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What to do for heavy periods at 37 with a 5cm fibroid that didn't shrink after taking Relugolix?
Gynecology and Obstetrics
Question #54496
20 days ago
328

What to do for heavy periods at 37 with a 5cm fibroid that didn't shrink after taking Relugolix? - #54496

Client_5306ef
$3

Muje heavy period problem meri age 37 mujhe fibroid 5cm hai maine 3 month relugolix harmonal dawa khai lekin mera fibroid shrink nhi hua bulki heavy period ane lage mai kya keru

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Doctors' responses

Yeh jo Uterine Fibroid hai, Ayurveda mein ise Garbhashay ki granthi mana jata hai, jo mainly Vata aur Kapha dosh imbalance se hoti hai. Is wajah se heavy bleeding, clots aur pain hota hai. Ayurvedic treatment mein hum dosh balance, uterus detox (shodhan) aur medicines se fibroid ko control/shrink karne ki koshish karte hain. Lekin agar bleeding bahut zyada ho ya fibroid bada ho, to sirf Ayurveda se complete cure mushkil hota hai—usme modern treatment bhi zaroori ho sakta hai. — if at present periods are heavy then suggesting u allopathic for 3 days- only 1 medicine Taxakind 1 tab once daily for 3 days then stop — along with start with ayurveda -Medicines 1) Kanchanar Guggulu – 2 tab BD (khane ke baad) 2) Ashokarishta – 20 ml + equal pani BD (khane ke baad) 3) Lodhrasava – 20 ml + equal pani BD 4) Pradarantak Lauh – 1 tab BD 5) Chandraprabha Vati – 2 tab BD ---- Agar bleeding bahut zyada ho: Nagkesar churna – 1 tsp + madhu BD ----Panchakarma Chikitsa -Uttarbasti (Yoni / Garbhashay basti) Kanchanar tail / Phala ghrita 3–5 sittings after periods -Matra Basti Dashmool tail 60 ml daily × 7–10 days - Pathya (Diet & Lifestyle) Lauki, tori, palak, anar, black raisins Warm, light, easily digestible food Yoga: Baddha Konasana, Bhujangasana - Apathya (Avoid) Curd, cold drinks, fried & junk food Excess tea/coffee Heavy exercise during periods -------- Note Bleeding was heavy as u told so go once check for Cbc


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?? 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 : ??? Bhujangasana Dhanurasana Paschimottanasana Halasana Sarvangasana Surya Namaskar ??? Pranayam : ??? Anulo vilom Shitali Sitkari ? Donot’s: ? Tea and coffee Addictions Dals (except moong) Packed and processed food Papad and pickles 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. Kanchanar guggul 2 tabs twice a day before food. Tab. Bobadha Ras (From 3rd day of mensis till bleeding stops) 2 tabs thrice a day Syp. Ashokarishta 3 tsp twice a day before food. Castor oil 2 tsp at night with one glass hot water.


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cm fibroid + heavy bleeding—यह Uterine Fibroids में सामान्य है और इसमें Pitta + Kapha दोष वृद्धि होती है। 1. औषधि कांचनार गुग्गुलु – fibroid को कम करने में सहायक लोध्रासव – रक्तस्राव कम करता है प्रदरांतक लौह – heavy periods में लाभकारी 2. आहार (Diet) Avoid: खट्टा, मसालेदार, तला हुआ, चाय-कॉफी लें: हरी सब्जियाँ, अनार, हल्का व गर्म भोजन धनिया पानी (coriander water) रोज पिएं – bleeding कम करता है 3. जीवनशैली (Lifestyle) रोज 30 मिनट योग/वॉक अनुलोम-विलोम व भ्रामरी प्राणायाम समय पर सोना (10–11 बजे) 4. पंचकर्म (जरूरत होने पर) विरचन (Pitta शोधन) बस्ती चिकित्सा (uterus health के लिए श्रेष्ठ) 5 cm fibroid को shrink होने में समय लगता है (3–6 महीने+) अगर bleeding बहुत ज्यादा है (clots, weakness) → Hb जांच जरूरी Relugolix से relief न मिले तो आयुर्वेदिक continuous treatment लें


