that’s like the saddest part. I feel my biggest strength is really just listening n tailoring the treatment to her routine, diet n stress pattern. Some cases are harder of course... things don’t always go fast, esp when it’s been neglected for yrs. But then Ayurveda’s not magic. It takes a little time—but results feel real n lasting when done right.
82 days ago
5

Hello zulfiya, menopause is basically concerned with decreasing estrogen levels because of age, according to ayurved it’s bcz of increasing vata dosha in the body, So for a healthy fuctioning of body we need to balance both vaat and pitta as vata can cause stress anxiety insomnia also leading to joint pain and decreased bone density and pitta dominance can lead to exertion hot flushes unnecessary anger mood swings. So firstly medications: 1.Shatawari kalp 1tsp full with lukewarm milk as it’s a hormones balancer 2. Tab asthiposhak 2tab twice daily with lukewarm water 3. Tab menosan 1-0-1 daily 4. Syp ashokarishta 15ml twice daily with same amount of lukewarm water 5. Dashmoolarishta 15ml twice daily with same amount of lukewarm water.

Pathya- light warm food, seasonal fruits, lukewarm water,walnuts, almonds,cereals, pulses ,have meals on time Apathya-avoid caffeine and caffeinated products, cold items,spicy oily, sour food

Aasan and abhyang- do body massage with bala tail, Bharamari Anulom vilom Movement of wrist and ankle joints Walk for 30mins daily.

Suggested investigations: 1. T3,T4,TSH levels 2.Estrogen levels 3. Bone density scan 4. Vit B12, Vit D3, S. Calcium levels

As menopause is an age related issues because of hormonal fluctuations so it needs to be taken care of in daily routine for a healthy long life. Thankyou

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HELLO ZUFIYA,

Perimenopausal means “around menopause”. It usually starts in your mid-to-late 40s and can last several years before periods stop completely (menopause)

WHAT HAPPENS IN YOUR BODY: -ovaries slows down in producing estrogen and progesterone -periods may become irregular (skipped cycles, heavier/lighter bleeding) -symptoms (may appper later)- mood changes, hot flashes, vaginal dryness, fatigue etc

Think of it like your body shifting gears- not stopping, but changing. Ayurveda doesn’t see this as a disease , but as a natural transition, much like adolescence.

Ayurveda looks at perimenopause as a Vata-predominant phase of life

DOSHA INVOLVEMENT -vata increases (irregularity, dryness, anxiety, insomnia, joint aches) -Sometimes pitta aggravates too (hot flashes, irritability, night sweats) -Hormone decline= decreases in shukra dhatu(reproductive tissue) and Ojas (vital energy)

TREATMENT GOALS -balance vata and pitta doshas -rejuvinates shukra dhatu (female reproductive system) -strengthen agni(digestive and metabolic fire) -enhance Ojas(immunity and vitality) -regulate menstruation during transition -support emotional and mental wellbeing -prepare body for post menopause with grace and stability

INTERNAL TREATMENT

1) SHATAVARI GRANULES= 1 tsp with warm milk at night for 3 onths =rejuvinates female hormones, supports vaginal health, balances estrogen

2) ASHWAGANDHA TABLETS= 2 tabs twice daily after meals for 3 months =stress relief, strengthens nervous system, enhances ojas

3) TRIPHALA CHURNA= 1 tsp at night with warm water = detoxifies gently, improves digestion and bowel regularity

4) PRAVAL PISHTI= 125 mg with honey twice daily after meals for 2 months =for hot flashes, calcium support, cooling effect

5) YASHTIMADHU CHURNA= 1/4 tsp with water in morning for 3 moths = natural hormone support, soothing to body and mind

6) MENOSAN TABLET (HIMALAYA)= 1 tab twice daily after rmeals = for all menopausal related symptoms

EXTERNAL THERAPIES

1) DAILY SELF MASSAGE -use warm sesame oil -massage the body in long strokes towards the heart, circular motion on joints -do It in morning before a warm shower =grounds vata, improves circulation, relieves fatigue, reduces joint pain and anxiety

