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Gynecology and Obstetrics
Question #33145
40 days ago
263

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

300 INR (~3.51 USD)
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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.
40 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 Vaidya Atul Painuli, currently working as an Ayurvedic Consultant at Patanjali Chikitsalaya, Delhi... been here a while now. My focus from the start—over 10+ yrs in this field—has been to stay true to what Ayurveda *actually* is, not just surface-level remedies or buzzwords. I’ve treated a wide mix of patients, from people battling chronic illnesses to those just looking to fix their lifestyle before it leads to disease (which is v underrated tbh). During these years, I kinda shaped my practice around the idea that one solution never fits all. Whether it’s diabetes, gut disorders, stress-related problems or hormone issues—everything goes back to the root, the *nidana*. I usually go with classic Ayurvedic meds, but I mix it up with Panchakarma, diet tweaks and daily routine correction, depending on the case. Most of the time, ppl don’t even realize how much their habits are feeding into the problem. It’s not just about herbs or massages... though those are important too. At Patanjali Chikitsalaya, I see patients from literally all walks of life—office-goers, elderly, even young kids sometimes. Everyone’s got something diff going on, which keeps me grounded. What I try to do is not just treat the symptoms but help ppl *see* what’s happening in their bodies and minds. Like Ayurveda says—if your digestion, sleep and emotions are off... then eventually health’s gonna wobble. I don’t promise quick results but I do stay with my patients through the process, adjusting things based on how they respond. That part makes a big difference I think. For me, Ayurveda isn’t a “last resort” kinda thing—it’s a system that can prevent 80% of the lifestyle diseases ppl suffer from today, if done right. My goal? Just to keep doing this in a way that feels real, grounded, and actually helps ppl—not overwhelm them with too much jargon or fear. Just practical, clean, honest healing.
5
74 reviews
Dr. Prasad Pentakota
I am Dr. P. Prasad, and I’ve been in this field for 20+ years now, working kinda across the board—General Medicine, Neurology, Dermatology, Cardiology—you name it. Didn’t start out thinking I’d end up spanning that wide, but over time, each area sort of pulled me in deeper. And honestly, I like that mix. It lets me look at a patient not just through one lens but a whole system-wide view... makes more sense when treating something that won’t fit neatly in one category. I’ve handled everything from day-to-day stuff like hypertension, diabetes, or skin infections to more serious neuro and cardiac problems. Some cases are quick—diagnose, treat, done. Others take time, repeated check-ins, figuring out what’s really going on beneath those usual symptoms. And that’s where the detail matters. I’m pretty big on thorough diagnosis and patient education—because half the problem is ppl just not knowing what’s happening inside their own body. What’s changed for me over years isn’t just knowledge, it’s how much I lean on listening. If you miss what someone didn’t say, you might also miss their actual illness. And idk, after seeing it play out so many times, I do believe combining updated medical practice with basic empathy really shifts outcomes. Doesn’t have to be complicated... it just has to be consistent. I keep up with research too—new drugs, diagnostics, cross-specialty updates etc., not because it’s trendy, but cuz it’s necessary. Patients come in better read now than ever. You can’t afford to fall behind. The end goal’s the same tho—help them heal right, not just fast. Ethical practice, evidence-based, and sometimes just being there to explain what’s going on. That’s what I stick to.
5
604 reviews
Dr. Snehal Tasgaonkar
I am an Ayurvedic physician with around 7 yrs clinical experience, though honestly—feels like I’ve lived double that in patient hours. I studied from a govt. medical college (reputed one) where I got deep into classical Ayurvedic texts n clinical logic. I treat everything from chronic stuff like arthritis, IBS, eczema... to more sudden conditions that just pop up outta nowhere. I try to approach each case by digging into the *why*, not just the *what*. I mean—anyone can treat pain, but if you don’t catch the doshic imbalance or metabolic root, it just comes bak right? I use Nadi Pariksha a lot, but also other classical signs to map prakriti-vikruti, dhatu status n agni condition... you know the drill. I like making people *understand* their own health too. Doesn’t make sense to hand meds without giving them tools to prevent a relapse. My Panchakarma training’s been a core part of my work. I do Abhyanga, Swedana, Basti etc regularly—not just detox but also as restorative therapy. Actually seen cases where patients came in exhausted, foggy... and post-Shodhana, they're just lit up. That part never gets old. Also I always tie diet & lifestyle changes into treatment. It’s non-negotiable for me, bcs long-term balance needs daily changes, not just clinic visits. I like using classical formulations but I stay practical too—if someone's not ready for full-scale protocol, I try building smaller habits. I believe healing’s not just abt treating symptoms—it’s abt helping the body reset, then stay there. I’m constantly refining what I do, trying to blend timeless Ayurvedic theory with real-time practical needs of today’s patients. Doesn’t always go perfect lol, but most times we see real shifts. That’s what keeps me going.
5
108 reviews
Dr. Surya Bhagwati
I am a Senior Ayurveda Physician with more than 28 years in this field — and trust me, it still surprises me how much there is to learn every single day. Over these years, I’ve had the chance to treat over 1 lakh patients (probably more by now honestly), both through in-person consults and online. Some come in with a mild cough, others with conditions no one’s been able to figure out for years. Each case brings its own rhythm, and that’s where real Ayurveda begins. I still rely deeply on classical tools — *Nadi Pariksha*, *Roga-Rogi Pariksha*, proper *prakriti-vikriti* mapping — not just ticking symptoms into a list. I don’t believe in ready-made cures or generic charts. Diagnosis needs attention. I look at how the disease behaves *inside* that specific person, which doshas are triggering what, and where the imbalance actually started (hint: it’s usually not where the pain is). Over the years I’ve worked with pretty much all age groups and all kinds of health challenges — from digestive upsets & fevers to chronic, autoimmune, hormonal, metabolic and degenerative disorders. Arthritis, diabetes, PCOD, asthma, thyroid... but also things like unexplained fatigue or joint swelling that comes and goes randomly. Many of my patients had already “tried everything else” before they walked into Ayurveda, and watching their systems respond slowly—but surely—is something I don’t take lightly. My line of treatment usually combines herbal formulations (classical ones, not trendy ones), Panchakarma detox when needed, and realistic dietary and lifestyle corrections. Long-term healing needs long-term clarity — not just short bursts of symptom relief. And honestly, I tell patients that too. I also believe patient education isn’t optional. I explain things. Why we’re doing virechana, why the oil changed mid-protocol, why we pause or shift the meds after a few weeks. I want people to feel involved, not confused. Ayurveda works best when the patient is part of the process, not just receiving instructions. Even now I keep learning — through texts, talks, patient follow-ups, sometimes even mistakes that taught me what not to do. And I’m still committed, still fully into it. Because for me, this isn’t just a job. It’s a lifelong responsibility — to restore balance, protect *ojas*, and help each person live in tune with themselves. That’s the real goal.
5
918 reviews

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This answer was so clear and detailed. The mix of dietary advice and emotional tips really made a difference for me. Thanks a lot!
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Wow, that was really insightful and thorough! Appreciate how clearly everything was broken down. Thanks a ton for laying out all those options!