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Delayed or irregular periods -20 years old old girl
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Gynecology and Obstetrics
Question #35307
22 days ago
142

Delayed or irregular periods -20 years old old girl - #35307

Garima

My 20 year old has delayed or missed periods - irregular periods . Weight gain , facial hair so request for resolution for the same, possibly home remedies or Ayurveda medicines. Stays in hostel so not disciplined eating habits

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Doctors' responses

Avoid oily, spicy and processed foods. Regular exercise. Increase intake of raw vegetables and fruits. Sy. M2Tone 15ml twice Tab. Aloes compound 2-0-2 Tab. Mamejava 2-0-2 Follow up after 12weeks

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Hello Garima

I understand your concern regarding your daughter’s delayed or irregular periods, weight gain, and facial hair — these are common signs of hormonal imbalance, most likely related to PCOS (Polycystic Ovarian Syndrome) but dont worry we are here to help you out😊

✅ AYURVEDIC PLAN OF TREATMENT

✅ INTERNAL MEDICATION

1. Kanchanar Guggulu – 2-0-2 after food with warm water ( Helps reduce cystic growth, balances thyroid & hormones)

2. Sukumaram Kashayam – 20 ml with equal water twice daily before meals ( Regulates menstruation and improves uterine health)

3. Ashokarishtam – 30 ml twice daily after food ( Helps in regularizing menstrual flow and reducing pain or spotting)

4. Shatavari Kalpa – 1 teaspoon with warm milk at night ( Nourishes the reproductive system and balances female hormone)

✅DIET MODIFICATION

✅ Include

Warm, freshly cooked food (avoid hostel junk as much as possible) Moong dal, green leafy vegetables, fruits like papaya, guava, and pomegranate 1 tsp cow ghee daily (improves hormone function) Herbal tea with ajwain + jeera + methi seeds boiled water once daily

❌ Avoid

Cold drinks, bakery items, refined sugar, junk & fried foods Curd and cold food, especially at night

✅ Lifestyle Modifications

Sleep on time (before 11 pm) and wake early 30–40 min daily physical activity – brisk walk, yoga, or dance Stress reduction: Anulom Vilom and Bhramari pranayama daily 10 min Track periods regularly and avoid fasting or skipping meals

This imbalance is reversible. With proper routine, Ayurvedic medicines, and a healthy diet, her menstrual cycle will regularize, facial hair will reduce, and weight will gradually come under control.

Warm regards, Dr. Snehal Vidhate

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Tab M2 tone 1-0-1 Shatavari tablet 1-0-1 Asoka aristha 15ml with equal quantity of water after meals

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HELLO GARIMA,

PCOD means that your ovaries are not working normally. Instead of releasing one healthy egg every month, your ovaries are producing many small immature eggs that stay inside and form small fluid- filled sacs or cysts

Think of your body as a system of hormones that must stay in balance.

IN PCOD -the body makes too many male hormones which women also have in small amounts - this stops ovulation, causing irregular or no periods -it also affect insulin, a hormone that controls blood sugar. If insulin is not working properly(insulin resistance), it makes the body gain weight and worsens pcod.

In Ayurveda, PCOD is caused by an imbalance in the kapha and vata doshas, leading to -ama(toxins) blocking the channels in your ovaries -slow metabolism(poor digestion- weak agni) - hormonal irregularities - stress(aggravates vata) adding to iiregularity

INTERNALLY START WITH

1) M2 TONE SYRUP(by charak)= 2 tsp twice daily after meals = helps ovaries work better, bring back your periods regularly

2) KANCHANAR GUGGULU( baidyanth/ AVP)= 2 tabs twice dailyafter meals with warm water = melts small cysts in your ovaries, supports thyroid and weight loss

3) ASHOKARISHTA(baidyanth/dabur)= 2 tsp with equal water twice daily after meals = regulates periods, reduces heavy bleeding and pain, supports uterus

4) TRIPHALA CHURNA= 1 tsp with warm water at bedtime = clears toxins from your body and improves digestion

5) EVECARE CAPSULES(by himalaya)= 1 cap twice daily after meals =balances hormones, improves ovarian function, regularises periods

DIET PLAN

FOODS TO INCLUDE

1) WHOLE GRAINS -millets= foxtail, barnyard, kodo, little millet- regulate insulin and reduce fat -quinoa, amaranth, red/brown rice -rolled oats(not instant)

2) VEGETABLES -focus on bitter, pungent, and astringent food -bitter gourd, drumstick, methi -cabbage, cauliflower, spinach, ash gourd -avoid raw salads, cook lightly and digestive spices

