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Gynecology and Obstetrics
Question #44909
88 days ago
712

Seeking Help for Delayed Periods and Spotting - #44909

Sneha Raikar

Good afternoon Dr. I m getting spotting from last 10 days and my periods date was of 29th last month but i haven't yet got the proper periods. I m getting cramps in waist and back pain. Please recommend me something so it can get cleared within a week.

How would you describe the intensity of your cramps?:

- Moderate

Have you experienced any significant stress or changes in lifestyle recently?:

- Yes, a lot of stress

What is your usual menstrual cycle length?:

- Shorter than 28 days
PAID
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Doctors' responses

Spotting since 10 days might be due to disturbed vata due to stress poor sleep Or emotional stress so to help with to get regular menses you can take RAJAHPRAVARTHINI VATIM- 1BD STOP ONCE THE MENSES STARTS DASHAMOOLA ARISTHA 15ML BD WITH WATER HINGWASTAKA CHURNA 1/2 TAP BD AFTER FOOD

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1.Rajah pravartini vati 2 tab twice daily with water after meals 2.Ashokarishta 20 ml with 20 ml water twice daily after meals 3.Shatavari tablets 2 tab twice daily with water after meals

Lifestyle & Home Remedies:

- Diet: Avoid processed foods, excess caffeine, and cold items. Favor warm, light meals (khichdi, soups).

- Stress Management: Practice Anulom Vilom pranayama and gentle yoga (Setubandhasana, Bhujangasana) to ease cramps.

- Warm Compress: Apply warm water bag on lower abdomen/back for pain relief.

- Hydration: Drink warm water with a pinch of dry ginger or cumin to improve circulation and digestion.

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HELLO,

You are having -10 days of spotting -delayed period -waist and back cramps -moderate pain -high stress recently -usually short menstrual cycle

WHAT DOES THIS MEAN? In Ayurveda, your symptoms mainly point to vata imbalance, especially apana vayu, the energy responsible for -normal menstrual flow -proper movement of blood downward -pain control in the pelvic area

When Apana vayu becomes disturbed due to stress, lack of rest, irregular food, or emotional strain it causes -delayed or irregular periods -spotting for many days -back and abdominal cramps -weak or insufficient menstrual flow -anxiety or restlessness

Stress also directly affect hormonal balance, which leads to -late periods -thin, inconsistent bleeding -longer spotting instead of proper flow

This is ver common pattern seen in young women with high workload, emotional stress, or disturbed sleep

TREATMENT GOALS -normalize apana vaya -improve uterine circulation -reduce stress -stregthen rasa and rakta dhatu -correct digestive imbalance -provide pain relief natrually

INTERNAL MEDICATIOS

1) EVECARE CAPSULES= 1 cap twice daily after meals for 3 months =strengthen uterus, balances menstrual hormones, controls spotting, regulates cycles

2) DASHMOOLA KASHAYA= 15ml + equal water twice daily after meals for 10 days for acute symtptoms =reduces cramps and back pain, reduces vata in pelvic area, encourages timely bleeding

3) SHATAVARI KALPA= 1 tsp with warm milk at bedtime for 3 months =nourishes female reproductive system, balances hormones, reduces stress and promotes good sleep

4) HINGWASTAKA CHURNA= 1/2 tsp before meals with warm water for 4 weeks =improves digestion, reduces ata, relieves bloating and cramps, supports proper downward movement of apana vayu

5) CASTOR OIL = 1 tsp in warm water at night for 2 nights only if digestion is strong =protomes downward vata movement, helps initiate periods naturally, relieves constipation related vata aggravation

EXTERNAL TREATMENT

1) WARM OIL MASSAGE= KSHEERBALA TAILA -warm oil and massage lower abdomen, waist, thighs, 10 minutes daily =reduces vata, relieves cramps, improves pelvic circulation

2) HOT WATER BAG THERPY -Apply to lower back , lower abdomen =relaxes uterine muscles, reduces pain, helps flow start naturally

DIET -stick to warm, cooked, was to digest foods -khichdi, dal, soups -warm milk with tumeric -ghee In food= 1 tsp/day -steamed vegetables -rice, rotis, with ghee -jaggary natural blood builder -sesame seeds helps initiate perids

AVOID -cold food/drinks -curds at night -exccess tea/coffee -junk food - dry foods- chips, oats, biscuits -skipping meals -spicy, sour, fermented food- causes spotting sometimes

IMPORTANT RULE -never eat when stressed or angery- it increases vata severely

YOGA ASANAS -baddha konasana -supta baddha konasana -pawanmuktasana -balasana -marjari asana -setu bandhasana =helpful for pelvic circulation and stress relief

PRANAYAM -Nadi sodhana= balances hormones -bhramari= excellent for stress reduction -deep belly breathing= relaxes pelvic muscles

