Rajapravarthini vati 1-0-1 after food with warm water, stop it once the menses starts Asoka aristha 10-0-10 ml with equal water Dashamoola aristha-10-0-10 ml with equal water Strirasayana vati 1-0-1 Shatavari churna-half teaspoon with warm milk at night
Hello I understand your concern. A 21-year-old girl with 3 months missed periods + severe pelvic pain for 10 days should be evaluated carefully. But dont worry we are here to help you out😊
✅ Possible Causes
1. PCOD/PCOS (Polycystic Ovarian Syndrome) – irregular or absent periods with pelvic discomfort.
2. Hormonal imbalance (thyroid disorder, high prolactin, stress, weight changes).
3. Pelvic infection / Pelvic Inflammatory Disease (PID) – causes severe pelvic pain, sometimes fever or discharge.
4. Endometriosis or Ovarian cysts – can cause missed cycles + pelvic pain.
✅ Why This Needs Attention
3 months without periods at this young age is not normal.
Severe pelvic pain persisting for 10 days indicates active pathology (infection, cyst, endometriosis, etc.).
Ignoring may worsen fertility, cause anemia, or chronic pain later.
✅ Immediate Steps
1. Medical Evaluation (very important now):
Pelvic ultrasound - to check uterus, ovaries, cysts, endometriosis.
Blood tests - thyroid profile, prolactin, hormones (LH, FSH, AMH), CBC.
2. For Pain Relief (safe home measures until doctor visit):
Warm compress on lower abdomen. Light diet (avoid heavy, oily, spicy food). Adequate hydration + rest.
✅ Ayurvedic Supportive Remedies
Ashokaaristha 15–20 ml after meals with equal water - regulates periods.
Triphala + Ghee at bedtime - improves bowel clearance, balances hormones.
✅ Lifestyle & Diet Tips
Warm, cooked, light diet (khichdi, soups, moong dal). Avoid cold, refrigerated food, excess coffee/tea. Practice gentle yoga once pain reduces: Supta Baddha Konasana, Setu Bandhasana.Stress management: pranayama (Anulom Vilom, Bhramari).
✅ When to Seek Urgent Medical Care
If pelvic pain suddenly becomes severe/sharp. If she develops fever, vomiting, dizziness, or fainting. If there is foul discharge or heavy abnormal bleeding.
Your daughter’s condition requires gynecological evaluation (USG + tests) to find the exact cause.
Wishing her a good health😊
Warm Regards Dr Snehal Vidhate
First once get ultra sound pelvis has she is getting sev pain in pelvic area to rule out exact cause Meanwhile get cbc and thyroid profile Instead of treating blindly if we treat the root cause then we can get a better result
Hello, 1. is this the first time, (she is having this kind of issues)? 2. Please share the recent reports like USG abdomen. female hormonal assay, CBC, thyroid profile, Vit.D3.
Till you get the results, please start the following: 1. Ashta churnam 1 tsp with one teaspoon of ghee with first morsel of food (breakfast, lunch and dinner) 2. Vayu Gulika with cumin seed tea 2 tablets after breakfast, lunch and dinner. 3. Rajahpravartani gulika 1—0—1
All for 7 days.
Take care, Kind regards.
Kindly do USG and share the details of the report.
1. Rajapravartini vati 1 -0-1 after food. 2. Asokarishtam 10 ml just after food twice daily. 3. Dhanwantaram gulika 1-0-1 before food.
Took these medicines for 2 weeks.
HELLO PRASANTA JI, I recommend the following treatment plan for her- Possible reason behind delayed periods or less bleeding might be - 1. Hormonal imbalance which can be due to Thyroid disorder,PCOS etc 2. Chronic stress 3. Low nutrient diet 4. Lack of proper sleep schedule 5. Low Hemoglobin 6. Other underlying health condition
Treatment - 1. Raj pravartini vati 2-0-2 after meal 2. Ashokaristha 15ml with 15 ml water twice a day after meal 3. Haridra capsules 1-0-1 after meal
Diet- .Increase intake of turmeric, garlic,amla. .Avoid maida, oily food,junk food .Avoid icecream, colddrink,fast food, oily food especially during periods. .Eat fruits,dry fruits,milk instead of snacking on packaged items
Lifestyle modification - Yoga- Anulom vilom,dhanurasan,malasan Stress management -Through meditation, walking, journaling,foot massage etc Atleast 30 minutes walking after dinner. Take atleast 7 hours of sound sleep. Keeping record of date and duration for further comparison.
