Hello sapna,
Thank you for explaining your condition. As you are having Irregular periods since menarche. Periods occur only with medications for last 2 years.Associated complaint: persistent white discharge (leucorrhea) on non-period days.
Likely Nidana: Artava-dushti due to Apana Vata vitiation + Kapha aggravation (leading to Shveta-pradara) + Agni weakness.
Possible involvement: Hypothalamic–pituitary–ovarian axis imbalance rather than PCOS.
🔍 Recommended Investigations
1. Hormonal profile: LH, FSH, Estradiol, Progesterone, Prolactin, TSH. 2. Pelvic Ultrasound: uterus, ovarian status, endometrium thickness. 3. CBC, Hb%: to rule out anemia. 4. Blood sugar (FBS/PP), Insulin resistance markers. 5. Vitamin D & B12.
💊 Internal Medicine
Phase 1 – Āma-pācana & Agni dīpana (2 weeks)
1. Trikatu churna – 1 g with warm water after meals, twice daily. 2. Gudūci kwatha – 40 ml before meals, twice daily.
Phase 2 – Artava-pravartaka & Stambhana (next 4 weeks)
1. Kumaryāsava – 15 ml + equal water, twice daily after food. 2. Ashokarishta – 15 ml + equal water, twice daily after food. 3. Pushyanuga churna – 3 g with rice water, twice daily (for white discharge). 4. Chandraprabha vati – 2 tabs, twice daily after meals (urinary–genital support).
🌿 External Support
Yoni prakshalana (vaginal wash): Triphala decoction once daily for white discharge.
🥗 Diet & Lifestyle
Pathya (Recommended):
1.Warm, light, easy-to-digest meals. 2.Black sesame seeds + jaggery (1 tsp daily). 3.Soaked raisins (5–10 daily). 4.Leafy greens, beets, pomegranate. 5.Cow’s ghee (½ tsp daily).
Apathya (Avoid):
1.Cold, heavy, oily food. 2.Excess curd, cheese, bakery, fried food. 3.Excess tea, coffee. 4.Daytime sleep (increases Kapha & discharge).
🧘♀️ Yoga & Lifestyle
1.Asanas: Baddha Konasana, Malasana, Bhujangasana, Dhanurasana. 2.Pranayama: Anulom Vilom (10 min twice daily). 3.Maintain regular sleep cycle. 4.Manage stress – journaling, meditation, or chanting.
🌸 With Kind Regards
May your cycles become regular and natural, and the discharge reduce with balance in Vata–Kapha. Gentle, consistent care will restore rhythm. – Dr. Sumi.
HELLO SAPNA ,
I understand your concern. You are 22 and have been experiencing irregular periods since they started. It can be frustrating when periods come only after taking medication, and naturally, you want your body to work on its own.
Even though you are not overweight and don’t have other hormonal symptoms like facial hair, acne, or major hair fall, your irregular periods along with white discharge suggest that your body’s digestive and hormonal balance might be slightly disturbed. In Ayurveda, this can be related to Vata and Kapha imbalance, sometimes combined with Ama (undigested metabolic waste), which can interfere with normal menstrual cycles.
White discharge (leucorrhea) often indicates slight Kapha imbalance in the reproductive system. This is usually manageable with proper internal cleansing, strengthening digestion, and restoring hormonal balance.
The goal of treatment will be:
Amapachana – gently clearing any metabolic toxins. Hormonal support naturally – to help your periods come without external pills. Strengthening reproductive tissues – so the uterus and ovaries function normally. Managing white discharge – to reduce discomfort and maintain vaginal health.
MEDICATIONS :
Amapachana: Take Triphala Churna 3g with warm water twice a day before meals for 3–5 days. This helps cleanse your digestive system and prepares your body for hormonal balance. Internal medicine: After 4–5 days, start Chandraprabha Vati 2 tablets twice daily with warm water. This helps regulate menstrual cycles and supports reproductive health.
External care: Sitz baths with Guduchi or Triphala decoction for 10–15 minutes 2–3 times a week can reduce white discharge and strengthen local tissues.
Diet & lifestyle suggestions:
Eat warm, light, and easy-to-digest meals. Avoid raw, cold foods and heavy oily items. Include green vegetables, warm soups, and whole grains. Drink plenty of warm water and herbal teas like coriander or fennel tea. Avoid excessive sugar and processed foods. Maintain moderate exercise like walking or yoga to balance Vata and Kapha.
