How do I know if it's starting of manopose or PCOS - #821

At 43, it is common to experience some changes in the menstrual cycle, which may be a natural part of the transition into perimenopause. Perimenopause is the phase before menopause, during which hormone levels fluctuate and cycles can become irregular, typically in one’s 40s to early 50s. This does not necessarily mean fertility has ended, as many women can still conceive naturally during this period. However, irregular cycles could also signal other underlying hormonal imbalances, such as Polycystic Ovary Syndrome (PCOS), though this condition often presents with other symptoms like weight gain, acne, or excess facial hair. To assess whether it’s perimenopause or a condition like PCOS, I’d recommend visiting a healthcare provider for hormonal testing. Key hormones to check would include Follicle Stimulating Hormone (FSH) and Anti-Müllerian Hormone (AMH), as these can help gauge ovarian reserve and remaining fertility. An ultrasound could also provide insight into ovarian health. Ayurveda places significant emphasis on supporting reproductive health by balancing the doshas, particularly Vata and Pitta, which govern menstrual regularity and hormonal stability. Herbal supports such as Ashwagandha, Shatavari, and Amla, along with dietary adjustments and stress management practices, may help promote regular cycles. Practicing yoga and meditation can also help balance your system holistically. If you’re considering conception, a personalized Ayurvedic fertility plan might be beneficial, with focus on cleansing (panchakarma) and rejuvenation therapies to support optimal reproductive health. This proactive approach could enhance fertility naturally and help balance any hormonal fluctuations you may be experiencing.