How to reduce or handle extremely severe periods pain - #32274
I have PCOS but at the scratch, the level of pain I go through every month is very severe unbearable pain. Doctor recommended me to use Meftal for pain but that doesn't help me much on the first 2 days of my periods. I vomit everything ieat or drink n the pain with cramps get very severe that i faint in pain. What treatment shouldI consider?


Doctors’ responses
Dear Mary You have to make some lifestyle changes. Avoid oily, spicy and processed foods. Regular exercise. Increase intake of raw vegetables and fruits. Tab. Shatavari 2-0-2 Sy. Evecare 2 15ml twice a day Follow up after 12weeks
Hello Mary, Considering your situation, I recommend the following treatment plan- Your symptoms indicate hormonal imbalance hence,the diet , exercise and other lifestyle modifications are as important as the medicine itself. Treatment -
1. Patrangasav and 2. Ashokaristha- 20 ml of both with 40 ml of water after meal 3.Rajah pravartini vati 2-0-2 after meal 4. 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 . Weight management. . Stress management -Through meditation, walking, journaling. Recommended tests- Hemoglobin level Vit D ,B12 Magnesium levels 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. Would like to hear your improvement in the review. Follow up after 1 month. Take care Regards, Dr. Anupriya
Addressing severe menstrual pain, particularly with accompanying PCOS, requires a comprehensive, multifaceted approach within the realm of Ayurveda. Period pain often ties back to Vata dosha imbalances. When the Vata is aggravated, it results in intense cramping and pain. Here are some tailored Ayurvedic suggestions which might help improve your condition:
1. Dietary Adjustments: Focus on grounding and warming foods that pacify Vata. Cooked vegetables, warm milk infused with a pinch of turmeric and pepper at night, whole grains, and soups can be beneficial. Minimize raw and cold foods.
2. Herbal Support: Ashoka (Saraca asoca) is noted for its profound uterine tonic effects and may alleviate pain. Dashamoola, a group of ten traditional roots, known for its anti-inflammatory properties, can balance Vata. Use these under supervision of an Ayurvedic practitioner.
3. Lifestyle Modifications: Make sure you’re getting adequate rest, especially around your menstrual cycle. Practise yoga for relaxation - asanas like Supta Baddha Konasana and Viparita Karani can be soothing.
4. Hydration and Warmth: Sip warm water with a bit of ginger throughout the day to keep hydrated, and apply a hot water bottle to the lower abdomen to relax the muscles and ease cramps.
5. Stress Management: Pranayama and meditation help in reducing stress which can aggravate Vata dosha. Regular practice may lend a calming effect on the body.
Given severity of your symptoms such as vomiting and fainting, seek immediate medical evaluation. Any delay could exacerbate the symptoms or mask an underlying condition that requires more urgent intervention. Collaborating with both modern medical professionals and an experienced Ayurvedic doctor could provide a well-rounded treatment plan.
Dealing with severe pain during your periods, especially with a condition like PCOS, can be challenging. In the Siddha-Ayurvedic perspective, we would first look at balancing the doshas—particularly vata, which, when aggravated, can contribute to pain and cramps. To alleviate symptoms, you may consider a combination of dietary adjustments, lifestyle changes, and herbal remedies.
Start with your diet. Incorporate warm, cooked foods that are easy to digest, since improving agni (digestive fire) is crucial. Include foods like moong dal, rice, and vegetables. Avoid cold, raw, or processed foods that may aggravate vata. Consuming a pinch of ajwain (carom seeds) with warm water after meals can aid digestion and reduce bloating.
Herbal remedies such as Ashwagandha and Shatavari can help balance hormones and reduce stress, which might lessen period pain. You can take them as powders, mixed with warm milk, or as pills, according to the recommended doses by a practitioner.
Additionally, external treatments like warm oil massages can be beneficial. Use sesame oil or castor oil, warmed up, and apply gently on the lower abdomen in circular motions. This can help relax the muscles and relieve cramps.
Maintaining a regular sleep schedule and practicing gentle yoga poses can also contribute to overall well-being and hormonal balance. Poses such as Supta Baddha Konasana (Reclining Bound Angle Pose) and Supta Matsyendrasana (Reclining Spinal Twist) can be particularly soothing.
If the pain remains severe, it’s important to consult a healthcare provider to rule out any other underlying conditions. Always ensure any Ayurvedic remedies are compatible with other medications you may be taking.

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