Investigations to consider: Hormonal profile: FSH, LH, TSH, prolactin Ultrasound of pelvis if not done recently, to check uterus and ovaries Vaginal swab if white discharge persists or smells unpleasant
Before starting treatment: Please let me know about your bowel movements, urination, sleep, and appetite, as these guide dosage and duration of medicine.
With consistent following of this plan, you can expect your periods to gradually become more regular without external pills, and the white discharge should reduce over time. The key is consistency and patience.
Warm regards, Dr. Karthika
Hello Sapna,
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. Pushyanug churna -Half tsp with lukewarm water before lunch and dinner.
Diet- Increase intake of turmeric, garlic,amla. Avoid maida, oily food,junk food Calorie dense diet for weight gain like banana,sweet potato.
Lifestyle modification - Yoga- Anulom vilom,dhanurasan,malasan Stress management -Through meditation, walking, journaling,foot massage etc Atleast 30 minutes walking after dinner. Take atleast 7 hours of sound sleep. Keeping record of date and duration for further comparison.
Tests needed to be done if the symptoms persist - 1. Hb level 2. USG lower abdomen 3. Thyroid profile 4. Vit D level Follow these and you will definitely get results. Don’t hesitate to reach out for any further query. Take care Sapna Regards, Dr.Anupriya
Don’t worry Sapna ji,
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. 5.Syp.M2 tone 2 tsf twice in a day with Lukewarm water.
*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(CHANTING ‘OM’ MANTRA), yoga,pranayam in your daily routine…
Hi sapna this is Dr Vinayak as considering your problem…no need to worry maa…you explained well regarding your symptoms…by seeing that you will get relief from your problem very soon… Once send your USG abdomen and pelvis…and thyroid report maa…for better and proper diagnosis…
Rx -Rajapravartini vati 1-0-1after food Shanka vati 2-0-2after food Varunadi kashaya 10ml twice after food Kumari asava 10ml after food… follow these the periods will regularate in short period of time
HELLO SAPNA,
You’ve had irregular periods since your periods began, which means your menstrual cycle has never stabilised naturally. Youve been prescribed 21- day hormonal pills by doctors, but when you stopped, periods stopped again. That suggests your body is not producing or regulating hormones on its own, and is dependent on external hormones (the pills) to trigger menstruation
You also mention -normal weight 48 kg, which is fine -no facial hair, acne or hairfall so PCOS- likely symptoms are not visible -no thyroid or chronic illness
SO what’s going on?
Irregular periods are called “Aartava vyapad” or “Anartava”. if absent altogether
This condition is primarily caused by
1) APANA VATA IMBALANCE Apana vata is the sub-type of vata dosha that controls menstruation, urination, and bowel movement. when it is disturbed due to stress, wrong diet, cold lifestyle, or weakness in reproductive tissues, periods become irregular or absent
2) WEAK RASA AND ARTAVA DHATU -Your rasa dhatu (plasma/nutritional fluid) and Artava dhatu (female reproductice tissue) may be underdeveloped or not nourished well, leading to weak menstrual cycles.
