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Advice- Investigation-Lower Abdominal altrasound, Thyroid function test, CBC. family history- of hypothyroidism, Uterine fibroid. Most common cause of irregular MC are hypothyroidism, PCOD, Uterine fibroid ..other endometriosis,cyst Anemia, Leucorrhea Is case me most probably leucorrhea ki vajah se bhi irregular MC hoskta h fir bhi tft, usg karana chaiye confirmation k Lia. Treatment for leucorrhea- 1. M2tone - 2 tsf TDS 2. Panchvalkal kwath- sitz bath 3. Pushyanug churan- 3gm BD with tandulodak 4. Shatavari gud- 1tsf BD Treatment for Uterine fibroid (size <5/6 cm) 1. Trifala gugulu+ kachnar gugulu- 2 table TDS mainly Treatment for hypothyroidism- 1. Kachnar gugulu-2 table TDS/ BD 2. M thyro care table- 2 table TDS/ BD ( depends tsh value)

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पदरान्तक लौह 4 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। अशोक घृत 10 ग्राम सुबह-शाम खाने के साथ दे। अशोकारिष्ट दशमूलारिष्ट आपस में मिलाकर 25 ग्राम सुबह-शाम खाने के बाद दें। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

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Ashokarista 20 ml along with 2 Rajparvartini Vati will be given after meal twice day for 3 months.

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Kanchanara guggulu 1bid (Vara vishaladhi kashaya2tsp bid Brahmi draksharista 2tsp bid) both can be taken mixed together with 5tsp water bid b/f For white discharge: Pushyanuga churna with rice washed water

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Advice- Investigation-Lower Abdominal altrasound, Thyroid function test, CBC. family history- of hypothyroidism, Uterine fibroid. Most common cause of irregular MC are hypothyroidism, PCOD, Uterine fibroid ..other endometriosis,cyst Anemia, Leucorrhea Is case me most probably leucorrhea ki vajah se bhi irregular MC hoskta h fir bhi tft, usg karana chaiye confirmation k Lia. Treatment for leucorrhea- 1. M2tone - 2 tsf TDS 2. Panchvalkal kwath- sitz bath 3. Pushyanug churan- 3gm BD with tandulodak 4. Shatavari gud- 1tsf BD Treatment for Uterine fibroid (size <5/6 cm) 1. Trifala gugulu+ kachnar gugulu- 2 table TDS mainly Treatment for hypothyroidism- 1. Kachnar gugulu-2 table TDS/ BD 2. M thyro care table- 2 table TDS/ BD ( depends tsh value)

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1

At first we have to clear the irregularity of menstruation in terms of amount ( excessive or scanty) or duration ( cyclical or acyclical) or both....then we should move towards any investigation....since she is 20 so the chances of uterine fibriod is very rare.. So the most possible causes are... Age related Weight related Stress of exercise related Endocrinal disorder like PCOS, hyper or hypo thyroidism, or hyperprolactinaemia.. So first of all we have to inveatigate the cause and then move f proper treatment..but along with this we have to continue with.... Syp- ashokaristam- 15 ml+ 15 ml of water BDPC tab chandraprabha vati - 2 tab BDPC tab rajah pravartani vati - 2 tab BDPC ( if scanty menst) For white discharge ....she should advice to maintain local hygiene with wash with triphala powder and to use cotten innerwear.along with this .. Pusyanug churna 1 tsf with honey and rice water BDPC...

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Leutab M2 tone syrup Pushyanug churan+ satavri+ manjistha + sariva 3gm with honey

Pushyanug churna 3gm bd with tandulodak Panchvalkal kwath for sitz bath Syp Amycordial 10ml tds Shatavari ghrita 10gm BD

Muslikhadeeradi kashayam Pravala bhama cap Pushyanga churns Kanchanara guggulu Brahmi vati

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