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pelvic inflammatory disease with cyst in left ovary o
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Gynecology and Obstetrics
Question #33145
80 days ago
418

pelvic inflammatory disease with cyst in left ovary o - #33145

Dr. Anshita

Suffering from pelvic inflammatory disease with cyst in left ovary size is 4mm, endometrium thickness 8.2mm in 18 day of menses cycle suggest ayurvedic medicine, also shown free fluid in pelvic area, in previous Suggestion I was suffering from endometriosis thickness Which in three month treatment reduced to 8.2mm by ayurvedic treatment please suggest for pid also

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Doctors' responses

Dear Dr. Anshita Avoid oily, spicy and processed foods. Regular exercise. Increase intake of raw vegetables and fruits. Sy. M2 tone 15ml twice Tab. Chandrabrabhavati 2-0-2 Tab. Shatavari 2-0-2 Follow up after 12weeks

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Thank you for reaching out and trusting this platform with your Health journey, it is very good to hear that your endometrial thickness has come down with Ayurvedic treatment. This shows that your body is responding well and your system is capable of healing with the right support, now that your facing with PID with a small cyst in the left ovary and a little free fluid in the pelvis We need to focus on clearing the infection and inflammation, balancing the hormones and preventing recurrence of cysts and thickened endometrium Kanchanar guggulu Chandraprabha vati Stri rasyana vati One tablet each twice daily after food with warm water Dashamoola aristha Asoka aristha- 2 teaspoon each with equal quantity of water twice daily after food Prefer warm freshly cooked light meals Avoid Cure, cold drinks, sweets and fried foods Include turmeric, ginger, garlic, cumin, black pepper Practice Yoga‘s like Buddha Konasana setubBanda Sana Repeat scan after two months to check your cyst size and pelvic fluid status

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Hello Dr. Anshita, Start with Tablet M2TONE forte 1-0-1 after food with water Triphala guggul 1-0-1 Kanchanar guggul 1-0-1 Vriddhivadhika vati 1-0-1 All after food with water Avoid processed fatty fast sugary street foods Do pranayam lom -vilom bhastrika kapalbhati daily for 5-10mins twice.

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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.
80 days ago
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Hello Dr. Akshita ji, It’s good that your body is responding to ayurvedic treatment very well. TREATMENT - 1.Chandraprabha vati-1-0-1 after meals 2. Kanchnar guggulu -1-0-1 after meals 3. Vriddhivadhika vati-1-0-1 after meals 4. Ashokaristha -2tsp with 2 tsp water twice a day after meals

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,setu bandhasana.

Follow this and you will get results. Review after 1 month. Repeat scan after 2 months. Take care Akshita ji Regards, Dr. Anupriya

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Hello Dr. Anshita ji,

I can understand your concern regarding Pelvic inflammatory disease. But dont worry we are here to help you out😊

Pelvic Inflammatory Disease (PID)= Ongoing pelvic infection pelvic pain, discharge, possible fever, and inflammation.

Left ovarian cyst (4 mm) Small and usually not dangerous, but needs monitoring.

Endometrium thickness (Day 18 = 8.2 mm): Within acceptable range, especially in luteal phase. Earlier endometriosis thickness has improved with Ayurvedic treatment – very good sign.

✅AYURVEDIC PLAN OF TREATMENT

1. Kanchanar Guggulu – 2 tabs twice daily after food – for cyst regression & Kapha shaman.

2. Chandraprabha Vati – 2 tabs twice daily – acts as antimicrobial, reduces pelvic inflammation.

3. Ashokarishta- 20 ml-0- 20 ml after food twice daily with equal water – balances endometrium, regulates Artava.

4. Guggulutiktaka Ghrita (ghritam) – 1 tsp morning empty stomach with warm water – reduces chronic PID inflammation & supports tissue healing.

✅ EXTERNAL TREATMENT-

👉Yoni Pichu (tampon with medicated oil like Nimbadi Taila or Jatyadi Taila) – reduces infection & inflammation.

👉Triphala Phanta Yoni Prakshalana – warm decoction wash to reduce discharge and burning.

✅DIET AND LIFESTYLE

✅ Include: Warm water, cumin-coriander-fennel tea. Garlic, turmeric, neem, aloe vera juice (small doses) – natural antimicrobials. Plenty of cooked vegetables, especially bitter & astringent tastes (bottle gourd, drumstick, neem, methi).

❌ Avoid- Curd, cheese, heavy dairy at night. Excess spicy, sour, fermented foods. Cold drinks, junk, refined sugar (increase Kapha & infection tendency). Intercourse during active infection.

