Brief Answer:
need assessment for drug free management

Detailed Answer:
Dear
Thanks for contacting Ayurveda with your heakth concern.

1. Since in history it is mentioned that you are suffering from 'syndrome' and not 'disease' thus do let me know about other features associated with PCOS like: weight gain,unwanted facial hairs,impaired blood sugar & thyroid levels,irregular menses?
PS. as you are taking Metformin which is prescribed for above said features, do let me know about current values and features.

2. Is PCOS primary or secondary to some disease? (Opinion of Gynecologist)

3. Duration of starting the medicine and about your marital status?

4. Do let me know about your AGNI [Metabolism], since low digestive fire is held responsible for development of features of this SYNDROME [cause and effect]

5. Please revert back for further Management & prophylactic aspects.

Dr. Munish Sood
Consultant & Physician
Naimittika Clinic

---

Brief Answer:
CLEAR Metabolic Fire and Blockage of Channels

Detailed Answer:
Dear
Thanks for reverting back.

1. Since blood values is/are normal and there is feeling of well being among you, the said drug is working in tandem with the body and its needs.
PS. since you are taking measures to conceive, don't go for possible do's and dont's regarding medicines, since patient suffering from high blood sugar/insulin resistance [especially female] have chances of Gestational Diabetes.

2. Since parameters are normal, thus dietary regime regarding PCOS can be initiated:

i. AVOID: refined carbohydrates (packed cereals,white bread-rice-flour,pasta, cakes ,biscuits,sugar, honey, fruit juice concentrates,’starch’,watermelon, cantaloupe, pineapple,potato,carrots,dried fruits,ice cream,chocolates, jellies, pizza), fatty food,curd,late night work,milk,mustard oil,cabbage,soybean

ii. TAKE: fresh green vegetables,whole grains,olives,whole legumes (peas,beans, lentils),brown rice,oat meal,barley, green gram, saindhav [rock salt] lavan, tandulodak [rice gruel],coconut water,vegetable soups.

3. since PCOS is due to low metabolism (digestive fire) thus medicine will work/ function by increasing the Metabolism by acting as:
. XXXXXXX [appetizers],
. pacahana [digestion],
. ushna [hot],
. tekshna [sharp],
. sukshma [subtle],
. lekhana drugs [anti obese and anti kapha/fat] and thus reducing the symptoms.

PS. kindly consult with an Expert Ayurveda Physician nearby you, who after careful assessment of your XXXXXXX [constitution] will develop best Natural Management of Herbs.

4. We along with Prophylactic Management give Panchkarma Procedure called 'Uttar Basti' to female patients [In Ayurveda we call it ARTVA VAHA SROTO DUSHTI [Blocked channels], along with certain yogic exercises like Simhasan, Vajrasan, Shalabhasan, Sarvangasan.

PS. If you are interested, you may contact us.

5. Regarding conception, in Ayurveda what is written and what we usually tell our patients [under guidance] after above said procedure/medicines is:
. Take menstrual blood [few drops] on clean white cloth and wait for few seconds
. Avoid using any soap/detergents and wash the cloth with plain warm water.
. If there is any stain left behind there is imbalance of hormonal functions and if there is no stain [the female is ready for conception]

Do revert back for your concern(s)


Dr.Munish
Naimittika

---

Brief Answer:
Clarifications and Explanation

Detailed Answer:
Dear
Thanks for reverting back.

1. Dairy products are best avoided because of multiple facets:
. these contains 'sugar' i.e. carbohydrate which will cause rise in Insulin [physiological reaction of body] and as Insulin resistance is already there thus will produce similar symptoms of the same.
. Since women with PCOS have high level of androgens [present in your history], as such chances of developing ovarian cancer are more and it is studied that IGF-1 [insulin like growth factor] and galactose in milk increases the risk of cancer even further.
. high androgen level and Insulin resistance; both raises the androgen level thereby increasing Dihydro testosterone (DTH) a metabolite of testosterone which promotes oil production resulting in clogged pores and ACNE.
PS. You can opt for unsweetened coconut and raw dairy products [which are not pasteurized] after consulting with your physician.

2. Regarding hormonal profile check with LH:FSH ratio [leutinizing: follocle stimulating] hormone ratio. Shatavri is an immunomodulator, sexual tonic, promotes breast milk, menstrual regulator with digestive and anti oxidant actions, thus improves overall fertility with no toxic/side effects reported on long term use. [thus can be taken safely]
PS. it is the best source of plant derived estrogen.

3. Haritki and Vibhitak present in Triphla are contraindicated in pregnancy and not Amla and since you will be breast feeding afterwards so taking triphla powder may cause loose stool in your baby but also protect from infection and provides immunity to the baby [so only you are the best judge at that moment].
PS. You can start it once you are not lactating and baby has been put on weaning or other semi-solid/solid food.

Do revert back for any concern(s)

Dr. Munish
Naimittika

---

Brief Answer:
Clinical Efficacy

Detailed Answer:
Dear
Thanks for reverting back.

1. Shatavari contains phyto estrogens [precursor of estrogen] which is useful as;

i. in female who have attained Menopause, with hysterectomy/oophrectomy [where there is natural low level of estrogen.

ii. In Menstruating women it help to regulate menstruation and ovulation.

iii. The estrogen does not produce any side effect which is the reason of calling it as 'Queen of Herbs' and also it is high in folic acid and helps prevent anemia

PS. phyto estrogens found in Shatavri 'binds' to estrogen receptors [estrogen regulator] and PRESERVE them from damage due to phyto estrogens present in processed products. [reason of using them in pregnancy].

If you are uncertain or if estrogen level come out high you may consider 'Maca' and/or 'Ashwagandha' as alternate.

2. Since pregnancy is the best time of one's life, so again I will not recommend any do's and dont's because of the following reasons

i. Since unpasteurized milk can harbor harmful bacteria which can prove fatal for growing fetus, thus always check with your health care provider before adjusting/changing/deleting any prescription.
ii. It is common practice to make cheddar/swiss cheese from unpasteurized milk and is consider safe.

Dr. Munish
Naimittika

---

Brief Answer:
Hospital & Clinic Address

Detailed Answer:
Dear
Thanks for reverting back.

1. Hospital Address
P.G. School of Ayurveda & Research
Desh Bhagat University
Amloh Road XXXXXXX Gobindgarh
Fatehgarh XXXXXXX XXXXXXX

2. Clinic Address
H.No. 307, Township
DBU XXXXXXX Gobindgarh

3. Panchkarma Clinic
Dharam Jeevi Institute
Bhaghthal, Kurukshetra XXXXXXX

PS. For any queries kindly contact me directly on: bit.ly/drmunishsood

---