MEDITATIO/RELAXATION -5-10 min daily reduces cortisol which delayed periods

HOME REMEDIES -Ajwain tea= drink once daily for 3 days =helpe receive cramps and initiate flow

-Sesame seed tea= boil 1 tsp black sesame seeds in water = supports healthy menstruation and reduces vata

-Ginger tea= warm and stimulant for uterine circulation

-Warm milk + 1/2 tsp ghee + pinch of nutmeg =improves sleep, excellent for stress induced delayed periods

Your pattern- spotting + delays cycle + cramps + high stress- is very typical of Apana vata disturbance, a common issue in young women under pressure

Ayurveda treats this gently and holistically by -normalizing pelvic vata -supporting hormones -reducing stress -strengthening reproductive tissues -establising a stable cycle

Most women improve within -7-10 days for symptom relief -2-3 months for full cycle regulation

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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hello ma !

Spotting for 10 days happens when your period is trying to come but the flow is getting “stuck” because of stress, hormonal imbalance, and weakness in the uterine lining. That’s why you feel cramps in your waist and back, but the bleeding is not starting properly. With your cycle already being shorter than 28 days and high stress recently, the body is reacting by giving light, prolonged spotting instead of proper flow. The good news is that this can be corrected safely and usually settles within a week once the uterus gets proper support.

🌿 Internal Medicines :

Internal Medicines (for 7–10 days) 1. Ashokarishta 15 ml + equal water, twice daily after food 2. Rajahpravartini Vati 1 tablet twice daily after food 3. Chandraprabha Vati 1 tablet twice daily 4. Kumaryasava 15 ml with equal water, once daily after lunch

Punarnavadi Mandoor – 1 tablet at night after food

These help regulate flow and clear the spotting pattern.

🛁 External Home Remedy (daily)

Hot water bag on lower abdomen + lower back for 10–15 min Helps relieve cramps and encourages proper menstrual flow.

🧘 Gentle Yoga (5–10 minutes)

Butterfly pose Child’s pose Cat–cow stretching These relax pelvic muscles and reduce spotting.

📌 Investigations (only if spotting repeats next cycle)

Thyroid profile Hemoglobin Vitamin D Pelvic ultrasound

🚫 Do’s & Don’ts Do: Take warm water Eat home-cooked meals Rest well

Don’t: Avoid cold drinks Avoid papaya seeds, pineapple core, and junk food Avoid skipping meals

This type of prolonged spotting happens in many women during stress or hormonal fluctuation, and it is usually temporary. With the above medicines and a week of rest and warmth, your period should clear properly. You’re going to be okay your body just needs a small reset.

Warm regards, Dr. Karthika

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Internal Medicines- 1 Raja Pravartini Vati – 2 tablets morning + 2 tablets night after food (for 7 days only) 2 Kumaryasava – 20 ml + 40 ml warm water after lunch & dinner 3 Ashokarishta – 20 ml + 20 ml warm water after breakfast & dinner 4 Shatavari Kalpa – 10 gm night with warm milk

Local Application Warm Ksheerabala Taila OR Dhanwantaram Taila → gentle massage on lower abdomen & lower back nightly → hot water bag 10 min

Diet & Lifestyle (very important) Give daily: pomegranate, sesame-jaggery laddoo 1 small, beetroot juice 100 ml

Avoid completely: curd, cold drinks, sour/spicy, tea-coffee after 3 PM Sleep 10 PM – 6 AM strictly 10 min Anulom-Vilom + 5 min Bhramari daily (removes stress block)

Regards Dr Gursimran Jeet Singh MD Panchakarma

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Start on Tab M2 tone 1-0-1 Tab Stri rasyana vati 1-0-1 But before that once get us pelvis and thyroid profile to know the exact cause

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Don’t Worry take Arogya vardini vati 1tab bd, rajahpravathini vati 1tab bd, shatavarighritam 1tsp, ashokarista 20ml bd enough

Dr RC BAMS MS

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Hello I​‍​‌‍​‍‌​‍​‌‍​‍‌ can feel and understand from your words the amount of anxiety that this uncomfortable situation is giving you. However, this kind of problem is very typical and it can be easily handled with Ayurveda.

✅ AYURVEDIC PLAN OF TREATMENT Based on the symptoms you’ve described, this seems to be:

➡️ Artava Dusti (Delayed & Insufficient Menstruation)

With: –Vata aggravation → that causes the delay of the flow, spasmodic cramps, and back pain. –Pitta obstruction → that leads to the bleeding with brownish/spotting. –Stress (Manasika Nidana) → which is the main cause of Apana Vayu suppression & hormonal rhythm disturbance.

An unexpectedly delayed cycle when it is usually shorter than 28 days shows that stress has caused Vata to go upward.

