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Gynecology and Obstetrics
Question #50451
21 days ago
285

Seeking Guidance for PCOD Management - #50451

Client_7d1b50

I have been diagnosed with pcod since 8 monthsI have taken ayurvedic medicine for past 2 months but there was no recovery right now am not taking any medicine i have scanty flow of blood acne as well plz tell me what to do and medicine what should I take

How would you describe your menstrual cycle?:

- Scanty

What other symptoms are you experiencing?:

- Mood swings

Have you made any lifestyle changes recently?:

- Yes, improved diet and exercise
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Doctor-recommended remedies for this condition

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Doctors' responses

—You’ve tried Ayurvedic treatment for 2 months, but it hasn’t helped. PCOD usually needs a combination of lifestyle changes and medical treatment to regulate hormones for atleast your 2-3 cycles should gone normal untill that treatment should be continue. —Next steps: Continue healthy diet and exercise Get tests: thyroid, blood sugar, testasterone, and USG pelvis , lft —Rx 1) kanchnar gugulu 2 tab twice daily after meal 2) tab raj pravartni vati 2 tab twice daily after meal 3) ajmodadi churn 2gm Shatpushpa churn 2 gm Shudh tankan 500 mg --------mix them and take twice a day before breakfast with Luke warm water 4) Dashmoola kwath 6ml + Ashwagandha churn 6gm ---- make it sheerpak and take twice daily after meal — weight management –45 min brisky walk – yoga ,Pranayam daily — avoid spicy, fried food - review with reports in next cycle

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Hello dear, I will 1st make a few suggestions regarding lab reports. If you haven’t done it please get it done. From these reports we can access what is the root cause of your pcod symptoms and focus treatment on that CBC,HB, TESTOSTERONE,LH,FSH,AMH, PROLACTIN and UPT if you are sexually active. Along with USG. Secondly I am prescribing you a set of medications to start your menstruation ASAP. please continue this medication for 7 days and stop taking these when your menstruation starts. We need a different prescription set when you are on your menstruating phase. Chitrak granthyadi kashaya 15 ml twice daily after food mixed with 60 ml luke warm water Kanchanara guggulu 2 tablet twice daily before food mixed with kashaya Chandraprabha vati 1 tab twice daily after food Dhanwantaram gulika 2tab thrice daily before food better if you chew these tablets Tab menovos 2 tablet twice daily after food. Tapyadi louha tablet 1 tab in morning Brucast O 1 tab at bedtime. This might look like a lot of medicines but since you haven’t had regular cycles since 2 months it’s necessary to flushout the existing uterine lining fully. The menstrual flow mat be a bit heavy this time. I need a little more explanation regarding your appetite, bowel habits body weight , fluctuations in weight ,any facial hairs pigmentation,and bleeding pattern like when was your last period and the periods before that, scale of pain from one to 10, flow etc. Also you need to do some excercise like sansankasana ,pippalyasana and needs to make specific diet adjustment. Reach out with your reports for a personalized diet chart. For now control foods like rice,banana,gud, dahi etc. Pcod can be managed well through ayurveda without any hormone treatment if you are willing to follow up regularly for atleast 3 months. Hope you get well soon

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✓Medicines Kanchanar Guggulu – 2 tablets twice daily after food Ashokarishta – 15 ml + 30 ml warm water twice daily after meals Shatavari Kalpa – 10 gm night with warm milk + ½ tsp ghee Haridrakhand – 5 gm night with warm water ✓Daily Must-Do Vajrasana 10 min after every meal 30–45 min brisk walk daily 10 min Anulom-Vilom pranayama morning & evening (reduces mood swings & stress) Sleep 10 pm – 6 am strictly ✓Diet (strict 6–8 weeks) Eat: moong khichdi + ghee, cooked lauki/bitter gourd, pomegranate, soaked almonds (6–8), 1 tsp ground flaxseeds daily Avoid completely: sugar, sweets, maida, fried, dairy at night (except ghee), white rice excess, cold drinks Regards Dr Gursimran Jeet Singh MD Panchakarma

