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Premenopausal Symptoms in a 48-Year-Old Female
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Gynecology and Obstetrics
Question #36284
20 days ago
120

Premenopausal Symptoms in a 48-Year-Old Female - #36284

Sara

48 year’s female suffering from premenopausal symptoms. Thinning hair, hot flashes, low mood, grey hair, itchy scalp.

Age: 48
Chronic illnesses: No
300 INR (~3.51 USD)
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Doctors' responses

Dear Sara Avoid oily, spicy and processed foods. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Tab. Shatavari 2-0-2 Tab. Bhringraj 2-0-2 Massage on scalp with bhringraj oil twice a week. Tab. Menosan 2-0-2 Follow up after 4weeks.

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Hello Sara ji,

I can understand your concern regarding you experiencing premenopausal symptoms like thinning hair, hot flashes, low mood, grey hair, and itchy scalp. But dont worry we are here to help you out😊

✅AYURVEDIC PLAN OF TREATMENT

✅INTERNAL MEDICATION

1 Ashokarishta 15–20 ml with equal water (After lunch & dinner) Balances hormones and stabilizes menstrual cycle

2 Shatavari Kalpa 1 tsp with milk (Morning and night) Nourishes rasa and shukra dhatu, relieves hot flashes

3 Balaaristha 15 ml with equal water After dinner Soothes (Pitta, relieves burning and hot flashes)

4 Narasimha Rasayana 1 tsp daily (Morning empty stomach) Strengthens hair roots, improves complexion & vitality

✅EXTERNAL HAIR AND SCALP CARE

✅ Hair Oil

Use Neelibhringadi Taila – apply warm oil 2–3 times weekly on scalp.

Leave for 30–45 min and wash with mild herbal shampoo (like Aloe vera + hibiscus or Reetha + Shikakai base).

✅ Hair Pack (once a week)

Mix Amla powder + Bhringraj powder + Aloe vera gel + few drops of lemon juice.

Apply on scalp for 30 mins before wash. Helps reduce itchiness and premature greying.

✅DIET AND LIFESTYLE MODIFICATION

✅ Include-

Eat warm, nourishing, easy-to-digest foods – include ghee, milk, dates, sesame seeds, soaked almonds, methi, flax seeds. Use cooling herbs like shatavari, amla, yashtimadhu, and aloe vera. Drink lukewarm water, avoid dehydration. Maintain sound sleep (7–8 hrs). Perform Abhyanga (body massage) twice weekly with Dhanwantharam Taila or Ksheerabala Taila – reduces Vata and dryness. Practice Yoga & Pranayama: Anulom Vilom, Sheetali, Bhramari, and Shavasana for emotional balance and cooling effect.

❌ Avoid

Hot, spicy, and sour food (increases Pitta). Excess coffee, tea, or alcohol. Late nights and overexertion. Chemical hair colors – instead use henna + indigo mix.

Wishing you a good health😊

Warm Regrads Dr Snehal Vidhate

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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.
19 days ago
5

Take ashwagandhalehyam 1tsp with milk, Arogya vardini vati 1tab bd, shatavarighritam 1tsp enough

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Take Stri rasyana vati 1-0-1 Shatavari churna 0-0-1/2 tsp with warm milk Ashwagandha churna 0-0-1/2 tsp with warm milk Amla juice 15 ml on empty stomach Saraswathi aristha 15-0-15 ml with warm water Neelabringadi taila -scalp massage to be done

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Hello Sara Start with Cap Evanova 1-0-1 after food with water Light massage with Neelibhringadi oil on scalp twice weekly, keep overnight and wash in the morning with Anti hairfall shampoo Brahmi vati 1-0-1 after food with water Do pranayam lom -vilom kapalbhatti bhastrika bhamri 5-10mins daily twice Learn Rajyoga meditation and practice daily.