Tests needed to be done if the symptoms persist - 1. Hb level 2. USG lower abdomen 3. Thyroid profile 4. Vit D level Follow these and you will definitely get results. Don’t hesitate to reach out for any further query. REVIEW AFTER 1 MONTH. Take care Regards, Dr.Anupriya
AS YOU MENTIONED THAT SHE IS SUFFERING FROM SEVERE PELVIC PAIN, IT’S IMPORTANT TO CONSULT A GYNECOLOGIST IN PERSON FOR ULTRASOUND AND OTHER TESTS AND TO GET RELIEF FROM PAIN.
Hello Prasanta ji
Suggesting some changes that your daughter needs to follow in her lifestyle paired up with some medications will help her feel better.
✔️ Do’s: ✔️ Millet roti Buttermilk (daily include in your meal) Moong dal (green and yellow both are ok) All fruit vegetables Leafy vegetables (except methi and dil)
🧘♀️ Yogasan : 🧘♀️
1. Bhujangasana (Cobra Pose) 2. Dhanurasana (Bow Pose) 3. Ardha Matsyendrasana (Half Lord of the Fishes Pose) 4. Paschimottanasana (Seated Forward Fold) 5. Halasana (Plow Pose) 6. Sarvangasana (Shoulder Stand Pose) 7. Matsyasana (Fish Pose) 8. Supta Matsyendrasana (Reclined Spinal Twist) 9. Surya Namaskar
🧘♀️ Pranayam : 🧘♀️ 1. Anulo Vilom 2. Bhramari 3. Kapalbhati 4. Shitali 5. Sitkari
❌ Donot’s: ❌ Tea Coffee Addictions Dals (except moong) Sour Packed food Processed food Achar (pickles) Papad Fried food Avoid dairy completely Non veg products
💊 Medication: 💊
Syp. Evecare Forte 3 tsp twice a day before food Tab. Rajapravartini Vati 2 tabs twice a day before food
Tab. Gandharva Haritaki 2 tabs at bed time with a cup of hot water.
🧪Lab test🧪 CBC to rule out anemia. If Hb is low add Tab. Mandur Vatak 1 tab twice a day with half cup amla juice.
TFT Consult a physician if any changes are seen.
USG a detailed report if any changes are seen in USG and accordingly will need to modify the treatment
For current sever pain massage with luke warm sesame seed oil and do hot fomentation.
If need take any basic pain killer.
Exercise will help relief pain
HELLO PRASANTA,
Your daughter (21 yrs) has -absent periods from 3 months (secondary amenorrhea) -severe pelvic pain for 10 days, interfering with daily life
This combination suggests that something is disturbing both the menstrual cycle regulation and the reproductive organs
COMMON MEDICAL CAUSES
-POLYCYSTIC OVARY SYNDROME (PCOS)= hormonal imbalance, irregular or absent periods, sometimes cysts on ovaries, weight changes, acne, hair growth -ENDOMETRIOSIS= Inner lining of uterus grows outside, causing severe pelvic pain, sometimes infertility -OVARIAN CYSTS/ TORSION= fluid filled sacs, can rupture or twist causing severe pain -PELVIC INFLAMMATORY DISEASE= infection of reproduce tract, pain, irregular bleeding -HORMONAL IMBALANCE= thyroid , prolactin, stress -PREGNANCY COMPLICATIONS= always needs to be ruled out
AYURVEDIC PERSPECTIVE -Menstrual health is governed by Apana vata (a subtype of vata dosha controlling downward flow) -Irregular or absent periods= vata aggravation + sometimes kapha obstruction (like cysts, sluggish metabolism) -Severe pelvic pain= vata dushti (imbalance) often combined with agnimandya (poor digestion/metabolism) leading to toxins (ama) that block channels
CONDITIONS CAN BE MAPPED IN AYURVEDA AS -Artava dushti (menstrual disorder) -Yonivyapad (gynecological disease) -Granthi/gulma (cystic conditions/growth)
TREATMENT GOALS -relieve pain and reduce pelvic congestion -regulate menstrual cycle (restore apana vata balance) -dissolve/clear blockages If cysts or kapha obstruction are present -strengthen reproductive system for long term cycle regularit -correct metabolism and digestion
