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What to do if my 14-year-old daughter hasn't started her period and has facial hair growth?
Gynecology and Obstetrics
Question #55157
21 days ago
345

What to do if my 14-year-old daughter hasn't started her period and has facial hair growth? - #55157

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My daughter will be 14 in September nis 70kg n her menstrual is not yet coming She she is also having hair growth on her face

How long has she been experiencing facial hair growth?:

- 6 months to 1 year

Has she experienced any other symptoms related to her menstrual cycle?:

- No symptoms at all

Is there a family history of delayed menstruation or hormonal issues?:

- No, no family history

How would you describe her overall health and energy levels?:

- Generally healthy but occasionally fatigued

What is her diet like?:

- Mostly junk food

Has she had any significant weight changes recently?:

- Gained weight

Is she currently taking any medications or supplements?:

- No medications
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Doctors' responses

Delayed periods with weight gain and facial hair at this age may suggest hormonal imbalance like PCOS. Pediatric gynecologist/endocrine evaluation is important. Tests often advised: thyroid profile, prolactin, pelvic ultrasound, insulin resistance evaluation. Take Kanchanar Guggulu – 1 tablet twice daily after food. Ashokarishta – 15 ml with equal water twice daily after meals. Kumaryasava – 15 ml with equal water twice daily after meals. Triphala Churna – 1 tsp with warm water at bedtime. Lifestyle Reduce junk food, bakery items, sugary drinks. Daily walking/exercise 45 minutes. Early sleep and weight reduction are very important.


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Before starting any treatment – go with some investigation first -Thyroid profile - usg pelvis


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Delayed periods with facial hair growth at this age can commonly be related to hormonal imbalance, weight gain, or early signs of PCOS (Polycystic Ovarian Syndrome). In Ayurveda, this is often linked with aggravated Kapha and hormonal imbalance due to unhealthy diet and lifestyle. Advise her to: Avoid junk food, cold drinks, excess sugar, bakery items, and fried foods. Follow a fresh homemade diet with fruits, green vegetables, whole grains, sesame seeds, and adequate protein. Encourage daily physical activity, yoga, walking, or cycling for at least 45–60 minutes to help weight balance. Maintain proper sleep and reduce screen time and stress. Helpful Ayurvedic support may include: Ashokarishta Kumaryasava Shatavari Triphala at night for metabolism support Also, it is important to get basic investigations done: Thyroid profile Ultrasound abdomen/pelvis Hormonal tests (especially for PCOS) Most girls start menstruation naturally with proper hormonal balance, healthy weight, and lifestyle correction. Early attention can help regulate cycles and reduce facial hair growth naturally.


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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, reduces pain, 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 facial hair remedies 1) turmeric and chickpea flour ubta(weekly thrice) -2tbsp besan -1/2 tsp turmeric -1 tsp sandalwood powder -rose water or raw milk (to make paste) how to use -apply a thin layer on face -let it semi-dry, then scrub gently in circular motion (opposite direction of hair) -wash off with lukewarm water =helps weaken hair roots and reduce regrowth over time 2) thanaka powder or kusuma oil this is proven traditional treatment -mix 1 tsp thanaka powder with a few drops of kusuma oil -apply on the face daily at night -leave overnight and wash in morning =after 8-12 weeks , you will report significant reduction in hair thickness 3) sugar, lemon and honey scrub (twice weekly) -natural bleaching + exfoliation -1 tbsp sugar -1 tbsp lemon juice - 1 tsp honey =rub gently on face for 10 minutes before washing 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


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