Ask Ayurveda

FREE! Ask Ayurvedic Doctors 24/7

Get expert answers from certified doctors anytime

Fast responses
1000+ verified doctors
/
/
/
What to do for severe PMDD symptoms like irritability and intense grief before my period?
Gynecology and Obstetrics
Question #54368
40 days ago
535

What to do for severe PMDD symptoms like irritability and intense grief before my period? - #54368

Client_92d109
$3

Hi there, What can you suggest for severe Pmdd? Cycle is regular and no physical pain. WhenOvulation begins, for a day or two I experience severe irritability, an inconsolable feeling of grief, intense anger and sadness which comes on for the whole day for several days unright before my period. Already on shatavari and ashwaganda.

How long have you been experiencing these PMDD symptoms?:

- More than 2 years

How would you rate the severity of your PMDD symptoms?:

- Very severe — overwhelming

Do you notice any specific triggers for your irritability and grief?:

- No clear triggers

Have you experienced any other symptoms along with PMDD?:

- No other symptoms

How is your overall digestive health during this time?:

- Good — regular and comfortable

How do you typically manage stress or emotional distress?:

- No specific coping strategies

Are you currently taking any other medications or supplements?:

- Herbal supplements
Question is closed
Writing an explanation of your symptoms through Ayurveda...
Analyzing through Ayurvedic framework0%

Doctors' responses

In Ayurveda, severe PMDD like irritability, anger, and deep grief before periods is mainly due to Vata–Pitta imbalance affecting the mind (Manovaha Srotas) and hormonal rhythm. You are already taking Shatavari and Ashwagandha — good, but in severe PMDD, we need a slightly deeper calming and grounding approach. 1. Herbal support (more specific for mind): Add Brahmi (morning) → calms mind, reduces irritability Add Jatamansi (night) → helps with emotional stability and sleep Continue Shatavari (hormonal balance) Ashwagandha only if no excess heat/irritability (otherwise reduce dose) 2. Daily routine (very important): Sleep on time Avoid screen/mental stimulation at night Gentle oil massage (Abhyanga) with sesame oil daily → stabilizes Vata 3. Diet (to balance Vata–Pitta): Warm, cooked, grounding foods (khichdi, ghee, milk with a pinch of nutmeg) Avoid: caffeine, spicy, sour, fermented foods before periods Keep meals regular — no fasting 4. Emotional regulation (key in PMDD): 10–15 min deep breathing / meditation daily Journaling or quiet time during ovulation + premenstrual phase Reduce workload and stimulation in those days 5. During peak symptoms (just before period): Take warm milk with ghee + a pinch of nutmeg at night Stay in calm, low-stimulus environment

1234 answered questions
5% best answers
Accepted response

0 replies

These symptoms are seen as a cyclical imbalance of Vata and Pitta doshas, especially during the hormonal transitions around ovulation and before menstruation. Vata disturbance can cause emotional instability, anxiety, grief, and sudden mood shifts, while Pitta aggravation can lead to irritability, anger, and emotional intensity. This is often influenced by stress, disrupted sleep, and subtle depletion of ojas (mental/emotional resilience). ----Prescription 1. Ashwagandha lehyam 1tsf With warm milk at bedtime BD (twice daily) if severe anxiety/irritability 2. Brahmi pearl cap 1–1–1 after food 3. Saraswatarishta 15 ml + equal warm water BD after meals 4. Shatavari Churna 3 g With warm milk OD at night ----Anupana Warm milk / lukewarm water Pathya (Diet & regimen) Warm, freshly prepared sattvic diet ----Avoid: caffeine, excess spice, fermented foods, alcohol Early sleep (before 10–10:30 pm) Oil massage (Abhyanga) with sesame oil 3–4 times/week Nadi Shodhana pranayama daily (10–15 min)

