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Irregular Menstruation and Heavy Bleeding Post-Puberty
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Gynecology and Obstetrics
Question #35846
42 days ago
268

Irregular Menstruation and Heavy Bleeding Post-Puberty - #35846

Jazz

So...I had late puberty...and after that I can not get my periods without medication.after taking medication also I bleed heavy

Age: 22
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Doctors' responses

Avoid oily, spicy and processed foods. Regular exercise. Increase intake of raw vegetables and fruits. Sy. M2 tone 15ml twice Tab. Aloes compound 2-0-2 Tab. Shatavari 2-0-2 Follow up after 12weeks

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Dr. Ravi Chandra Rushi
I am currently serving as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital, Nalgonda, where I specialize in the diagnosis, treatment, and long-term management of various ano-rectal disorders. My clinical focus lies in treating conditions such as piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), rectal polyps, and pilonidal sinus using time-tested Ayurvedic approaches like Ksharasutra, Agnikarma, and other para-surgical procedures outlined in classical texts. With a deep commitment to patient care, I emphasize a holistic treatment protocol that combines precise surgical techniques with Ayurvedic formulations, dietary guidance, and lifestyle modifications to reduce recurrence and promote natural healing. I strongly believe in integrating traditional Ayurvedic wisdom with patient-centric care, which allows for better outcomes and long-lasting relief. Working at Bhrigu Maharishi Ayurvedic Hospital has provided me with the opportunity to handle a wide range of surgical and post-operative cases. My approach is rooted in classical Shalya Tantra, enhanced by modern diagnostic insights. I stay updated with advancements in Ayurvedic surgery while adhering to evidence-based practices to ensure safety and efficacy. Beyond clinical practice, I am also committed to raising awareness about Ayurvedic proctology and promoting non-invasive treatments for conditions often mismanaged or overtreated by modern surgical approaches. I strive to make Ayurvedic surgical care accessible, effective, and aligned with the needs of today’s patients, while preserving the essence of our traditional healing system. Through continuous learning and compassionate practice, I aim to offer every patient a respectful, informed, and outcome-driven experience rooted in Ayurveda.
41 days ago
5

Take Ashokarista 20ml bd, rajahpravathini vati 1tab bd, arogya vardini vati 1tab bd enough

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Start with Ashokarishtam 5 ml with 10 ml of water after food twice a day Arogyavardhini vati tab 1-0-1 after food Amalaki rasayanam 1 tsp twice a day after food Avoid spicy and junk food Take more of freshly prepared food articles and more of fresh green leafy vegetables and fruits

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Take Tablet M2TONE 1-0-1 after food with water Aloes compound 1-0-1 after food with water and

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Follow some simple lifestyle changes and dietary changes and you will see results for your problem.

✔️Do’s✔️ Drink buttermilk daily. Eat freshly cooked food. Drink warm water. Lunch and dinner on fixed timings. 100 steps after every meal. If possible dinner as early as 7-8 pm.

🧘‍♀️ Yogasan : 🧘‍♀️ 1. Pawanmuktasana 2. Bhujangasana 3. Dhanurasana 4. Paschimottanasana 5. Ardha Matsyendrasana 6. Vajrasana 7. Supta Matsyendrasana

🧘‍♀️ Pranayam: 🧘‍♀️ 1. Bhramari 2.Bhasrika 3.Kapalbhati 4.Jyoti Tratak 5. Anulom Vilom

❌Don’ts:❌ Packed and processed food. Ready to eat items. Oily and spicy food. Sour and fermented products. Dals (only moong dal can be eaten) Besan Raw vegetables and sprouts Curd Reduce dairy intake.

