Continuous spotting due to pcos - #26754

hello Anitha ,

I understand how difficult it must be to deal with these ongoing issues, especially with hypothyroidism and PCOS affecting your menstrual cycle. Your body has been used to the thyroid medicine helping regulate things, and stopping it suddenly can disturb your hormonal balance, which may be causing the spotting you’re experiencing now. The irregular periods and spotting are signs that your body needs support to balance those hormones again.

Since hypothyroidism plays a key role in menstrual health and PCOS is a hormonal condition, it’s important to manage both carefully. Stopping your thyroid medicine without medical advice can make symptoms worse or lead to complications. So the first step is to revisit your thyroid management with a doctor and consider restarting your medication in a controlled way.

Meanwhile, Ayurveda can support your body gently to help balance hormones and regulate your cycle. This will work alongside your thyroid care.

1. Ama Pachana (Cleansing of toxins)

Triphala Churna – 3 grams with warm water, twice daily before meals for 10-15 days Drink warm water throughout the day to aid digestion and toxin removal Avoid heavy, oily, cold, and processed foods during this period

2. Internal Medicines (After Ama Pachana, from day 16 onwards):

Ashoka Arishta – 15 ml twice daily after meals (helps regulate menstrual bleeding and balance hormones) Chandraprabha Vati – 2 tablets twice daily after meals (supports urinary and reproductive health) Shatavari Powder – 5 grams with warm milk at bedtime (strengthens reproductive system and supports hormonal balance)

3. External Therapies:

Abhyanga (Daily oil massage) with Kumkumadi Taila or Mahanarayan Taila – gently massage your abdomen and lower back every night before bath to improve circulation and balance Vata and Pitta Sitz bath with warm water for 10-15 minutes can soothe pelvic area if spotting causes discomfort

Additional advice:

Maintain regular sleep and avoid stress as much as possible Follow a balanced, warm, easily digestible diet avoiding cold and heavy foods Do gentle yoga or walking daily to support circulation and hormonal balance

Investigations needed:

Thyroid profile (TSH, T3, T4) Hormonal panel including LH, FSH, prolactin, fasting insulin

This plan will gently support your body by first removing Ama (toxins) that disturb digestion and hormones, then strengthening and balancing reproductive health. With patience and regularity, you can expect improvement in spotting and cycle regularity.

If you resume thyroid treatment under medical guidance along with this Ayurvedic care, your recovery will be better supported.

You are not alone in this, and I am here to guide you through your healing.

Warm regards, Dr. Karthika

Treatment - Hello Anitha , your symptoms indicate hormonal imbalance hence,the diet , exercise and other lifestyle modifications are as important as the medicine itself. Treatment - 1. Chitrakadi vati -2-0-2 before meal for 3 days 2. Nastapushpantak ras 2-0-2 with lukewarm water after meal 3. Patrangasav 4. Ashokaristha- 20 ml of both with 40 ml of water after meal 5.Rajah pravartini vati 2-0-2 after meal 6. Shatavari churna+shatpushpa churna - 3gm each with 1 cup of milk at bedtime Diet- Avoid icecream, colddrink,fast food, oily food especially during periods. Eat fruits,dry fruits,milk instead of snacking on packaged items. Yoga - Anulom vilom, bhastrika, kapalbhati,malasana. Lifestyle modification - . Pratice yoga daily . Sound sleep for atleast 7 hours . Walking for 20 min daily . Stress management -Through meditation, walking, journaling. Recommended tests- Hemoglobin level Vit D Thyroid profile USG lower abdomen Don’t worry , follow these and you will definitely get relief. Don’t hesitate to reach out for any further query. Please don’t self medicate or stop the medicines without doctor’s consultation.Would like to hear your improvement in the review. Take care Anitha Regards, Dr. Anupriya

Once get us scan done to know the exact reason for spotting meanwhile you can start on Rajapravarthini vati- 1 tab twice daily after food with lukewarm water- until the menses starts Strirasayana vati Kanchanar guggulu- 1 tab twice daily after food with lukewarm water Asoka aristha- 4 tsp with equal quantity of water twice daily after food