13178 answered questions
29% best answers

0 replies

In PMDD, Vata (mind instability) + Pitta (intense emotions) aggravation Occurs in luteal phase (after ovulation) Your body is reacting strongly to normal hormonal shifts . RX- 👉Jatamansi churna 250–500 mg at night Strong calming effect . 👉Saraswataarist 10–15 ml with equal water, twice daily after meals. 👉Shatavari → continue (morning) 👉Ashwagandha → better at night When symptoms hit: Cold water on face Step out / change environment immediately Avoid confrontation or decisions. Daily practice (especially luteal phase): 10–15 min slow breathing (pranayama) Journaling (release emotions instead of suppressing) 🍲 Diet during PMDD phase ✅ Increase: Warm, grounding food Ghee (small amount) Complex carbs (helps serotonin) ❌ Avoid: Caffeine (very important) Sugar spikes Skipping meals Dr. Muskan Chopra Ayurveda Consultant

98 answered questions
2% best answers

0 replies

1.Brahmi pearl capsules 1 cap twice daily with water after meals 2.Ashwagandha lehyam 1 tsp with warm milk at bedtime 3.Jatamansi churna 2 pinch with warm water at night 4.Saraswatarishta 15 ml with 15 ml water twice daily after meals Strategic Adjustments (Luteal Phase) -Nutmeg Milk: On the days you feel inconsolable, drink warm milk with a pinch of Nutmeg and a teaspoon of Ghee at night. -Abhyanga (Oil Massage): Perform a full-body massage with warm sesame oil 3–4 times a week. -Nadi Shodhana (Alternate Nostril Breathing): Practice for 10–15 minutes daily. Diet & Lifestyle Guardrails -Strictly Avoid Caffeine: Caffeine significantly worsens PMDD irritability and anxiety. Try to eliminate it entirely during the two weeks before your period. -Sattvic Diet: Focus on freshly cooked, warm, and easily digestible foods. Avoid spicy, sour, or fermented foods (like pickles or vinegar) as they aggravate Pitta/anger. -Emotional Release: Since the grief feels “inconsolable,” the doctors recommend journaling during the peak days to release emotions rather than suppressing them, which can lead to further anger.

12159 answered questions
27% best answers

0 replies

Diet recommendations: During ovulation → premenstrual phase: Avoid: caffeine (major trigger for irritability) excessive fasting very spicy / fermented food Prefer: warm, slightly oily, grounding food complex carbs (help serotonin stability) sesame, ghee, milk Lifestyle (critical for PMDD) Daily abhyanga (sesame oil) during luteal phase Gentle pranayama: Anulom Vilom Bhramari (excellent for emotional overwhelm) Reduce stimulation (screens, arguments) in those 3–5 vulnerable days. Yoga and Pranayam: Anulom vilom Shitali Sitkari Tratak Yog nidra Shavasan Medications: Ashvagandha leham 3 tsp in the morning with a cup of cow milk. Cap. Memorine 2 caps twice a day before food Tab. Prasham 2 tabs twice a day before food Syp. Suvarnayukta Saraswatarishta 3 tsp twice a day before food Tab. Manasmitravatk 2 tabs at bed time with milk.

2153 answered questions
16% best answers

0 replies

About our doctors

Only qualified ayurvedic doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.


