Seeking Help for Irregular Periods in My Daughter - #41380

Take shatavarighritam 1tsp, and ashokarista 20ml bd, Arogya vardini vati 1tab bd u ll get results

Dr RC BAMS,MS

Hello I‍‌‍‍‌‍‌‍‍‌ can totally relate to your point of view. As a parent, irregular periods in a teenage daughter can drain your nerves, particularly when the cycles are delayed for months. But do not worry as we are here for you 😊

✅ AYURVEDIC UNDERSTANDING

The menstruation cycle at 16 years is considered to be immature and in most girls hormonal levels are only stabilised at 18–20 years, hence the advice from the gynaecologist to wait and observe.

However, her current pattern (35–40 days cycle + one prolonged delay 3 months) suggests:

–Vata imbalance (irregularity, delayed periods) –Light Pitta imbalance (mood swings) –Possibility of Rasadhatu depletion –Stress or growth-phase related hormonal fluctuation

✅INTERNAL MEDICATION

A mild 3 monthly plan: 1. Kumaryasava - 10 mL with an equal amount of water, two times a day after meals (Improves ovarian health, regularizes the hormones.)

2. Ashokarishta - 10–15 ml two times a day after meals (Balances Pitta and helps in getting healthy cycles.)

3. Phala Ghrita- 1 teaspoon morning on an empty stomach with warm milk (Makes reproductive dhatus stronger, regularizes periods.)

4. Shatavari Kalpa. 1 teaspoon two times a day with warm milk (Helps with mood swings + provides hormonal support.)

Note Do not frequently use Raja Pravartini Vati — it is designed for short-term induction only and not for teenage cycle correction.

✅HOME REMEDIES

1 Ajwain + Jaggery Drink (3–4 days before expected period). Ajwain 1 tsp boiled in 1 cup water Add small jaggery Helps the body to start the flow naturally.

2. Til (Sesame) Ladoo One ladoo daily makes the cycle regular and reproductive tissues are getting nourished.

3. Warm Milk with Turmeric + Shatavari at night Helps Vata reduction, cycle regularization.

✅DIET MODIFICATION

Start eating: Warm, cooked meals Ghee, sesame seeds, dates Good fruit: papaya, pomegranate Iron-rich foods: spinach, jaggery, black raisins

Stop eating: Cold drinks, ice creams Not eating at the right time Excessive junk food Too much night screen time Weight swings

✅LIFESTYLE MODIFICATION

8 hours sleep Daily 30–40 minutes of simple exercise (like walking, skipping, cycling) Relieve stress (study pressure, screen time) Warm water drinking habit No fasting or erratic eating

Your daughter’s menstrual cycle will gradually become regular with consistent treatment

Warm Regards, Dr. Snehal ‍‌‍‍‌‍‌‍‍‌Vidhate

HELLO,

Your daughter is 16 years old and started her periods at 13, which is normal For the first 5-7 years after starting periods , the body’s hormonal system called the HPO axis- brain-pituitary-ovary connection is still learning to work in a rhythm . during this time -periods may come late even 35-45 days -sometimes a long gap 2-3 months may happen -stress, studies, late sleep, weight changes, junk food, and emotional changes worsen the irregularity

This is called Adolescent menstrual irregularity, and it happens in more than 50% of teenage girls

Ayurveda calls this “Artava-vyapad” or “Ritu-chakra-dushti” commonly due to -vata imbalance= irregular cycles, delayed periods’ -mild pitta imbalance= mood swings -weak tissues= low strength of reproductive system -agni fluctuation= digestion and metabolism not stable This is not a disease but a developing hormonal pattern

TREATMENT GOALS PRIMARY GOALS -stabilize the hormonal rhythm -strengthen female reproductive tissue -impove digestion metabolism -correct vata imbalance -reduce stress on nervous system

SECONDARY GOALS -improve hemoglobin -reduce mood swings -regularize ovulatory pattern -prevent excessive delays more than 3 months -support healthy uterine function

INTERNAL MEDICATIONS

1) ASHOKARISHTA= 15 ml with qual wtaer after meals for 3 months =regulate uterine function, supports endometrial health, gentle cycle regulator without hormone like action

2) SHATAVARI GULAM= 1 tsp at night with warm milk for 3 months =nourish reproductive tissues, balances vata and pitta, reduces stress related cycle disturbances

3) KUMARYASAVA= 10 ml once daily for 10 days only when cycle cross 45 days =supports hormonal pathways, helps induce cycle gently

4) BRAHMI GHRITA= 1/3 tsp at night with warm milk for 3 months =stabilizes nervous system, reduces stress triggered irregularity, improve sleep

