last month I had good period but before that I scanty period - #34436

Once get us abdomen with pelvis to rule out the exact cause

Dear Mem Avoid oily, spicy and processed foods. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Sy. Amycordil fort 15ml twice Tab. Shatavari 2-0-2 Follow up after 12weeks

I understand your concern, especially with your marriage plans. The change in your menstrual pattern—from a good period to a scanty one, and now to just spotting, particularly after fibroid removal—warrants attention.

In Ayurveda, changes in the menstrual cycle are often linked to imbalances in the three Doshas (Vata, Pitta, and Kapha), which govern all physiological processes, and the health of the Artava Dhatu (reproductive tissue).

Here is a general Ayurvedic perspective on your situation:

1. Possible Ayurvedic Interpretation Fibroid Removal Aftermath: The fibroid itself (Granthi) is often seen as a Kapha-dominant disorder (accumulation of mass). The surgery to remove it is a significant intervention.

Scanty Periods/Spotting (Artava Kshaya / Alpartava): Scanty periods or reduced flow are often primarily linked to an aggravation of Vata Dosha. Vata governs movement and is responsible for the downward flow of menstruation (Apana Vata). When Vata is imbalanced, it can cause the menstrual flow to become reduced, scanty, delayed, or painful.

Age and Perimenopause: At 42, you are in the phase of life (Vata dominance after the age of 40) where your body naturally starts preparing for perimenopause. Vata tends to increase, which can lead to irregular, scanty, or fluctuating periods.

Stress and Vata: Planning a marriage and managing health concerns can be stressful, which severely aggravates Vata, further disrupting the menstrual rhythm and flow.

a. Diet (Ahara) Focus on Warm, Nourishing, Grounding Foods: Prioritize freshly cooked, warm, and easily digestible foods.

Include Healthy Fats: Incorporate Ghee (clarified butter), sesame oil, and nuts (like almonds, walnuts) to pacify Vata and nourish the reproductive tissues.

Spice Wisely: Use warming and digestive spices like ginger, turmeric, cumin, coriander, and fennel.

Hydration: Drink plenty of warm water and herbal teas.

Foods to Promote Flow (Under guidance): Traditionally, black sesame seeds (Til) with jaggery, and unripe papaya (avoid during actual bleeding) are used to encourage flow.

b. Lifestyle (Vihara) Regular Routine: Maintain a fixed schedule for sleeping, waking, and eating to ground Vata. Aim for 7-8 hours of sleep.

Stress Management: Practice Yoga (gentle, restorative poses), Meditation, and Pranayama (breathing techniques like Nadi Shodhana - alternate nostril breathing) to manage stress and balance Vata.

Abhyanga (Oil Massage): Daily self-massage with warm sesame oil is highly recommended for calming Vata, nourishing the skin, and improving circulation.

Avoid: Excessive cold, raw foods, highly processed foods, intense or strenuous exercise, and late nights

Next Steps Given your symptoms and planning for marriage (which implies reproductive health is a priority), your best course of action is to:

Consult a Gynecologist: Rule out any immediate concerns post-surgery or signs of early perimenopause (which can present with fluctuating cycles).

Treatment 1) phala ghrita-1 tsf - 1 hr after food

2) raja pravartini vati-1 tab 2 times after food 3) shatavari churna-1 tsf after food 2 times

3) ashokarishta + kumaryasava-3 tsf - after food 3 times

Hello

Like you mentioned it is the first time donot worry.

But if it happens again and again go for detailed examination to rule out any post surgical complications

🧪Lab Test🧪

USG Abdo Pelvis Sr. Iron Sr . Oestrogen Sr . Prolactin Sr. Progesterone TFT

💊Medication💊

Syp. M2 Tone 3 tsp twice a day before food

Start with Tablet M2TONE 1-0-1 after food with water Aloevera juice 10ml twice daily after food with water Avoid processed fatty fast sugary street foods Brisk walking atleast 30 mins daily. Do pranayam lom -vilom bhastrika bhamri 5-10mins daily twice.

Hlo ,

I want to know your lmp ( last period date) And for how many days and how your pad history also for last menses

Hlo,

Scanty or light bleeding can be a normal part of healing process after myomectomy for 3-4 months.

But as you are telling the surgery was done in last year april, and now u are getting scanty bleeding.

There can be chances of reoccurrence of fibroid , any cyst, hormonal imbalance or as your age is 42 years - this can be a sign of perimenopausal.