Is it safe to take Shatavari 500mg for post-menopause symptoms like hot night sweats and breast pain?
How long does it take for a 4.1 cm fibroid to heal with Ayurvedic treatment?
What to do for my wife who has abnormal bleeding after her period for 15 days?
What causes breasts to shrink in size and how can I prevent it?
What to do if my bleeding flow has reduced for two months after treating fibroids?
What to do for delayed periods and symptoms like bloating and nausea in a 22-year-old?
How to treat uterus fibroids naturally?
How to treat severe period pain and heavy bleeding from endometriosis and adenomyosis with herbs?
What juice should I take during my period if I have swelling and white discharge?
What to do if my periods are more than 2 months late and usually late by 10-15 days?
Is it safe to eat Kalarchikkaipowder and kadukkai powder during the first trimester of pregnancy?
What is an effective treatment for vulvar cysts in post-menopausal women?
What to do if my periods finish in 2 days with light flow and I have severe pain before they start?
What to do if I had continuous bleeding after stopping a 21-day tablet course?
How to induce my period if I'm 46 and had a late period after March 16?
What oil should I use for vaginal tightening or prolapse after delivery?
What to use to treat endometrial issues and fluid in the pouch of Douglas?
What to do for delayed periods and symptoms like bloating and nausea after unprotected sex?
How to treat bulky uterus, fibroids, and adenomayosis with heavy bleeding and cramps?
What to do for irregular periods and prolonged bleeding lasting 25-30 days?
What to do if I have been experiencing brown discharge instead of my period for months and have tension about it?
What to do if my period is 12 days late after typhoid treatment?
What are the benefits of using castor oil on the navel with a heat pack for regulating menstrual cycles?
Can I use Punsvanotablet for embryo development and heartbeat protection in the first trimester of pregnancy?
What to do for irregular periods with long intervals and weight gain at 24 years old?
Can I give Ashol M syrup to my 15-year-old daughter with delayed periods and backache?
How to treat moderate hydronephrosis and hormonal imbalance during perimenopause?
What to do if I have a simple cyst on my right ovary?
What should I do if my fasting sugar is higher than my post-meal sugar during my 5-month pregnancy?
What to do if my periods have lasted for 23 days with no signs of stopping?
Why do I have stomach pain and diarrhea during my periods for the last 3 months?
What to do if my period comes after 45 days with light bleeding in between?
How to treat heavy bleeding and fibroids with low hemoglobin and thalassemia?
What to do if my period is late after taking the Unwanted 72 pill?
What causes delayed periods after taking Himalaya Menosan tablets?
How to manage hormonal imbalance after stopping She Care for my wife?
What to do for irregular periods after normal thyroid and hormone tests?
What to do if my periods are late and I have muscle pain and weakness after typhoid treatment?
What to do if I'm bleeding for over 15 days after taking M2 tone at 19 years old?
Is it normal for my period to be late after taking Shecare juice for 3 months?
What is the cause of white and yellow discharge with itching and fatigue?
What Ayurvedic treatments can help my 4.9-year-old son with a 4 cm penis size before he turns 12?
How to treat hormonal acne and back pain during periods?
What to do if my periods are late for 2 months after typhoid fever and I have stomach pain?
Can Ayurveda completely reverse stage 2 uterine prolapse in a 45-year-old with varying symptoms?
What are the best times for a pregnant woman to consume saffron and why does my baby take too long to start walking?
How to treat severe period pain on the first day for someone with PCOS?
Can I use Liver Amrit syrup during my 4-month pregnancy with high SGPT and SGOT levels?
What causes brown discharge or light bleeding after periods and what should I eat for it?
What causes light brown discharge 10-15 days after my period?
What medicine should my 40-year-old wife use for uterine swelling detected in ultrasound?
How long does it take for periods to return after starting hormonal balance juice?
What to do if my period is 15 days late and only a little came while using the bathroom?
What are my options for treating a 6.3 cm uterine fibroid to improve fertility and reduce heavy bleeding?
Is kapalbhati pranayama effective for uterine prolapse recovery and how does it compare to kumbhak Kriya and Anulom vilom?
How to ensure good skin and brain development for my baby during pregnancy at 27 weeks?
Can M2 Tone help my wife get her menstrual cycle back after taking medication?
Will stopping Transxemic tablets reduce excessive facial hair growth after 3 months of use?
What to do if my periods are irregular and I might not be ovulating at 46 years old?
What dietary changes should I make for high TSH and uterine fibroids?
How to treat acne during the luteal phase while using manjistadi and Avipathi?
What to do if my periods are only lasting 1 day now instead of 4?
What to do for persistent white discharge and heaviness for 7 years?
How long should I take Ashokarishta for continuous stomach and hip pain during my menstrual period?
How to increase breast size permanently without surgery and treat fibroadenoma?
Can I use Punsvano tablets for embryo and heartbeat development in the first trimester of pregnancy?
What to do if my daughter is pregnant with high WBC count but has no symptoms?
Can I drink ashoka tea to stop heavy bleeding from uterine fibroids at 53 years old?
Can I use Hempuspa and Ashokarisht for uterine fibroids and to regulate my periods?
Can Ayurveda provide a permanent cure for adenomyosis in a 40-year-old woman with heavy periods?
How to treat hair fall and dull skin with PCOS for a 37-year-old woman?
What are the treatment options for post-menopausal bleeding with fibroids without hysterectomy?
Can I take ashwagandha for severe menopause issues and hot flushes?
What is an anechoic cystic lesion on the right ovary and how should it be monitored?
Is it safe to take Suvarna Vasant Malati tablets during the last weeks of pregnancy?
What to do if my periods last only 2 days instead of 5 at age 41?
How to stop prolonged bleeding after starting Ashokarishta for PCOS?
How to increase height after periods at age 17?
What is the best Ayurvedic approach for hormonal support and numbness during menopause?
Do I need to take another emergency contraceptive pill after unprotected sex on May 1 if I took Unwanted 72 on April 29?
Can I give She Care syrup to my 16-year-old daughter who has frequent cycles and cramps?
How to treat a Bartholin cyst that is causing pain and discomfort?
Can I give one drop of Tulsi in 150 mL of water to a 3-month pregnant woman?
What to do for irregular periods with 8-9 months interval and weight gain at 24 years old?
How to reduce dilated left lateral ventricle size during pregnancy naturally?
How to restore my menstrual cycle after missing periods for two months while on Ayurvedic treatment for UTI and vaginal infections?
How to stop milk production and weakness after taking Balant Kada?
What to do for thick white discharge and abdominal pain lasting 7 years?
Can breast size change at age 28 and what safe medications should I take?
What to do if my 14-year-old daughter hasn't started her period and has facial hair growth?
What to do if my period is late for over 3 months after taking Ayurvedic and prescribed medicines?
What to do if my periods are delayed for 3 months after taking She Care, but now I'm getting pimples and hair fall?
How to treat hormonal belly pain during periods at age 36 with a stressful lifestyle?
How to treat prolonged menstrual bleeding in a 24-year-old female with irregular cycles?
How to treat very light menstrual flow lasting only 2 days without pain?
How to treat vomiting, nausea, acidity, and constipation during pregnancy?
How to use hempushp syrup for irregular periods and how long should I take it?
Is it safe to eat raw mango with salt, chili, and lemon during 5 months of pregnancy?
Is it normal to have prolonged periods after starting Ashokaristh at 14 years old?
What to do for heavy bleeding during periods after 4 months for a 51-year-old woman?