INTERNAL MEDICATIONS
1) ASHOKARISHT=A 20 ml with equal water after meals twice daily =regulates periods, tones uterus, balances pitta and vata
2) SHATAVRI CHURNA= 1 tsp with warm milk in morning =nourishes female reproductive system balances hormones
3) DASHMOOLA KASHAYA= 30 ml + warm water twice daily before meals =reduces pelvic pain, balances vata, anti inflammatory
4) KANCHANAR GUGGULU= 2 tabs twice daily after meals =for ovarian cysts/pcos, reduces growths, clear kapha
5) RAJAHPRAVARTINI VATI= 1 tab twice daily until periods arrive = brings periods, regulate cycle
6) TRIPHALA CHURNA= 1 tsp at bedtime with warm water =cleanses bowels, detoxifies system, helps hormone balance
DURATION= 3-6 months pain will start reducing in 1 week
DIET -warm, light, easily digestible food -use ginger, cumin, ajwain, hing, turmeric- improve digestion, clear blockages -green leafy vegetables, fruits, whole grain- improve metabolism -cow’s ghee and sesame oil- lubricate vata and ease pain -warm milk with turmeric/shatavri -reproductive tonic
AVOID -cold, refrigerated, raw salads in excess -excess spicy, fried, junk foods -too much sugar and refined carbs -sleeping late at night, day sleep
YOGA ASANAS -baddha konasana -bhujangasana -setu bandhasana -balasana -supta baddha konasana
PRANAYAM -nadi sodhana= balances hormones, calms mind -bhramari= relieves stress -kapalbhati= improves metabolism, reduces kapha
SIMPLE HOME REMEDIES -ajwain tea with jaggery- relieves cramps -fenugreek seed water- soak overnight, drink in morning, helps with pain and cycle regulation -warm castor oil pack on lower abdomen - 20 min daily for pelvic pain -coriander seed tea- balances hormones, supports menstrual flow
INVESTIGATION NEEDED -Ultrasound pelvis- to check for cysts, endometriosis, structural issues -Hormonal tests- thyroid , prolactin, LH/FSH, testosterone - Pregnancy test- always to be rules out -CBC, ESR, CRP= if infection suspected
-The pelvic pain for 10 days is a red flag-> please get a gynaecological check up and ultrasound immediately to rule out emergencies like ovarian torsion, ruptured cyst, or infection -After ruling out emergencies, Ayurvedic treatment can be started for long term cycle regulation, pain management, and reproductive health
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Namste! This problem can be treated by ayurveda
Rx Chandraprabha vati 1-0-1 Dashmool kwath 15 ml empty stomach Shatavari powder 1/2 tsf with warm milk
Avoid spicy and oily food
Kindly go for USG scan and Hormonal Assay
1.Ashokarishta 20 ml with 20ml water twice daily after meals’ 2.Rajahpravartini vati 2 tab twice daily with water after meals 3.Shatavri churna 1 tsp twice daily with warm milk after meals 4.Dashmoolarishta 15 ml with 15 ml water twice daily after meals
External Therapies - Abhyanga (Oil Massage): Use warm Bala Taila or Ashwagandha Taila over lower abdomen and back. - Castor Oil Pack: Apply warm castor oil over pelvic area, cover with cloth, rest for 30 minutes. - Hot Water Bottle: Gentle heat over lower abdomen can relieve spasms.
Lifestyle & Diet Tips - Include: Warm cooked meals, sesame seeds, ghee, beetroot, pomegranate, and iron-rich foods. - Avoid: Cold/raw foods, caffeine, skipping meals, and excessive screen time. - Yoga Poses: Supta Baddha Konasana, Viparita Karani, Apanasana—gentle and restorative. - Pranayama: Anulom Vilom, Bhramari—calms nervous system and supports hormonal balance.