Anitha don’t worry

1) syp. ashoka arisht 15ml+15ml lukewarm water subha sham khane ke baad 2) pushyanug churan 1 chamach Subha sham khane ke baad 3) tab. Rajparwartni vati 2 goli subha sham khane ke baad

Advice - thyroid vali smsya ko control me rkhna h

Bs itna kaafi h thik ho jayenge 1 mhine baad response btayiyega

Don’t worry Anitha,

First of all avoid excessive kaphavardhak ahar vihar like sweet,sour,salty,guru ahar(heavy to digest) etc…

And start taking these medications, 1.Rajahpravartani vati 1-1-1 2.Ashokarishta 20ml with equal amount of Lukewarm water just after having meal twice in a day. 3.shatavari powder 1tsf with Lukewarmmilk twice in a day. 4.kanchnaar guggulu 2-0-2 for chewing.

*Take 1tsf of powder of large fennel seeds with lukewarm water empty stomach twice in a day.

Follow up after 45 days.

TAKE CARE 😊

Along with these medications include Meditation, yoga,pranayam in your daily routine.

Hello anitha, having both pcos and hypothyroidism can have a direct impact on ur menstrual cycle and its pattern, and since you have mentioned you have been taking medication but now have stopped, so this can be one of the reason for your irregular cycle, the regularity in your menses in your case can be maintained via medications and along with that a proper Lifestyle and daily healthy habits.

Medications: 1.Tab Amystop-g-1-1-1 for continuous spotting (once spotting stops please don’t make irregularities in the treatment line) 2.Tab kanchanar guggulu 1-0-1 3.Triphala churna 2gm, shankh bhasma 500mg, mandoor bhasma 250mg make this a combined powder and take 1tsp with warm water after meals. 4.shatawari kalp 1tsp full with lukewarm milk daily twice after meals 5.Syp Amycordial forte 15ml twice with same amount of lukewarm water daily 6.Syp Dashmoolarishta-15ml twice with same amount of lukewarm water daily after meals.

Pathya- jeera ajwain saunf methi seeds boiled in water, strain this water and sip it warm throughout the day especially in the morning, light warm food, add jowar bajra in ur diet, avoid starchy spicy oily foods, boiled steamed veggies Gourds, nuts,riped papaya

Apathya- sugar, maida,dry,cold items, caffeine, soft drinks fastfood items, pickles ,sour foods ,sedentary lifestyle.

Aasana- Bhujangasan Butterfly Chakki aasan Malaasan

Lifestyle- take proper sleep, avoid stress as much as possible do bharamri pranayam , shitali pranayam and anulom vilom daily brisk walk for 35 to 40 mins avoid blue light after 10pm,

U can do this for next 2cycles and later the follow up Thankyou.

Once the spotting problem resolve start taking rajahpravartini vati 2-0-2along with other medications.

Do not ignore 3+ months of irregular spotting without proper bleeding — prolonged anovulation can sometimes lead to endometrial thickening.

See your gynecologist for:

1. Pelvic ultrasound — to check endometrium thickness and ovarian condition.

2. Thyroid profile (TSH, Free T4) — uncontrolled hypothyroidism can worsen PCOS and delay periods.

3. Hormone panel — LH, FSH, prolactin, fasting insulin.

When ovulation doesn’t occur for many months, the endometrium may not build up enough for full bleeding — but small hormonal fluctuations can still cause light spotting.

Stopping your period-regulating tablets (likely progesterone or combined pills) removed the artificial cycle trigger, so your natural hormonal rhythm is trying (and struggling) to restart.

But here’s what you can do as a supportive management

Ayurvedic remedies: 1.Ashokarishta — 10ml 2 times

2.Shatavari powder — with warm milk at morning

3.Kanchanar guggulu — 2 tabs twice a day

4.Trikatu churna - with warm water at night

For Diet

•Avoid cold, heavy, oily, and overly sweet foods (these worsen Kapha).

•Prefer warm, freshly cooked meals.

Include:

• Methi seeds (½ tsp soaked overnight, eaten in the morning)

• Flax seeds (1 tsp daily)

• Cinnamon + ginger tea

• Reduce dairy, especially curd at night.