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Managing PCOS Symptoms and Hormonal Imbalance
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Gynecology and Obstetrics
Question #38884
7 hours ago
47

Managing PCOS Symptoms and Hormonal Imbalance - #38884

Vaishnavi

I have pcos, excessive hairfall, irregular periods even periods are delay more than 2 months ovary size also increase and testosterone level is high and insulin fasting is increase for getting periods can I eat hormone tablets?

How long have you been experiencing these symptoms?:

- 3-6 months

Have you tried any treatments for your PCOS before?:

- Other

How would you describe your diet?:

- Balanced and healthy
300 INR (~3.51 USD)

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Doctors' responses

When periods are delayed for more than two months with high testosterone insulin resistance and enlarged ovaries, it clearly indicates hormonal imbalance caused by PCOS taking hormone tablets can bring temporary bleeding, but they do not correct the root cause once you stop them, irregularity and air fall usually return itis better to focus on regulating insulin. Unbalancing natural hormone rhythm. You can take Sukumaram kashayam twice daily after food Asokaristha twice daily after food - each 10 ml with equal quantities of water Rajapravarthini vati 1 tablet twice daily after food Strirasayana vati 1-0-1 Madhunashini vati 1-0-1 Avoid sugar bakery foods fried items and dairy products Include more vegetables methi seeds If if there is irregular period even after the medicine once repeat us scan

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Hello Vaishnavi Thank you for sharing your detailed concerns. I completely understand that managing PCOS, delayed periods, excessive hair fall, and hormonal imbalance can be both distressing and frustrating but dont worry we are here to help you out😊

✅ AYURVEDIC TREATMENT PROTOCOL

✅INTERNAL MEDICATION

1 Kanchanar Guggulu – 2 tablets twice daily after food (Helps shrink ovarian cysts, reduces Kapha–Meda accumulation, balances thyroid and hormonal levels.)

2 Shatavari kalpa – 1 tsp with warm milk twice daily ( Nourishes female reproductive tissues, supports ovulation, and regularizes periods.)

3 Ashokarishta – 20 ml with equal warm water twice daily after food ( Regulates menstrual cycle, tones uterus, relieves lower abdominal pain and hormonal imbalance.)

4 Chandraprabha Vati – 2 tablets twice daily after meals ( Acts on the endocrine and urinary systems; balances insulin and improves metabolism.)

✅SHODHANA CHIKITSA (Detoxification Phase)

If feasible, under the guidance of an Ayurvedic physician, the following Panchakarma therapies are highly beneficial:

Udvartana (herbal powder massage) – helps reduce insulin resistance, removes Kapha and Meda.

Virechana (therapeutic purgation) – detoxifies Pitta and hormonal channels.

Basti (medicated enema) – balances Vata, promotes ovulation, and regulates menstruation.

✅ HOME REMEDIES

👉 Fenugreek (Methi) seeds – Soak 1 tsp overnight and consume in the morning. ( Helps improve insulin sensitivity and ovarian function.)

👉 Flax seeds (Alsi) – 1 tsp powder daily. ( Rich in lignans that regulate estrogen and testosterone levels.)

👉 Aloe vera juice – 1 tbsp fresh juice before breakfast. (Helps balance female hormones and support ovulation.)

👉 Cumin–Coriander–Fennel (CCF) tea – Sip warm through the day. ( Enhances digestion and clears toxins.)

✅ DIET MODIFICATION

✅ Include Warm, freshly cooked, light meals Green leafy vegetables, bottle gourd, ridge gourd, pumpkin Millets like jowar, bajra, and ragi instead of refined flour Moong dal soup, vegetable soups, and buttermilk Turmeric, cinnamon, and black pepper for metabolism Warm water throughout the day

❌Avoid

Fried, oily, and processed food Excess dairy and cheese White sugar, refined flour, and bakery items Cold drinks and ice cream Daytime sleep and late-night meals

✅ LIFESTYLE TIPS

Yoga Asanas Practice daily for at least 30 minutes: Surya Namaskar, Baddha Konasana, Setu Bandhasana, Bhujangasana Pranayama- Anulom Vilom, Bhramari,Kapalabhati

✅ADDITIONAL TIPS

Maintain fixed meal and sleep timings. Sleep before 10:30 PM and wake up early. Engage in regular physical activity or brisk walking. Avoid mental stress — practice meditation or chanting for emotional balance.

