Seeking Advice for Irregular Periods and PCOS Management - #48882

Provisional Dx: PCOS (Artava-kshaya, Aartava-dushti) Rx: M2-Tone Tablet → 1 tab BD after meals with lukewarm water → × 3 months Shatavari Capsule (500 mg) → 1 cap BD after meals → × 3 months Dashmool Kwath → 15 ml once daily → Dilute with equal warm water → × 30 days Ovasitol Powder (continue) → 1 scoop BD in water → × 6 months ❌Will not advise rajocaps at this point bcz yet it is given in pcos and in case of ammenorrhia but also causes excess heating in body , so at this time I am avoiding it , rest continue with other prescribed medicines. Pathya–Apathya: Avoid junk food, sugar, bakery items Light, warm, home-cooked diet Daily brisk walking / yoga Adequate sleep, stress reduction Follow-up: After 1 month / early if menstruation occurs

Rajocaps – helps ovulation M2-Tone – helps regulate periods Can take both as per pack or doctor advice Daily routine Morning warm water + ½ tsp soaked fenugreek (methi) seeds Evening light walk or yoga 20–30 min Night: take Rajocaps Diet Eat: warm home-cooked food, vegetables, dal, ghee, fruits (papaya, apple) Avoid sugar, junk, cold drinks, ice cream, late-night eating Hair & skin Oil hair weekly (coconut + castor oil)

1. AVOID MILK AND MILK PRODUCT SUGAR 2.WHAT IS YOUR CYCLE ?IF 7 DAYS + /- IF YES TAKE M2 TAB 2 BD TAKE ASHOKAARISTH 2 BD TAKE TAB MYRA 2 BD TAKE VAMA 2 BD DO AFTER 11 DAYS OVULATION STUDY IF NEED CONSULTION WITH ME THIS SIDE I WILLL HALP YOU TAKE PHALA SHARAPI 5 ML AT EMPTY STOMCH AT MORNING TAKE 5 BLACK RASIN SOKED WITH WATER OVER NIGHT AND TAKE IT MORNING GIVE DETAIS ABOUT LAST 3 CYCLE DATE START SEEDS CYCLE DEFINETLY HELP WITH YOUR HORMON LEVAL DO NASYA WITH COW GHEE 2 DROP EACH NOSTRIL AT 2 TIMES DAY

HELLO, You have polycystic ovary syndrome (PCOS) - a condition where the ovaries make many small follicles but not all of them grow properly. In Ayurveda, this is often seen as an imbalance of kapha (leading to cystic growth), Vata (irregular movement of reproductive hormones ), and Pitta (hormonal fire, sometimes high DHEAS) -In Ayurveda, this is due to Rasa dhatu and Shukra dhatu kshaya (weak nourishment of the reproductive tissue), and Ama (toxin) accumulation which blocks proper function -Stress, hormonal imbalance, insulin resistance (even if mild), and oxidative stress all damage egg quality. So, the approach is stage -wise correction- clean the system, balance hormones, nourish eggs, build Ojas (reproductive vitality), and prepare body + mind for conception STAGE 1= DETOXIFICATION AND BALANCE GOAL= clear toxins, balance hormones, regulate kapha and pitta, and prepare the body TREATMENT Panchakarma therapies under Ayurvedic doctor guidance -SNEHANA (internal and external oiling) with medicated ghee like Phil ghrita- nourishes tissues -SWEDANA (steam/sudation)- removes toxins -VIRECHANA (purgation therapy)= clears pitta and toxins from liver, improves hormone metabolism -BASTI (medicated enema)= best for Apana vata (reproductive function) INTERNAL FORMULATION -TRIPHALA CHURNA 1 tsp at night with warm water. (mild detox, improves digestion) -KANCHANAR GUGGULU= 500mg twice daily with warm water after meals =reduces ovarian cysts, balances kapha DURATION= 2 months LIFESTYLE -avoid cold, heavy, oily, processed foods -avoid late nights, overeating, and stress -drink warm water throughout the day STAGE 2= NOURISHMENT AND EGG QUALITY GOAL= strengthen reproductive tissues, improve egg mitochondrial health, reduce oxidative stress INTERNAL FORMULATION 1) PHAL GHRITA= 1 tsp in warm milk daily, empty stomach morning for 3 months =excellent fertility tonic , nourishes ovaries, balances vata and pitta 2) SAPTAMRIT LAUH + YASHTIMADHU CHURNA + AMALAKI RASAYANA -Saptamrit lauh= 250mg twice daily after meals -yashtimadhu churna= 2 gm with warm milk -amalaki rasayana= 5gm in morning all for 3 months =improves egg quality by reducing oxidative stress, strengthens reproductive dhatu 3)ASHWAGANDHADHI LEHYAM = 1 tsp twice daily with warm milk for 3 months =potent rasayana for vitality, improves DHEA balance, supports mental calm 4) RAJAHPRAVARTINI VATI= only if cycles became irregular= 1 tab twice daily after meals, if cycles delayed =regulates menstruation and clears channels in pcos 5) SHATAVARI GHRITA= 1 tsp with warm milk at bedtime for 2 months =improves uterine and ovarian nourishment EXTERNAL TREATMENTS -OIL MASSAGE with dhanwantaram taila= reduces stress, balances vata -SHIRODHARA (oil pouring on forehead)- if stress is high, to calm mind and hormones STAGE 3= LIFESTYLE AND ROUTINE GOAL= support natural circadian rhythm, reduces insulin resistance, and optimise hormones DIET -warm, freshly, cooked meals avoid leftovers -whole grains= red rice, barley, quinoa -vegetables= especially leafy greens, beetroot, pumpkin, drumstick, bitter gourd -fruits= pomegranate, figs, dates 2-3 per day, apple, papaya -protein= mung dal, lentils, panner, nuts, seeds -healthy fats= ghee small amounts, sesame oil, flaxseeds, walnuts AVOID= junk food, refined sugar, too much dairy, excess caffeine, alcohol YOGA ASANAS -baddha konasana -supta baddha konasana -setu bandhasana -bhujangasana -malasana PRANAYAM -Nadi sodhana= balances hormones -Bhramari= reduces stress -Kapalbhati= stimulates ovaries duration= 20-30 min daily STAGE 4 = PRE CONCEPTION PRIMING (3-4 months before IVF or natural try) GOAL= prepare body and mind, support follicle maturation (90 days) -continue Rasayana formulation- pal ghrita, ashwagandhadhi lehyam, chyawanprasha= 1 tsp in morning -Add Swarna bhasma= 2 mg once daily with ghee + honey usually for 30-90 days -Mental well being- mantra chanting, meditation, journaling HOME REMEDIES -Saffron milk= 2-3 strands in warm milk at night for Ojas -Fenugreek seeds water= soak 1 tsp overnight, drink in morning balances hormones -Flaxseed powder= 1 tsp daily omega 3 , hormonal balance -Dates + almonds + ghee 2-3 soaked dates with 5 soaked almonds and 1 tsp ghee in morning- fertility tonic INVESTIGATIONS TO MONITOR -AMH, FSH, LH, Estradiol= day 2-3 of cycle -DHEA- S, Testosterone, Prolactin -Thyroid profile -Vitamin D, Vitamin B12 -Fasting insulin and glucose to monitor PCOS metabolic impact -Ultrasound for ovarian morphology what you need is quality. Quality improves slowly- with at least 3 months of focused care. -Ayurveda’s strength is cleansing, nourishing, and balancing- exactly what egg quality needs -A combined approach (ayurveda + fertility supplements + lifestyle + mind care) gives best success -Most importantly ; reduce stress. Many women with PCOS conceive after calming the mind + balancing the body DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU DR. MAITRI ACHARYA

