Concluded Case

A Case of Arthava Apravritti

A 14 yr old girl ,obese,complained of not attaining menarche...!! She is the youngest among three sisters...!! Two sisters- Menarche at 13 yr & 14 yr...!! On questioning...( phone consultation) Presence of axillary & pubic hairs,breast enlargement...!! Appetite, Bowels,Sleep- ok..!! Advised - Dasamularishtam Asokarishtam Tila + Sharkara...daily...!! Udvartana to lower abdomen with Kolakulathadi choornam...!! Vyayama in the form of skipping..!! She got her periods after a month...!!

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Concluded answer

Good management dr.

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? DELAYED PUBERTY.. GOOD JOB .. NEED'S.. HORMONAL STUDY.. USG..STUDY..

Thnk u Sir...!!
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medicine planning is good, continue for 1 month. and after that, Giloy ghanvati 1 BD Fal grit 1 teaspoon BD with milk Pushyanug powder 1 teaspoon BD ashwgandha tab 2BD for 1 month. and advisable, hormonal investigations, and CBC

Thank you doctor
1

Good management There will be vatavarodha..just keep on hormone regulators like Ashokarishta or Aloes compound for three cycles

Thank you doctor
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amenorrhea

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Needs pathological investigation Thyroid profile and other hormonal essay to evaluate the cause.

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Agree with Dr Gangani sir with this plz ask patient to maintain bmi avoid eating fast food junk food etc look for anemia too

I agree
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Good management dr.

Thank you doctor
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Life style changes with proper diet

I agree
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