✅ AYURVEDIC PLAN OF TREATMENT

✅INTERNAL MEDICATION Do it as a start from today and continue for 5–7 days:

1. Dashamoolarishta 20 ml with equal warm water Twice a day after food It helps to bring Apana Vayu in a normal condition, reduce the cramp and facilitate the regular flow.

2. Sukumara Ghrita1 tsp ghrita with warm water once at night (Relieves pelvic congestion, balances Vata-Pitta, helps in getting timely periods.)

3. Hingwashtak Churna ½ tsp with warm water taken before lunch & dinner (Pain, abdominal distension will be reduced, Apana Vayu will be supported for flow initiation.)

4. If there is no bleeding even after 3–4 days → Add: Rajah Pravartini Vati 1 tablet twice daily after food for 3 days only Helps in the timely flow of blood and also alleviates spotting.

✅ EXTERNAL TREATMENT

-Abhyanga (warm oil massage) With Dhanwantaram Taila Daily over the abdomen, lower back & thighs It relieves Vata pain and helps the flow to be of the natural kind.

-Local Nadi Sweda Warm fomentation over the lower abdomen It alleviates the pain associated with cramps and facilitates the uterine blood circulation.

✅DIET AND LIFESTYLE MODIFICATION (Very Important)

✔️Foods to Encourage Flow Warm liquids, soups, khichdi Gond laddu or warm milk with a pinch of turmeric Jeera-saunf-ajwain water Black sesame seeds (1 tsp daily) Jaggery + ghee (1 tsp each)

❌Avoid

Cold food, curd, cold drinks Fasting Excess tea/coffee Heavy exercise Emotional suppression (adds more stress to Apana Vayu)

✔️Care for Stress (as stress is the main trigger) 10 minutes Bhramari pranayama daily Warm bath before sleep

Do not be so concerned with the missed cycle — if you are stressed, the delay will be even longer

Don’t worry dear, this looks like a Vata-Pitta imbalance triggered by stress, and responds very well to Ayurveda.

It would be good to start the above plan from today — your periods should regulate within 3–7 days and spotting will settle.

Wishing you good health😊

Warm regards, – Dr Snehal ​‍​‌‍​‍‌​‍​‌‍​‍‌Vidhate

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Start with Rajapravartini vati 1-0-1 after food with water Tablet M2TONE 1-0-1 after food with water Aloevera juice 10ml twice daily after food with water.

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Hi sneha this is Dr soukhya…no need to worry maa… I just to know that are you married??if so reply me. Other than this we will set proper cycle… Rx-Kumari adava 10ml twice before food Rajapravartini vati 1-0-1after food Chandrakala rasa 1-0-1 if you have spotting still or else no need to take… T chandraprabhaa vati 1-0-1after food… You follow these medicines for a month…if any issues other then this . kindly let me know maa

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Take ashokaarishth 10 ml with water 2 times Take shatavri 2 bd Take brahmi 2 bd Take chadraprabhavati 2 bd Do nsaya with cow ghee 2 time at 6 pm and 6 am Avoid milk and milk products and sugar

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The symptoms you describing suggest an imbalance that could be related to your doshas, specifically Vata and Pitta. In Ayurveda, delayed menstruation with spotting can be related to an imbalance of Vata, which governs movement in the body and can affect the menstrual cycle.

Firstly, consider your diet and lifestyle. Focus on eating warm, nourishing foods. Increase intake of cooked vegetables, whole grains like rice, and warming spices like cumin, coriander, and fennel, which can help balance Vata. Avoid raw, cold meals, and stay away from caffeine and alcohol as they can exacerbate Vata imbalance.

It’s crucial to keep yourself hydrated. Drink warm liquids like herbal teas or plain warm water throughout the day. A tea made from ginger and cinnamon might be beneficial, sipping it slowly to support digestion and movement.

Try a gentle daily self-massage with warm sesame oil, focusing on the lower abdomen and lower back, which may relieve cramps and facilitate the natural flow of the menstrual cycle. Abhyanga, the Ayurvedic practice of oil massage, is excellent for pacifying Vata.

Regualr exercise should be moderate, things like walking, gentle yoga, or stretching not only move lymphs but also help balance Vata energy. Avoid heavy or intense workouts during this time.

For herbs, Ashwagandha can be quite supportive, helping to stabilize and effectively manage stress that might affect your cycle. Always consult your doctor before starting any herbal supplements, especially if you have existing health conditions.

Ensure you maintain a regular schedule for sleep. Aim for 7-9 hours per night, going to bed and waking up at the same time each day; an irregular routine can exacerbate imbalances in Vata.

However, if the spotting continues or you experience increasing pain, seek professional medical advice to rule out any other underlying conditions. Taking proper care now will provide benefits not just immediately but in the long term as well.

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