✅ Regarding Hormone Tablets

You may use hormone tablets temporarily if prescribed by your gynecologist to induce menses — however, Ayurveda aims to correct the root imbalance, not just trigger bleeding.

Hormone tablets may provide short-term relief but can suppress natural ovarian activity if used for long. Ayurvedic management restores your body’s own hormonal rhythm, ensuring that periods become regular naturally and fertility potential improves.

With consistent Ayurvedic care and patience, your cycle will gradually regularize, and hormonal harmony will return.

Wishing you a good health😊

Warm regards, 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.
2 hours ago
5

Don’t worry take care arogya vardini vati 1tab bd, Trivikramra ras 1tab bd, hyponidd 1tab bd, varanadhi kashayam 20ml bd, Kanchanara Guggulu 1tab bd enough

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Dr. Anupriya
I am an Ayurvedic doctor trained at one of the most reputed institutes (yeah, the kind that makes u sweat but also feel proud lol) where I completed my BAMS with 70%—not just numbers but real grind behind it. My focus during & after graduation has always been on treating the patient not just the disease, and honestly that philosophy keeps guiding me even now. I usually see anywhere around 50 to 60 patients a day, sometimes more if there's a health camp or local rush. It’s hectic, but I kinda thrive in that rhythm. What matters to me is not the number but going deep into each case—reading every complaint, understanding symptoms, prakriti, current state, season changes etc. and putting together a treatment that feels “right” for that person, not just for the condition. Like, I don’t do one-size-fits-all plans. I sit down, make case reports (yup, proper handwritten notes sometimes), observe small shifts, modify herbs, suggest diet tweaks, even plan rest patterns when needed. I find that holistic angle super powerful. And patients feel it too—some who come in dull n restless, over weeks show clarity, skin settles, energy kinda gets back... that makes the day worth it tbh. There’s no shortcut to trust, and i get that. Maybe that’s why patients keep referring their siblings or maa-papa too. Not bragging, but when people say things like “you actually listened” or “I felt heard”, it stays in the back of my mind even when I’m dog tired lol. My goal? Just to keep learning, treating honestly and evolving as per what each new case teaches me. Ayurveda isn’t static—it grows with u if u let it. I guess I’m just walking that path, one custom plan at a time.
2 hours ago
5

HELLO VAISHNAVI, Hormone tablets may induce bleeding and give temporary relief but they do not correct the underlying cause of the condition,hence your problem occurs again and again once you stop taking hormonal pills.

On the other hand, the following treatment plan works on the root level and actually benefits the body. Considering your history, I recommend the following treatment plan for you- 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 4. Nisha amalaki tablet 1-0-1 before meals

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

Yoga- Anulom vilom,dhanurasan,malasan

Lifestyle modification - Stress management -Through meditation, walking, journaling,foot massage etc Atleast 30 minutes walking after dinner. Weight management through walking,dancing,cycling. Take atleast 7 hours of sound sleep. Keeping record of date and duration of menses for further evaluation. Follow these and you will definitely get results. Don’t hesitate to reach out for any further query. FOLLOW UP AFTER 1 MONTH. Take care Regards, Dr.Anupriya

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HELLO,

In PCOD, the ovaries make small fluid-filled sacs (cysts). These cysts disturb the release of eggs and cause hormonal imbalance. This imbalance leads to -irregular periods - sometimes delayed, sometimes heavy -hairfall/ hair thinning -weight issues- some gain too much, some don’t gain at all -pimples, oily skin -mood swings, stress, poor sleep -increase testosterone , insulin fasting increase

In Ayurveda, this is mainly due to kapha imbalance (blockages, cysts, sluggish metabolism), Vata disturbance (irregular cycles, pain, stress), and Pitta disturbance (heavy bleeding, hair thinning, skin issues). Weak digestion (Agni) and accumulation of toxins (ama) make it worse.

