Hello, The way you have explained these irregular periods, that is, the long gaps of 6 months, dependence on progesterone tablets, and the desire to have a child, I can really feel the stress. I appreciate your openness.
Your Concern (Summary)
You have irregular periods for more than 2 years Periods occur only after taking progesterone tablets The intervals between periods are up to 6 months Actively trying to conceive Currently taking Neem + Giloy water Moderately active lifestyle
AYURVEDIC UNDERSTANDING According to Ayurveda, such conditions arise from:
Apana Vata dushti → irregular menstrual flow Kapha accumulation → delayed or no ovulation Artava kshaya / Anartava → hormonal imbalance Weak coordination between HPO axis (brain–ovary–uterus)
This clinical picture corresponds to PCOD-type hormonal imbalance even if the sc
IMPORTANT NOTE ABOUT NEEM + GILOY WATER
👉 This pair is not perfect when conceiving is the goal.
Neem is tikta, ruksha, ushna → if taken regularly it may result in ovulation suppression
Giloy is good for a short period but taking it daily for a long time may cause cycle regulation to get disturbed
N + G are more compatible with the situation of Pitta and for infection and acne, not for fertility
❌ Periods can be delayed further if neem and giloy are used continuously
✔️ It should be discontinued now
AYURVEDIC TREATMENT GOAL
Restart natural menstrual cycle Restore ovulation Reduce dependency on progesterone tablets Improve uterine receptivity for conception
AYURVEDIC TREATMENT PLAN
INTERNAL MEDICATIONS (Safe for fertility – start together)
1. Rajapravartini Vati – 1 tablet twice daily after food It works to bring periods naturally
2. Ashokarishta – 15 ml + water equal to 15 ml twice daily after meals Regulates cycles & strengthens the uterus
3. Shatavari kalpa - 1 tsp at night with warm milk or water Ovaries are nourished & hormonal balance is improved
4. Dashmoolaristha 10 ml + water equal to 10 ml once daily in the morning It helps to correct the Apana Vata (very important)
Employ for the entire 3 months period
DIET & NUTRITION (VERY IMPORTANT)
INCLUDE
Warm and fresh food Rice, wheat, moong dal Ghee (1–2 tsp daily) Dates, figs, soaked almonds Sesame seeds (½ tsp daily) Pomegranate and apple
AVOID
Cold food & drinks Too much raw salad Junk food, bakery Weight-loss diets Skipping meals
LIFESTYLE & FERTILITY SUPPORT
Go to bed before 10:30 pm Do not put yourself under too much stress Do not engage in very intense workouts Gentle yoga is good for you: Baddha Konasana Malasana Setu Bandhasana Pranayama Anulom Vilom – 10 min Bhramari – 5 min daily
WHEN TO EXPECT RESULTS
Periods are most of the time resumed in 4–8 weeks Cycles get more regular within 2–3 months Ovulation becomes better step by step Pregnancy opportunities increase once cycles are normal
INVESTIGATIONS (IF NOT DONE)
TSH FSH, LH Prolactin Pelvic ultrasound
Yes, this condition can be corrected naturally. But fertility needs: ✔️ the right medicines ✔️ the right diet ✔️ stopping medicines like Neem that oppose ovulation
You have done the right thing by raising your question early.
Warm regards, Dr Snehal Vidhate
To regularise your periods start with Tablet M2TONE 1-0-1 after food with water Rajapravartini vati 1-0-1 after food with water Aloevera juice 10ml twice daily after food with water Once regularised you need to start with Phalgrith 2tsp twice daily before food with warm milk. This will improve your fertility. Follow up after 1 month.
Avoid oily spicy and processed foods. Regular exercise and meditation. Increase intake of raw vegetables and fruits. sy M2TONE 15ml twice Tab.Aloes compound 2-0-2 Follow up after 4weeks.
I’m taking that as well but will neem geloy prevent ovulation? this is what i wanted to confirm
Yes it may be.
No worries Start on Rajapravarthini vati -one tablet twice daily after food with warm water-stop it once the menses starts Asoka aristha 4 teaspoon with equal amount of water twice daily after meals Shatavari churna half teaspoon with warm milk at night
Once check HB us abdomen and thyroid profile to rule out any underlying causes
Hello, Your history of irregular periods for more than 2 years, with cycles delayed up to 6 months and withdrawal bleeding only after progesterone, along with actively trying to conceive, suggests Artava-kshaya / Anovulatory cycles in Ayurveda—most commonly due to Vata–Kapha imbalance with Agni disturbance (often seen in PCOS-like patterns, even without classic symptoms).
