Continuous spotting due to pcos - #26754
I am 37 years female. I have hypothyroidism for past 15 years and taking medicine for it. I have pcos and irregular menstruation problem. I get periods only when I take tablets. For past 4 months I stopped taking tablets. Now for past 3 months I have spotting issue. Not bleeding but light spotting. What should I do? Please advice.
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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
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.
HELLO ANITA,
You have -PCOS (polycystic ovarian syndrome)-> your ovaries are producing eggs irregularly, and your hormones (especially estrogen, progesterone, and androgens) are imbalanced -HYPOTHYROIDISM-> your thyroid gland works slower, which can worsen hormonal imbalance and weight gain -IRREGULAR MENSTRUATION-> because ovulation is not happening regularly, your uterus is not shedding the lining properly -CONTINUOUS SPOTTING FOR 3 MONTHS-> instead of a complete monthly shedding (period) the uterine lining is unstable and breaks down slowly, causing light brown, red discharge daily or on and off
WHY THIS IS IMPORTANT -continuos spotting may seem mild, but it can indicate that the endometrium (uterine lining) is not getting the right hormonal signals. -Over time if the lining grows too thick without proper shedding, it can cause hyperplasia (pre-cancerous changes) -we also need to rule out polyps, fibroids or infection
TREATMENT GOALS
MODERN MEDICINE GOAL -stop continuous spotting, induce a proper period, prevent thickening of endometrium, balance hormones
AYURVEDIC GOAL -balance apana vata (controls menstruation and elimination) -reduce excess kapha (responsible for cysts, sluggish metabolism, weight gain) -control pitta in rakta Dhatus (blood tissue) to stop abnormal spotting -strengthen reproductive tissues (Garbhasaya=uterus, Artava dhatu= menstrual system) -Improve agni(digestive fire) so hormones work properly
INTERNAL MEDICATIONS
1) ASHOKARISHTA= 20 ml with warm water twice daily after meals for 3 months =strengthens uterine muscles, regulates bleeding
2) LODHRASAVA= 15 ml with water after meals for 3 months =reduces spotting, balances pitta and kapha in uterus
3) KANCHANAR GUGGULU= 2 tabs twice daily after meals for 3 months =reduces cysts, balances kapha, clears channels
4) SHATAVARI CHURNA= 1 tsp with warm milk at night for 3 months =nourishes reproductive tissue, supports hormone balance
5) TRIPHALA CHURNA= 1 tsp with warm water at night for 3 months =detoxifies and regulates metabolism
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
MIND BODY CONNECTION PCOS is deeply linked with stress and emotional stagnation -practicue gratitude journaling, emotional release -engage in art, music, or nature therapy -reduce overthinking and over working- both aggravate vata
HOME REMEDIES
1) CUMIN-CORIANDER-FENNEL TEA -1 tsp each in 4 cups water->boil->reduce to 2 cups-> sip warm throughout the day
2) ALOE VERA + TURMERIC -1 tsp aloe vera gel + 1/2 tsp turmeric in warm water twice daily for 2 weeks
3) FENUGREEK SEED WATER -soak 1 tsp seeds overnight-> drink in morning
4) CINNAMON -1/2 tsp powder daily in warm water or sprinkled on food
NECESSARY INVESTIGATIONS -pelvic ultrasound to check ovaries, endometrial thickness and fibroids/polyps -thyroid profile -blood sugar and insulin -hormonal profile= LH, FSH, Prolactin, Estradiol, Testosterone -CBC -If endometrial thickness >12mm or abnormal ultrasound-> may need endometrial biopsy
Your continuous spotting is a symptom, not just a nuisance. It’s your body’s way of saying the cycle isn’t functioning correctly. PCOS + hypothyroidism needs a two-pronged approach -modern medicine for urgent correction (to stop prolonged spotting prevent complications) -Ayurveda for long term balancing of hormones, metabolism , and menstrual cycle
If you start Ayurvedic therapy without ruling out serious causes you risk delaying important treatmnt Once urgent issues are ruled out, Ayurvedic medicines, panchakarma, and lifestyle change can slowly restore your cycles so you won’t need to depend on tablets forever
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
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.
