Seeking Remedies for Heavy Menstrual Bleeding and Perimenopause Symptoms - #49264
I am 47 years old Indian woman. Suffering from heavy menstrual bleeding. I believe I am going through perimenopause phase. I have Thalassemia and I have suffered from low iron levels in past. The ultrasound scan of abdomen looks okay, just a tiny fibroid in cervix. Doctor says it should not be the reason for heavy bleeding as it is so tiny. Doctors are unable to find any other issue. I had taken the contraceptive pills in past for 3 months and period was okay then. However now I am having the heavy flow again. Last 6 cycles were ok even heavy flow which stopped within 7 days. This cycle I am having heavy flow with little clots and no sign of stopping. I am feeling dizzy and tired. No abdominal discomfort or pain. I am 5.1 feet tall and weigh 68kg (over weight). I am moderately active, go for walk, do practice yoga at home for 15 mins. I eat homemade vegetarian food, no junk or oily or spicy food. Please advise any remedies, diet or other recommendations. Thank you.
How long have you been experiencing heavy menstrual bleeding?:
- More than 6 cyclesHave you noticed any specific triggers for your heavy bleeding?:
- No specific triggersWhat is your typical menstrual cycle like in terms of duration and flow?:
- Irregular, varying days, heavy flow

Doctors' responses
- Diagnosis (Ayurveda): 👉 Asrigdara (excessive menstrual bleeding) 👉 Perimenopausal hormonal imbalance 👉 Rasa–Rakta kshaya tendency (anemia risk) 1. Medicines 1️⃣ Ashokarishta Dose: 20 ml + equal water Timing: After lunch & dinner Duration: 2–3 months 2️⃣ Lodhra Churna Dose: ½ tsp With: Rice water / plain water Timing: Morning empty stomach Duration: 6–8 weeks 3️⃣ Praval Pishti Dose: 125 mg With: Honey or water Timing: Twice daily after food Duration: 4–6 weeks (Cooling, helps bleeding + dizziness) 4️⃣ Chandraprabha Vati Dose: 2 tablets twice daily Timing: After meals Duration: 1 month (Hormonal balance + fatigue support) - If bleeding is currently heavy (active phase): 5️⃣ Bolbaddha Rasa (ONLY under supervision) Dose: 1 tablet once daily Duration: 5–7 days max ⚠️ Do NOT extend or self-increase dose 2. Diet (Pathya) Recommended: Rice, wheat, moong dal Pomegranate Cooked bottle gourd, ridge gourd Dates (1–2 daily) Amla (fresh or juice) Buttermilk (not sour) - Avoid strictly during bleeding: Sour foods Spicy, oily food Pickles Fermented foods Excess jaggery Tea/coffee 3. Lifestyle (Vihara) No heavy exercise No long walks during bleeding Avoid heat exposure No late nights Avoid stress as much as possible 4. Yoga / Pranayama (only gentle) Anulom Vilom – 10 min Chandra Bhedana Shavasana Yoga Nidra ❌ Avoid inversions, kapalbhati, surya namaskar during bleeding 5. Follow-up advice Check Hemoglobin & ferritin Iron medicines only after blood tests (important in thalassemia) Tq
Thank you so much for the valuable information and the advice. 🙏🏼

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