Your endometrium thickness has already improved with Ayurveda – encouraging progress.

PID + small ovarian cyst + pelvic free fluid can be managed with Kanchanar Guggulu + Chandraprabha Vati + Ashokarishta + supportive ghrita.

Local therapies like yoni pichu & prakshalana accelerate healing.

With 3–6 months of treatment + strict pathya, both PID inflammation and cyst can be controlled

Wish you a good health😊

Warm Regards Dr Snehal Vidhate

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Hello Dr.Andhra It’s good that you have seen positive response for endometrial thickening You can start on Chandraprabha vati 1-0-1 Gokahuradi guggulu 1-0-1 Strirasayana vati 1-0-1 Shatavari churna 0-0-1/2 tsp Dashamoola aristha 10-0-10 ml with equal water Asoka aristha 10-0-10 ml with equal water Can be taken

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Considering you’re dealing with PID alongside an ovarian cyst and other concerns, it’s necessary to approach this holistically through Ayurveda while also keeping medical options open if needed. Ffirstly, restoring balance is key, focusing on the dosha involved. PID is typically linked with an aggravated Pitta dosha, causing inflammation and heat in the pelvic region.

For medicine, the herb Ashoka (Saraca asoca) can be supportive in managing your reproductive health. Ashoka may help in reducing inflammation, addressing cysts and toning the uterus. Look for formulations like Ashoka Ghrita or Ashokarishta, which can be taken under a practitioner’s supervision, twice a day after meals.

To manage the cyst, Guggul preparations like Kachanar Guggulu might strengthen reproductive tissues. Other herbs such as Shatavari and Aloe Vera can support reproductive health and hormonal balance, calming excess Pitta. A guided detoxification process (Panchakarma) might be helpful too in removing accumulated toxins.

Diet-wise, opt for a Pitta-pacifying diet: avoid spicy, fermented or acidic foods. Prefer cooling, easy-to-digest meals like whole grains, cooked vegetables, and sweet fruits. Hydrate thoroughly with water and herbal teas like hibiscus or rose, which soothe Pitta.

Lifestyle modifications include reducing stress through meditation and gentle yoga practices specifically designed for women’s health. Pranayama practices like Sheetali or Chandra Bhedana can also be calming and cooling.

Given the specifics of your condition (cysts & free fluid), continuous medical evaluation is essential. An ultrasound follow-up for the cyst and free fluid and monitoring of the endometrium is recommended. If sever symptoms emerge, advanced intervention might be required, so keep your healthcare provider in the loop about changes.

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HELLO DR. ANSHITA,

1) PELVIC INFLAMMATORY DISEASE -This is an infection and inflammation of the reproductive organs . It causes pain, irregular periods, pelvic congestion, and sometimes fluid collection in the pelvis (as in your report)

2) OVARIAN CYST (4mm) -A small fluid-filled sac on the ovary. At 4 mm, it is very small and usually harmless, but it indicates some hormonal imbalance or inflammatory tendency

3) ENDOMETRIUM THICKNESS (8.2 mm on day 18 of cycle) -Endometrium is the inner lining of the uterus. It normally thickens before menstruation. In your case, it used to be much thicker due to endometriosis (abnormal growth),but has now reduced to normal range with Ayurvedic support

SO CURRENTLY YOUR MAIN CONCERNS ARE -Infection + inflammation (PID) -Pelvic free fluid due to infection/inflammation -Small cyst -Need to prevent recurrence of endometriosis

AYURVEDIC VIEW -PID= yoni shotha (uterine inflammation ) caused by Ama (toxins from weak digestion/metabolism) and Kapha-pitta imbalance -OVARIAN CYST= granthi (cyst swelling) due to kapha accumulation -ENDOMETRIOSIS/ ENDOMETRIAL THICKENING= artava dushti (disorder of menstrual tissue) and rakta dushti (impure blood)

TREATMENT GOAL -remove infection/inflammation - reduce pelvic congestion and free fluid -normalise menstrual cycle and hormones -prevent cyst growth/ shrink small cysts -improve uterine health and fertility potential

INTERNAL MEDICATIONS

1) KANCHANAR GUGGULU= 2 tabs twice daily after meals =anti inflammatory, reduces cyst, clears channels

2) CHANDRAPRABHA VATI= 1 tab twice daily after meals =for pelvic congestion, urinary/ reproductive tract health

3) ASHOKARISHTA= 20 ml + equal water twice daily =regulates menstrual cycle, balances hormones

