Moderate Free harmorragic fluid in pelvis, harmorragic endometrium, endometrial thickness 8.2 - #33575

A 4 mm cyst is very small, often functional and resolves naturally. Hemorrhagic endometrium and pelvic free fluid may be post-ovulatory or post-menstrual, but persistent/recurrent findings need personal monitoring. For time being you can use- Kanchanar Guggulu – 2 tabs twice daily with warm water Ashokarishta – 20 ml with equal water after meals twice daily Punarnava mandoor- 2 tab twice a day.

Please repeat scan after your next cycle to confirm resolution. If symptoms like severe pain, heavy bleeding, or faintness occur → immediate gynecologist consultation is needed.

Start on Kanchanar guggulu Stri rasyana vati Chandraprabha vati One tablet twice daily after food with warm water Asoka aristha-4 teaspoon with equal quantity of water twice daily after food

Hi Dr.Anshita Please have 1.punarnavadi kwatham tab 2-0-2 before food 2.Ashokarishtam 15ml twice daily after food 3.Thriphaladi churnam 1tsp at night with hot water 4.Kanchanara guggulu 1-0-1after food

Follow this above set of medication for 1months, and do a follow up here.

***Weekly once Virechana(Purgation) with Avipathy churnam (1packet/10gm) with ½glass hot water in empty stomach followed by light diet only - this is to cleanse your body and to balance your dosas

*Do’s 3-4litres of water /day More focus on fruits and vegetables Include Sprouted grains Walking - daily 30min to 1hour Practice yoga and meditation regularly

*Don’ts Tea /coffee Oily too salty sour sweet foods Junk foods Carbonated/soft drinks Maida and its products

DNT worry dr.anistha…do follow instructions:-

Divya cystoghrit diamond tab=1-1 Seabuckthron cap=1-1 cap… before meal twice daily

Kanchnar gugulu Punarnawadi mandoor VIRRIDHIVADHIKA VATI=1-1-1 tab after meal thrice daily…

MAJOON MOCHRAS MAJOON SUPARIPAK=1/2-/1/2 TSP BEFORE MEAL TWICE DAILY WITH WATER TWICE DAILY…

DO REGULAR EXERCISE:-VAZRASANA/TITLIASANA…

PLEASE AVOID SOUR/FERMENTED FOOD

The primary goal of an Ayurvedic treatment plan would be to balance the vitiated Pitta and Vata doshas, purify the Rakta Dhatu, and clear the channels (Srotas) of the pelvic region to ensure proper downward flow of Apana Vata.

1. Dietary Recommendations (Ahar Vihar):

Reduce Pitta: Minimize hot, spicy, sour, and salty foods. Avoid fermented foods, excessive tomatoes, garlic, and citrus. Limit red meat.

Favor Cooling and Nourishing Foods: Increase consumption of sweet, bitter, and astringent foods. This includes:

Vegetables: Green leafy vegetables, cucumber, zucchini, and bitter gourds.

Fruits: Pomegranates, sweet grapes, melons, pears, and apples.

Grains: Barley, rice, and oats.

Dairy: Ghee, milk, and fresh paneer.

Hydration: Drink plenty of water at room temperature. Include cooling beverages like coconut water and a small amount of pomegranate juice.

2. Lifestyle Changes (Dinacharya):

Reduce Stress: High stress levels can significantly aggravate Pitta and Vata. Practices like meditation, deep breathing (Pranayama), and gentle yoga are highly beneficial.

Regular Routine: Maintain a consistent daily routine for eating, sleeping, and waking up to pacify Vata dosha.

Moderate Exercise: Gentle, non-strenuous exercise like walking and yoga is recommended. Avoid high-impact, vigorous exercise during menstruation.

Abhyanga (Self-Massage): Gentle massage of the lower abdomen with specific oils can help improve circulation and the downward flow of Apana Vata.

Treatment

1) chandraprabha vati -1 tab -2 times before food

2) kanchnar gugglu -1 tab 2 times after food

3) ashokarishta -10 ml 3 times with water after food

4) shatavari churna-3 gm -3 times after food with honey

Start with Tablet M2TONE 1-0-1 after food with water Aloevera juice 10ml twice daily after food with water Shatavari ghanvati 1-0-1 after food with water Gokshuradi guggul 2 tablet once in the morning after breakfast with water

HELLO DR. ANSHITA,

Your ultrasound shows -MODERATE FREE HEMORRHAGIC FLUID IN PELVIS-> means there is some blood mixed with fluid collected in the lower part of abdomen (pelvic cavity). It can happen after ovulation, small cyst rupture, or sometimes due to endometriosis or infection

-HEMORRHAGIC ENDOMETRIUM WITH THICKNESS 8.2 mm -> your inner uterine lining (endometrium ) is a bit thickened and has bleeding spots. Normally it thickens before periods, but excessive thickening or haemorrhage may cause heavy/irregular bleeding

-SMALL CYST (4 mm ) in left ovary-> very tiny and often harmless. Ovarian cysts are common and usually disappear on their own.