Doctors online

Latest reviews

Vanessa
1 hour ago
Wow, this answer was so detailed and clear! Appreciate the time taken to explain different treatments and what they target. Feeling more hopeful now.
Wow, this answer was so detailed and clear! Appreciate the time taken to explain different treatments and what they target. Feeling more hopeful now.
Stella
4 hours ago
Thanks to the doctor's advice, my symptoms have eased a lot. The detailed plan & remedies suggested were super helpful. Feeling much better!
Thanks to the doctor's advice, my symptoms have eased a lot. The detailed plan & remedies suggested were super helpful. Feeling much better!
Christian
20 hours ago
धन्यवाद डॉक्टर साहब, आपके जवाब ने मेरी चिंता को कम किया। सलाह बहुत साफ और मददगार है, अब थोड़ा रिलैक्स महसूस कर रहा हूँ।
धन्यवाद डॉक्टर साहब, आपके जवाब ने मेरी चिंता को कम किया। सलाह बहुत साफ और मददगार है, अब थोड़ा रिलैक्स महसूस कर रहा हूँ।
Victoria
20 hours ago
Amazing response! Very clear and reassuring. Helped me understand the issue better and gave a solid plan to follow. Thanks a lot!
Amazing response! Very clear and reassuring. Helped me understand the issue better and gave a solid plan to follow. Thanks a lot!