5) PUNARNAVADI MANDUR = 2 tabs twice daily until Hb normalize =corrects anemia, which commonly causes delayed cycles in teens

EXTERNAL SUPPORT

1) WARM CASTOR OIL PACK -warm castor oil-> apply on lower abdomen -> place a warm cloth for 15 minutes use once weekly =reduces vata, improves pelvic circulation, helps in regulation of periods

2) OIL MASSAGE= use sesame oil for hands/legs, 10 min before bath =balances vata, reduces stress, harmonizes hormones indirectly

DIET -khichdi, rice, dal -ghee 1 tsp//day, sesame oil -cooked vegetables- carrot, beetroot, pumpkin, spinach, bottle gourd -fruits= papaya, pomegranate, banana -iron rich items= dates, jaggery, sesame seeds, leafy greens -milk with turmeric or shatavari -herbal teas= cumin + fennel + a pinch of ajwain

AVOID -cold foods, ice creams -raw salads excess -junk food, bakery items -too much pickles/chutneys -skipping meals -excess tea/cooffee -late night eating

LIFESTYLE -sleep by 10-10:30 pm -wake up early -no fasting -avoid excessive exercise -balanced routine not too much stress, not idle

TEEN STRESS CONTRIBUTES GREATLY-> HORMONAL RHYTHM GETS DISTURBED -limit screen time -healthy study- rest balance -encourage journaling or hobbies

YOGA ASANAS Practice gently 20 min -baddha konasana= improves pelvic blood flow -bhujangasana= regulates ovarian function -setu bandhasana= balances thyroid + uterus -marjariasana= improves pelvic circulation -vajrasana= improves digestion -paschimottanasana= calms vata

PRANAYAM -Anulom vilom -bhramari= calmsmind -deep belly breathing This directly stabilises the hypothalamus hormone command centre

HOME REMEDIES -JAGGERY + SESAME SEEDS= 1 tsp jaggery + 1 tsp roasted sesame seeds daily increases iron + warms the body-> helps regulate cycle

-CUMIN-FENNEL TEA= improves digestion and reduce svata

-WARM WATER WITH A PINCH OF DRY GINGER= helps metabolism and balances vata

-PAPAYA DURING DELAYED PERIODS= promotes natural uterine activity

INVESTIGATIONS REQUIRED -TSH, T3, T4 -Prolactin -LH, FSH CBC + iron studies -Vitamin D

NOT ADVISED TO TAKE MEPRATE FOR THIS AGE GROUP

Your daughter is not suffering from a disease- her hormonal system is simply maturing This is normal and very common, especially when periods started later or stress is high

AYURVEDA HELPS BY -supporting natural hormonal rhythm -improving digestion and nutrition -reducing vata and stress -strengthening reproductive tissue -promoting regular cycles naturally

With diet, routine, gentle medicines, emotional support, and occasional gynecologist involvement her cycle will become normal

There is no danger and no long term disease risk at this stage She just need consistent, gentle support- not strong hormonal or strong Ayurvedic medicines

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Investigation:-

USG WHOLE ABDOMEN

IRON STUDIES

S.INSULIN PROFILE

S.TSH…

1.Ashokarishta 15 ml with 15 ml water twice daily after meals 2.Shatavari granules 1 tsp twice daily with milk after meals 3.Kumaryasava 15 ml with 15 ml water twice daily after meals

🍽️ Supportive Diet & Lifestyle Avoid: - Cold, dry, or processed foods - Excess sugar, fried snacks, and carbonated drinks - Late-night screen exposure Include: - Warm, freshly cooked meals with ghee, cumin, fennel, and coriander - Seasonal fruits like papaya, pomegranate, and figs - Herbal teas: Jeera + Dhaniya + Saunf boiled and sipped warm Daily Routine: - Morning: Pranayam, yoga and meditation(Surya Namaskar, Baddha Konasana, Supta Baddha Konasana, Viprit karnini) - Evening: Light walk or gentle yoga ) - Bedtime: Jatamansi with warm water, early sleep

Please donot induce her periods on every month. Let her body work and get matured. Now a days changing sedentary lifestyle, food habits, lack of exercise all this does effect hormonal release

✔️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. No screen time at bed time. Monitor data consumed.

💊Medication 💊

Cap. Femigen 1 cp twice a day before food Syp. Ashokarishta 2 tsp twice a day before food

Start with Tablet M2TONE 1-0-1 after food with water Aloevera juice 10ml twice daily after food with water Rajapravartini vati 1-0-1 after food with water Avoid processed fatty fast sugary street foods, Junk food. Do Brisk walking atleast 30 mins daily.