2) NASYA= instill 2 drops of Anu taila in each nostril daily morning empty stomach

DIET TO BE FOLLOWED Aim for vata-pitta pacifying, hormone-friendly, nourishing foods

GENERAL PRINCIPLES -warm, cooked, soft, oily, mildly spiced food -avoid raw, cold, dry or processed foods -eat meals regularly, not skipping or late eating

INCLUDE

HEALTHY FATS= ghee, sesame oil, soaked almonds, avocado =lubricate tisses, support hormones

WHOLE GRAINS= rice, oats, barley,quinoa =eneergy, Vata grounding

LEGUMES= mung dal, massor dal, lentils =phytoestrogens and proteins

VEGETABLES= carrot, squash, spinach, beets =fiber, minerals, calming to vata

SPICES= turmeric, cumin, coriander, fennel =improves digestion, balances doshas

NATURAL ESTROGENS= flax seeds (roasted and ground) , sesame seeds =gentle hormonal support

AVOID -caffeine, alcohol, white sugar -cold foods (yogurt at night, ice cream) -packaged foods, aerated drinks -excess spicy, sour, salty foods

YOGA AND PRANAYAM do gentle, grounding,heart opening, and hip opening asanas

RECOMMENDED ASANAS -baddha konasana -balasana -viparita karani -paschimottanasana -setu band hasana

PRANAYAM -nadi sodhana= balances, hormones and emotions -bhramari= reduces anxiety, tinnitus -sheetali=for hot flashes or heat symptoms -ujjayi= calms nervous system

Practice 10-15 minutes daily

HOME REMEDIES

1) FLAXSEED TEA -1 tsp ground flax seed in hot water; drink daily =rich in ligans (phytoestrogen), supports hormones

2) ALOE VERA JUICE -20 ml in the morning (cooling, pitta balancing)

3) ASHWAGANDHA MILK -boil 1/2 tsp ashwagandha powder in milk + pinch nutmeg + cardamom =drink at night to sleep better

4) FENUGREEK WATER -soak 1 tsp overnight, drink in morning =helps with sugar balance, hot flashes

INVESTIGATIONS -FSH,LH,ESTRADIOL= to monitor hormone levels -THYROID PROFILE= to rule out thyroid issues -VITAMIN D, B12= often deficient, causing fatigue -BONE MINERAL DENSITY (DEXA)= to assess bone loss risk -CBC, LIPID PROFILE= general health status

FINAL THOUGHTS Ayurveda views menopause not as a disease, but a gateway into wisdom phase of life- the vata stage. This is a time to slow down, go inward, care deeply for your mind-body-spirit, and reset your body’s rhythms

DO FOLLOW CONSISTENTLY

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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To manage perimenopause naturally through Ayurveda, it’s indeed possible to address hormonal changes comprehensively. The first step is understanding your dosha, as imbalances in vata, pitta, or kapha can influence symptoms. Since you mentioned the onset is primarily irregular periods, a vata imbalance could be affecting your reproductive system. Here are some recommendations:

1. Dietary Adjustments: Emphasize a vata-pacifying diet, which includes warm, cooked foods like soups and stews. Incorporate grounding foods, such as sweet potatoes and carrots. Healthy fats from ghee or sesame oil can be beneficial for vata stabilization. Also, consume foods that are naturally sweet, salty, and sour as these tastes help balance vata.

2. Herbal Support: Certain herbs are traditionally used to support hormonal balance. Ashwagandha and Shatavari might be particularly helpful. Ashwagandha can help regulate hormonal fluctuations and reduce stress, while Shatavari is known for its nourishing effects on the reproductive system. Take these under the guidance of a qualified health practitioner to ensure proper dosage and safety.

3. Routine and Lifestyle: Establish a consistent daily routine, wake up and sleep at the same time each day. Regular routines can help stabilize vata, contributing to better hormonal balance. Including gentle exercises like yoga and pranayama can support emotional equilibrium and physical balance.

4. Mindfulness Practices: Engage in meditation or mindfulness exercises to manage stress, as emotional fluctuations are common during this stage. Stress can exacerbate symptoms, so methods promoting calmness are beneficial.