⚠️ Important first point (very important for you): Neem + Giloy water is NOT advisable while trying to conceive.
Neem has anti-fertility and ovulation-suppressing action
Giloy, though beneficial in many cases, can interfere with implantation if taken continuously in this context
👉 Please stop Neem–Giloy water immediately if pregnancy is your goal.
Your treatment will focus on restoring natural ovulation, regularising cycles, supporting uterus & hormones, and improving fertility, safely.
🔎 Recommended Investigations (If not done in the last 6 months — very important before planning pregnancy) 1. USG Pelvis – to assess ovaries & endometrium 2. Hormonal profile: TSH,Prolactin,LH, FSH 3. Fasting insulin / HbA1c (hidden insulin resistance can delay periods) 4. Vitamin D3 & B12
💊 Internal Medicines Phase 1 – 45 days (Cycle regulation + ovulation support) 1. Rajapravartini Vati – 1 tablet twice daily after meals. 2. Kanchanar Guggulu – 2 tablets twice daily after meals 3. Ashokarishta – 15 ml + equal water twice daily after food 4. Triphala Churna – ½ tsp at bedtime with warm water
Phase 2 – Fertility-support phase (After cycles start) (Ovulation + conception support) 1. Shatavari Churna / Tablet – ½ tsp twice daily with warm milk or water 2. Phala Ghrita – ½ tsp early morning with warm milk
⚠️ Stop Rajapravartini Vati once periods become regular or pregnancy occurs.
🌿 External & Supportive Therapies 1. Abhyanga (lower abdomen & back) – 3× weekly – Use Ksheerabala Taila or Bala Taila 2. Warm water sipping through the day 3. Avoid cold exposure to lower abdomen
🥗 Diet & Lifestyle Recommendations ❌ Avoid 1. Neem, Giloy, aloe vera juice 2. Fasting, meal skipping 3. Cold foods & drinks 4. Excess tea/coffee 5. Stress & late nights
✅ Include 1. Warm, freshly cooked food 2. Ghee – 1 tsp daily 3. Dates, figs, soaked almonds 4. Milk (daytime or bedtime) 5. Regular meal timings Helpful drink: Cinnamon + fennel boiled water (1 cup daily)
🧘🏻♀️ Yoga & Routine (Ovulation-friendly) 1. Baddha Konasana 2. Malasana 3. Bhujangasana 4. Setu Bandhasana 5. Anulom Vilom – 10 minutes
Avoid excessive exercise or weight loss efforts.
• Periods may return naturally in 6–8 weeks • Ovulation improves in 2–3 cycles • Progesterone tablets may no longer be needed • Continue fertility medicines for 3–6 months • Stop/adjust medicines immediately once pregnancy is confirmed
🚨 Consult your doctor urgently if: • Severe abdominal pain • Sudden heavy bleeding • Pregnancy test becomes positive
✨ With correct Apana-Vata balance and ovulation support, natural cycles and conception are very much possible.
With care, Dr. Sumi MS (Ayu)
THANK YOU FOR CONTACTING ASK AYURVEDA
When periods get delayed for months and come only after taking progesterone, it usually means the body is not ovulating regularly and the hormonal rhythm is disturbed. This is common in conditions like PCOD-type imbalance, long-term stress, weight changes or weak digestion. Because you are trying to conceive, it is important to support natural ovulation rather than only forcing periods with medicines.
Neem and giloy water is fine for short-term but when taken regularly it can sometimes be too cooling and drying for the body. In some women, this can actually delay ovulation and periods further, especially when cycles are already absent. So it should not be continued daily for long periods when trying to conceive.
For cycle regulation and fertility support, you may take Shatavari churna 3 grams once daily with warm milk, Ashwagandha churna 3grams at night with milk, and Triphala churna 1 tablespoon at bedtime with warm water. If periods do not start naturally, Rajapravartini vati 1 tablet twice daily after food for 5–7 days can be started
Include warm, freshly cooked food, avoid skipping meals, cold drinks and excessive raw foods. Maintain a regular sleep schedule and reduce stress as much as possible. walking, yoga and pranayama will help improve hormonal balance.
With consistent treatment and lifestyle correction, cycles usually become regular and chances of conception improve naturally
REGARDS DR PRASAD
Possible issue: Neem may not be ideal if you’re actively trying to conceive, as it can sometimes interfere with reproductive strength (garbha sthapana shakti). Giloy is gentler and more supportive, but combining the two daily for periods may not directly help regulate cycles.