Internal Medicines 1 Rajapravartini Vati: Continue 1 tab twice daily (Day 1–15 of expected cycle). 2 Kumari Asava: 10 ml + 20 ml warm water after lunch & dinner. 3 Ashokarishta: 10 ml + 20 ml water after breakfast. 4 Kanchnar Guggulu: 1 tab twice daily after meals. 5 Shatavari Churna: 2 gm morning with warm milk.

External Application Yoni Pichu: Soak cotton in Phala Ghrita → insert vaginally → leave 2 hrs at night (Day 5–12).

Diet Give only: Moong khichdi + 1 tsp ghee + jeera. Pomegranate, soaked almonds (4 daily). Amla juice 20 ml diluted morning.

Avoid completely: Junk food, cold drinks. Late dinner.

Lifestyle Walk 30 min daily. Yoga: Supta Baddha Konasana 10 min. Sleep 10 PM – 6 AM.

Get USG pelvis: After 90 days. Gynecologist review: If no menses >60 days.

Regards Dr Gursimran Jeet Singh MD Panchakarma

Have you done her thyroid test and us scan ??

Ok Then continue Rajahpravarthini vati Add Asoka aristha 10 ml with equal amounts of water after meals Shatavari churna 1/4 th tsp with warm milk at night

Can you tell the BMI of your daughter.

Hello, Thank you for explaining your daughter’s condition in detail. Your daughter had her menarche at 13 and is now 16, which means her reproductive axis (HPO axis: Hypothalamus–Pituitary–Ovary) is still maturing. In many girls, cycles can remain irregular for 4–6 years after first periods. The long gaps (35–40 days, and one episode of 3-month delay) along with mood swings suggest immature hormonal rhythm, mild Kapha–Vata imbalance, and Aartava-Dushti (cycle disturbance). The aim of treatment will be to regulate ovulation, support hormonal balance, improve uterine circulation, and gradually achieve a steady menstrual rhythm—without aggressive hormone therapy.

🔎 Recommended Investigations 1.Thyroid profile (TSH, FT3, FT4) – thyroid imbalance can delay cycles. 2.Serum Prolactin – elevated levels cause late periods. 3.LH, FSH on Day 2–3 – to check ovulatory pattern. 4.Pelvic ultrasound – rule out PCOS features. 5.Hb & Ferritin – low iron can worsen hormonal imbalance. 6.Vitamin D3 – deficiency is very common in teens with irregular cycles. (Note: Many girls have functional irregularity with normal tests—this is normal at her age.)

💊 Internal Medicines Phase 1 – 30 days (Cycle Regulation & Vata–Kapha Balancing) 1.Saptasaram Kashayam – 15 ml with 30ml of warm water twice daily before food. 2.Rajapravartini Vati – 1 tablet twice daily after meals for 10–14 days before expected period. 3.Hingwashtak Churna – ½ tsp with warm water after meals for digestion & Vata correction. 4.Trikatu Churna – ½ tsp with honey once daily (only if no acidity).

Phase 2 – Next 45 days (Hormonal Rhythm & Uterine Strengthening) 1.M2-Tone Syrup – 2 tsp twice daily or M2-Tone tablets 1 tablet twice daily. 2.Ashokarishtam – 15 ml with equal water after food twice daily. 3.Shatavari Gulam – 1 tsp at bedtime with warm milk (balances hormones & mood). 4.Kalyanaka Kashayam (optional) – for mood swings, 10 ml twice daily. (Meprate should only be used when cycles stop for >90 days; Ayurveda aims to restore natural periods without hormonal pills.)

🌿 External & Supportive Therapies 1.Nabhi-Abhyanga (warm castor or sesame oil on lower abdomen) – 10 minutes daily for 2 weeks before expected period. 2.Hot water bag on abdomen – improves uterine blood flow. 3.Foot massage with sesame oil – stabilizes Vata and reduces stress-related delays.

🥗 Diet & Lifestyle Recommendations ❌ Avoid: Cold foods, curd at night, ice creams (increase Kapha & stagnation). Excess junk food, chips, bakery items. Skipping meals or excessive fasting. Stress, overthinking, irregular sleep schedule. ✅ Include: Warm, freshly cooked meals. Ginger tea, cinnamon tea, jeera-ajwain-saunf water. Sesame seeds (til), dates, jaggery—natural hormone balancers. 1 tsp ghee daily for Vata stability. Good hydration (2–2.5 L warm water).

🧘🏻‍♀️ Yoga & Pranayama Hormone-balancing asanas: Bhujangasana Setu Bandhasana Malasana Baddha Konasana Vajrasana Pranayama: Anulom Vilom – 10 min Bhramari – 5 min Daily routine: Sleep by 10 pm 20–30 min moderate exercise (walking/yoga)

🕉️ Follow-up & Duration Cycle regularization usually takes 2–4 months in teenagers. If her cycle doesn’t appear for >60–70 days, Rajapravartini Vati can be repeated. Repeat evaluation after 3 months with any abnormal reports. Most girls achieve normal cycles naturally by 18–20 years.