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Shatavari cap 1-0-1 Ashwagandha cap 1-0-1 Narasimha rasayana 1 tsp -0-0 Amla juice 10-0-0 ml Mahabringaraja taila - scalp massage 30-40 minutes daily walk Avoid tea coffee processed fried foods

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Thinning hair, hot flashes, low mood, grey hair, and an itchy scalp in a 48-year-old female are common signs of approaching menopause. From an Ayurvedic perspective, these symptoms can often be linked to hormonal changes influencing the balance of doshas, particularly Vata and Pitta.

Hot flashes and low mood can suggest increased Pitta and Vata doshas. It’s beneficial to cool the body and mind and provide grounding practices. For dietary changes, begin incorporating foods that are naturally sweet, slightly oily, and cooling, like ghee, coconut, and milk. Cooked grains like rice and wheat can also help stabilize Vata and Pitta. Avoid excessively spicy, fried and caffeinated foods, as these can aggravate symptoms.

Thinning hair and an itchy scalp can be addressed through nourishing the body and scalp. Massage the scalp regularly with a mixture of Brahmi oil and coconut oil, as Brahmi is traditionally used to calm the mind and nourish hair. This is best done in the evening, allowing the oils to sit overnight if possible. Use a mild, herbal shampoo for washing hair without irritating the scalp.

For mood regulation, introduce practices such as meditation and gentle yoga, which can help maintain mental balance and ease. Daily meditation, even for 10 minutes, can make a difference.

Additionally, Ayurveda suggests that herbs like Ashwagandha and Shatavari can be beneficial for managing menopause symptoms—they act to balance hormones, improve mood, and support scalp health. You could take these under the guidance of a qualified practitioner for appropriate dosage and form, considering individual constitution and current health status.

Greying hair is a natural part of aging, but certain Ayurvedic remedies like Amla (Indian Gooseberry) can help. Consuming Amla in powdered or fresh form can nourish hair, as it targets hair health from within.

Finally, ensure you maintain a regular routine—sleeping and waking up at the same times every day helps balance Vata. Adequate hydration is crucial as well. It’s always recommended to have personalized advice from an Ayurvedic practitioner who can consider all aspects of your prakriti and doshic imbalances to tailor a specific regimen for you.

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Thinning hair, hot flashes, low mood, and itchy scalp suggest an imbalance in your doshas, particularly vata and pitta, which are common during menopause transition. Balancing these can help soothe symptoms.

Firstly, for thinning and greying hair, gently massage warm scalp oil like bhringraj or amla oil into your scalp 2-3 times a week. It nourishes the hair roots, promoting strength and reducing premature graying. Leave it on for at least 30 minutes before washing out. For itchy scalp, use a neem-based shampoo to soothe irritation.

For hot flashes and mood swings, it’s useful to stabilize agni and manage stress. Try including cooling herbs in your daily routine, such as shatavari and ashwagandha. You can take them in powder form, 1 teaspoon with warm milk or water, morning and evening. These also support emotional balance and hormone regulation.

Regarding diet, focus on foods that are naturally sweet, such as whole grains, milk, and ghee. Avoid spicy, sour, and caffeinated foods, as these can aggravate pitta and vata. Regular meals at consistent times help stabilize the digestive fire, keeping your metabolism balanced.

In your daily routine, incorporate pranayama and gentle yoga, especially poses that activate the srotas (energy channels). These practices help calm the mind and balance nadis.

If your symptoms persist or worsen, consult a healthcare professional. Symptoms such as mood changes and hot flashes can impact quality of life significantly, so it’s important to address them comprehensively.