3) FRUITS(LOW GLYCEMIC) -amla=fresh or churna -pomegrante -apples, pears, papaya, berries

4) PROTEINS -Plant based= Moong dal, massor dal, horse gram, sprouted lentils -Animal based (if non veg)= boiled eggs, grilled fish(2 times/week)

5) HEALTHY FATS -cold pressed sesame oil -ghee=1 tsp/day -flax seed oil -seeds= flax, chia, pumpkin seeds- support estrogen balance

6) HERBS AND SPICES -turmeric, cinnamon, fenugreek, cumin, coriander, ajwian, -black pepper+ ginger

FOODS TO AVOID -cold and raw foods like smoothies, raws salads - sugar and white bread=causes weight gain and acne -fried or packaged foods= increases toxins -milk,panner,cheese= can make cysts worse -stress and late night= disrupts hormones

LIFESTYLE CHANGES FOR DEEP HEALING

1) DAILY RHYTHM -wake up before 7 am= sets hormonal rhythm -hydration=warm water with lemon+pinch of turmeric or methi seeds water(soaked overnight) -meal timing= eat meals at regular intervals; no skipping -sleep= sleep by 10-10:30 pm to optimise melatonin and cortisol balance -avoid excessive screen time, especially before sleep

DETOX PRACTICES TO FOLLOW these helps removes toxins and reduce cyst formation -Triphala churna= 1 tsp at night with warm water -CASTOR OIL=montly one 10 ml in milk at night -Self oil massage= sesame oil daily before shower -TAKRA- buttermilk spiced with cumin and ginger daily after lunch

FACIAL HAIR REMEDIES 1) TURMERIC AND CHICKPEA FLOUR UBTA(weekly thrice) -2tbsp besan -1/2 tsp turmeric -1 tsp sandalwood powder -rose water or raw milk (to make paste) HOW TO USE -Apply a thin layer on face -let it semi-dry, then scrub gently in circular motion (opposite direction of hair) -wash off with lukewarm water =helps weaken hair roots and reduce regrowth over time 2) THANAKA POWDER OR KUSUMA OIL This is proven traditional treatment -mix 1 tsp Thanaka powder with a few drops of Kusuma oil -apply on the face daily at night -leave overnight and wash in morning =after 8-12 weeks , you will report significant reduction in hair thickness 3) SUGAR, LEMON AND HONEY SCRUB (twice weekly) -Natural bleaching + exfoliation -1 tbsp sugar -1 tbsp lemon juice - 1 tsp honey =rub gently on face for 10 minutes before washing

YOGA AND MOVEMENT

BEST YOGA ASANAS -malasana= opens pelvic region -baddha konasana= improves circulation to ovaries -Bhujangasana= stimulates abdominal organs -setu bandhasana= balances thyroid and pelvic hormones -suryanamskar= 5-7 rounds

PRANAYAM -nadi sodhana= balances hormones, calms mind - bhramari= reduces anxiety and supports pitutary -kapalbhati= light version, support metabolism

MIND BODY CONNECTION PCOD is deeply linked with stress and emotional stagnation -practicue gratitude journaling, emotional release -engage in art, music, or nature therapy -reduce overthinking and over working- both aggravate vata

DO FOLLOW THIS CONSISTENTLY FOR 3 MONTHS

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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1. Saptasaram kashayam 15 ml+ 45 ml lukewarm water twice daily before food. 2. Mensokot syrup 10 ml thrice daily after food. 3. Rajapravartini vati 1 -0-1 after food. 4. Satavari choornam 1 tsp with ghee ( if possible intake with milk) at night.

You can consume dates and nuts. Include sesame seeds, pumpkin seeds etc. ( Make small laddoo by grinding these products and daily take 2 balls)

Take care and follow up after 2 periods. Dr. Shaniba

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Start with Tablet M2TONE 1-0-1 after food with water Aloevera juice 10ml twice daily after food with water Triphala tablet 0-0-2 at bedtime with water Avoid processed fatty fast sugary street foods Do brisk walking atleast 30 mins daily

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Hey First of all kindly get her scanned for PCOS.

