How to treat lean PCOS with facial hair and weakness after recent ectopic pregnancy? - #55746

​1. Internal Herbal Rejuvenation (Chikitsa) ​Because you are lean and weak, the goal is Brimhana (nourishment) and Vata Shamana (calming Vata), not scraping or weight loss. ​For Reproductive Health & Post-Ectopic Recovery: •​Phala Ghrita: This is a classical medicated ghee highly revered for female reproductive health. Taking 1 teaspoon with warm milk on an empty stomach in the morning helps heal the Garphasaya (uterus) and fallopian tubes, balances hormones, and calms Vata. •​Shatavari Kalpa / Churna: Shatavari is the ultimate female rejuvenator (Rasayana). It provides phytoestrogens to counter Lean PCOS, builds tissue, and deeply nourishes the reproductive system. ​For Weakness, Low BP, and Fluid Retention: •​Ashwagandha & Bala: These herbs are excellent for building muscle mass, strengthening the nervous system, raising low blood pressure naturally, and combating 15 years of chronic fatigue. •​Punarnavadi Mandoor / Punarnavasava: Punarnava literally means “the rejuvenator of the body” and is the premier Ayurvedic herb for fluid retention. It will help clear the swelling (Shotha) in your feet by regulating fluid balance without depleting your blood pressure. ​2. Managing Facial Hair (Hirsutism) ​In Lean PCOS, facial hair occurs because a lack of proper tissue nourishment causes a relative spike in circulating androgens (male hormones). •​Internal Balance: The Phala Ghrita and Shatavari mentioned above will naturally help regulate the LH/FSH ratio and lower androgen levels over time. •​External Application (Lepa): ​Make a paste of Haridra (Turmeric) and Lodhra powder with a little milk or water. Apply it to the areas with facial hair. Lodhra is classic for regulating local skin hormones, and turmeric gently weakens the hair roots over consistent, long-term use. ​3. Diet for Lean PCOS & Low BP (Ahara) ​Your diet must be warm, grounding, easy to digest, and deeply nourishing. ​Salt & Fluids: Since you have low BP, do not restrict your salt intake unless directed by a doctor. Incorporate natural rock salt (Saindhava Lavana), which supports adrenal health. Drink warm water infused with ginger or cumin throughout the day. ​Build the Blood & Energy: Include iron-rich and energy-dense foods like soaked almonds, walnuts, black raisins, dates, and pomegranates. Freshly prepared soups (lentil or bone broth if you consume meat) with a dash of ghee are highly therapeutic for you right now. ••​Avoid: Strict fasting, raw cold salads, dry foods (like crackers or popcorn), and excessive caffeine, which further aggravate Vata and lower blood pressure. ​4. Lifestyle & Therapies (Vihara) ​Abhyanga (Self-Massage): Gently massage your body, especially your legs and feet, with warm Ksheerabala Taila or Til Taila (Sesame Oil) before a bath. This lowers Vata, improves peripheral circulation to reduce foot swelling, and elevates low blood pressure by strengthening the vascular system. ••​Legs-Up-The-Wall (Viparita Karani): Lie down and rest your legs vertically against a wall for 10–15 minutes daily. This safely uses gravity to drain fluid from swollen feet and channels blood back toward your heart and pelvic organs.