Understanding Perineal Fullness and Vulvar Pain - #45939

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.

I am Dr. P. Prasad, and I’ve been in this field for 20+ years now, working kinda across the board—General Medicine, Neurology, Dermatology, Cardiology—you name it. Didn’t start out thinking I’d end up spanning that wide, but over time, each area sort of pulled me in deeper. And honestly, I like that mix. It lets me look at a patient not just through one lens but a whole system-wide view... makes more sense when treating something that won’t fit neatly in one category. I’ve handled everything from day-to-day stuff like hypertension, diabetes, or skin infections to more serious neuro and cardiac problems. Some cases are quick—diagnose, treat, done. Others take time, repeated check-ins, figuring out what’s really going on beneath those usual symptoms. And that’s where the detail matters. I’m pretty big on thorough diagnosis and patient education—because half the problem is ppl just not knowing what’s happening inside their own body. What’s changed for me over years isn’t just knowledge, it’s how much I lean on listening. If you miss what someone didn’t say, you might also miss their actual illness. And idk, after seeing it play out so many times, I do believe combining updated medical practice with basic empathy really shifts outcomes. Doesn’t have to be complicated... it just has to be consistent. I keep up with research too—new drugs, diagnostics, cross-specialty updates etc., not because it’s trendy, but cuz it’s necessary. Patients come in better read now than ever. You can’t afford to fall behind. The end goal’s the same tho—help them heal right, not just fast. Ethical practice, evidence-based, and sometimes just being there to explain what’s going on. That’s what I stick to.

I am Dr. Maitri, currently in my 2nd year of MD in Dravyaguna, and yeah, I run my own Ayurvedic clinic in Ranoli where I’ve been seeing patients for 2 years now. Honestly, what pulled me into this path deeper is how powerful herbs really are—when used right. Not just randomly mixing churnas but actually understanding their rasa, virya, vipaka etc. That’s kinda my zone, where textbook knowledge meets day-to-day case handling. My practice revolves around helping people with PCOD, acne, dandruff, back pain, stiffness in knees or joints that never seem to go away. And I don’t jump to giving a long list of medicines straight away—first I spend time figuring out their prakriti, their habits, food cycle, what triggers what… basically all the small stuff that gets missed. Then comes the plan—herbs (single or compound), some diet reshuffling, and always some lifestyle nudges. Sometimes they’re tiny, like sleep timing. Sometimes big like proper seasonal detox. Being into Dravyaguna helps me get into the depth of herbs more confidently. I don’t just look at the symptom—I think okay what guna will counter this? Should the drug be snigdha, ushna, tikta? Is there a reverse vipaka that’ll hurt the agni? I ask these questions before writing any combo. That’s made a huge diff in outcomes. Like I had this case of chronic urticaria that would flare up every week, and just tweaking the herbs based on sheetala vs ushna nature... helped calm the system in 3 weeks flat. Not magic, just logic. I also work with women who are struggling with hormonal swings, mood, delayed periods or even unexplained breakouts. When hormones go haywire, the skin shows, digestion slows, and mind gets foggy too. I keep my approach full-circle—cleansing, balancing, rejuvenating. No quick fixes, I tell them early on. What I’m hoping to do more of now is make Ayurveda feel practical. Not overwhelming. Just simple tools—ahara, vihara, aushadha—used consistently, with some trust in the body’s own healing. I’m still learning, still refining, but honestly, seeing people feel in control of their health again—that’s what keeps me rooted to this.

Ayurvedic doctor

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.