TREATMENT GOALS -Clear the root cause= improve digestion and remove toxins -Balance hormones naturally= by correcting kapha-vata-pitta -Regulate menstrual cycles= make periods more regular and reduce excess flow -Nourish reproductive system -support hair and skin health -reduce stress and improve sleep -improve strength and healthy weight

INTERNAL MEDICATIONS

1) KANCHANAR GUGGULU= 2 tabs twice daily after meals for 3 months =reduces cysts, balances kapha, clears blockages

2) ASHOKARISHTA= 20 ml with equal water after meals twice daily for 3 months =regulates heavy bleeding, strengthens uterus

3) DASHMOOLARISHTA= 20 ml with equal water after meals twice daily for 3 months =balances vata, reduces pain and weakness

4) SHATAVARI CAPSULES= 1 cap twice daily with warm milk for 3 months =balances hormones, nourishes uterus, supports fertility and weight gain

5) TRIPHALA CHURNA= 1 tsp with warm water at bedtime =improves digestion, clears toxins, mild detox

6) BHRINGARAJ + AMALAKI= 1 tsp with warm water twice daily for 3 months =prevents hairfall, improves blood and skin health

6) NISHAAMALAKI CHURNA= 1 tsp with warm water before meals = control insulin level

LIFESTYLE CHANGES -Sleep= try to fix sleep even in night shift- use blackout curtains, avoid mobile before bed, drink warm milk or chamomile tea -Stress= daily meditation/journaling/chanting-> reduces cortisol which disturbs hormones -Physical activity= walking + yoga more helpful than intense gym workouts in PCOD

YOGA ASANAS -baddha konasana = improves blood flow to ovaries -Bhujangasana= stimulates reproductive organs -Setu bandhasana= balances thyroid and hormones -Surya Namaskar= slow 6-12 rounds daily

PRANAYAM -Anulom vilom= balances vata and pitta -Bhramari= calms stress, improves sleep -Kapalbhati= improves metabolism

DIET -Grains= barley, red rice, oats, whole wheat -Vegetables= bitter gourd, drum stick, bottle gourd, spinach, methi, broccoli -Fruits= papaya (helps periods), pomegranate , apple, guava -Nuts and seeds= soaked almonds, walnuts, pumpkin, seeds , flaxseeds -Proteins= moong dal, horse gram, lentils -Good fats= cow’s ghee, sesame oil in moderation

AVOID -excess sweets, bakery foods, fried and junk foods -cold drinks, ice creams -curd at night -packaged and processed food -excess tea/coffee

HOME REMEDIES 1) Fenugreek seeds= soak 1 tsp overnight, chew in morning-> improves insulin sensitivity and periods 2) Cinnamon tea= helps regulate cycles. 3) Aloe vera juice= 15ml empty stomach-> balances hormones, improves digestion 4) Flaxseed powder= 1 tsp daily in warm water-> balances oestrogen levels 5) Sesame seeds + jaggery= during winter-> supports periods and healthy weight

PCOD is not a permenent disease- with proper diet, lifestyle, Ayurvedic medicines, yoga and stress control, cycles can become regular, hairfall will reduce, and healthy weight can be gained.

The key is patience + consistency for at least 3-6 months -Avoid quick fixes (like crash diets or random hormonal pills without need) -With Ayurveda, the aim is not just to treat symtpoms but to restore balance from the root.

STRICTLY AVOID HORMONAL TABLETS- NOT ADVISABLE DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
30 minutes ago
5

The symptoms you have mentioned is due to hormonal imbalance. Do not worry start on. Ashwagandha churna Shatavari churna Half teaspoon each with warm milk at night Rajapravarthini vati -one tablet twice daily after food with warm water, but stop once the menses starts Strirasayana vati one tablet twice daily after food with warm water Amlaki rasayana 1 teaspoon with warm water at morning Asoka aristha-4 teaspoon with equal quantity of water twice daily after food Keshakanthi taila-To be applied over hair and scalp massage to be done