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HELLO SARA,

Around the late 40’s, the female reproductive system naturally begins to slow down. In Ayurveda this stage is called “Rajo-nivrtti kala”- the time when mensturatio gradually ceases The body’s main regulating energies - vata,pitta and kapha= start to shift

VATA= increases as tissues begin to dry and weaken= dryness, insomnia, anxiety, hair loss, joint pain

PITTA= fluctuates unpredictability = hot flashes, irritability, anger, burning sensations

KAPHA= gradually declines= less tissue strength sagging skin, reduced lubricates

WHAT THIS MEANS Menopause is not a disease, it’s a natural transition. But when lifestyle, diet, or stress aggravate vata and pitta, unpleasant symptoms occur -hot flashes and sweating-> excess pitta -dry skin, hair fall, itchy scalp-> aggravated vata -mood swings, sadness, poor sleep-> both vata and pitta imbalance -greying hair-> dhatu kshaya (tissue depletion)

TREATMENT GOALS -pacify vata and pitta doshas - rejuvenates and nourish tissues -support hormonal equilibrium naturally - enhance mental calmness and emotional stability -maintain bone strength, hair health, and vitality

INTERNAL TREATMENT

1) SHATAVARI KALPA= 1 tsp twice daily with warm milk for 3 months =rich in phytoestrogen nourishes female organs, soothes hot flashes

2) ASHWAGANDHARISHTA= 15ml + equal water twice daily after meals =reduces stress, improves sleep and energy, strengthens bones and muscles

3) TRIPHALA CHURNA= 1 tsp with warm water at bedtime =clears toxins, maintains bowel health and skin glow

4) BRAHMIVATI= 1 tab twice daily after meals =clams the nervous system, improves focus and sleep

5) CHYAWANPRASHA= 1 tsp in morning = builds Ojas, sows ageing

6) SARASWATARISHTA= 15ml with equal water after meals =controls heat, mood swings, and sweating

LIFESTYLE -follow a regular routine- sleep and eat at fixed times -sleep before 10 pm and get 7-8 hours of rest - take warm water baths, keep bodywork, avoid exposure to cold wind - stay socially active; light walks in nature reduce stress -practice self massage with warm oil before bath-epseically helpful for dryness and restlessness

AVOID -fasting or skipping meals -spicy, fried, sour, and very hot foos -late nights,excesssive screen time, overwork -caffeine, alcohol, and processed food

DIET -ghee, sesame oil, cow’s milk, buttermilk -whole grains= rice, wheat, oats -ming dal, green gram soup -vegetables= pumpkin, bottle gourd, spinach, beetroot -fruits= dates, figs, pomegranate, amla, banana, papaya -nuts and seeds= sesame, flaxseed, almonds, walnuts -cooling herbs= coriander, fennel, cumin

AVOID -sour curd at night, pickles, red chillies, vinegar -excess coffee/tea -cold or stale food

YOGA AND PRANAYAM -Anulom vilom= balances vata-pitta, steadies hormones -bhramari= calms anxiety, improves sleep -sheetali/sheetkari= cools body, relieves hot flashes

YOGA -shashankasaa -supta baddha konasana -vajrasaa =relaxes pelvis, relieves tension

-Savasana= deep restoration of mind and body

SIMPLE HOME REMEDIES -Amla powder or juice= 1 tsp daily= improves hair pigment and immunity -Black sesame seeds= 1 tsp daily= calcium source and hormone support -Aloe vera juice= 20 ml daily morning- cools pitta, improves digestion -Fenugreek seeds= soak overnight, chew in morning, balances sugar and hormones -Warm coconut oil scalp massage with few drops of lemon juice for itching -Herbal hair rinse= boil hibiscus leaves + amla + fenugreek cool and use as last rinse

Menopause is a natural evolution, not a decline. Ayurveda encourages embracing this phase with care, nourishment, and minfullness By pacifying vata and pitta, strengthening dhatus, and maintaining a sattvik mind through yoga and meditation, women can enter the net chapter of life with grace, energy, and balance