Rx 1.Rajah Pravartini Vati 2 tab twice daily with water after meals 2.Ashokarishta 20 ml with 20 ml water twice daily after meals 3.Shatavri churna 1 tsp twice daily with warm milk after meals 4.Triphala churna 1 tsp at bedtime with warm water

Home Remedies (Easy for Hostel Life) - Cinnamon + Honey: 1/4 tsp cinnamon + 1 tsp honey in warm water, daily empty stomach - Flaxseed Powder: 1 tsp daily in smoothies or warm water — balances estrogen - Soaked Fenugreek Seeds: 1 tsp soaked overnight, chew in morning — supports insulin and cycles

Diet Tips (Even in Hostel) - Prefer warm, cooked meals over cold or packaged food - Avoid: dairy, sugar, maida, fried snacks, soft drinks - Include: whole grains (millets, oats), leafy greens, sesame seeds, curry leaves - Carry herbal teas or digestive powders (Trikatu, Hingvastak) in small containers

Lifestyle Tips - Walk daily for 30 minutes — even inside hostel corridors - Practice deep breathing or guided meditation before sleep - Keep a cycle tracker to monitor patterns and - Encourage early bedtime and hydration

Pranayamas and asanas: Baddha konasana Supta baddha konasana Setu bandhasana Ustrasana Surya Namasakar

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Irregular menstrual cycles, coupled with symptoms like weight gain and facial hair, might indicate an imbalance in the body’s doshas, particularly kapha and pitta. The root cause could likely be a condition known as PCOS (Polycystic Ovary Syndrome). In Ayurveda, this requires a holistic approach addressing diet, lifestyle, and herbal support. Here’s an approach considering ayurvedic principles:

1. Dietary recommendations: Encourage her to consume a balanced diet with emphasis on fresh fruits, vegetables, whole grains, and light proteins. Avoid processed and high-sugar foods as they can aggravate kapha and lead to weight gain. Reducing dairy and fried foods might also help in balancing pitta dosha.

2. Spices: Incorporate spices like turmeric, cumin, coriander, and cinnamon into her meals, if possible. These spices can support digestion and help balance doshas.

3. Herbal support: Chasteberry (Vitex agnus-castus) is an herb commonly recommended for balancing hormones. Shatavari and Ashwagandha could also aid in maintaining hormonal balance. Triphala can help in detoxifying the body.

4. Routine and exercise: Encourage her to establish a consistent daily routine, rising and sleeping at similar times each day. Encourage regular moderate exercise such as yoga or brisk walking to help manage weight and enhance circulation.

5. Yoga and pranayama: Simple yoga poses like dhanurasana and bhujangasana, or practices like kapalbhati pranayama, can be crucial in boosting reproductive health.

6. Hydration and sleep: Ensure adequate water intake and recommend avoiding caffeinated drinks close to bedtime. Aiming for 7-9 hrs of quality sleep each night can help regulate hormonal balance.

Encourage her to consult a qualified ayurvedic practitioner who can tailor further recommendations based on her unique prakriti and condition. In the presence of severe symptoms, it would be wise to seek immediate medical intervention as some conditions related to these symptoms may require prompt attention.

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Rajapravarthini vati 1-0-1 stop once the menses starts , do not take over 6 days Ashwagandha cap 1-0-1 Shatavari churna-1/2 tsp with warm milk Triphala churna 1 tsp with warm water at bed time Drink plenty of fluids Do walking n some exercises

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Irregular periods at your daughter’s age could be indicating an imbalance in her doshas, particularly a vata or kapha imbalance. The presence of facial hair and weight gain may suggest a condition like PCOS, which is often associated with these doshic disturbances. It’s advisable to pursue both general health management and targeted interventions.

First, eating habits are crucial to balance her doshas. Try guiding her to minimize consumption of cold, oily, or overly processed foods. Encourage freshly cooked meals whenever feasible. She might adapt to a diet that is warming and nurturing, with cooked vegetables, whole grains, and legumes, if available. Avoid excessive dairy or sugar, which can aggravate kapha and further lead to weight issues.

Triphala, a traditional herbal formulation of three fruits, supports digestion and can gently detoxify the system. She can take it in powder form, about half a teaspoon mixed in warm water, preferably before bed. Triphala might aid in improving metabolic rate over time.

Regular daily practice of simple yoga postures, like Surya Namaskar (Sun Salutation), would be beneficial as well, along with brisk walking for about 30 mins a day, activating the body’s agni, or metabolic fire. This helps in regulation of hormones and improving circulation.

For balancing stress and grounding vata, a warm sesame oil massage (Abhyanga) once or twice weekly could bring significant benefits. This supports hormonal balance and maintains a calm mind.

Lastly, keep track of symptoms. If these suggestions do not lead to improvement, consulting with a healthcare professional familiar with both Ayurvedic and allopathic perspectives is a wise next step. Certain issues like hormonal imbalance may need more immediate attention that includes laboratory testing.