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Please Consulting the ayuevedic prasuti stree roga specialist gynecologist obstetrician for better examination and treatment


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Hello, Yeh kaafi takleef-deh situation hai, par ghabraiye nahi. Fibroids (Arbuda) ke case mein jab hormonal medicines asar nahi karti, toh Ayurveda mein isse ‘Raktapradara’ (excessive bleeding) ke taur par dekha jata hai. 5cm ka fibroid uterine wall par pressure daalta hai, jisse bleeding badh jati hai. ​Yahan Ayurveda ki kuch prabhavi dawaiyan aur unka sevan karne ka tarika diya gaya hai: 1. ​Mathrukalpam: Yeh ek restorative paste hai jo uterine health aur bleeding control karne mein madad karta hai. ​Dose: 1-2 chammach (10-20 grams) din mein do baar khane ke baad doodh ke saath lein. 2. ​Kanchanara Gulgulu Gulika: Yeh fibroid jaise growths ko dheere-dheere kam karne aur glandular swelling rokne ke liye sabse behtar hai. ​Dose: 2 tablets din mein do baar khane se pehle gungune pani ke saath lein. 3. ​Ashokarishtam: Yeh periods ki heavy bleeding (menorrhagia) ko control karne aur uterus ki muscles ko takat dene ke liye tonic ka kaam karta hai. ​Dose: 15-20 ml barabar matra mein pani milakar din mein do baar khane ke baad lein. 4. ​Pranda Gutika: Agar bleeding bahut zyada ho rahi ho, toh yeh use turant rokne mein madad karti hai. ​Dose: 1 tablet din mein do baar shehed (honey) ke saath lein.


