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Gynecology and Obstetrics
Question #34308
157 days ago
581

How to treat PCOS? I have been taking medication for nearly an 14months - #34308

Swetha

Through the scans and weight gain l got to know that l have PCOS.I have been taking medicines for last 14 months and still my cycle isn't regular. I get my periods when l use gynaset tablets for 5 days .There was only 1 month where l got my periods without any tablets.Sometimes l suffer with Acidity .So l thought of using ayurvedic medicines ...So doctor suggested me to use Rajaparvatini vati ,Laghusutasekhar ,s-pcos ? And vitamin tablets parallely. Will that be okay?

Age: 18
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Dear Swetha Avoid oily, spicy and processed foods. Regular exercise. Increase intake of raw vegetables and fruits. Sy. M2 Tone 15ml twice Tab. Mamejava ghanvati 2-0-2 Tab. Chandraprabhavati 2-0-2 Follow up after 12weeks.

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Hello Swetha, The following treatment plan will work for you. Treatment - 1. Chitrakadi vati -2-0-2 before meal for 3 days 2. Nastapushpantak ras 2-0-2 with lukewarm water after meal 3. Patrangasav and 4. Ashokaristha- 20 ml of both with 40 ml of water after meal like 5.Rajah pravartini vati 2-0-2 after meal 6. Shatavari churna+shatpushpa churna - 3gm each with 1 cup of milk at my 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

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HELLO SWETHA,

PCOS is a condition where the ovaries produce many small fluid filled sacs(cysts) and the hormones get imbalanced. This leads to -irregular or missed periods -acne, oily skin -extra facial/body hair (hirsutism) -difficulty in conceiving sometimes -weight gain in some, though some women are lean with PCOS

Ayurvedic view -caused by imbalance in kapha (heaviness, mucus, sluggishness) and Vata (irregularity, dryness, hormonal misfiring), sometimes aggravated pitta (heat, acne, inflammation) -weak digestion -> toxin formation-> blocks reproductive channels -fat tissue increases and disturbs hormone balance -thus, cycles stops being regular, cysts form, and skin/hair issues appear

TREATMENT GOALS -Restore cycle regularity (normalize menstruation and ovulation) -balance hormones naturally (reduce excessive androgens that cause acne/hair) -reduce cysts by clearing kapha and ama -improve metabolism and digestion (strengthen agni) -purify blood and skin (for acne, psoriasis- like dryness) -support fertility if pregnancy is desired later -prevent complications (diabetes, obesity, infertility)

INTERNALLY START WITH

1) KANCHANAR GUGGULU= 2 tabs twice daily after meals =reduces ovarian cyst, clears kapha

2) ASHOKAGHRITA= 1 tsp in morning with warm water =regulates menstruation, strengthens uterus

3) SHATAVARI CHURNA= 1 tsp with milk at night =nourishes reproductive system, balances hormones

4) TRIPHALA CHURNA= 1 tsp at night with warm water =detox, improves digestion, clears ama

5) KUMARYASAVA= 15 ml with water after meals =useful for irregular periods and liver support

6) MANJISTHA GHAN VATI= 2 tabs twice daily afte meals =purify blood, help with acne and skin dryness

DURATION= usually 3 months

EXTERNAL TREATMENT

1) OIL MASSAGE= daily with Nimba taila+ coconut oil =balances vata, nourishes skin

2) HERBAL PASTE= neem+ turmeric + rose water for acne prone areas

DIET -light, warm, fresh meals -barley, green gram, horse gram, millet, quinoa, -leafy vegetables, bottle gourd, ridge gourd, bitter gourd -spices= turmeric, cinnamon, fenugreek, cumin, black pepper -Nuts= almonds, walnuts, soaked not fried -fruits= pomegranate, papaya, apple, guava avoid excess banana, mango -herbal teas= cinnamon, ginger, tulsi, fenugreek water

AVOID -junk food, bakery, fried foods -excess dairy especially cheese, panner, curd at night -sugar, sweets, chocolates, soft drinks -red meat, processed food -excess sour/spicy foods worsen skin and pitta

LIFESTYLE -regular sleep= sleep by 10 -11 pm, wake up early by 6 am -Exercise daily= brisk walking, yoga or moderate cardio 30-45 mins -Avoid daytime sleep increases kapha -stress management= journaling, meditation, chanting, positive routine

YOGA ASANAS (help ovaries, uterus, hormones) -supta baddha konasana -bhujangasana -dhanurasana -ustrasana -paschimottanasana -malasana

PRANAYAM -bado sodhana= balances hormoes -bhramari= calms mind, reduces stress -kapalbhati= burns kapha, helps weight

HOME REMEDIES -fenugreek seeds= soak 1 tsp overnight, eat in morning- improves insulin and periods -cinnamon tea= regulates cycle, balances hormones -flax seeds powder= 1 tsp daily- reduces excess androgens, good for acne/hair -aloe vera juice= 20 ml on empty stomach= regulates hormones -turmeric + warm milk at night= anti inflammatory, good for skin

PCOS is reversible with consistent Ayurvedic management, lifestyle changes, and patience

Focus is not only on the ovaries but the whole metabolism

It usually takes 3-6 months for noticeable results

Skin issues are connected with internal imbalance-> once metabolism and hormones are balanced skin also clears

Ayurveda aims to “reset” your system from the root- not just control periods but eat metabolism, skin, hormones, and mind together

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Polycystic Ovary Syndrome (PCOS) can be quite multifaceted, but Ayurveda offers a holistic approach that might provide relief alongside your current treatments. The medicines such as Rajapravartini vati and Laghusutasekhar you’ve mentioned are classical formulations in Ayurveda aimed at managing menstrual irregularities and digestive concerns respectively. Rajapravartini vati is often utilized to promote healthy menstrual flow, while Laghusutasekhar is used for balancing digestion and reducing acidity.

Your doctor’s suggestion to add these Ayurvedic remedies alongside vitamin supplements like S-PCOS may indeed be beneficial. It’s important though to consider some key lifestyle and dietary adjustments to enhance their effectiveness. Focus on eating fresh, whole foods that pacify Kapha dosha, which is often aggravated in PCOS. Incorporate a diet rich in fiber, lean proteins, and healthy fats, while reducing intake of processed sugars and fried foods. Add spices like turmeric and cumin to aid in digestion and metabolism.

It’s also vital to maintain regular, moderate exercise. Incorporate activities like yoga or brisk walking for at least 30 minutes a day. Stress management is crucial because it can impact hormonal balance. Techniques like deep breathing or meditation might be helpful.

While Ayurvedic treatments can support your condition, it’s essential to keep your healthcare provider informed about all supplements and remedies you’re exploring, ensuring there are no potential interactions with your prescribed medications. Prioritizing a holistic approach, aligning lifestyle, diet, and treatments, may offer more comprehensive improvements in managing PCOS and menstrual regularity. Always consult your healthcare provider before beginning any new treatment regimen.

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