5. Digestive Fire: Maintaining a strong agni (digestive fire) is essential. Drink warm water throughout the day with a pinch of cumin or fennel seeds to boost digestion. Avoid raw, cold, or processed foods that can impair digestion.

It’s important to consult with a healthcare professional, especially if your condition progresses or you experience new symptoms requiring immediate attention. They can offer tailored advice in line with your specific constitution (prakriti) and current health status. This approach allows for a safe and personalized management of perimenopause in alignment with Ayurvedic principles.

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Managing perimenopause naturally is indeed possible through an Ayurvedic approach. As this transition can be accompanied by vata imbalance, addressing this dosha becomes a priority. Start by adopting a vata-pacifying diet and lifestyle. Emphasize warm, cooked foods that are grounding in nature like soups, stews, and whole grains. Including root vegetables such as sweet potatoes and carrots can be very beneficial. Avoid cold, raw, and excessively dry foods as well as caffeine and alcohol which can aggravate vata.

Daily routines or dinacharya are also vital. Try to maintain a regular schedule with consistent meal times and sleep patterns. Incorporate grounding practices such as abhyanga (self-oil massage) using warm sesame oil, especially before taking a warm bath or shower. This can calm the vata dosha and help in stabilizing hormonal fluctuations.

For herbal support, consider taking Ashwagandha and Shatavari. Ashwagandha aids in balancing stress and anxiety, while Shatavari nourishes the reproductive system and helps regulate menstrual cycles. You may take them as churna (powder) or in tablet form, beginning with small doses, preferably under the guidance of a practitioner.

Focus on calming activities like yoga and pranayama, particularly alternate nostril breathing and restorative poses, which can help manage stress levels effectively. Meditation can also be useful in keeping the mind balanced and calm.

Engage in regular physical activity that suits your body and avoids fatigue, like gentle walking or yoga. Monitor your symptoms regularly. If they persist or worsen considerably, do not hesitate to consult with an Ayurvedic practitioner or a healthcare provider for tailored guidance.

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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.
76 days ago
5