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Hello, Your case= heavy bleeding + 5 cm fibroid + hormonal medicine failed So now approach should be -control bleeding first-> then shrink fibroid-> prevent recurrence Ayurvedic view -pitta + rakta dushti= heavy bleeding -kapha + muscle vriddhi= fibroid growth -hormonal suppression failed= need metabolic correction Internal management 1) Control heavy bleeding (urgent) -Pradarantak lauha= 1 tab twice daily after meals =best for heavy periods, strengthens uterus -Ashokarishta= 15ml + equal water twice daily after meals =regulates cycle, reduces excess bleeding 2) Fibroid shrinkage (core treatment) -Kanchanar guggulu= 2 tabs twice daily after meals =gold standard for fibroids/cysts -Varunadi kashaya= 15ml twice daily before meals with warm water =breaks abnormal growth 3) Hormonal balance + recurrence prevention -Shatavari tablet= 1 tab twice daily after meals =supports hormonal stability -Chandraprabha vati= 1 tab twice daily after meals =balances pelvic metabolism External therapy -Warm castor oil pack on lower abdomen =3-4 times/week, helps fibroid reduction over time Diet very important -lauki, carrot, beetroot -pomegranate excellent for bleeding -whole grains Avoid -sour, spicy, fermented food -excess tea, coffee -red meat and junk Lifestyle -30 min daily walk -avoid stress direct hormone impact -no heavy workouts during periods Expected results -2-4 weeks= bleeding reduces -2-3 months= cycle normalizes -3-6 months= fibroid may shrink gradually Important If bleeding very heavy (clots, weakness), Hb dropping Then do parallel gynac follow up Fibroid 5 cm= can be managed conservatively, but monitor every 3 months repeat Ultrasound Avoid -self use of hormonal drugs again -heating herbs like excess aloe vera internally -ignoring anemia Fibroid won’t shrink in 1-2 months Needs consistent 3-6 months approach Do follow Hope this might be helpful Thank you नमस्कार, आपका मामला = अत्यधिक रक्तस्राव + 5 सेमी का फाइब्रॉइड + हार्मोनल दवा का असर न होना तो अब उपचार विधि यह होनी चाहिए: - पहले रक्तस्राव को नियंत्रित करें -> फिर फाइब्रॉइड को सिकोड़ें -> पुनरावृत्ति को रोकें आयुर्वेदिक दृष्टिकोण - पित्त + रक्त दुष्टि = अत्यधिक रक्तस्राव - कफ + मांसपेशियों की वृद्धि = फाइब्रॉइड का बढ़ना - हार्मोनल दमन का असर न होना = चयापचय संबंधी सुधार की आवश्यकता आंतरिक प्रबंधन 1) अत्यधिक रक्तस्राव को नियंत्रित करें (अत्यावश्यक) - प्रदारंतक लौह = भोजन के बाद दिन में दो बार 1 गोली = अत्यधिक मासिक धर्म के लिए सर्वोत्तम, गर्भाशय को मजबूत करता है - अशोकारिष्ट = भोजन के बाद दिन में दो बार 15 मिलीलीटर + उतना ही पानी = मासिक चक्र को नियमित करता है, अत्यधिक रक्तस्राव को कम करता है 2) फाइब्रॉइड को सिकोड़ना (मुख्य उपचार) - कंचनर गुग्गुलु = भोजन के बाद दिन में दो बार 2 गोलियां = फाइब्रॉइड/सिस्ट के लिए सर्वोपरि - वरुणादि कषाय = भोजन से पहले दिन में दो बार 15 मिलीलीटर गर्म पानी के साथ = असामान्य वृद्धि को तोड़ता है 3) हार्मोनल संतुलन + पुनरावृत्ति की रोकथाम - शतावरी टैबलेट = भोजन के बाद दिन में दो बार 1 टैबलेट = हार्मोनल स्थिरता में सहायक - चंद्रप्रभा वटी = भोजन के बाद दिन में दो बार 1 टैबलेट = श्रोणि चयापचय को संतुलित करता है बाहरी उपचार - पेट के निचले हिस्से पर गर्म अरंडी के तेल की सिकाई = सप्ताह में 3-4 बार, समय के साथ फाइब्रॉइड कम करने में सहायक आहार बहुत महत्वपूर्ण - लौकी, गाजर, चुकंदर - अनार रक्तस्राव के लिए बेहतरीन - साबुत अनाज इनसे बचें - खट्टा, मसालेदार, किण्वित भोजन - अत्यधिक चाय, कॉफी - लाल मांस और जंक फूड जीवनशैली - प्रतिदिन 30 मिनट पैदल चलना - तनाव से बचें, क्योंकि इसका हार्मोन पर सीधा प्रभाव पड़ता है - मासिक धर्म के दौरान भारी व्यायाम न करें अपेक्षित परिणाम - 2-4 सप्ताह = रक्तस्राव कम हो जाता है - 2-3 महीने = मासिक चक्र सामान्य हो जाता है - 3-6 महीने = फाइब्रॉइड धीरे-धीरे सिकुड़ सकता है महत्वपूर्ण यदि बहुत अधिक रक्तस्राव हो (खून के थक्के, कमजोरी), हीमोग्लोबिन का स्तर गिर रहा हो तो स्त्री रोग विशेषज्ञ से नियमित जांच करवाएं फाइब्रॉइड 5 सेमी = इसका प्रबंधन रूढ़िवादी तरीके से किया जा सकता है, लेकिन हर 3 महीने में अल्ट्रासाउंड की जांच और पुन: जांच आवश्यक है। इनसे बचें: - हार्मोनल दवाओं का पुनः स्वयं उपयोग न करें - एलोवेरा जैसी गर्म जड़ी-बूटियों का अत्यधिक सेवन न करें - एनीमिया को नज़रअंदाज़ न करें फाइब्रॉइड 1-2 महीनों में सिकुड़ता नहीं है इसके लिए 3-6 महीने के निरंतर उपचार की आवश्यकता है करें फ़ॉलो करें उम्मीद है यह मददगार होगा धन्यवाद


