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INTRODUCTION Polycystic ovaries, means that the ovaries develop more follicles than normal every month.

Usually about five follicles start to mature during each menstrual cycle and at least one egg-containing follicle releases a mature egg at ovulation. But a polycystic ovary starts maturing at

least twice as many follicles than normal, most of which enlarge and ripen but do not release an

egg. It is estimated that between 22 and 33 per cent of women have polycystic ovaries. Somewomen go on to develop polycystic ovary syndrome (PCOS), which means they have other symptoms in addition to polycystic ovaries. Other names for this syndrome include polycystic

ovary disease (PCOD), functional ovarian hyperandrogenism, Stein-Leventhal syndrome

(original name, not used in modern literature), ovarian hyperthecosis and sclerocystic ovarysyndrome.

PROBABLE CAUSES AS PER MODERN DATA The real cause is still unknown to experts. However, research indicates that the root of the

 problem is most probably resistance to the hormone insulin, which means you need more insulinthan usual to regulate the levels of sugar in the body. The extra insulin causes an imbalance in

the hormones that usually make your menstrual cycle run smoothly. Too much luteinising

hormone (LH) is produced compared to follicle-stimulating hormone (FSH), which in turn

causes the follicles on the ovaries to produce more of the male hormone testosterone than thefemale hormone oestrogen. The adrenal glands start to produce increased amounts of 

testosterone as well. Too much testosterone prevents ovulation, along with other symptoms

related to the syndrome. Oestrogen is still produced but, because the follicles never get to the point of maturity when progesterone production starts to increase, women with PCOS can be

deficient in progesterone. PCOS may be hereditary as well. Studies show that women with a

family history of polycystic ovaries are 50 per cent more likely to develop PCOS. SYMPTOMS

Irregular, non-existent or infrequent periods within three or four years of starting to menstruate.Light or very heavy bleeding during your period Weight gain Excessive hair growth to varyingdegrees on your face, chest and lower abdomen Mild to moderate abdominal discomfort during

 periods Acne Excessive skin growth on your neck or in your armpit, also called as skin tags.Bone pain (Arthralgia) and Hair loss (Alopecia), Thinning of Hair. Constipation, indigestion,

flatulence

SECONDRY DISORDERS DEVELOPING DUE TO PCOS   High blood pressure Dyslipidemia (high level of blood cholesterol , trigylecrides)

  Cardiac disorders

  Liver disorders

  Insulin resistance and type 2 diabetes

  Sleep apnea

  Infertilty and Miscarriage

  Thyroid disordersTREATMENT BY ALLOPATHY [MODERN MEDICINE] Allopathy treats the condition on lines of Hormonal imbalance and the major treatment includes

HRT (Hormone replacement therapy) where subsequent hormones are administered after proper 

evaluation of the patient. Apart from that diet and certain exercises are also recommended. Apart

from that there is a growing belief that PCOS occurs due to malfunction of the hormone insulinand henc Diabetic drugs like metformin may also be prescribed by your dosctor for the same.

Surgery is also an option exercised where the ovary is punctured or the cystic tissue obove the

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ovary is destroyed for better hormonal gain. However all this have their own after effects and

you must evaluate all options about it by asking your doxctor and personally researching on the

nest. This rule not only applies to Allopathy but also to other streamns of medicine as after all itsyour body.

AYURVEDA APPROACH 

Hormone therapy further depletes the already taxed Endocrinal system and puts it to sleep. Thehormones that are meant to be naturally released by the body, now provided with artificial means pushes the body into lazy mode. The HRT treatment may provide excellent results period over a

short but over time can lead to irreversible metabolic damage. For a good quality of life relief on

following lines must be procured

1. Weight loss

2. Proper menstrual cycle, devoid of cramps, good menstrual flow.

3. Cure from prolonged menses , scanty menses a common symptom in such disorders

3>Allievation of symptoms like pre-menstrual swelling, hair loss, acne etc.

4. Good mental health with freedom from irritability, mood swings, indecisiveness’ 

5. Promotion of fertility

Following are some useful Ayurveda tips in terms of diet, lifestyle and medicines which help in a

major way to alleviate this disorder.

AYURVEDA MEDICINES 

MEDICINE 1 Ashwagandha roots (Withania somnifera; entire about 150 gms),

Arjun bark (Terminalia arjuna; about 70 gms)

Divide both of these into 30 equal parts. Now boil 1 part every morning in 3 cups of water (approx 150ml) and reduce to 1 cup. Now filter this mixture and add 1cup of cow’s milk to it.