It’s better to take online consultation for proper guidance

Yes , both are safe and commonly used together in PCOS for regulating cycles & supporting ovulation. Rajocaps (Aimil) – 1–2 capsules twice daily after food (helps induce ovulation & regulate cycles) M2-Tone (Charak) – 2 tablets twice daily after food (excellent uterine tonic, reduces androgen effects, supports regular flow) Continue current supplements (especially Ovasitol 2 scoops/day + Vit D3 2000–4000 IU daily) Add Rajocaps 1 capsule twice daily + M2-Tone 2 tablets twice daily Spearmint tea – 2 cups daily (natural anti-androgen – reduces acne & hair loss) Kanchanar Guggulu – 1 tablet twice daily after food (optional – reduces cysts & inflammation) Diet & Lifestyle Low-GI diet: moong dal, quinoa, cooked veggies, pomegranate, flaxseeds 1 tbsp/day Avoid: sugar, maida, dairy (except small ghee), processed food 30–45 min brisk walk daily + 10 min Anulom-Vilom Sleep 10 PM – 6 AM strictly (ovulation needs good circadian rhythm) Regards Dr Gursimran Jeet Singh MD Panchakarma

✔️ Do’s: ✔️ Millet roti Buttermilk (daily include in your meal) Moong dal (green and yellow both are ok) All fruit vegetables Leafy vegetables (except methi and dil) 🧘‍♀️ Yogasan : 🧘‍♀️ 1. Bhujangasana (Cobra Pose) 2. Dhanurasana (Bow Pose) 3. Ardha Matsyendrasana (Half Lord of the Fishes Pose) 4. Paschimottanasana (Seated Forward Fold) 5. Halasana (Plow Pose) 6. Sarvangasana (Shoulder Stand Pose) 7. Matsyasana (Fish Pose) 8. Supta Matsyendrasana (Reclined Spinal Twist) 9. Surya Namaskar 10. Malasan (Squats Pose) 🧘‍♀️ Pranayam : 🧘‍♀️ 1. Anulo Vilom 2. Bhramari 3. Kapalbhati 4. Shitali 5. Sitkari ❌ Donot’s: ❌ Tea Coffee Addictions Dals (except moong) Sour Packed food Processed food Achar (pickles) Papad Fried food Avoid dairy completely Non veg products 💊 Medication: 💊 Cap. Femigen 2 caps twice a day before food. Tab. Rasapachak Vati 2 tabs twice a day before food. Tab. Rajapravartini vati (Donot take during bleeding phase) 2 tabs twice a day before food. Cap. Ovular 2 caps twice a day before food (Take from day 5 to day 16 of your mensis) Tab. Pushpadhanva Ras 2 tabs twice a day before food (Take from day 16 to the say when you start bleeding) Syp. M2 Tone 2 tsp twice a day before food. Tab. Gandharva Haritaki 2 tabs at night with one glass hot water.

Start with M2TONE 1-0-1 after food with water., will help balance your hormones Phalgrith 2tsp twice daily before food with warm milk, will improve your fertility. Brahmi vati 1-0-1 after food with water.