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5cm ka fibroid bina operation ke (dawayon se) control kiya ja sakta hai, lekin isme 3 se 6 mahine ka samay lagta hai. Dawayein (Rx) -Kanchnar Guggulu: 2-2 goli din mein 2 baar, pani ke saath, khane ke baad lein. -Pradarantak Lauh: 2-2 goli din mein 2 baar, pani ke saath, khane ke baad lein. -Nagkeshar Churna: aadha-aadha (1/2) chammach din mein 2 baar, shahad (honey) ke saath, khane ke baad lein. -Ashokarishta + Lodhrasava: Dono syrup ki 3-3 chammach milakar (total 6 chammach), din mein 2 baar, 6 chammach pani ke saath milakar khane ke baad lein. Aahar aur Lifestyle (Parhez) -Kya Khayein: Apne khane mein Lauki, Tori, Palak aur Anar ka sevan zyada karein. Dhaniya ka pani (coriander water) peene se bleeding kam karne mein madad milti hai. -Kya Na Khayein: Zyada mirch-masale, tala hua khana (fried food), dahi, aur bahut zyada chai ya coffee se parhez karein. -Castor Oil Massage: Pet ke nichle hisse par halka garam Arandi ke tel (Castor oil) se massage karne se fayda ho sakta hai.


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Relugolix ek strong hormone blocker hai jiska main maqsad fibroid ko poori tarah shrink karna nahi hota, balki estrogen ko daba kar temporary taur par periods aur pain ko control karna hota hai. Lekin kai baar body is artificial hormone suppression ke khilaf react karti hai. Jab uterus ki lining unstable ho jati hai, toh achanak se heavy rebound bleeding shuru ho jati hai. Ayurveda mein is condition ko Asrigdara kehte hain, jahan fibroid ki wajah se Apana Vata ka rasta ruk jata hai aur body ka excess Pitta heavy bleeding ke roop mein bahar aane lagta hai. ✓Ayurvedic Action Plan 1. Pushyanuga Churna aur Bolbaddha Ras Dosage: 1 chammach Pushyanuga Churna aur 1 tablet Bolbaddha Ras dono ko milakar din mein do baar lein. Time: Khana khane se 30 minute pehle. Vehicle: Chawal ke paani ke sath. Ek mutthi kacche chawal ko paani mein ek ghante bhigo kar rakhein aur us paani ko chhan kar dawa ke sath lein. 2. Kanchanar Guggulu Dosage: 2 tablets din mein do baar. Time: Khana khane ke 30 minute baad gungune paani ke sath. 3. Lodhrasava Dosage: 15 ml dawa ko 15 ml normal paani mein milakar. Time: Din mein do baar, Kanchanar Guggulu ke sath. ✓Crucial Care Rules Avoid Heating Foods: Aapko garam taseer wali cheezein jaise lal mirch, garam masala, adrak, lahsun aur coffee bilkul band karni hongi. Yeh cheezein body mein garmi badhati hain, jisse uterus ki blood vessels aur chaudi ho jati hain aur bleeding aur tez ho jati hai. Cold Compress: Apne lower abdomen par 10 se 15 minute ke liye ice pack ya thande paani ki patti rakhein. Thandak se blood vessels turant sikudti hain jisse heavy flow mein aaram milta hai. Complete Physical Rest: Jab tak bleeding heavy hai, tab tak bhari wazan uthana, exercise karna ya lambe samay tak khade rehna bilkul avoid karein. Pelvic area mein jitna movement hoga, bleeding utni hi zyada hogi. Regards, Dr Gursimran Jeet Singh MD Panchakarma


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