3) PITTA INVOLVEMENT (white discharge) -White discharge called Shweta pradara is often linked to pitta-kapha disturbance, poor vaginal immunity, and internal heat or infection
TREATMENT GOAL The treatment is not just to trigger periods temprorarily but to -correct the internal hormonal balance -strengthen apana vata and uterus -build artava dhatu female reproductive system -balance pitta to stop white discharge -rejuvenate the entire menstrual system of natural, regular periods
INTERNAL MEDICATIONS
1) ASHOKARISHTA= 20 ml with warm water after meals twice daily for 3 months =regulates menstrual cycle, balances hormones, tones uterus
2) SHATAVARI KALPA= 1 tsp with warm milk at bedtime for 3 months =nourishes reproductive tissues , improves hormonal health
3) PUSHYANUG CHURNA= 2 gm with rice water twice daily after meals for 3 months =controls excessive white discharge, tones uterus
4) RAJAHPRAVARTINI VATI= 1 tabs twice daily only for 5-7 days around periods time (use only when cycle is overdue) =uterine stimulant taken for 5-7 days around expected period of delayed
5) CHANDRAPRABHA VATI= 2 tabs twice daily after meals for 3months =balances urinary and reproductive systems, helpful in white discharge
YOGA ASANA These practices enhances blood flow to reproductive organs and balance hormonal glands -supta baddha konuşana -bhujangasana -apanasana -paschimottanasana -malasana
PRANAYAM -nadi sodhana= balances hormones -bhramari= calms mind and nervous system -sheetali= reduces vaginal heat/discharge
DIET -warm, cooked, nourishing foods -ghee, sesame oil, milk, dates,almonds -moong dal, rice, boiled vegetables -herbal teas= cumin, coriander, fennel -jaggery with sesame
AVOID -cold drinks, ice creams -dry, spicy, fried food -white sugar, processed foods -excess tea/coffee -skipping meals or eating late at night
HOME REMEDIES
1) SESAME + JAGGERY BALLS(LADDO) -take 1 daily in winter or before periods =stimulates periods and builds strength
2) FENUGREEK WATER -soak 1 tsp seeds overnight, boil in morning, sip warm =helps with hormonal balance and white discharge
3)ALOE VERA+ SHATAVARI -mix 1 tsp gel with 1 tsp powder -take in morning on empty stomach =supports menstrual regularity
INVESTIGATIONS ADVISED Even if symptoms are mild, some basic test is necessary -pelvic ultrasound -thyroid profile -serum prolactin -LH/FSH hormonal test -vitamin D and B12
-Your condition is treatable naturally, but needs consistent, holistic approach -Ayurvedic treatment works slow but deep- aim for 3-6 months -Avoid relying on hormone pills - they only mask the symptoms -focus on balancing body + mind, not just triggering periods
DO FOLLOW CONSISTENTLY
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Before starting anything you have to do following tests
1. Tests You Should Get :- • Thyroid profile (TSH, T3, T4) • Prolactin • FSH, LH, Estradiol, AMH (to check ovarian reserve & hormonal status) • Hb, Vitamin D, B12, Iron studies
These will clarify whether it’s hormonal, nutritional, or ovarian-related.
2. Internal medicines:-
• Rajapravartini Vati – 1 tab twice daily • Phalaghrita – 1 tsp with warm milk daily • Shatavari Kalpa – 1 tsp with milk, morning & night • Ashokarishta – 15 ml with equal water after meals, twice daily • Pushyanug Churna – 3 g with rice wash water, twice daily.
3. Diet :- • Eat nourishing foods: milk, ghee, dates, almonds, sesame seeds, jaggery, leafy greens. • Avoid excessive fasting, cold drinks, junk, sour curd at night. • Practice yoga asanas for reproductive health – Bhujangasana, Setubandhasana, Vajrasana, Baddha Konasana. • Reduce stress – pranayama (Anulom-Vilom, Bhramari) daily.
Start with Tablet M2TONE 1-0-1 after food with water Aloevera juice 10ml twice daily after food with water Rajapravartini vati 1-0-1 after food with water.
Ashokarishta+ kumaryasava- 3 tsf after food with water 2 times a day
Tab pushpadhanava rasa 1-1-1 tablet with phala sarpi - before food
Tab leptaden - 2 tab before food with water 2 times a day
Diet and Lifestyle
Pathya: Exercise, asana, pranayama.
Apathya: Avoiding stress. Avoid high calorie, fat, bakery items in
In Ayurveda, irregular periods can stem from an imbalance in your doshas, primarily the Vata dosha, which governs movement in the body. The disrupted cycle you’re experiencing may relate to stress, poor digestion or nutritional deficiencies. Let’s explore some personalized approaches you might try to regulate your menstrual cycle naturally.
First, focus on balancing Vata with a consistent daily routine. Try to sleep and wake up at the same times each day, aiming for at least 7-8 hours of good quality sleep. This consistency can help stabilize your body’s natural rhythms. Practicing yoga and meditation can also be beneficial in calming the mind and reducing stress levels.
Diet plays a crucial role in regulating menstrual cycles. Incorporate more warm, cooked foods into your diet, including whole grains such as brown rice or oats and warm beverages like herbal teas (ginger tea can be particularly soothing). Ensure that you’re getting enough healthy fats—ghee, sesame oil, or flaxseeds can be helpful for grounding Vata.