Boil the mixture again over a low flame till milk remains. Add 2 cardamoms while boiling.Consume this milk early morning empty stomach. Little sugar can be added for taste. Theremaining filtrate of Ashwagandha and Arjun can be used similarly in evening. During summer 

months, Shatavari (Asparagus racemosus var. javanica) can be substituted for Ashwagandha.

MEDICINE 2 Deodara [Cedrus deodar] bark 40 gmsBoil the bark in 500ml of water and reduce it to 50ml. Consume this tea on empty stomach 3

times away. One can use the same bark for all three times or use fresh as per liking. This is very

good remedy.

MEDICINE 3 Punarnava [Boehravia repens] root 30gmsGokshur [Tribulus terresteris] 10 gms

Prepare an herbal tea as mentioned in MEDICINE 2 and consume fresh 3 times a day on empty

stomach

IF FAILED TO ACHIEVE MENSES WITHIN 30-40 DAYS 

MEDICINE 1 

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10gms Nagkeshar (Mesua ferra flower stamens)

10gms crystal sugar (Khadisakhar, Mishri) 10gms

Cow’s ghee (Clarified butter from cow) Above herbs be mixed and consumed with milk once a day. The above combination is for one

day. If the periods do not commence even after this medicine then do not worry. Keep taking the

above medicine. Eventually they will come and with proper ovulation.

MEDICINE 2

Hermal seeds [Peganum Hermala]

Take 1gm of powdered seeds with milk,CAUTION These seeds can cause dizziness in some and hence discotinue or reduce the dose if 

symptoms occur.

PROLONGED MENSTRUAL BLEEDING Many women who suffer from PCOS suffer from prolonged bleeding once menstrual cyclecommences. Pomegranat fruit rind 10gms fresh Prepare a herbal tea as described in MEDICINE

2 and intake 2 -3 times a day

Apple Cider Vinegar [ACV] Take 20ml of the vinegar and dilute with 200 ml of water. Consume this 2 times a day on empty

stomach. This is a very good remedy. Please see to it that you buy the ACV with “mother” 

(I will be discussing more simple remedies to tackle thus problems in my other article related to

“MENSTRUAL DISORDERS”) 

DIET AND LIFESTYLE 1> Food timings must be fixed.2>Salt restriction is another major aspect. Prepare food without salt. Add salt while eating in

minimal quantities. Use of natural salt like Saindhav (Himalayan Crystal Salt) gives more benefit

3>Avoid sleeping after lunch or during daytime. Preferably have you evening meals beforesunset or when there is ample sunlight. Avoid eating heavy food after dark. One can have fresh

fruits though. Always drink warm water intermittently while having food. This simple practice

will help loose weight very quickly.4>Strictly avoid Bakery products, chilies, pickle, yoghurt and vegetable belonging to th

Solanaceae family [Brinjals, Broccoli]. These products instantly cause swelling in the

reproductive system

For prolonged health care it would be recommended to visit an Ayurveda physician and get acustomized health plan evaluated. I am also listing certain generic Ayurveda preparations that

may be prescribed for the said disorder 

1> Ashwagandhaarishta, Ashokasrishta, Kumariasav, Chandraprabhavati, Pushyanug churna,Phalghrita, Raupya Bhasma, Vang Bhasma, Abrakh Bhasma, etc. may be advised by your Ayurveda doctor These Medicines, their contents and

Preparation methods can be checked at the NATIONAL LIBRARY OF AYURVEDA

MEDICINE website

http://nlam.in/

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2>Panchakarma techiniques like Basti, Uttar Basti, Vaman, VBirechan, Nasya are also

undertaken

3>Certain Yogic exercises like Simhasan, Vajrasan, Shalabhasan, Sarvangasan are also helpful

and may be coupled with the above medicines.

MENSTRUAL SPOT TEST As a part of my Ayurveda regime, I always recommend each women to do this self test at home

to check the menstrual health. During menses on all three days take a small amount of menstrual

 blood on a clean white cloth and allow to dry. After few minutes wash it with warm water. The blood should wash away without leaving behind any stain in normal hormonal profile. If stains

are left than it indicates disrupted or about to be disrupted cycle.

Apart from above remedies, Ayurveda mentions certain protocols to be followed during menses.

1>Salt free diet for first 3 days

2>Abstain from any physical work 

3>No bathing or only sponge clean the body with water medicated with Neem [AzadhiractaIndia], Nirgudi [Vitex app] or Mint [Mentha app] leaves

4>Light food preferably comprising of watery gruel’s 5>On the 4th day have complete head bath and start with normal food

If these protocol is followed especially for women with Hormonal disorders it can rest assure a

healthy life ahead

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