💊Medication 💊

Cap. PCOSNil 2 caps twice a day before food Tab. Rajapravartini Vati 2 cap twice a day before food (Donot take during bleeding) Cap. Femigin (S.G.Phytopharma) 2 caps twice a day before food Syp. Evecare Forte 3 tsp twice a day before food

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Start on Stri rasyana vati 1-0-1 Tab M2 Tone 1-0-1 Asoka aristha-3 tsp after meals with warm water Once get thyroid profile and us scan abdomen and pelvis

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Take Shatavari churna 1/2 tsp with warm milk at night Dashamoola aristha + Asoka aristha-2 tsp each with warm water after meals Once get us abdomen with pelvis and thyroid profile to rule out any pcos / hormonal imbalance

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1.Nashtapushpantak rasa 2 tab twice daily with 2 tab twice daily with water after meals 2.Ashokarishta 20 ml with 20 ml water twice daily after meals 3.Kumaryasava 15 ml with 15 ml water twice daily after meals 4.Shatavari churna 1 tsp twice daily with warm milk after meals

Lifestyle & Diet Tips - Avoid cold, dry, and heavy foods (which aggravate Vata-Kapha). - Favor warm, nourishing meals: rice, moong dal, ghee, sesame, cooked vegetables. - Include black sesame seeds, dates, and fennel tea in your routine. - Practice Yoni Mudra, Bhramari Pranayama, and gentle yoga to support hormonal rhythm. - Use castor oil packs on lower abdomen weekly to support uterine health.

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When experiencing late puberty followed by irregular menstruation and heavy bleeding, it often points to an imbalance in the body’s doshas, particularly Vata and Pitta. Such imbalances can disrupt the natural rhythms of the body, affecting the menstrual cycle. In Ayurveda, we view health holistically, so the key is to identify and address the root cause.

One first step is to harmonize Vata, which can be aggravated due to stress or irregular lifestyle. Practicing a daily routine of wakefulness, sleep, and meals is helpful. Wake up early, drink warm water to stimulate digestion, and incorporate gentle yoga or meditation that can calm the mind and encourage hormonal balance.

Diet also plays a pivotal role — focus on nourishing, grounding foods. Warm and cooked meals like khichdi can be soothing. Include spices like turmeric and cinnamon that balance the doshas and aid digestion. Plus, try drinking herbal teas with fennel or coriander, as they help in reducing inflammation and support regular menstrual cycles. Limit intake of caffeine, processed foods, and cold, raw foods, as they may exacerbate the symptoms.

Since you experiencing heavy bleeding, replenishing and supporting the body’s dhatus, particularly the rasa and rakta dhatu is crucial. Ayurvedic herbs like Ashoka and Shatavari have been traditionally used for menstrual health, promoting balance and supporting the reproductive system. Consult an Ayurvedic practitioner to tailor the correct dosage and combinations for you.

While pursuing these holistic methods, also monitor your condition closely. If the bleeding persists heavily or if experiencing signs of fatigue, weakness, or dizziness, immediately consult a healthcare professional, as excessive blood loss can lead to anemia and require urgent medical intervention. Ayurveda offers many tools to support your health, yet integrating them safely with critical and timely conventional care is essential for your well-being.

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HELLO JAZZ,

In modern medicine , this can happen due to -Hormonal imbalance like PCOS, thyroid issues, perimenopause -Uterine problems - fibroids, polyp, endometrial hyperplasia -Blood related issues- low clotting factors, anemia

In Ayurveda, this condition is close to Asrigdara/Raktapradar- which means excessive, irregular or prolonged uterine bleeding

-Pitta dosha= heat, blood circulation gets aggravated->leading to excessive bleeding -Vata dosha= disturbance causes irregularity in cycle -Dhatu kshaya= weakness of reproductive tissues makes uterus unable to hold and regulate bleeding

TREATMENT GOALS -Stop or control ongoing bleeding -balance pitta and vata dosha -strengthen uterus and reproductive system -correct underlying cause- hormonal, uterine health -prevent recurrence and improve overall strength

INTERNAL MEDICATIONS

1) ASHOKARISHTA= 20 ml with equal water after meals twice daily =regulates menstrual cycle, tones uterus, stops excessive bleeding