Adv. 1) USG of pelvis 2) hormonal study 3) cbc

Oral treatment -

1) raj pravartini vati 2 tab BD after food 2) ashokarisht 20 ml BD with equal amount of water after food 3) shatavari churn 5 gm BD after food 4) mansmittravati vati 1 tab hs

For 15 days

Kindly review with reports

1.Ashokarishta 20 ml with 20 ml water twice daily after meals 2.Shatavari churna 1 tsp twice daily with warm milk 3.Rajahpravartini vati 1 tab twice daily with water after meals

Lifestyle & Emotional Support - Abhyanga: Daily sesame oil massage, especially over lower abdomen and thighs. - Gentle yoga: Supta Baddha Konasana, Baddha Konasana, Viparita Karani, Ustrasana, Surya Namaskar and Apanasana to support pelvic circulation. - Pranayama: Nadi Shodhana and Bhramari for hormonal calm. - Sleep: Prioritize 7–8 hours of restful sleep to support endocrine repair.

Diet Tips - Favor warm, cooked meals with ghee, turmeric, cumin, and fennel. - Avoid cold, raw, or processed foods that aggravate Vata and Pitta. - Include sesame seeds, soaked almonds, beetroot, and pomegranate for uterine nourishment.

Since you already had a fibroid removed last year, your uterus has undergone surgery, which can sometimes temporarily affect the endometrial lining and bleeding patterns. But since you had a good period last month and then spotting this month, this looks more like a hormonal variation than a surgical complication. Do following tests to rule out the cause

1. Check your hormones: •FSH, LH, Estradiol (to assess ovarian reserve & perimenopause) •TSH, Prolactin (thyroid & pituitary can affect cycles) •AMH (Anti-Müllerian Hormone) if you’re considering pregnancy after marriage 2.Pelvic ultrasound: •To rule out recurrence of fibroids, polyps, or thin endometrial lining 3.General health: •Keep Hb, Vit D, calcium, and iron levels checked 4.Lifestyle: • Maintain healthy weight, regular exercise, and a balanced diet rich in iron and protein • Stress management • At 42, natural fertility is lower, so it’s best to consult a gynecologist & fertility specialist soon after marriage.

Ayurvedic remedies:- 1. Ashokarishta : 10ml twice daily 2. Shatavari kalpa : one tablespoon with warm milk in the morning 3. Dashmoolarishta : 10ml at night

But these should be taken only after a doctor reviews your reports & prakriti (body constitution).

Hi maa this is Dr Vinayak as considering your problem…see maa I clearly teel you the fact…this issue you may be due to your age…as maximum women get menapause at 45 to 50 yr Before that this is issue what actually face… And you want get marry now before that plz check your fertility rate and do consult your gynaecologist what are treatment to be done to slove this issue…

Once consult and come with reports maa…then we will do as best we can… Just please don’t try anything blindly and don’t waste money also…

Fluctuations in menstrual flow can be influenced by various factors, especially following a fibroid removal. In Ayurveda, an irregular menstrual cycle may be due to an imbalance in the doshas, particularly Pitta and Vata. When these doshas are not in harmony, they can disrupt menstrual regularity and flow.

First, it’s essential to consider adjusting your diet, as what you eat greatly impacts dosha balance. Favor a diet that pacifies both Vata and Pitta. Include warm, cooked foods, and incorporate ghee, which is nourishing and calming. Avoid overly spicy, oily, and processed foods that aggravate Pitta, as well as cold and dry foods that might increase Vata.

Herbs may also play a role in regulating your cycle. Ayurveda recommends Ashoka (Saraca indica) and Lodhra (Symplocos racemosa) for balancing menstrual issues. These herbs can be taken in either capsule form or as a decoction. Consult with a qualified Ayurvedic practitioner to determine the ideal preparation and dosage that fits your constitution and condition.

It’s also vital to maintain regular physical activity. Gentle exercises like walking or yoga can support healthy circulation and stress management—both of which are crucial, since stress affects hormonal balance. Practicing Pranayama, especially Nadi Shodhana (alternate nostril breathing), can be particularly helpful in calming the mind and balancing the doshas.

Moreover, rest is crucial. Ensure you’re getting adequate, restorative sleep, as deprivation can exacerbate Vata imbalances. Create a regular sleep routine, going to bed and waking up at the same time each day.

Consider an Ayurvedic detox procedure, known as Panchakarma, which can help cleanse the body of accumulated toxins (ama). A consultation is necessary before undertaking Panchakarma, to confirm it’s suitable for you, especially considering your post-operative status.

Lastly, since reproductive health can be quite sensitive, keep regular communication with your healthcare provider, particularly considering your plans to marry and potentially to conceive. They can provide support alongside your Ayurvedic practitioner to ensure comprehensive care.