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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I am an Ayurvedic doctor currently practicing at Ayushakti Ayurveda—which honestly feels more like a learning ecosystem than just a clinic. Being here has changed the way I look at chronic conditions. You don’t just treat the label—you go after the cause, layer by layer, and that takes patience, structure, and real connection with the person sitting in front of you. Ayushakti has been around 33+ years, with global reach and seriously refined clinical systems. That means I get to work with protocols that are both deeply rooted in traditional Ayurveda and also super practical for today’s world. Whether I’m managing arthritis, asthma, skin issues like eczema or psoriasis, hormone trouble, gut problems, or stress overload—my first step is always a deep analysis. Prakriti, doshas, ahar-vihar, past treatments—everything gets mapped out. Once I’ve got that picture clear, I create a plan using herbal medicines, detox programs (especially Panchakarma), Marma therapy if needed, and definitely food and routine corrections. But nothing’s random. Each piece is chosen for *that* person. And I don’t just prescribe—I explain. Because when someone knows *why* they’re doing a certain thing, they stick with it longer, and the results hold. One thing I’ve learned while working here is how powerful Ayurved can be when it's structured right. At Ayushakti, that structure exists. It helps me treat confidently and track results properly. Whether I’m working with a first-time visitor or a patient who’s been dealing with the same thing for 10 years, my goal stays the same—help their system return to a natural, sustainable state of balance. What I really enjoy is seeing how people’s mindset changes once they start to feel better. When they stop depending on just temporary relief and start building their health from within—that’s when the real shift happens. And being part of that shift? That’s why I do this.
5
14 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
23 reviews
Dr. Narendrakumar V Mishra
I am a Consulting Ayurvedic Physician practicing since 1990—feels strange saying “over three decades” sometimes, but yeah, that’s the journey. I’ve spent these years working closely with chronic conditions that don’t always have clear answers in quick fixes. My main work has been around skin disorders, hair fall, scalp issues, and long-standing lifestyle stuff like diabetes, arthritis, and stress that kinda lingers under everything else. When someone walks into my clinic, I don’t jump to treat the problem on the surface. I start by understanding their *prakriti* and *vikriti*—what they’re made of, and what’s currently out of sync. That lets me build treatment plans that actually *fit* their system—not just push a medicine and hope it works. I use a mix of classical formulations, panchakarma if needed, dietary corrections, and slow, practical lifestyle changes. No overnight miracle talk. Just steady support. Hair fall and skin issues often feel cosmetic from outside—but internally? It’s about digestion, stress, liver, hormones... I’ve seen patients try 10+ things before landing in front of me. And sometimes they just need someone to *listen* before throwing herbs at the problem. That’s something I never skip. With arthritis and diabetes too, I take the same root-cause path. I give Ayurvedic medicines, but also work with *dinacharya*, *ahar* rules, and ways to reduce the load modern life puts on the body. We discuss sleep, food timing, mental state, all of it. I’ve also worked a lot with people dealing with high stress—career burnout, anxiety patterns, overthinking—and my approach there includes Ayurvedic counseling, herbal mind support, breathing routines... depends what suits them. My foundation is built on classical *samhitas*, clinical observation, and actual time with patients—not theories alone. My goal has always been simple: to help people feel well—not just for a few weeks, but in a way that actually lasts. Healing that feels like *them*, not just protocol. That’s what I keep aiming for.
5
1007 reviews

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Paisley
3 hours ago
Really appreciated the detailed and clear advice on managing my fatty liver through Ayurveda! Feeling hopeful and more informed now. Thanks!
Really appreciated the detailed and clear advice on managing my fatty liver through Ayurveda! Feeling hopeful and more informed now. Thanks!
Paisley
7 hours ago
This answer was super reassuring, tysm! Appreciating the detailed remedy suggestions, just what I needed to hear. Feeling much better!
This answer was super reassuring, tysm! Appreciating the detailed remedy suggestions, just what I needed to hear. Feeling much better!
Scarlett
7 hours ago
Thanks for your answer! The guidance you gave felt reassuring. Finally understood the herbs to try out and the tests to do. Really helpful!
Thanks for your answer! The guidance you gave felt reassuring. Finally understood the herbs to try out and the tests to do. Really helpful!
Mateo
7 hours ago
Thanks for the useful advice! The ginger tea and turmeric milk suggestions were exactly what I was looking for. Feel better already! :)
Thanks for the useful advice! The ginger tea and turmeric milk suggestions were exactly what I was looking for. Feel better already! :)