Bleeding time starts in 15 days and bleed for 3 days and then brown discharge for 13 days - #32866

Avoid oily, spicy and processed foods. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Sy. Evecare 15ml twice a day Tab. Shatavari 2-0-2 Tab. Myron 2-0-2 Follow up after 4weeks

At age 45, this is likely part of the perimenopausal phase (hormonal fluctuations before menopause). Frequent bleeding + prolonged brown discharge may indicate: Rajahpradara (menorrhagia/metrorrhagia in Ayurveda) Possible endometrial thickening / fibroid / polyp Hormonal imbalance (estrogen-progesterone shifts in perimenopause)

Since you are having prolonged discharge with high BP, it’s very important to rule out structural causes first. Recommended Investigations Pelvic Ultrasound (USG abdomen + pelvis, TVS if possible) → to check for fibroid, polyp, endometrial thickness. CBC, Hb% → to see if anemia is developing. Thyroid profile (TSH, T3, T4) → thyroid dysfunction can also cause such bleeding. BP monitoring regularly. Ayurvedic Supportive Approach

Ashokarishta – 20 ml with equal water, after meals, twice daily. Pradarantak Lauh – 1 tab twice daily with honey. Lodhra + Musta + Ashoka (churna mix) – 1 tsp twice daily with rice wash water or lukewarm water. Kumaryasava – 20 ml with water, twice daily. Shatavari powder – 1 tsp with warm milk at night.

HELLO ARWA,

At age 45, you are in the stage called perimenopause- the years before menopause when periods become irregular due to changes in hormones (mainly estrogen and progesterone)

WHAT’S HAPPENING IN YOUR CASE -Normally , the menstrual cycle is ~ 28-30 days, bleeding lasts 3-5 days, and then it stops completely until the next cycle

In your case -cycle is becoming short (every 15-20 days) -you bleed for 3 days, but instead of stopping completely, you continue to have brown discharge for 10-13 more days -brown discharge = old, stagnant blood that is not expelled properly

This means your uterus is not cleaning itself completely and blood remains inside, coming out slowly as brown discharge

POSSBILE CAUSES -Hormonal imbalance (perimenopause, thyroid changes, insulin resistance, obesity etc -Uterine conditions: fibroid, endometrial polyp, adenomyosis -Thickening of uterine lining -less common but important : precancerous or cancerous changes in the uterus/ cervix at this age

In Ayurveda, your symptoms are described as Rakta pradara (excessive or irregular bleeding/discharge due to pitta and vata imbalance -Pitta= heat in the body-> causes more bleeding, burning, early cycles -Vata= dryness/irregularity-> causes incomplete expulsion, leading to spotting and brown discharge

So, the goal is to -balance pitta= reduce excess heat, bleeding, and inflammation -balance vata= ensure proper expulsion of menstrual blood, regulate cycle -strengthen uterus-> tone the endometrium so bleeding starts and stops properly -support hormonal balance-> calm fluctuations in perimenopause

INTERNAL MANAGEMENT

1) ASHOKRISHTA = 20 ml + equal water twice daily after meals =strengthen uterine muscles, reduces bleeding, regulates cycle

2) KUMARYASAVA= 15 ml + equal water twice daily after meals =balances hormones, improves digestion and liver function (important for hormones)

3) PRAVAL PISHTI= 250mg twice daily with ghee after meals =cooling, reduces excess pitta, controls heavy/irregular bleeding

4) KAMDUDHA RAS (with mukta)= 125mg twice daily with water =balances acidity, pitta, calms body heat, useful in spotting

5) LODHRA CHURNA= 2gm with honey twice daily after meals =astringnt herb, tones uterus, stops excess discharge

6) TRIPHALA CHURNA= 1 tsp at bedtime with warm water =detoxifies, improves digestion, prevents constipation

duration= usually 2-3 months

DIET -prefer cooling, stack diet -milk, ghee, rice, moong dal, pomegranate, apples, grapes, dates -green leafy vegetables - spinach, drumstick leaves, methi -seeds= flaxseeds, sesame (black), pumpkin seeds (natural hormone balancers) -Spices in moderation:- cumin, coriander, fennel(all balance pitta)

AVOID -spicy, sour, fried, junk food -red meat, alcohol, excessive tea/coffee -packaged/processed foods

LIFESTYLE -maintain regular sleep routine (10-11pm bedtime) -avoid overexertion, fasting, skipping meals -gentle exercise only-> walking,ygoa -manage stress-> as stress worsens hormonal imbalance

YOGA ASANAS -baddhakonasana= improves pelvic circulation -setu bandhasana= tones uterus -supta baddhakonasana= relaxes uterus -viparita karani= calms pitta and vata

PRANAYAM -Anulom vilom= balances hormones -Sheetali and sheetkari= cooling, reduces pitta -Bhramari= calms mind, reduces stress

HOME REMEDIES -Cumin-coriander-fennel water= drink lukewarm in morning -Pomegranate juice= 1/2 glass daily- natural astringent, reduces spotting -Banana flower curry (with moong dal)- traditional remedy for excessive bleeding -Aloe vera pulp- fresh 1 tsp with honey daily- balances hormones

INVESTIGATIONS NEEDED

1) Pelvic ultrasound-> to check uterus (fibroid, endometrium thickness , polyp) 2)CBC 3) THYROID PROFILE 4) PAP SMERA

-Your symptoms are common in perimenopause, but at age 45 we must not ignore them. -Investigations will ensure there is no serious cause -with consistent care 2-3 months , your periods can become lighter, shorter, and more regular and you can move smoothly toward menopause

DO FOLLOW

HOPE THIS MIGHT HELPFUL

THANK YOU

DR. MAITRI ACHARYA