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PCOD can be controlled. It needs 3–6 months of proper care. Shatavari ghrita – 1 tsp with warm milk at night Ashokarishta – 15 ml + equal water after lunch and dinner Guduchi tablet – 1 daily for acne Diet Warm, home food Moong dal, vegetables Jeera water in morning 30 min walking daily

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Start on Kanchanar guggulu 1-0-1 Strirasayana vati 1-0-1 Asoka aristha 3-0-3 tsp with equal water

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Hello dear, Even if you have tried for 2 months You should wait for atleast 1-2 cycles more . And may b you are not taking the right medicines suiting you. I would suggest some medicines: 1. Chandraprabhai vati 2-0-2 after meals twice a day. 2. Kaanchnaar guggul 1-0-1 after meals twice a day. 3. Kombadnakhi tablet 2-0-2 after meals twice a day. 4. Shatavari tablet morning 1 empty stomach. 5. Taapyadi loha 1-0-1 after meals twice a day. Take these medicines for 1 month and see the results. What to avoid: - dont take stress, start meditating . Stress impacts hormone levels alot -get your bowels cleared every morning - if it doesnt happen - take gandarva haritaki 1/2 tablet before dinner with warm water. —dont take fried , milk products except ghee, heavy mithai Dos - walk daily for 45 mins , reduce weight- also check thyroid levels. -have light and warm meals - have early dinner For customised treatment please get a consultation. I hope you get well.

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PCOD for 8 months with scanty periods + acne + mood swings indicates: Artava kshaya (reduced menstrual flow) Kapha–Vata imbalance Pitta association (acne) Agni disturbance Possible insulin resistance pattern Since you already improved diet and exercise, that is a very good foundation. Now treatment must be more structured and dosha-specific rather than general “PCOD medicine.” 1. Important Tests to Recheck Before restarting treatment, get: Thyroid profile (TSH, T3, T4) Serum prolactin LH / FSH ratio Fasting insulin HbA1c Vitamin D Pelvic ultrasound (if not done recently) PCOD management must be hormone-pattern based. 2. Ayurvedic Internal Medicines (General Protocol) Under physician supervision: 1. Kanchanar Guggulu 1 tablet twice daily after food Reduces ovarian cystic tendency and Kapha accumulation. 2. Rajapravartini Vati 1 tablet twice daily (only till cycle regularises) Stimulates Artava flow. 3. Ashokarishta 15 ml + equal water after lunch and dinner Regulates uterine function and improves scanty flow. 4. For Acne (Pitta association) Mahamanjishtadi Kwatha OR Sarivadyasava Selection depends on skin severity. Do not self-medicate long term. Dose varies based on body type. 3. Diet Corrections (Very Important) Eat: Warm, freshly cooked food Millets in moderation (not excessive) Moong dal Sesame seeds (small amount) Jeera + dhaniya infused water 1 tsp ghee daily Soaked almonds (4–5) Avoid: Cold foods Refined sugar Bakery items Excess dairy Cheese Packaged snacks Frequent fruit juices Late-night eating Very important: Avoid crash dieting. That worsens Artava kshaya. 4. Lifestyle Modifications • Sleep before 10:30 pm • Avoid excessive cardio (over-exercise aggravates Vata) • Include strength training 3–4 times weekly • Practice Baddha Konasana, Malasana, Setu Bandhasana • Pranayama: Nadi Shodhana daily Stress directly worsens PCOD via cortisol and insulin. 5. If No Improvement in 3–4 Months Then Panchakarma should be considered: Virechana (for Pitta-Kapha correction) Basti (if Vata dominant with scanty flow) Uttara Basti (in selected cases under expert supervision) Panchakarma gives better long-term correction than tablets alone. Important Clarification Two months of Ayurveda without result does not mean Ayurveda failed. It may mean: Wrong doshic assessment Incomplete course No Agni correction done first No bowel correction No stress management included PCOD is reversible in many cases if treated systematically. If you would like, you can share: Your weight Height Age Whether you have hair growth or weight gain So the protocol can be more specific.