✨ With consistent herbal support, warm diet, regular sleep, and gentle hormonal balancing, your daughter’s periods will gradually stabilize. Teenage irregularity is very common, and treatment focuses on steady, natural regulation. With kind regards, Dr. Sumi

HELLO,

In young girls , cycle irregularity is usually due to -immature hormonal axis (HPO axis is still developing) -vata imbalance (irregularity , delay) -mild pitta imbalance mood swings -stress, sleep disturbance, low nutrition, late menarche

So the goal is= vata balancing , mild pitta calming , nourishment of rasa + rakta dhatu

AYURVEDIC LIFESTYLE

DIET -warm, freshly cooked meals -INCLUDE= ghee, sesame, dates, dry figs, beetroot, drumstick, leafy greens -Proteinsource= milk, panner, dal, eggs if used -Hydration= warm water or cumin-fennel infused water -AVOID= cold foods, junk ,excessive sour/spicy skipping meals

LIFESTYLE -regular sleep= 10-11pm -daily 30-40 min of moderate exercise -sun exposure morning 15 min supports hormonal rhythm -avoid over exercise, fasting, screen at night

YOGA AND PRANAYAM

YOGA ASANAS -baddha konasana -setu bandhasana -bhujangasana -marjariasana -paschimottanasana

PRANAYAM -Nadi sodhana -bhramari -deep abdominal breathing

These regular HPO axis-> cycle stabilises gradually

INTERNALLY

FOR CYCLE REGULATION AND VATA BALANCE

-ASHOKARISHTA= 20 ml with equal water twice daily after meals

-SHATAVARI GHRITA= 1 tsp with warm milk in morning

-DASHMOOLA KASHAYA= 20 ml + equal water twice daily before meals

FOR DELAYED CYCLE -RAJA PRAVARTINI VATI= 1 tab twice daily start before 7 days of expected days

FOR STRESS AND MOOD SWINGS -SHANKHAPUSHPI SYRUP= 1 tsp at night

Even if cycles are irregular at this age, consult again if -no periods > 90 days repeatedly -sudden weight gain/loss -excess facial hair, acne -severe cramps or heavy bleeding -thyroid symtpoms- fatigue, hairfall, weight changes

Sometimes a simple thyroid/pcod screening is usefull

At 16 years, irregularity is common. even ayurveda says "RAJAH-PRAVRITTI " is unstable till rakta dhatu matures fully- often stabilises by 17-19 years

So treatment= gentle regulation + nourishment, not aggressive hormonal or herbal stimulants

THANK YOU

DR. HEMANSHU MEHTA

For young individuals experiencing irregular periods, it’s important to approach the situation with gentle methods. You’ve already given her some Ayurvedic tonics and attempts to balance her menstrual cycle, but as they haven’t proven effective, this could be a sign her logical internal balance needs more attention.

Firstly, consider evaluating her Prakriti, or natural constitution to determine which Doshas—Vata, Pitta, or Kapha—might be imbalanced. Irregular periods are often related to Vata disturbances, which could be due to stress, travel, poor diet or inadequate sleep. Calming Vata with a routine is crucial.

Diet and nutrition are key. Ensure she eats meals at predictable times to support her digestive fire (agni). Warm, cooked foods with spices like cumin, coriander and fennel can harmonize Vata. Avoid raw, cold foods and excessively spicy or fried food which can disrupt her body’s balance. Emphasize natural estrogen-containing foods like flaxseeds, sesame seeds, or soy products, they help regulate menstrual cycles.

Yoga and pranayama exercises can be influential. Asanas like Baddha Konasana (Bound Angle Pose) and Supta Baddha Konasana can help improve reproductive health. Encourage her to practice pranayama like Nadi Shodhana (Alternate Nostril Breathing) daily.

Herbs such as Ashoka (use cautiously in young) and Shatavari can help. These support the female reproductive system. Consult with an Ayurvedic practitioner prior to adding these.

Sleep and stress levels must be addressed. Encourage her to get at least 7-8 hours of rest nightly and engage in relaxing activities like meditation.

Lastly, patience is key. The body naturally evolves into adulthood and any interventions should be gentle and supportive. If symptoms persists or worsen, continuing to work closely with a healthcare provider is prudent.

AVOID MILK AND PRODUCT TAKE SATAVRI 2 BD TAKE ASHOKAARISTH 5 ML TDS TAKE KUMARIASHAV 5 ML BD