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I am someone who kinda grew into Panchakarma without planning it much at first... just knew I wanted to understand the deeper layers of Ayurveda, not just the surface stuff. I did both my graduation and post-grad from Govt. Ayurveda Medical College & Hospital in Bangalore — honestly that place shaped a lot of how I think about healing, especially long-term healing. After my PG, I started working right away as an Assistant Professor & consultant in the Panchakarma dept at a private Ayurveda college. Teaching kinda made me realise how much we ourselves learn by explaining things to others... and watching patients go through their detox journeys—real raw healing—was where I got hooked. Now, with around 6 years of clinical exp in Panchakarma practice, I'm working as an Associate Professor, still in the same dept., still learning, still teaching. I focus a lot on individualised protocols—Ayurveda isn't one-size-fits-all and honestly, that’s what makes it tricky but also beautiful. Right now I’m also doing my PhD, it’s on female infertility—a topic I feel not just academically drawn to but personally invested in, cause I see how complex and layered it gets for many women. Managing that along with academics and patient care isn’t super easy, I won’t lie, but it kinda fuels each other. The classroom work helps my clinical thinking, and my clinical work makes me question things in research more sharply. There's a lot I still wanna explore—especially in how we explain Panchakarma better to newer patients. Many people still think it's just oil massage or some spa thing but the depth is wayyy beyond that. I guess I keep hoping to make that clarity come through—whether it’s in class or during a consult or even during a quick OPD chat.
5
9 reviews
Dr. Ravi Chandra Rushi
I am working right now as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital in Nalgonda—and yeah, that name’s quite something, but what really keeps me here is the kind of cases we get. My main focus is managing ano-rectal disorders like piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), pilonidal sinus, and rectal polyps. These are often more complex than they look at first, and they get misdiagnosed or overtreated in a lotta places. That’s where our classical tools come in—Ksharasutra therapy, Agnikarma, and a few other para-surgical techniques we follow from the Samhitas...they’ve been lifesavers honestly. My work here pushes me to keep refining surgical precision while also sticking to the Ayurvedic core. I do rely on modern diagnostics when needed, but I won’t replace the value of a well-done Nadi Pariksha or assessing dosha-vikruti in depth. Most of my patients come with pain, fear, and usually after a couple of rounds of either incomplete surgeries or just being fed painkillers n antibiotics. And I totally get that frustration. That’s why I combine surgery with a whole support plan—Ayurvedic meds, diet changes, lifestyle tweaks that actually match their prakriti. Not generic stuff off a handout. Over time, I’ve seen that when people follow the whole protocol, not just the procedure part, the recurrence drops a lot. I’m quite particular about follow-up and wound care too, ‘cause we’re dealing with delicate areas here and ignoring post-op can ruin outcomes. Oh and yeah—I care a lot about educating folks too. I talk to patients in OPD, sometimes give community talks, just to tell people they do have safer options than cutting everything out under GA! I still study Shalya Tantra like it’s a living document. I try to stay updated with whatever credible advancements are happening in Ayurvedic surgery, but I filter what’s fluff and what’s actually useful. At the end of the day, my aim is to offer respectful, outcome-based care that lets patients walk out without shame or fear. That’s really what keeps me grounded in this field.
5
115 reviews
Dr. Raj Kalariya
I am Dr. Raj Kalariya, an Ayurvedic Doctor who believes real healing doesn’t come from quick fixes but from understanding how the body, mind & nature actually work together. I studied Ayurveda deeply — not just the texts but the meaning behind them — and over time I’ve come to see how ancient principles can still guide modern health care in powerful ways. Sometimes I mix a bit of modern medical insight too, because honestly, balance is what matters most. My focus is on helping people restore health naturally — through personalized Ayurvedic treatment, herbal formulations, diet correction, and daily lifestyle routines (Dinacharya) that actually fit into real life, not some ideal version of it. I look at root causes, not just the outward simptoms, because each person’s constitution (Prakriti) is unique. And that’s the thing I love most about Ayurveda — no two people are the same, even with the same illness. Sometimes patients come to me after trying many things, and I always remind them healing can be slow, it needs patience. Ayurveda isn’t about suppressing; it’s about aligning. I use classical diagnostic methods like Nadi Pariksha and detailed case observation to understand what’s going on beneath the surface. Then I design a plan that blends herbs, diet, detoxification (Panchakarma if needed), and daily mindfulness — a full, wholistic path toward better health. I’ve worked with cases ranging from chronic digestive problems and stress-related disorders to preventive care for immunity and vitality. I believe prevention is the real medicine — if you know how to live right according to your Dosha, half the diseases never start. Sometimes it feels like people forgot how natural healing can be, and that’s what I try to bring back, a bit at a time. If you’re looking for a natural, thoughtful, and honest approach to health — not just a prescription — then that’s what I try to offer everyday. (Sorry, maybe I wrote too long here!) But yes, Ayurveda isn’t just my work, it’s my way of seeing life, even when things don’t go perfectlly.
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