Your uterus is otherwise normal , which is a good sign

TREATMENT GOALS -stop/ reduce excess bleeding -reduce pelvic fluid and inflammation -balance hormones and regulate ovulation -prevent recurrence of cysts/endometrial thickening -improve overall energy. and digestion

INTERNAL MEDICATIONS

1) ASHOKARISHTA= 20 ml + equal water after meals twice daily =strengthens uterus, regulates bleeding

2) KUMARYASAVA= 20 ml + equal water after meals twice daily =balances hormones, supports ovaries

3) PUSHYANUG CHURNA= 3gm twice daily with rice water after meals =reduces haemorrhage, cools pitta

4) CHANDRAPRABHA VATI= 1 tab twice daily after meals =balances kapha-vata, helps with cyst absorption

5) SHATAVRI CHURNA= 1 tsp with milk at night =nourishes female reproductive tissues

DURATION= usually 3-6 months with consistency

PANCHAKARMA ADVISED - IF FEASIBLE

1) UTTARBASTI= medicated oil/ghee enema via vaginal route =strengthen uterus, corrects endometrium

2) BASTI= medicated enema= balances apana vata, helps in cysts/bleeding disorders

HOME REMEDIES- Supportive -Turmeric milk at night= reduces internal bleeding, acts as anti-inflammatory -Aloe vera juice= 20 ml empty stomach - cleanses uterus, balances hormones -Cumin coriander fennel water- boil 1 tsp each in 3 cups water, reduce to 1 1/2 cup, drink warm through day= balances pitta, improve digestion, reduces pelvic congestion -Pomegranate juice= strengthen uterus and blood

DIET -warm, light, freshly meals -green leafy vegetables, bottle gourd, ridge gourd, pumpkin, drumstick -fruits like pomegranate, apple, papaya , guava -cow’s ghee in small amounts -whole grains rice , wheat , barley -herbal teas= ginger-tulsi, cinnamon, coriander

AVOID -spicy, sour, fried, and oily food- aggravate pitta -curd, cheese, heavy dairy - increase kapha and cysts -cold drinks, ice creams, preserved foods -late nights, mental stress, over exertion

YOGA AND PRANAYAM -suptabaddha konasana= improves pelvic circulation -setu bandasana= balances hormones -bhujangasana= strengthens uterus/ovaries -balasana= relieves pelvic congestion

PRANAYAM -anulom vilom= balances hormones and mind -sheetali pranayam= cools excess pitta -bhramari= reduces stress and anxiety

REPEAT ULTRASOUND AFTER 2-3 MONTHS

-Your condition loos manageable and not dangerous, but free hemorrhagic fluid should always be monitored closely -Most small ovarian cysts resolve naturally. Ayurvedic medicines can help regulate bleeding, balance hormones, and prevent recurrence -Lifestyle and diet changes are equally important as medicines

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

The presence of hemorrhagic fluid in the pelvis, hemorrhagic endometrium, and a cyst in the ovary requires a cautious approach. Ayurveda can complement your care, but it’s critical to consult with a healthcare provider to ensure no urgent medical intervention is needed.

In Ayurveda, these symptoms may be viewed through the lens of Pitta and Kapha imbalances, affecting the Artava Vaha Srotas (the channels responsible for reproductive health). An effective Ayurvedic approach would involve balancing these doshas, addressing Agni (digestive fire), and supporting reproductive health.

1. Herbs: Ashoka (Saraca indica) is known for its uterine tonic properties. You might consider Ashoka churna or tablets, which may assist in regulating menstrual cycle and address any bleeding issues. Dashamoola, a combination of ten roots, can help in maintaining a healthy reproductive system.

2. Diet: Favor a Pitta-Kapha pacifying diet. Eat cooling, light, and astringent foods. Include barleys, lentils, and cucumbers while avoiding spicy, oily, and heavy meals. Incorporating aloe vera juice can be soothing for the reproductive system.

3. Lifestyle: Stress management is crucial. Practice daily yoga and meditation, focusing on asanas like Bhujangasana and Sarvangasana which may support reproductive health.

4. Panchakarma: A gentle detoxification process like Virechana (therapeutic purgation) may be recommended after consulting with an Ayurvedic practitioner. It helps in balancing Pitta.

Remember, these suggestions should be tailored and supervised by an Ayurvedic doctor, ensuring they suit your specific condition and constitution. Consider regular follow-ups and integrated care with conventional medicine to effectively address your symptoms. Immediate medical evaluation is recommended for any sudden pain, excessive bleeding, or other acute symptoms, ensuring your safety and well-being.