These symptoms suggest a complex interplay of imbalances that might involve vata, pitta, and possibly kapha doshas. The hormonal and systemic aspects influencing your sexual health, along with physical discomfort and energy levels, can be addressed in a multifaceted Ayurvedic approach.
For your reproductive health and sexual vigor, focus on balancing vata. Consider daily abhyanga (self-massage) with warm sesame oil, which can soothe vata and enhance circulation. Including shatavari or ashwagandha—known adaptogens and rejuvenators for reproductive tissues—in your daily regimen, either as a powder or tablet, might support your body. Ensure to consult your nearest practitioner to adjust the dosage to your specific needs.
Pain in the back and shoulder as well as fatigue could be linked to both vata and pitta imbalances. Regular stretching exercises, focusing on the spine and shoulder areas, complemented with pranayama like bhramari may facilitate energy flow and relieve tension.
Diet-wise, emphasize warm, cooked meals avoiding cold and raw foods that aggravate vata. Sipping warm water throughout the day aids in maintaining agni and alleviates dryness internally. Addressing your burning sensation, include cooling herbs like guduchi or aloe vera in your diet to pacify pitta.
Given the broad spectrum of your symptoms, a detailed physical and clinical evaluation is crucial to rule out underlying conditions. Consulting your healthcare provider could help address any potential serious issues like neuropathy or disk problems. Seeking their input would ensure a comprehensive approach, integrating Ayurveda with necessary allopathic interventions where essential.