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I am an Ayurvedic doctor who kinda grew into this path naturally—my roots are in Kerala, and I did my internship at VPSV Ayurveda College in Kottakkal, which honestly was one of the most eye-opening stages of my life. That place isn’t just a college, it’s a deep well of real Ayurveda. The kind that’s lived, not just studied. During my time there, I didn’t just observe—I *practiced*. Diagnosing, treating, understanding the patient beyond their symptoms, all that hands-on stuff that textbooks don’t really teach. It’s where I learned the rhythm of classical Kerala Ayurveda, the art of pulse reading, and how Panchakarma ain’t just about detox but more about deep repair. I work closely with patients—always felt more like a guide than just a doctor tbh. Whether it's about fixing a chronic issue or preventing one from happening, I focus on the full picture. I give a lot of attention to diet (pathya), routine, mental clutter, and stress stuff. Counseling on these isn’t an ‘extra’—I see it as a part of healing. And not the preachy kind either, more like what works *for you*, your lifestyle, your space. Also yeah—I’m a certified Smrithi Meditation Consultant from Kottakkal Ayurveda School of Excellence. This kinda allowed me to mix mindfulness with medicine, which I find super important, especially in today’s distracted world. I integrate meditation where needed—some patients need a virechana, some just need to breathe better before they sleep. There’s no one-size-fits-all and I kinda like that part of my job the most. I don’t claim to know it all, but I listen deeply, treat with care, and stay true to the Ayurvedic principles I was trained in. My role feels less about ‘curing’ and more about nudging people back to their natural balance... it’s not quick or flashy, but it feels right.
5
136 reviews
Dr. Sara Garg
I am someone who believes Ayurveda isn’t just some old system — it’s alive, and actually still works when you use it the way it's meant to be used. My practice mostly revolves around proper Ayurvedic diagnosis (rogi & roga pariksha types), Panchakarma therapies, and ya also a lot of work with herbal medicine — not just prescribing but sometimes preparing stuff myself when needed. I really like that hands-on part actually, like knowing where the herbs came from and how they're processed... changes everything. One of the things I pay a lot of attention to is how a person's lifestyle is playing into their condition. Food, sleep, bowel habits, even small emotional patterns that people don't even realize are affecting their digestion or immunity — I look at all of it before jumping to treatment. Dietary therapy isn’t just telling people to eat less fried food lol. It’s more about timing, combinations, seasonal influence, and what suits their prakriti. That kind of detail takes time, and sometimes patients don’t get why it matters at first.. but slowly it clicks. Panchakarma — I do it when I feel it's needed. Doesn’t suit everyone all the time, but in the right case, it really clears the stuck layers. But again, it's not magic — people need to prep properly and follow instructions. That's where strong communication matters. I make it a point to explain everything without dumping too much Sanskrit unless they’re curious. I also try to keep things simple, like I don’t want patients feeling intimidated or overwhelmed with 10 things at once. We go step by step — sometimes slow, sometimes quick depending on the case. There’s no “one protocol fits all” in Ayurveda and frankly I get bored doing same thing again and again. Whether it’s a fever that won’t go or long-term fatigue or gut mess — I usually go deep into what's behind it. Surface-level fixes don’t last. I rather take the time than rush into wrong herbs. It’s more work, ya, but makes a diff in long run.
5
20 reviews
Dr. Atul Painuli
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

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Logan
14 hours ago
Thanks a ton for this in-depth reply! It really gave me a fresh perspective on managing my digestion issues. Super grateful for the practical tips!
Thanks a ton for this in-depth reply! It really gave me a fresh perspective on managing my digestion issues. Super grateful for the practical tips!
Stella
14 hours ago
This answer was so clear and detailed. The mix of dietary advice and emotional tips really made a difference for me. Thanks a lot!
This answer was so clear and detailed. The mix of dietary advice and emotional tips really made a difference for me. Thanks a lot!
Gabriella
14 hours ago
Thanks for the detailed guidance! Your insights on balancing vata and pitta made total sense and the practical steps were super helpful. 🙌 Really appreciate the clarity!
Thanks for the detailed guidance! Your insights on balancing vata and pitta made total sense and the practical steps were super helpful. 🙌 Really appreciate the clarity!
Claire
16 hours ago
Wow, that was really insightful and thorough! Appreciate how clearly everything was broken down. Thanks a ton for laying out all those options!
Wow, that was really insightful and thorough! Appreciate how clearly everything was broken down. Thanks a ton for laying out all those options!