WARM REGARDS DR.ANJALI SEHRAWAT
1) Raja pravartini vati-1 tab 2 times after food
2) chandra prabha vati- 1 tab 2 times after food
3) ashokarishta+ kumaryasava- 3tsf each 2 times after food
Hello Prashanta
Start with Rajapravartini vati 1-0-1 after food with water Tablet M2TONE 1-0-1 after food with water Triphala tablet 0-0-2 at bedtime with warm water Hingvastak churan 1tsp with buttermilk after lunch daily. Brisk walking atleast 30 mins alternate day Do pranayam lom -vilom kapalbhatti bhastrika bhamri 5-10mins daily twice. Follow up after 45 days
Hie prashnata …your daughter seems like pcod phenomenon:- so first of all do investigation:-
USG WHOLE ABDOMEN S.TSH IRON PROFILE
Make xure for exact cause
Then take medicine
Irregular periods combined with severe pelvic pain can be concerning and may require medical attention. It’s essential to first rule out any serious underlying conditions, such as ovarian cysts, endometriosis, or polycystic ovarian syndrome (PCOS). Immediate consultation with a healthcare provider or gynecologist is advised for accurate diagnosis and possible imaging studies.
From an Ayurvedic perspective, these symptoms suggest an imbalance in the Vata dosha, primarily affecting the Apana Vayu, responsible for pelvic and menstrual functions. A comprehensive Ayurvedic approach can help restore balance and alleviate symptoms.
Begin by focusing on dietary habits; favor warm, cooked, easy-to-digest foods to pacify Vata. Include items like moong dal khichdi, cooked vegetables, and warm soups. Ghee is beneficial in moderation as it nourishes and balances Vata. Avoid dry, cold, and raw foods as they could exacerbate the imbalance.
Incorporating herbs such as Ashokarishta may help regulate menstrual cycles. Take 15ml with an equal quantity of warm water post meals, twice daily. Another reliable herbal remedy is Triphala, which aids in detoxification and balancing doshas. Use half a teaspoon in warm water before bed for gentle detoxification.
Yoga and pranayama are excellent for relieving stress and enhancing pelvic circulation, supporting menstrual health. Gentle poses like Supta Baddha Konasana and forward bends can be calming and relieve tension in the pelvis, Practicing Nadi Shodhana (alternate nostril breathing) daily can calm the mind and soothe imbalanced Vata.
Finally, ensure adequate warmth and rest, allowing the body to heal naturally. Applying a warm compress to the pelvic area may offer relief from pain, and ensure she avoids strenuous activities that might aggravate the pain. Regularity in routine, including timely meals and sleep, is crucial to align body rhythms and support healing.
Her symptoms could indicate an imbalance in her doshas, particularly Vata, which can be responsible for disruptive menstrual cycles and pain. It’s essential to take this seriously and consider both immediate relief and addressing the root cause. The absence of menstruation, alongside acute pelvic pain, might be suggestive of conditions that need direct medical evaluation, such as severe hormonal imbalances or an underlying pathology like ovarian cysts or other reproductive issues.
First, it’s crucial that she seeks immediate evaluation by a healthcare professional to rule out any serious conditions, which might require urgent medical intervention. Once any critical issues are ruled out, Siddha-Ayurvedic approaches can provide support.
To help to restore Vata balance, you might incorporate warming and grounding elements into her diet. Encourage intake of cooked vegetables, warming spices like cinnamon and ginger, and ensure adequate hydration with warm water to support digestion and circulation. Avoid cooling or raw foods which can aggravate Vata imbalance.
Applying a warm sesame oil massage on her abdomen can provide some relief. Sesame oil is known for its warming property and can help soothe pain.
For pain relief, a warm decoction of ashwagandha with milk can be beneficial due to its Vata-pacifying properties. Have her take this in the evening. Triphala can be included in her routine to ensure that her digestive system is functioning optimally, which indirectly supports regulation of her cycle.
Additionally, encourage gentle yoga or pranayama focussed on calming the mind and body, such as deep breathing exercises to calm the nervous system. However, given her discomfort, all physical activity should be cautious and done within comfort levels.
Keep monitoring her symptoms closely and maintain communication with her healthcare provider. Balancing her doshas will take time, so patience along with professional guidance is key.