HELLO,

After age 40,a women body begins a slow transition toward perimenopause (the years before periods naturally stop). Hormones start fluctuating, and this can cause -changes in the amount or timing of bleeding (scanty, heavy, or missed periods) -mood changes, sleep disturbance or dryness -fatigue, bloating, or breast tenderness You also had a fibroid, which means your uterus had an overgrowth of tissue earlier. Even after it’s removed , the uterus and its channels may remain weak or partially obstructed

VATA DOSHA IMBALANCE= causes irregular, scanty or missed periods, dryness, anxiety

PITTA DOSHA IMBALANCE= causes hot flashes, irritability, heavy bleeding

KAPHA DOSHA IMBALANCE= when high, causes fibroids, sluggish metabolism

After fibroid surgery, vata often becomes aggravated (due to tissue injury, dryness, and age). That vata can suppress menstrual flow- decreased menstruation

TREATMENT GOALS -restore natural menstrual rhythm -strengthen uterus and reproductive tissues -pacify vata and pitta and improve digestion -prevent fibroid recurrence by balancing kapha and removing residual toxins -promote emotional calm, vitality, and fertility readiness

INTERNAL MANAGEMENT

1) PHALA GHRITA= 1 tsp with warm milk every morning for 3 months =classical uterine tonic, strengthens endometrium and ovulation

2) ASHOKARISHTA= 20 ml with equal water after lunch and dinner for 3 months =suports uterine health and hormone balance

3) PUSHYANUG CHURNA= 1 tsp with rice wash water or plain water twice daily after meals for 2 months =improves blood flow to uterus and balances vata pitta

4) SHATAVARI CHURNA = 1tsp with milk twice daily for 3 mnoths =acts as female rejuvinator, restores lubrication and strength

5) KALYANAKA GHRITA= 1 tsp with warm milk before sleep =works on mind, nerves and hormones

DIET -warm, freshly cooked, oily and nourishing meals -whole grains=red rice, oats , wheat -vegetables= bottle gourd, pumpkin, drumstick, beetroot, carrots -fruits= pomegranate, papaya helps flow, figs, dates, black grapes -protiens= moong dal, sesame, almonds, soaked nuts -healthy fats== ghee, sesame oil -spices= cumin, fennel, coriander, turmeric, ajwain mildly

AVOID -cold foods, and drink -ice, salads, curd at night -processed or stale food -excess sur, spicy or fried food -too much coffee/tea -white sugar and refined flour

HOME REMEDIES

1) Sesame date drink -boil 1 tsp black sesame seeds + 2 dates in 1 cup milk -> drink warm for 10 days before expected periods =improves flow and uterine warmth

2) Fenugreek water =soak 1 tsp methi seeds overnight, drink next morning =balances hormnoes and digestion

3) Warm castor oil massage on lower abdomen before periods =reduces cramps, improves flow

LIFESTYLE -keep regular sleep and wake times; avoid late nights -avoid over exercising or excessive fasting -gentle, relaxing daily avoid exposure to cold damp weather -stay emotionally balanced- stress and worry strongly disturb vata and menstrual rhythm -use mild herbal teas= cinnamon- fennel, ginger- licorice

YOGA ASANAS -baddhakonasana= opens pelvis -supta virasana= improves uterine circulation -setu bandhasana= tones reproductive organs -malasana= balances hormons -viparita kranai= excellent for relaxation

PRANAYAM -Anulom vilom= balances vata and pitta -bhramari= calms mind and hormones -sheetali

MEDITATION -10 min daily mindfulness or chanting “Om shanti”- regulates neuro-hormonal pathways

Your body is healing from both age related hormonal transition and surgical history The ayurvedic goal is not just to make the period come normally, but to rebuild the inner vitality that supports menstruation, fertility, emotional balance, longevity

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Scanty period with spotting, especially with a history of fibroid removal, could be due to hormonal imbalance, stress, or changes in your lifestyle. From a Ayurvedic viewpoint, these symptoms might indicate an imbalance in the Vata dosha or a weakened Agni (digestive fire), affecting the Rasa dhatu (primary nutritive fluid). Supporting hormonal balance and strengthening the reproductive system will help.

First, consider adopting a Vata-pacifying lifestyle: maintain regular sleep-wake cycles, eat warm, cooked foods, and avoid excessive cold or raw foods. Incorporate grounding practices like gentle yoga or pranayama to calm the mind. You may start with Anulom Vilom pranayama, which can be done daily for about 10 minutes.

In terms of diet, include warming spices like ginger, cumin, and cinnamon in your meals, which can support your digestive fire. Drink warm herbal teas, like fennel or ajwain tea, to aid digestion. Also, aim to incorporate healthy fats like ghee or sesame oil to nourish tissues.

Consider taking Ashoka powder, an Ayurvedic herb that supports female reproductive health. Mix 1 teaspoon with warm water and take it twice daily after meals for about three months, unless advised otherwise by an Ayurvedic practitioner.

Since you’re planning to get married, managing stress is crucial. Practicing meditation, spending time in nature, or engaging in activities that bring joy could be beneficial.

If symptoms persist or worsen, consult a healthcare professional for personalized advice. Since you’ve had fibroid surgery, ensure any suggestions align with your surgeon’s guidance. If there’s any sudden severe pain or heavy bleeding, seek immediate medical attention to rule out complications.