HELLO ZUFIYA,

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

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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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
902 reviews
Dr. Ayush Varma
I am an Ayurvedic physician with an MD from AIIMS—yeah, the 2008 batch. That time kinda shaped everything for me... learning at that level really forces you to think deeper, not just follow protocol. Now, with 15+ years in this field, I mostly work with chronic stuff—autoimmune issues, gut-related problems, metabolic syndrome... those complex cases where symptoms overlap n patients usually end up confused after years of going in circles. I don’t rush to treat symptoms—I try to dig into what’s actually causing the system to go off-track. I guess that’s where my training really helps, especially when blending classical Ayurveda with updated diagnostics. I did get certified in Panchakarma & Rasayana therapy, which I use quite a lot—especially in cases where tissue-level nourishment or deep detox is needed. Rasayana has this underrated role in post-illness recovery n immune stabilization, which most people miss. I’m pretty active in clinical research too—not a full-time academic or anything, but I’ve contributed to studies on how Ayurveda helps manage diabetes, immunity burnout, stress dysregulation, things like that. It’s been important for me to keep a foot in that evidence-based space—not just because of credibility but because it keeps me from becoming too rigid in practice. I also get invited to speak at wellness events n some integrative health conferences—sharing ideas around patient-centered treatment models or chronic care via Ayurvedic frameworks. I practice full-time at a wellness centre that’s serious about Ayurveda—not just the spa kind—but real, protocol-driven, yet personalised medicine. Most of my patients come to me after trying a lot of other options, which makes trust-building a huge part of what I do every single day.
4.95
20 reviews
Dr. Anirudh Deshmukh
I am Dr Anurag Sharma, done with BAMS and also PGDHCM from IMS BHU, which honestly shaped a lot of how I approach things now in clinic. Working as a physician and also as an anorectal surgeon, I’ve got around 2 to 3 years of solid experience—tho like, every day still teaches me something new. I mainly focus on anorectal care (like piles, fissure, fistula stuff), plus I work with chronic pain cases too. Pain management is something I feel really invested in—seeing someone walk in barely managing and then leave with actual relief, that hits different. I’m not really the fancy talk type, but I try to keep my patients super informed, not just hand out meds n move on. Each case needs a bit of thinking—some need Ksharasutra or minor para surgical stuff, while others are just lifestyle tweaks and herbal meds. I like mixing the Ayurved principles with modern insights when I can, coz both sides got value really. It’s like—knowing when to go gentle and when to be precise. Right now I’m working hard on getting even better with surgical skills, but also want to help people get to me before surgery's the only option. Had few complicated cases where patience n consistency paid off—no shortcuts but yeah, worth it. The whole point for me is to actually listen first, like proper listen. People talk about symptoms but also say what they feel—and that helps in understanding more than any lab report sometimes. I just want to stay grounded in my work, and keep growing while doing what I can to make someone's pain bit less every day.
0 reviews
Dr. Ravi Chandra Rushi
I am working right now as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital in Nalgonda—and yeah, that name’s quite something, but what really keeps me here is the kind of cases we get. My main focus is managing ano-rectal disorders like piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), pilonidal sinus, and rectal polyps. These are often more complex than they look at first, and they get misdiagnosed or overtreated in a lotta places. That’s where our classical tools come in—Ksharasutra therapy, Agnikarma, and a few other para-surgical techniques we follow from the Samhitas...they’ve been lifesavers honestly. My work here pushes me to keep refining surgical precision while also sticking to the Ayurvedic core. I do rely on modern diagnostics when needed, but I won’t replace the value of a well-done Nadi Pariksha or assessing dosha-vikruti in depth. Most of my patients come with pain, fear, and usually after a couple of rounds of either incomplete surgeries or just being fed painkillers n antibiotics. And I totally get that frustration. That’s why I combine surgery with a whole support plan—Ayurvedic meds, diet changes, lifestyle tweaks that actually match their prakriti. Not generic stuff off a handout. Over time, I’ve seen that when people follow the whole protocol, not just the procedure part, the recurrence drops a lot. I’m quite particular about follow-up and wound care too, ‘cause we’re dealing with delicate areas here and ignoring post-op can ruin outcomes. Oh and yeah—I care a lot about educating folks too. I talk to patients in OPD, sometimes give community talks, just to tell people they do have safer options than cutting everything out under GA! I still study Shalya Tantra like it’s a living document. I try to stay updated with whatever credible advancements are happening in Ayurvedic surgery, but I filter what’s fluff and what’s actually useful. At the end of the day, my aim is to offer respectful, outcome-based care that lets patients walk out without shame or fear. That’s really what keeps me grounded in this field.
5
103 reviews
Dr. Ayush Bansal