DNT PANIK ANITA JI…IN PCOD ITS HAPPENS …HIRUTISM(UNWANTED HAIRS IN FACE)…OBEYSITY…MOOD SWINGS…LETHARGY… OLIGOMENOORHIA (LESS MENSIS FLOW)… YOUR NEGATIVE POINT IS YOU HAVE HYPOTHYROIDISM BCZ…ITS EFFECTS HORMONAL BALANCE IN HUMAN BODY…YOU ARE DEFINITELY CURED FOLLOW INSTRUCTIONS:-
DIVYA MEDHA KWATH=100GM DIVYA DASHMOOL KWATH=100GM…MIX BOTH TAKE 1 TSP BOIL200MLOF WATER TILL REDUCES 100ML STRAINS AND TAKE EMPTY STOMACH TWICE DAILY
DIVYA CYSTOGHRIT TAB DIVYA SEA BUCKTHORN CAP=1-1 TAB(CAP)… BEFORE MEAL TWICE DAILY
DIVYA MEDHA VATI DIVYA KANCHANAR GHAN VATI DIVYA VIRRIDHIVADHIKA VATI=1-1 TAB AFTER MEAL TWICE DAILY
DO REGULAR YOGA AND PRANAYAM=ANULOM VILOM/BHRAMRI/KAPALBHATI/VAZRASANA/TITLIASNA/KONA ASANA…5 MIN EACH
AVOID= MAIDA/SPICY/SWEETS/GHEE/BUTTER
YOU CAN CURED DEFINITELY
The main thing that should be corrected in ur body is HPO axis
Due to that only u r facing thyroid and pcod issues to correct it start with
Ashokarishtam 5 ml with equal quantity of water after food twice a day
Chandraprabha vati tab 1-0-1 before food
Chitrakadi vati tab 1-0-1 before food
Kanchanara Guggulu Tab 2 bd after food
Shatavari rasayanam 1 tsp twice a day after food
Also take warm Shatapushpa tailam 10 ml daily morning before food
It will help to regulate HPO axis
Kanchanar Guggulu-2 Tab twice a day, after meal Rajahpravartini vati 2 Tab twice a day, after meal Ashokarishta 20ml+20 ml water twice a day, after meal Shatavri Churan 1 tsp with half glass of lukewarm milk twice a day after meal
Adv. Yoga: Surya Namaskar Bhujanga asana Sarvanga asana Mala asana
Foods to include: Iron rich food like green leafy vegetables, lentils and beand food rich in vitamin C Dates, yogurt
Foods to avoid: Excessive caffeine Processed foods Excessive sugar
1) Ashokarishta + Lodhrasava-4tsf after food 3 times with water
2.Pushyanuga Churna-2gm+ Bolabaddha Rasa-250mg + Svarnamakshika Bhasma-100-mg + Pravala pishti-100mg + Guduchi Sattva-500mg-- after food 3 times with ghee and tandulodaka
Hi Anita this is Dr Vinayak as considering your problem…no need to worry maa … You just continue your thyroid medicine
If you have pcod since long time then better go with one sitting of classical VIRECHANA…which really helps to correct your issues
Rx-T Amycordil 1-0-1 T chandraprabhaa vati 2-0-2after food Varunadi kashaya 10ml twice after food SYP Activ pushpa 10ml twice after food
Start with tablet M2TONE 1-0-1 after food with water Aloevera juice 10ml twice daily after food with Kanchanar guggul 1-0-1 after food with water.
Spotting and irregular menstruation, especially in the context of PCOS and hypothyroidism, is not uncommon. It suggests an imbalance in your hormonal system. PCOS often involves an imbalance of Vata and Kapha doshas. For immediate steps, reconnect with your healthcare provider regarding the hormone medication, since discontinuation might be impacting your cycle.
In terms of Ayurveda, consider optimizing your lifestyle. Engage in a routine that’s calming for Vata and balancing for Kapha. Regularity in sleep, meals, and exercise is crucial. Wake up early, around sunrise, and engage in physical activity like yoga or brisk walking for about 30 minutes daily. This will promote Agni, or digestive fire, improving metabolism and hormonal harmony.
Diet plays a significant role too. Favor warm, cooked foods such as soups, stews, and khichdi. Include spices known for balancing hormones, like turmeric, cumin, coriander, and cumin. Avoid cold, raw foods, processed sugars, and dairy, which aggravate Kapha and Vata. Sip ginger tea or fennel water throughout the day to enhance digestion.
For your hypothyroidism, ensure you maintain iodine-rich foods, such as seaweed in your diet, if it’s not contraindicated with your medication. Herbal remedies like Shatavari and Ashwagandha might support hormonal balance. Consult a qualified Ayurvedic practitioner before incorporating these herbs.
Manage stress effectively, as it’s a known factor in exacerbating hormonal imbalances. Stress-release techniques such as meditation or pranayama could be particularly beneficial.
While Ayurveda can support your situation, monitoring your condition in conjunction with your healthcare provider is important, especially for decisions regarding medication. If the spotting continues or worsens, seeking more immediate medical assistance is prudent to rule out other underlying conditions.
Managing PCOS with your history of hypothyroidism does require a careful balance, especially as you’ve noticed spotting after discontinuing your medication. In the Siddha-Ayurvedic context, PCOS is often viewed through the lens of dosha imbalances – predominantly kapha and vata. It relates to blockages and imbalances in the body’s channels and tissues. To address this, a multi-pronged approach focusing on diet, lifestyle, and specific herbal formulations can be beneficial.
First, consider dietary adjustments. Favor a diet that pacifies kapha and vata: warm, cooked foods with spices like ginger, cumin, and turmeric. Reduce consumption of cold, heavy, and oily foods. Dairy can sometimes exacerbate kapha, so consider limiting it. Ensure your meals support proper agni (digestive fire), as this is crucial for balancing hormones. Small, regular meals that are easy to digest can help in maintaining consistent energy levels.
Herbal formulations such as Ashwagandha and Shatavari may support hormonal balance. These can be taken in powder form with warm water once or twice daily, but it’s advised to consult a practitioner to determine the appropriate dosage and form for your needs.
Engage in regular physical activity like yoga or dance, which can increase circulation and help manage weight and stress—both crucial for addressing PCOS symptoms. Activities that encourage movement without excessive strain are ideal for balancing kapha and reducing vata aggravation.
Monitor your symptoms closely. While Ayurvedic methods can support your health, the return of persistent spotting or irregular periods warrants a check with your healthcare provider. It’s essential not to delay consulting them, especially since in certain situations, medical intervention becomes necessary. Integrating Ayurveda into your lifestyle complements but shouldn’t replace conventional therapy, especially given your existing hypothyroidism management requirements.
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