Menorrhagia

43 years old female with heavy flow during menses from past 1 year G3P2A0L2 No h/o DM, htn or thyroid disorder USG dated 4 june reveals uterine fibroid of size 38 mm * 40 mm Menstrual history Cycle 26 days Duration 3 days Flow heavy flow using 3-4 pads/day Clots++ She is pitta vata prakriti Appetite normal Bowel mild constipation & incomplete evacuation Thirst normal Sleep normal

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Uterine Fibroid is a Kashta Sadhya Vyadhi Start with Lekhana Chikitsa using Varunadi Kashaya Varunadi Churna + Pushyanug Churna + Giloy Satva = BD with luke warm water Ashokarishta OD with equal quantity of water Educate about Pathya-Apathya and Nidana Parivarjana Advise to maintain healthy weight If possible then ask the patient to think about Hysterectomy

Fraxinus Americana Q(10 drops to be taken twice a day with half cup of luke warm water), Aurum Mur Nat 3x, Calc Carb 30, Thuja 30 all to be taken two times a day and Thlaspi Bursa Q 10 Drops twice a day with half cup of luke warm water

It's quite normal before menopausal age Perimenopausal syndrome

Athyarthava Rx Sukumara ghrutham 1 tsp 6am/6pm Saptasara kashayam 15 ml bd bf with 45ml warm water Kanchanara guggulu 2 bd af Ashokaristam+ Kumaryasavam 20 bd af

Sepia 200

Rx Thyroidinum.

Syrup Meritone 2 tsf bid is advisable.

Suggest USG of abdomen Ashokarista,

Sepia 30

Nux vomica 30/tds

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Uterine Fibroid
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