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PCOD IS A HORMONAL AND METABOLIC IMBALANCE AND IT USUALLY DOES NOT CORRECT IN JUST TWO MONTHS SO DO NOT FEEL DISCOURAGED SCANTY PERIODS ACNE AND MOOD SWINGS SHOW THAT THERE IS VATA WITH KAPHA INVOLVEMENT AND HORMONAL IRREGULARITY FIRST FOCUS ON DAILY ROUTINE WAKE UP EARLY SLEEP BEFORE TEN THIRTY EXERCISE AT LEAST THIRTY MINUTES DAILY INCLUDE STRENGTH TRAINING AND BRISK WALKING AVOID SUGAR BAKERY ITEMS PACKAGED FOOD COLD DRINKS AND EXCESS DAIRY EAT WARM HOME COOKED FOOD INCLUDE MILLETS OR RED RICE MOONG DAL GREEN VEGETABLES SESAME SEEDS FLAXSEEDS AND ADD A SMALL AMOUNT OF GHEE KEEP DINNER LIGHT AND EARLY FOR MEDICINE YOU CAN CONSIDER KANCHNAR GUGGULU TWO TABLETS TWICE DAILY AFTER FOOD AND ASHOKARISHTA FIFTEEN ML WITH EQUAL WATER TWICE DAILY AFTER FOOD BUT IT IS BETTER TO TAKE AFTER CONSULTING AN AYURVEDIC DOCTOR FOR PROPER DOSE ACCORDING TO YOUR BODY TYPE FOR ACNE YOU CAN TAKE MANJISHTHA TABLET OR MAHAMANJISHTHADI KWATH IF PITTA SYMPTOMS ARE MORE CONTINUE DIET AND EXERCISE CONSISTENTLY FOR AT LEAST THREE TO SIX MONTHS PCOD REQUIRES PATIENCE AND REGULAR FOLLOW UP IF CYCLE DOES NOT IMPROVE GET HORMONE TESTS AND THYROID CHECKED AGAIN

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1.Kanchnar guggulu 2 tab twice daily with water after meals 2.Shatavari capsules twice daily with warm milk after meals 3.Ashokarishta 20 ml with 20 ml water twice daily after meals 4.Manjistha churna 1/2 tsp twice daily with honey after meals Diet: -Favor light, warm meals (khichdi, soups, green vegetables). -Include flax seeds, sesame seeds, and fresh Amla. -Avoid dairy-heavy, fried, and sugary foods. Exercise: Daily yoga (Surya Namaskar, Malasana, Setubandhasana) + brisk walk. Stress balance: Meditation, journaling, or pranayama (Anulom Vilom, Bhramari). Sleep: Early bedtime, consistent routine.