I am Dr. Chetana, an Ayurveda Consultant and MD (Ayurveda) with a little over 5 years of working closely with patients in authentic Ayurvedic practice. Even now, each consultation makes me pause at some point, trying to piece together the tiny clues—sleep changes, emotional weight, digestion shifts—that shape a person’s whole health story. Sometimes I catch myself thinking *wait, that small thing matters more than I thought,* and then I adjust the plan right there even if my notes look a bit scramblled. My specialization includes PCOS, infertility, thyroid disorders, skin & hair problems, joint disorders, autoimmune conditions and classical Panchakarma. These aren’t just separate topics for me—they often blend into each other. A hormonal imbalance shows up on the skin, an autoimmune flare connects with poor gut rhythm, or a thyroid disturbance shifts mood in quiet ways. I try to map these connections gently, though a mismatched comma or a mispelt word sneaks into my writing when I’m thinking faster than I type!! Working with women’s health concerns like PCOS and infertility taught me to slow down and listen deeper. Many patients hold their real worries until the end of the conversation, and that last-minute detail changes everything. Skin and hair issues require equal patience, watching the effect of agni, stress cycles, and seasonal patterns. Joint disorders and autoimmune issues push me to think more layered, creating treatment plans that don’t rush but rebuild stability bit by bit. Panchakarma is a core part of my practice. These therapies act quietly but deeply, resetting the body’s internal pathways over time. I plan them carefully—observing strength, digestive capacity, and mental steadiness—sometimes rewriting my own plan twice because something felt slightly off. Even if that looks messy on paper, it feels right when applied thoughtfully. My approach is to blend ancient Ayurvedic wisdom with a grounded modern understanding, not in a flashy way but in a steady, sustainable manner. I want patients to feel that healing doesn’t need to be overwhelming; it needs to be honest, consistent, and respectful of their own pace. I guide them through that process with clarity, empathy, and yes a few imperfect lines here and there, but always with a strong intention to bring real, long-lasting wellness.

I am working in Ayurveda from a little over 2 years now, and sometimes I feel like each day pushes me deeper into understanding how metabolic disorders or skin issues or PCOD actually behave in differnt bodies. I rely a lot on evidence-based Ayurvedic practice, coz I like seeing a clear logic behind the diagnosis, even if I get stuck for a moment trying to figure out small details that dont fit right away. I dealt with many gastrointestinal problems too—things like bloating, indigetion or long-standing gut issues—and I try to look at them through the root-cause lens, not just the surface level symptoms. My way is kind of simple but also not simple, you know… I focus on Nidana, dosha imbalance, daily routines, stress pattterns, all that, and from there I build a treatment plan that actually feels personal to the patient instead of a readymade chart. Most people come to me wanting quick results but I keep reminding them gently that healing need time, and lifestyle modification matters more than they think. I follow a patient-first way of working… maybe I say it too often, but I really do sit with each person, asking small questions, checking prakriti-vikriti stuff, making sure they feel heard before I even suggest herbs or diet shifts. Sometimes I get a bit carried away with explaining the why behind treatments, but I feel it helps them trust the process. And that trust, plus the right Ayurvedic plan, usually leads to steady improvement in metabolic disorders, skin diseases, PCOD patterns and GI concerns. I keep trying to balance classical wisdom with a modern view, even if the flow gets a bit messy in my head at times. But overall my goal stays the same—helping people reach long-term wellness, not just a short break from symptoms.

I am a BAMS graduate and currently running my own clinic, where I see patients on a regular basis and try to give them honest, practical care. My daily work involves understanding different health concerns, listening properly to what the patient is going through, and then planning treatment in a way that actually fits their routine. I believe treatment should not feel confusing or rushed, and sometimes even small changes make a big difference. Running my own clinic has taught me a lot about responsibility and consistency. Some days are busy, some are slow, but every patient brings a different challenge and learning. I focus mainly on Ayurvedic treatment methods, lifestyle correction and long-term health balance, rather than quick fixes. There are times when progress takes longer, but I stay patient and keep working with the person step by step. I try to keep my approach simple, practical and honest. For me, real success is when a patient feels better in daily life, sleeps better, eats better and slowly regains balance. That is what keeps me going and improving every day.