I am an Ayurveda doctor with about 1 yr of hands on clinical practice, still learning everyday from patients and the science itself. My journey started as a VOPD doctor with Hiims Hospital under Jeena Sikho Lifecare Ltd. For 6 months I was into virtual consultations, understanding cases online, preparing treatment protocols and doing follow ups to track progress. That phase trained me well in quick patient assesment and also in explaining Ayurveda in a way that fit with modern expectations. I dealt with many chronic and acute cases during that time.. things like gastric issues, joint pain, stress related complaints, skin problems. The remote setting forced me to sharpen my diagnostic skill and rely more on careful history taking, prakriti analysis, and lifestyle understanding. After that, I moved to a Resident Doctor role at Chauhan Ayurved and Panchkarma Hospital, Udaipur. This was very different.. more practical, hands on, and really grounded me in classical Panchakarma. I was actively part of planning and performing therapies like Vamana, Virechana, Basti, Abhyanga, Shirodhara, and other detox and rejuvenation procedures. Many patients came with long standing spine issues, metabolic disorders, skin complaints, or hormonal imbalance and I got to see how tailored Panchakarma protocols and lifestyle advice together can bring changes that medicines alone couldn’t. Working closely with senior consultants gave me better clarity on safety, step by step planning and how to balance classical texts with practical hospital settings. Now, whether in OPD consultations or Panchkarma wards, I try to meet patients with empathy and patience. I focus on root cause correction, using herbs, diet, daily routine guidance, and therapy whenever needed. My belief is that Ayurveda should be accessible and authentic, not complicated or intimidating. My aim is simple—help people move towards long term wellness, not just temporary relief. I see health as balance of body, mind and routine.. and I want my practice to guide patients gently into that space.
5
160 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
930 reviews
Dr. Anjali Sehrawat
I am Dr. Anjali Sehrawat. Graduated BAMS from National College of Ayurveda & Hospital, Barwala (Hisar) in 2023—and right now I'm doing my residency, learning a lot everyday under senior clinicians who’ve been in the field way longer than me. It’s kind of intense but also really grounding. Like, it makes you pause before assuming anything about a patient. During my UG and clinical rotations, I got good hands-on exposure... not just in diagnosing through Ayurvedic nidan but also understanding where and when Allopathic tools (like lab reports or acute interventions) help fill the gap. I really believe that if you *actually* want to heal someone, you gotta see the whole picture—Ayurveda gives you that depth, but you also need to know when modern input is useful, right? I’m more interested in chronic & lifestyle disorders—stuff like metabolic imbalances, stress-linked issues, digestive problems that linger and slowly pull energy down. I don’t rush into giving churnas or kashayams just bcz the texts say so... I try to see what fits the patient’s prakriti, daily habits, emotional pattern etc. It’s not textbook-perfect every time, but that’s where the real skill grows I guess. I do a lot of thinking abt cause vs symptom—sometimes it's not the problem you see that actually needs solving first. What I care about most is making sure the treatment is safe, ethical, practical, and honest. No overpromising, no pushing meds that don’t fit. And I’m always reading or discussing sth—old Samhitas or recent journals, depends what the case demands. My goal really is to build a practice where people feel seen & understood, not just “managed.” That's where healing actually begins, right?
5
233 reviews
Dr. Snehal Vidhate
I am Dr. Snehal Vidhate, born n brought up in Maharashtra—and honestly, for as long as I remember I’ve felt this pull towards Ayurveda. Not the fancy version ppl throw around, but the deep, real kind that actually helps ppl. I did my BAMS from YMT Ayurvedic Medical College in Kharghar. That’s where I got my basics strong—like really studied the shastras, understood prakriti, doshas, the whole deal. Not just crammed theory but started to see how it shows up in real lives. After finishing BAMS, I got into this one-year certificate course at Rashtriya Ayurveda Vidyapeeth, Delhi—honestly a turning point. I was super lucky to learn Kerala Ayurveda from my Guru, Prof. Dr. G.G. Gangadharan. He’s got this way of seeing things... simple but deep. That time with him taught me more than any textbook ever could. It kinda reshaped how I look at health, healing n how precise Ayurveda can be when you respect its roots. Right now I’m doing my MD in Panchakarma from SDM Ayurveda College, Bangalore. This place is like a hub for serious Ayurveda work. The Panchakarma training here? Super intense. We go deep into detoxification & rasayana therapy—not just theory again, but hands-on. I’m learning to blend classical techniques with today’s clinical demands.. like how to make Vamana or Basti actually doable in modern patient setups. My current practice is really about merging tradition with logic. Whether it’s chronic skin issues, gut problems, stress burnout or hormone stuff—my goal is to get to the root, not just hush the symptoms. I use Panchakarma when needed, but also a lot of ahara-vihara tweaks, medhya herbs, sometimes just slowing ppl down a bit helps. I really believe Ayurveda’s power is in its simplicity when done right. I don’t try to fix ppl—I work *with* them. And honestly, every patient teaches me something back.
5
182 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
94 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
440 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
584 reviews

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Asher
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This advice was just what I needed! Clear and reassuring. Feeling more hopeful about managing the back pain. Thanks a lot!
This advice was just what I needed! Clear and reassuring. Feeling more hopeful about managing the back pain. Thanks a lot!
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