4) DASHMOOLA KASAHAY= 25ml + equal water twice daily before meals =reduces pelvic pain, clears vata-kapha imbalance

5) GUDUCHI, MANJISTHA, SARIVA DECOCTION= 20ml daily twice =blood purification, improves immunity, controls inflammation

6) SHATAVARI CHURNA= 1 tsp with warm milk in morning =strengthen uterus, bt only after active infection subsides

LOCAL TREATMENT

1) YONI PICHU (vaginal tampon with Jatyadi taila)-> reduces local infection

2) SITZ BATH with warm Triphala decoction-> relieves pain, reduces disscharge

3) YONI DHUPANA (vaginal fumigation) with antimicrobial herbs like neem, turmeric, guggulu

LIFESTYLE -maintain clean genital hygiene -take adequate rest during menses -keep digestion strong -> eat light, freshly cooked food

YOGA ASANAS -bhujngasana= improves pelvic circulation -baddha konasana= opens pelvic region -supta baddha koasana= relaxation, blood flow -setu bandhasana= sthregnthens pelvic muscles

PRANAYAM -Anulom vilom= balances hormones, redcues stress -Bhramari= calms mind, reduces pain perception

AVOID -cold water baths, damp clothing, excessive sitting -suprresion of natural urges urine, stool, periods -stress, late nights, excessive sexual activity durning infection

DIET

FAVOUR= warm, light, easily digestible meals-> mung dal khichdi, vegetable soups, rice , bottle gourd, pumpkin, drumstick, pomegranate, raisins

SPICES HELPFUL= turmeric, cumin, coriander, fennel, garlic, ginger

AVOID -Curd, cheese, cold drinks, ice cream -excess oily, fried, fast food, junk -red meat, alcohol, smoking

HOME REMEDIES -Turmeric + honey= 1/4 tsp turmeric with 1 tsp honey daily-> natural anti inflammatroy -Fenugreek seed water- soak overnight, drink in morning-> reduces inflammation -Warm castor oil compress on lower abdomen-> relieves pain and congestion

Your cyst is very small 4mm-> good sign, usually resolves on its own Endometrium thickness 8.2 mm is almost normal-> keep monitoring The real issue now is PID and pelvic fluid which Ayurveda manages well with internal cleansing+ local therapies Focus on reducing inflammation and infection first Later, shift to rejuvination, hormones balancing herbs to prevent recurrence With consistent Ayurvedic treatment, lifestyle corrections, and follow up scans you can expect gradual resolution without surgery

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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For pelvic inflammatory disease (PID) and the cyst in the left ovary with an endometrium thickness of 8.2mm, ayurveda offers several approaches. Peeleghritam, a medicated ghee preparation, can be helpful. Take a tablespoon of this ghee in the morning on an empty stomach. It is known to support reproductive health and balance doshas.

Consider Garlic therapy, consuming two cloves of raw garlic daily can boost immunity and help fight infection thanks to its antimicrobial properties. Though its pungency, a small price for its benefits.

Tirpala Kwath, known for its cleansing properties, can help in managing inflammatory conditions. Prepare a decoction by boiling one Tbsp of Triphala powder with a glass of water until reduced to half. Drink this cool in the evening. A simple way to maintain digestive balance.

Also perform daily Abhyanga (self-oil massage) with warm sesame oil to enhance circulation and clear blocked nadis, supporting healing of the reproductive organs. After massage, a warm bath can further facilitate detoxification.

However, monitor changes closely. If symptoms worsen or there’s considerable pain, seek allopathic consultation alongside Ayurvedic treatment to ensure timely and effective care. Integration of practices enhances safety and wellbeing.

