Subsurosal fibroidof 7.4 cm with abnormal bleeding and edrometrial thickness of 15.2 mm in 47 year old. Advised for hysy - #26710

7.4 cm fibroid is bit big size, it’s better to go for surgery

Hi Shelly , totally understood your concerns and confusions Sub serosal fibroid of 7.4cm can be considered as a medium sized fibroid which sometimes cause symptoms like abnormal bleeding , pain, etc. Some times it remains as asymptomatic Since your Biopsy is normal there is nothing big to get tensed . As per Ayurveda we can focus in your LAĶSHANAS [symptoms] mainly abnormal bleeding accordance with the fibroid and Endometrial thickness.

Start, 1.Trayanthyadi kwatham 15ml+ Guluchyadi kwatham tab 2+ 60ml warm water twice daily before food (morning and evening) 2.Kanchanara guggulu 1-0-1after food 3.Pushyanuga churnam ½tsp with honey (4-5times daily) 4.Thriphala tab 2 at bedtime * Take this set of medication for 14days - 1month , if you are feeling symptomatic relief ,have a follow up here. If symptoms persist even after 1month of medication I suggest better you can go with surgery.

*Do’s 3-4litres of water /day More focus on fruits like pomegranate, dates , orange, etc and vegetables Include Sprouted grains Practice yoga and meditation regularly

*Don’ts Tea /coffee Oily too salty sour sweet foods Junk foods Carbonated/soft drinks Maida and its products Too much of physical exertion

Hello Shelly ji, Please visit nearby ayurvedic physician (BAMS MS GYNAE /OBS)for further advice and treatment …

TAKE CARE😊

Till then Avoid kaphavardhak ahar vihar like excessive sweet, sour and salty food,guru ahar(heavy to digest)like refined flour etc…

HELLO SHELLY,

You have

A large subserosal fibroid (7.4 cm) -> This is a non-cancerous growth in the muscular wall of the uterus, bulging outwards -> “subserosal” means it grows toward the outside of the uterus rather than inside the cavity.

Endometrial thickness of 15.2 mmm -> The endometrium is the inner lining of the uterus. It normally builds up and sheds during menstruation. -> In perimenopause (your stage), thickness >11-12mm may need close watch, as it can cause heavy bleeding or sometimes indicate overgrowth

Abnormal bleeding for 1.5 years -> This means your uterine lining and hormone cycles are not behaving in a balanced way

History of polyp removal and normal biopsy -> Good- no cancer detected. But the bleeding has come back, which means the root cause is still active.

WHY THIS HAPPENS

MODERN PERSPECTIVE -fibroids are hormone-sensitive, especially to estrogen -around your age, estrogen levels can be erratic before menopause, sometimes causing fibroids to grow -A thickened endometrium means the lining is not shedding completely or is being stimulated too much.

AYURVEDIC VIEW -This matches with Artava dushti (menstrual disturbance) and Garbhashaya arbuda(benign uterine tumor) -Kapha aggravation-> promotes tissue overgrowth(fibroid) -Vata imbalance-> disturbs normal menstrual flow and cycle regularity -Pitta imbalance-> increases bleeding and inflamamtion -Rakta dhatu dushti-> disturbed quality and quantity of blood, leading to excessive bleeding

TREATMENT GOALS -control heavy bleeding to prevent anemia -reduce fibroid size gradually and stop further growth -balance hormones naturally -improve endometrial health and prevent abnormal thickening -correct digestion and metabolism (agni) so toxins (ama) do not feed the fibroid -support emotional balance (reduce stress, which worsens hormonal disturbance)

INTERNAL MEDICATIONS

1) KANCHANAR GUGGULU= 2 tabs twice daily after meals =breaks down abnormal tissue growths, reduces fibroid size, balances kapha and vata

2) ASHOKARISHTA= 20 ml with equal water twice daily after meals =regulates menstrual flow, strengthens uterus, balances pitta

3) PRAVAL PISHTI= 125 mg twice daily with ghee after meals =cooling, reduces bleeding, supports calcium levels

4) LODHRA + SHATAVARI CHURNA= 3 gm each mixed twice daily with warm water after meals =improves uterine tone, balances hormones

DURATION= minimum 3-4 months

DETOX PRACTICES TO FOLLOW these helps removes toxins and reduce Growth 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

EXTERNAL/PANCHAKARMA THERAPIES = IF FEASIBLE GO FOR THIS AT CLINIC

1) UTTAR BASTI (uterine oil instillation )= once every menstrual cycle after bleeding stops =direct nourishment to uterus, reduces fibroid size, regulates cycle

2) VIRECHANA (therapeutic purgation)= once after 2 months =clears excess pitta and toxins from liver-blood system

LIFESTYLE CHANGES -sleep by 10 pm and wake by 6 am -avoid sitting for too long- move every 30-40 mins -practice stress reducing activities daily- journaling, chanting, or light walks -avoid exposure to excess cold during menstruation

DIET

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 fibroid worse -stress and late night= disrupts hormones

YOGA AND PRANAYAM

YOGA (do only when bleeding is not heavy) -baddha konasana -supta baddha konuşana -viparita karani -setu bandhasana

avoid deep abdominal twists or inversions during heavy bleeding

PRANAYAM -Anulom Vilom (alternate nostril breathing)= 5-10 min twice daily -Sheetali/Sheetkari= for pitta cooling -Bhramari= to calm mind and reduce stress

HOME REMEDIES

1) 1 tsp turmeric powder in warm milk at night (except during very heavy bleeding)

2) Pomegranate juice daily for blood health

3) Coriander seed water- soak 1 tsp overnight boil, strain, and drink in morning for cooling effect

INVESTIGATION TO REPEAT OR MONITOR

-Complete blood count= every 1-2 months -Pelvic ultrasound= every 3-4 months to track fibroid and endometrium -Thyroid profile= once (thyroid issues can worsen bleeding) -Fasting blood sugar= once (metabolic issues can feed fibroids)

-Your condition is not life-threatening right now, but ongoing heavy bleeding can cause anemia and fatigue, and endometrial thickening in perimenopause always deserves monitoring -Ayurveda can help in symptoms control and gradual shrinkage of fibroids, but the process is slow- think in months not weeks -If bleeding becomes uncontrollable or biopsy ever shows suspicious changes, surgery may be safer.

DO FOLLOW CONSISTENTY

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

The size of the fibroid is big so it will take time to resolve So u should take a course of treatment like starting with oral medicine followed by some panchakarma procedures and a proper diet and lifestyle so some months so u will get better results Now in oral medicine start with Kanchanara Guggulu Tab 2 bd after food Chandraprabha vati tab 1-0-1 before food Varunadi kwatham 20 ml twice a day before food Ashokarishtam 5 ml with equal quantity of water after food twice a day Take these medicines for one month After one month consult a ayurvedic doctor near by ur home and do virechana procedures