Herbal remedies may offer additional support in regulating your cycle. Ashwagandha and Shatavari are two potent herbs, known for their endocrine-supporting properties. Ashwagandha can reduce stress and improve energy, while Shatavari is often recommended for its cooling and restorative properties. You can consume these herbs in powdered form with warm milk, taken either in the morning or before bedtime.
Addressing white discharge, consider the possibility of excess Kapha or underlying imbalances in the reproductive system. Trikatu, a combination of ginger, black pepper, and long pepper, can improve digestion and may help with excess discharge. Take it in small amounts with honey or warm water.
It’s key to maintain adequate hydration — drink warm water throughout the day, but avoid excessive cold foods/drinks, which can disturb Vata dosha. Regular exercise, avoiding excessively intense workouts, helps balance hormones without exacerbating stress levels. Remember, while these recommendations may support your condition, it’s essential to consult a professional Ayurvedic practitioner for a tailored treatment based on your unique constitution.
Regulating irregular periods often involves addressing underlying imbalances in the body, and Siddha-Ayurveda can provide some insights and approaches worth considering. Your current symptoms suggest an imbalance possibly related to vata dosha, as it regulates movement within the body, including the menstrual cycle.
Firstly, focus on stabilizing your daily routine to align with natural rhythms. Eat warm, cooked meals at regular times to help balance vata. Meals like khichadi, which consist of rice and mung dal, are easy on digestion and can be nourishing for your agni—your digestive fire. Try to avoid raw, cold, or drying foods, which might aggravate vata leading to irregular periods.
Herbs can also play a key role in balancing your system. Shatavari is known to support the female reproductive system. You could take it in powder form—mix a teaspoon in a glass of warm milk daily. Ashoka is another herb that can promote healthy menstruation rhythms. Be cautious, though, and use these remedies under the supervision of an Ayurvedic practitioner, especially if you have ongoing medical treatments.
Lifestyle adjustments are vital too. Practicing yoga daily, especially sequences targeting the pelvis like Baddha Konasana (Butterfly Pose), can improve circulation and alleviate tension in that area. Reducing stress via meditation or pranayama could calm vata disturbances.
The issue of white discharge might indicate excess kapha or even infections sometimes, so it might be useful to consult with a professional to ensure there isn’t any infection that needs medical intervention. However, drinking warm water with ginger, which is warming and detoxifying, could gently remove excess kapha.
Finally, despite the alternative approaches, if the condition remains persistent or leads to further complications, continuously consult with a healthcare provider to understand the full scope of your condition and the best ways to address it. Balancing Ayurveda and conventional medicine often produces the best outcomes.
HELLO SAPNA,
Thank you for sharing such detailed information From what you have described, you have chronic irregular periods oligomenorrhoea/amenorrhea since monarch, without typical PCOS features no weight gain, no excess hair, no acne, You also mention persistent white discharge (leucorrhea)
POSSIBLE AYURVEDIC UNDERSTANDING -Apana vata imbalance controls menstruation and downward flow -kapha aggravation leading to obstruction white discharge, delayed flow -digestive fire weakness-> poor dhatu formation, especially rasa and rakta dhatu, affecting menstruation
1) DIET AND LIFESTYLE -Favour warm, light, easily digestible food= moong dal, vegetables soups, ghee in small amounts -Avoid cold, heavy, oily, junk food, excess dairy -Take regular meals and avoid fasting/starving -Practice stress management - yoga, pranayam, meditation
2) INTERNAL MEDICATIONS
-ASHOKARISHTA= 2 tsp with equal water after meals twice daily
-KUMRYASAVA= 2 tsp with equal water twice daily after meals
-SHATAVARI CHURNA= 1 tsp with warm milk at bedtime
-RAJAH PRAVARTINI VATI= 1 tab 7 days before expected date twice after meals
3) PANCHAKARM- IF FEASIBLE ADVISED -Basti therapy= best for apana vata regulation -Uttarbasti
4) FOR WHITE DISCHARGE -Chandraprabha vati= 1 tab twice daily with lukewarm water
-sitz bath with triphala decoction for local cleansing
DAILY ROUTINE SUGGESTION -morning= warm water with a pinch of ginger
-Exercise/yoga= gentle yoga, especially baddha konasana , bhujangasana, setu bandhasana
-Sleep= adequate rest, avoid late nights
THANK YOU
DR. HEMANSHU MEHTA