I am Dr. Anjali Sehrawat. Graduated BAMS from National College of Ayurveda & Hospital, Barwala (Hisar) in 2023—and right now I'm doing my residency, learning a lot everyday under senior clinicians who’ve been in the field way longer than me. It’s kind of intense but also really grounding. Like, it makes you pause before assuming anything about a patient. During my UG and clinical rotations, I got good hands-on exposure... not just in diagnosing through Ayurvedic nidan but also understanding where and when Allopathic tools (like lab reports or acute interventions) help fill the gap. I really believe that if you *actually* want to heal someone, you gotta see the whole picture—Ayurveda gives you that depth, but you also need to know when modern input is useful, right? I’m more interested in chronic & lifestyle disorders—stuff like metabolic imbalances, stress-linked issues, digestive problems that linger and slowly pull energy down. I don’t rush into giving churnas or kashayams just bcz the texts say so... I try to see what fits the patient’s prakriti, daily habits, emotional pattern etc. It’s not textbook-perfect every time, but that’s where the real skill grows I guess. I do a lot of thinking abt cause vs symptom—sometimes it's not the problem you see that actually needs solving first. What I care about most is making sure the treatment is safe, ethical, practical, and honest. No overpromising, no pushing meds that don’t fit. And I’m always reading or discussing sth—old Samhitas or recent journals, depends what the case demands. My goal really is to build a practice where people feel seen & understood, not just “managed.” That's where healing actually begins, right?

I am an Ayurveda practitioner who’s honestly kind of obsessed with understanding what really caused someone’s illness—not just what hurts, but why it started in the first place. I work through Prakruti-Vikruti pareeksha, tongue analysis, lifestyle patterns, digestion history—little things most ppl skip over, but Ayurveda doesn’t. I look at the whole system and how it’s interacting with the world around it. Not just, like, “you have acidity, take this churna.” My main focus is on balancing doshas—Vata, Pitta, Kapha—not in a copy-paste way, but in a very personalized, live-and-evolving format. Because sometimes someone looks like a Pitta imbalance but actually it's their aggravated Vata stirring it up... it’s layered. I use herbal medicine, ahar-vihar (diet + daily routine), lifestyle modifications and also just plain conversations with the patient to bring the mind and body back to a rhythm. When that happens—healing starts showing up, gradually but strongly. I work with chronic conditions, gut imbalances, seasonal allergies, emotional stress patterns, even people who just “don’t feel right” anymore but don’t have a name for it. Prevention is also a huge part of what I do—Ayurveda isn’t just for after you fall sick. Helping someone stay aligned, even when nothing feels urgent, is maybe the most powerful part of this science. My entire practice is rooted in classical Ayurvedic texts—Charaka, Sushruta, Ashtanga Hridayam—and I try to stay true to the system, but I also speak to people where they’re at. That means making the treatments doable in real life. No fancy lists of herbs no one can find. No shloka lectures unless someone wants them. Just real healing using real logic and intuition together. I care about precision in diagnosis. I don’t rush that part. I take time. Because one wrong assumption and you’re treating the shadow, not the source. And that’s what I try to avoid. My goal isn’t temporary relief—it’s to teach the body how to not need constant fixing. When someone walks away lighter, clearer, more in tune with their system—that’s the actual win.

I am Dr. Faiyaz Alam and sometimes I feel like my journey with ayurveda is still unfolding in front of me even after doing my BAMS from IPU Delhi. I worked for around three years now, though the experiences feel way more layered than just counting years. For 2 yrs I handled general OPD as a consultant doctor, where each day brought some new challange or a case that pushed me to think a bit deeper about dosha imbalance or how a simple routine shift can change someone’s whole health story. Then for 1 yr I worked as an ayurveda fertility expert with Gynoveda as a clinic doctor, doing consultations and following many couples through their tough phases. That period taught me patience in a very real sense, and also how hormonal issues don’t always show their root causes on first glance. I made small mistakes too while learning, like speaking too fast in first few consults or over-explaining the herbs, but those things corrected with time. Currently I am working as a medical officer in a govt hospital in Bihar, and here the pace is totally different… sometimes really rushed, sometimes unexpectedly slow, and somehow that mix sharpened my clinical judgement a lot. I get to see those conditions that don’t always walk into private clinics—fevers, chronic untreated issues, even emergency-like situtions where decision must be quick but still safe. I am feeling strongly that online ayurvedic care for specific diseases has huge potential, because so many patients reach out with doubts that go unanswered in regular setups. And I do want to contribute there, guiding people through authentic ayurveda, using simple but solid principles I learned across these yrs. Maybe the digital platform will let me help those who can’t travel or don’t know whom to ask… that idea itself keeps me quite motivated even on exhausting days.