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Irregular periods (late periods)
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Gynecology and Obstetrics
Question #31406
21 days ago
192

Irregular periods (late periods) - #31406

Suchi

Hello doctor I'm 23 year old I didn't get my periods from last 2 months I got my last period on 15 july 2025 and I didnt perform any sexual activity in past 7-8 months so there is no chance of pregnancy This irregular periods not happen for the 1st time it's from staring

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hello suchi ,

Since you are 23 and your periods have been irregular since the beginning (not just recently), this is most likely due to a hormonal imbalance commonly Polycystic Ovarian Syndrome (PCOS), thyroid disturbance, or sometimes low body weight, stress, or nutritional deficiency. Because pregnancy is not possible in your case, we can focus on the real causes.

Why your periods may be irregular:

PCOS – common in young women; leads to delayed or skipped cycles, acne, weight gain, or excess hair growth. Thyroid imbalance – both hypo and hyperthyroidism can delay cycles. Low Hb, Vitamin D deficiency, poor nutrition – body doesn’t get enough strength to maintain regular cycles. Stress, overthinking, disturbed sleep – directly affect hormonal rhythm.

Step 1: Ama Pachana (for digestion & hormones)

Take Triphala churna 1 tsp at bedtime with warm water for 10–15 days (to regulate bowels & detox). Warm water with a pinch of dry ginger after meals helps clear bloating & Ama.

Step 2: Internal medicines (from Day 5 onwards)

Ashokarishta 20 ml with equal water after meals, twice daily (for uterine health and cycle regulation). Kumaryasava 15 ml with equal water after meals, twice daily (improves cycle regularity and digestion). Shatavari powder 1 tsp with warm milk at night (for hormonal balance & nourishment).

Step 3: Lifestyle & diet

Fix sleep cycle (sleep before 11 pm). Include soaked almonds, dates, sesame seeds, and pomegranate regularly. Reduce junk, packaged, and fried foods — they aggravate PCOS and irregularity. 30 minutes daily brisk walk or yoga (especially Surya namaskar, Baddha konasana, Malasana).

Step 4: Investigations to be done

Thyroid profile (TSH, T3, T4) Pelvic ultrasound (to rule out PCOS or structural issues) Serum prolactin Hb, Vitamin D3, B12

Irregular periods since the start usually mean a hormonal rhythm hasn’t stabilized well. With the right medicines, food, and lifestyle, your cycles can become regular. At your age, this is treatable don’t worry, it’s not dangerous, but leaving it unattended for long can cause weakness, anemia, and fertility issues later. So better to start correcting now.

Warm regards, Dr. Karthika

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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.
21 days ago
5

Hello Suchi, Possible reason behind delayed periods might be - 1. Hormonal imbalance which can be due to Thyroid disorder,PCOS etc 2. Chronic stress 3. Low nutrient diet 4. Lack of proper sleep schedule 5. Low Hemoglobin

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

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 Suchi Regards, Dr.Anupriya

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Irregular periods, especially if they’ve been a consistent issue since the start, can often be linked to an imbalance in the doshas, particularly Vata and Pitta, in Ayurveda. Stress, diet, lifestyle, and digestion are some factors that might be contributing to this pattern. Considering your situation, let’s address some possible steps you can take.

First, let’s focus on your diet. Irregularities can arise from digestive issues or the improper functioning of agni, or digestive fire. Ensure you have warm, cooked meals instead of raw or cold foods. Favor foods that are grounding and nourishing, such as whole-grains, lentils, and warm milk. Include healthy fats like ghee, which can help balance Vata. Avoid excessively spicy, oily, or processed foods that can provoke Pitta.

Lifestyle modifications are essential too. Establish a routine for waking up, eating, and sleeping. Aim for 7-9 hours of good quality sleep per night. Include some form of gentle exercise like yoga or walking to keep the body active and maintain flow in the body channels. Pranayama, especially Nadi Shodhana (Alternate Nostril Breathing), can be quite helpful in calming the nervous system and balancing energies.

Herbal support can be beneficial. Shatavari, renowned for its effects on the female reproductive system, may be used to support reproductive health and regulate menstrual cycles. Start with a small dose, say one capsule or half a teaspoon of Shatavari powder, once a day. It’s advisable to consult with a healthcare provider before starting any herbal supplement.

If stress is a significant factor, explore relaxation techniques like meditation. This can also have a profound effect on regularizing cycles by balancing mental tension and physical response.

In any persistent or worsening case, consulting a gynecologist or healthcare provider for a thorough check-up is crucial. It’s important to rule out any underlying conditions needing medical intervention. Ayurveda can complement—but not replace—urgent or specialized medical treatments.

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Irregular menstrual cycles can often be attributed to an imbalance in the doshas - mainly vata and pitta - which affect the hormonal balance and energy flow (prana) in the body. In Siddha-Ayurvedic understanding, it’s important to first pacify these doshas and strengthen the reproductive tissue (shukra dhatu).

First, begin by adjusting your diet to include more vata-pacifying foods. Incorporate warm, oily, and nourishing foods such as cooked grains (rice and wheat are ideal), legumes, cooked vegetables, nuts, and seeds. Avoid cold foods, raw foods, and excessive caffeine or sugar, since these can aggravate vata.

Consider including specific herbs like Ashoka (Saraca indica) and Shatavari (Asparagus racemosus) known for balancing female hormones and promoting reproductive health. You can create a simple decoction of these herbs and consume it twice daily after meals.

In terms of lifestyle, establish a consistent daily routine to bring balance and regularity, ideally sleeping and waking at the same time each day. Practice gentle yoga or stretching exercises to improve blood flow and relieve stress - both key in regulating periods. Avoid intense physical activity or stress.

Also, pay attention to your digestive fire (agni) by sipping warm water throughout the day with fresh ginger or cumin seeds. This will aid digestion and support your body’s ability to balance hormones more effectively.

For longer-term regulation, please track your menstrual cycle and any accompanying symptoms, making it easier to identify any further imbalances. This overview of your situation allows personalized adjustments in treatment as needed. If these measures do not bring about change or if other alarming symptoms develop, it is crucial to seek a healthcare provider’s advice. They may need to look beyond just the doshas and assess your health scenario in-depth.

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