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HELLO, PCOD means that your ovaries are not working normally. Instead of releasing one healthy egg every month, your ovaries are producing many small immature eggs that stay inside and form small fluid- filled sacs or cysts Think of your body as a system of hormones that must stay in balance. IN PCOD -the body makes too many male hormones which women also have in small amounts - this stops ovulation, causing irregular or no periods -it also affect insulin, a hormone that controls blood sugar. If insulin is not working properly(insulin resistance), it makes the body gain weight and worsens pcod. In Ayurveda, PCOD is caused by an imbalance in the kapha and vata doshas, leading to -ama(toxins) blocking the channels in your ovaries -slow metabolism(poor digestion- weak agni) - hormonal irregularities - stress(aggravates vata) adding to iiregularity INTERNALLY START WITH 1) M2 TONE SYRUP(by charak)= 2 tsp twice daily after meals = helps ovaries work better, bring back your periods regularly 2) KANCHANAR GUGGULU( baidyanth/ AVP)= 2 tabs twice dailyafter meals with warm water = melts small cysts in your ovaries, supports thyroid and weight loss 3) ASHOKARISHTA(baidyanth/dabur)= 2 tsp with equal water twice daily after meals = regulates periods, supports uterus 4) TRIPHALA CHURNA= 1 tsp with warm water at bedtime = clears toxins from your body and improves digestion 5) EVECARE CAPSULES(by himalaya)= 1 cap twice daily after meals =balances hormones, improves ovarian function, regularises periods DIET PLAN FOODS TO INCLUDE 1) WHOLE GRAINS -millets= foxtail, barnyard, kodo, little millet- regulate insulin and reduce fat -quinoa, amaranth, red/brown rice -rolled oats(not instant) 2) VEGETABLES -focus on bitter, pungent, and astringent food -bitter gourd, drumstick, methi -cabbage, cauliflower, spinach, ash gourd -avoid raw salads, cook lightly and digestive spices 3) FRUITS(LOW GLYCEMIC) -amla=fresh or churna -pomegrante -apples, pears, papaya, berries 4) PROTEINS -Plant based= Moong dal, massor dal, horse gram, sprouted lentils -Animal based (if non veg)= boiled eggs, grilled fish(2 times/week) 5) HEALTHY FATS -cold pressed sesame oil -ghee=1 tsp/day -flax seed oil -seeds= flax, chia, pumpkin seeds- support estrogen balance 6) HERBS AND SPICES -turmeric, cinnamon, fenugreek, cumin, coriander, ajwian, -black pepper+ ginger FOODS TO AVOID -cold and raw foods like smoothies, raws salads - sugar and white bread=causes weight gain and acne -fried or packaged foods= increases toxins -milk,panner,cheese= can make cysts worse -stress and late night= disrupts hormones LIFESTYLE CHANGES FOR DEEP HEALING 1) DAILY RHYTHM -wake up before 7 am= sets hormonal rhythm -hydration=warm water with lemon+pinch of turmeric or methi seeds water(soaked overnight) -meal timing= eat meals at regular intervals; no skipping -sleep= sleep by 10-10:30 pm to optimise melatonin and cortisol balance -avoid excessive screen time, especially before sleep DETOX PRACTICES TO FOLLOW these helps removes toxins and reduce cyst formation -Triphala churna= 1 tsp at night with warm water -CASTOR OIL=montly one 10 ml in milk at night -Self oil massage= sesame oil daily before shower -TAKRA- buttermilk spiced with cumin and ginger daily after lunch YOGA AND MOVEMENT BEST YOGA ASANAS -malasana= opens pelvic region -baddha konasana= improves circulation to ovaries -Bhujangasana= stimulates abdominal organs -setu bandhasana= balances thyroid and pelvic hormones -suryanamskar= 5-7 rounds PRANAYAM -nadi sodhana= balances hormones, calms mind - bhramari= reduces anxiety and supports pitutary -kapalbhati= light version, support metabolism MIND BODY CONNECTION PCOD is deeply linked with stress and emotional stagnation -practicue gratitude journaling, emotional release -engage in art, music, or nature therapy -reduce overthinking and over working- both aggravate vata DO FOLLOW THIS CONSISTENTLY FOR 3 MONTHS HOPE THIS MIGHT BE HELPFUL THANK YOU

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Start with Tablet M2TONE 1-0-1 after food with water will help balance your hormones Kanchanar guggul 1-0-1 after food with water will help reduce Pcod size Vriddhivadhika vati 1-0-1 after food with water., will not allow to increase the size of the cyst. Do Brisk walking atleast 30 minutes daily. Avoid processed, fatty fast sugary foods. Do pranayam lom -vilom bhastrika bhamri 5-10mins twice daily.

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Baidyanath Kanchanar Guggulu
Charak M2tone Em Tablet
Divya Vriddhivatika Vati (Tablets)

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