1.Ashokarishta 20 ml with 20 ml water twice daily after meals 2.Rajahpravartini vati 2 tab twice daily with water after meals 3.Shatavari kalp 1 tsp twice daily with warm milk after meals
Got it, Anjali 🌸. Since your cycles have been irregular for more than 2 years and you’re trying to conceive, diet and lifestyle play a big role in supporting hormonal balance and gentle Ayurvedic routines. Here’s a structured plan you can follow:
🍲 Diet Tips (Ayurvedic + Practical) • Warm, cooked foods: Prefer khichdi, dal, soups, lightly spiced vegetables. Avoid cold/raw salads at night. • Healthy fats: Ghee, sesame oil, flaxseed, soaked almonds/walnuts — they nourish Vata and support hormones. • Iron-rich foods: Dates, jaggery, spinach, beetroot — helpful for building blood (Rakta dhatu). • Cycle-supportive herbs in diet: -Shatavari powder with warm milk (evening). -Ashoka bark decoction (morning, under guidance). • Avoid excess bitterness: Too much neem or bitter foods can reduce fertility strength. Keep them minimal. • Limit refined foods: Reduce packaged snacks, excess sugar, and fried items — they aggravate Kapha and block cycles. • Hydration: Warm water or herbal teas (ginger, cinnamon) to improve circulation.
🧘 Lifestyle Tips - Daily routine (Dinacharya): Wake up early (before 7 am). Gentle yoga: Setubandhasana (bridge pose), Bhujangasana (cobra pose), Baddha Konasana (butterfly pose) — all improve pelvic circulation. Evening walk for 20–30 minutes.
- Stress management: Meditation, pranayama (Anulom Vilom, Bhramari) — stress often delays ovulation.
- Sleep: Aim for 7–8 hours, avoid late nights.
- Massage (Abhyanga): Weekly sesame oil massage for calming Vata and improving circulation.
- Tracking: Maintain a simple chart of cycle dates, flow, and symptoms. This helps see progress and patterns.
Stop the Neem-Giloy water immediately. Neem has anti-fertility (contraceptive) properties. It is the wrong herb when trying to conceive. Your body needs Heat to induce a period. Neem is Cooling. It will further delay your cycle.
The Correct Approach 1. Home Remedy (To start the flow) Boil 1 tsp Black Sesame Seeds, 1 tsp Jaggery, and ½ tsp Dry Ginger in a cup of water. Drink warm every morning. It will Generate the necessary heat (Pitta) to break the uterine blockage. 2. Medicines (To replace Progesterone) Rajahpravartini Vati: 2 tablets twice daily with warm water. (Stop immediately if you suspect pregnancy). Phala Ghrita: 1 tsp with warm milk/water on an empty stomach. Nashtapushpantak Ras: 1 tablet twice daily. Specific for long-term absence of periods (Amenorrhea).
A 6-month gap suggests severe stagnation (likely PCOS). Reduce sugar intake strictly.
Regards Dr Gursimran Jeet Singh MD Panchakarma
take rajapravartini vati 2 bd take shatavri 2 bd take phala ghurth 2 drop each nostril at 6 pm and 6 am take brahmi 2 tab folowp after 30 days
Neem and giloy can be quite beneficial in Ayurveda, but their use should be personalized based on specific dosha imbalances. In your case with delayed periods and the medicine dependence, it’s crucial to first understand the root cause. Imbalances in Vata and possibly Pitta could affect menstruation, so focusing on balancing these doshas might help.
Let’s start with your diet. Prefer warm, cooked meals with healthy fats like ghee and avoid excessively cold or raw foods that might aggravate Vata. You can include more warming spices such as ginger, cinnamon, and cardamom in your meals to help improve circulation and support digestion, which can influence menstrual regularity.
Lifestyle adjustments can also make a significant difference. Regular schedule with ample rest is vital. Stress-reduction techniques like yoga and meditation could help balance hormones and improve cycle regularity. Moderate exercise is beneficial, but avoid strenuous activities that can disturb Vata further. Yoga asanas which focus on the pelvic area, such as Baddha Konasana and Viparita Karani, can be supportive.
Concerning neem and giloy, there are no direct contraindications for these herbs in promoting hormonal balance, but their impact varies. Neem has cooling properties, which could imbalance Vata if overused, whereas giloy is traditionally considered safe. It would be best to consult with a practitioner directly to gauge the doshas involved and potential herbal combinations.
Considering you’re trying to conceive, it’s necessary to maintain a balanced and nurturing approach. If Ayurveda doesn’t quickly bring relief, continue with your healthcare provider for immediate concerns, as irregular cycles and conception can be complex and sometimes require integrated care. Safety and effectiveness should always be your first priorities when using any Ayurveda remedy while attempting to conceive.