2) LODHRA CHURNA= 3gm with cold water twice daily =cooling, pitta balancing , helps in clotting and reducing flow

3) PRAVAL PISHTI = 125mg with honey twice daily =acts as a natural coolant, stops bleeding, improves hemoglobin

4) KAMDUDHA RASA (with mukta)= 125mg twice daily with rose water =for pitta control, acidity, and burning sensation with periods

5) SHATAVARI KALPA= 1 tsp with milk at bedtime =balances hormones, strengthens uterus, nourishes reproductive tissues

6) CHANDRAPRABHA VATI= 2 tabs twice daily after meals =works on hormones, urinary and reproductive health

DURATION= 2-3 months

DIET -cooling foods= milk, ghee, buttermilk, cucumber, ash gourd, pomegranate, grapes, amla, coconut water -Iron rich foods= dates, black raisins (soaked overnight), jaggery (in small amount) -light, easily digestible meals- khichdi, mung dal, rice -plenty of fluids to prevent dehydration

AVOID -spicy, sour, salty, fried, fermented foods -tea, coffee, alcohol -excessive heat, long sun exposure -heavy exercise, stress, late night sleep

YOGA ASANAS -supta baddha konasana -viparita karani -balasana -setu bandhasana

PRANAYAM -sheetali/sheetkari -anulom vilom -gentle meditation for stress reduction

Avoid strong, forceful yoga during active bleeding

HOME REMEDIES -Durva grass juice = 10 ml fresh juice once daily-> strong homeostatic effect -coriander seed decoction= 1 tsp seeds boiled in 2 cups water-> reduce to 1 cup-> drink twice daily -banana flower cooked with curd-> helps reduce bleeding -pomegranate rind powder-> 1/2 tsp with water once daily

INVESTIGATIONS NEEDED -PELVIC ULTRASOUND= to check for fibroids , polyps, PCOS

-Your condition is not be ignored- continuous bleeding can cause severe anemia, weakness, and complications -Ayurveda gives a holistic solution- control bleeding, balance doshas, nourish uterus, and prevent recurrence

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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I am an Ayurveda doctor with about 1 yr of hands on clinical practice, still learning everyday from patients and the science itself. My journey started as a VOPD doctor with Hiims Hospital under Jeena Sikho Lifecare Ltd. For 6 months I was into virtual consultations, understanding cases online, preparing treatment protocols and doing follow ups to track progress. That phase trained me well in quick patient assesment and also in explaining Ayurveda in a way that fit with modern expectations. I dealt with many chronic and acute cases during that time.. things like gastric issues, joint pain, stress related complaints, skin problems. The remote setting forced me to sharpen my diagnostic skill and rely more on careful history taking, prakriti analysis, and lifestyle understanding. After that, I moved to a Resident Doctor role at Chauhan Ayurved and Panchkarma Hospital, Udaipur. This was very different.. more practical, hands on, and really grounded me in classical Panchakarma. I was actively part of planning and performing therapies like Vamana, Virechana, Basti, Abhyanga, Shirodhara, and other detox and rejuvenation procedures. Many patients came with long standing spine issues, metabolic disorders, skin complaints, or hormonal imbalance and I got to see how tailored Panchakarma protocols and lifestyle advice together can bring changes that medicines alone couldn’t. Working closely with senior consultants gave me better clarity on safety, step by step planning and how to balance classical texts with practical hospital settings. Now, whether in OPD consultations or Panchkarma wards, I try to meet patients with empathy and patience. I focus on root cause correction, using herbs, diet, daily routine guidance, and therapy whenever needed. My belief is that Ayurveda should be accessible and authentic, not complicated or intimidating. My aim is simple—help people move towards long term wellness, not just temporary relief. I see health as balance of body, mind and routine.. and I want my practice to guide patients gently into that space.
5
166 reviews

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