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I am working in Ayurveda for about 2 years now, mainly around gynecological problems, which I honestly feel are way more common than most people realise. I see a lot of women struggling silently with issues like irregular periods, cramps that just don’t stop, mood swings, PCOS kind of symptoms... sometimes they come in after trying a bunch of stuff already n nothing really works long-term. That’s where I try to bring in a more rooted approach. I use a mix of Ayurvedic principles, dietetics (like food based on dosha & body type etc), and yoga therapy to manage these conditions. It’s not just about reducing pain during periods or balancing hormones—it’s more like trying to understand what’s causing the imbalances in the first place. I spend time trying to map the prakriti-vikriti profile and see how stress, food, daily habits are impacting the cycle. I don’t rush things, coz honestly healing isn't linear and doesn't follow some fixed timeline. And not everyone wants to jump into panchakarma straightaway either, right? Also pain management is a big part of my work. Whether it’s period cramps or pelvic pain, or even chronic stuff tied to digestion and fatigue, I look at how we can ease that naturally. Sometimes through simple things like castor oil packs, or subtle shifts in routine, other times I may recommend herbs or formulations. Yoga plays a huge role too, esp. when the body feels stuck or inflamed. Not gym-style yoga, more therapeutic.. breath n movement syncing with dosha correction, that kind of thing. To be honest, I’m still learning—Ayurveda’s depth is huge, and I feel like I’m just getting started. But what I do know is, when I see women begin to trust their own body’s rhythm again, that’s really powerful. Makes all the effort worth it. Even small relief matters. It's not perfect, sometimes things take longer, sometimes we need to adjust mid-way... but it's real.
5
27 reviews
Dr. Maitri Bhavesh Kumar Acharya
I am Dr. Maitri, currently in my 2nd year of MD in Dravyaguna, and yeah, I run my own Ayurvedic clinic in Ranoli where I’ve been seeing patients for 2 years now. Honestly, what pulled me into this path deeper is how powerful herbs really are—when used right. Not just randomly mixing churnas but actually understanding their rasa, virya, vipaka etc. That’s kinda my zone, where textbook knowledge meets day-to-day case handling. My practice revolves around helping people with PCOD, acne, dandruff, back pain, stiffness in knees or joints that never seem to go away. And I don’t jump to giving a long list of medicines straight away—first I spend time figuring out their prakriti, their habits, food cycle, what triggers what… basically all the small stuff that gets missed. Then comes the plan—herbs (single or compound), some diet reshuffling, and always some lifestyle nudges. Sometimes they’re tiny, like sleep timing. Sometimes big like proper seasonal detox. Being into Dravyaguna helps me get into the depth of herbs more confidently. I don’t just look at the symptom—I think okay what guna will counter this? Should the drug be snigdha, ushna, tikta? Is there a reverse vipaka that’ll hurt the agni? I ask these questions before writing any combo. That’s made a huge diff in outcomes. Like I had this case of chronic urticaria that would flare up every week, and just tweaking the herbs based on sheetala vs ushna nature... helped calm the system in 3 weeks flat. Not magic, just logic. I also work with women who are struggling with hormonal swings, mood, delayed periods or even unexplained breakouts. When hormones go haywire, the skin shows, digestion slows, and mind gets foggy too. I keep my approach full-circle—cleansing, balancing, rejuvenating. No quick fixes, I tell them early on. What I’m hoping to do more of now is make Ayurveda feel practical. Not overwhelming. Just simple tools—ahara, vihara, aushadha—used consistently, with some trust in the body’s own healing. I’m still learning, still refining, but honestly, seeing people feel in control of their health again—that’s what keeps me rooted to this.
5
602 reviews
Dr. Narendrakumar V Mishra
I am a Consulting Ayurvedic Physician practicing since 1990—feels strange saying “over three decades” sometimes, but yeah, that’s the journey. I’ve spent these years working closely with chronic conditions that don’t always have clear answers in quick fixes. My main work has been around skin disorders, hair fall, scalp issues, and long-standing lifestyle stuff like diabetes, arthritis, and stress that kinda lingers under everything else. When someone walks into my clinic, I don’t jump to treat the problem on the surface. I start by understanding their *prakriti* and *vikriti*—what they’re made of, and what’s currently out of sync. That lets me build treatment plans that actually *fit* their system—not just push a medicine and hope it works. I use a mix of classical formulations, panchakarma if needed, dietary corrections, and slow, practical lifestyle changes. No overnight miracle talk. Just steady support. Hair fall and skin issues often feel cosmetic from outside—but internally? It’s about digestion, stress, liver, hormones... I’ve seen patients try 10+ things before landing in front of me. And sometimes they just need someone to *listen* before throwing herbs at the problem. That’s something I never skip. With arthritis and diabetes too, I take the same root-cause path. I give Ayurvedic medicines, but also work with *dinacharya*, *ahar* rules, and ways to reduce the load modern life puts on the body. We discuss sleep, food timing, mental state, all of it. I’ve also worked a lot with people dealing with high stress—career burnout, anxiety patterns, overthinking—and my approach there includes Ayurvedic counseling, herbal mind support, breathing routines... depends what suits them. My foundation is built on classical *samhitas*, clinical observation, and actual time with patients—not theories alone. My goal has always been simple: to help people feel well—not just for a few weeks, but in a way that actually lasts. Healing that feels like *them*, not just protocol. That’s what I keep aiming for.
5
1375 reviews

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