PCOD (Poly Cystic Ovarian Disease/ Syndrome) is a Common endocrine disorder, affecting 5-10% of female in reproductive age and also most common cause for female infertility. This is also known as Chocolate cyst.

1. Poly Cystic Ovarian Disease
(PCOD)

2. PCOD
Common endocrine disorder
Affects 5-10% of female in reproductive age
Most common cause for female infertility
Also known as Chocolate cyst

3. Symptoms
Irregular / delayed cycle
Weight gain / difficult to lose weight
Acne / Oily skin / Dandruff
Excess Hair growth over face / chest / back etc
Thinning of scalp hair
Infertility / Miscarriage
High BP / Cholesterol / Diabetes

4. Investigations
Pelvic Ultrasound
Honeycomb of partially
developed follicles (eggs) coating
the ovaries
FSH & LH a ratio of around 4 and
above
Hypothalamus & Pituitary axis

5. Management
Weight loss
Lowering of insulin levels
Restoration of fertility
Treatment of hirsutism or acne
Restoration of regular
menstruation

6. The Ayurveda view of menstrual cycle
Average menses are considered to be 4-5 days, moderate flow,
moderate colour, no clots, no discomfort.
Kapha phase: End of bleeding until ovulation is a time of building
the endometrium and increasing kapha. (Oestrogen is increasing)
Pitta phase: Ovulation until bleeding. (Progesterone is high and is
secreted by the corpus luteum - prepares endometrium for
implantation and breasts for milk secretion)
Vata phase: Apana vayu (the downward descending wind) pushes
the menstrum down and out, therefore emptying the contents of
the womb.
If there is any disturbance in these phases then they need to be
balanced

7. Female Fertility
The main problem with the female menstrual cycle is
that the downward descending energy (apana vayu) is
blocked
This causes all sorts of fluctuations from pain,
bloating, dryness, anxiety, insomnia, scanty periods,
irregular cycle, clots and infertility
The strategy is to first clear any obstructions and then
to tonify with nourishing boosting herbs.

8. Tips to balance menstrual cycle
Balance vata during the vata bleeding phase by relaxing, resting,
staying warm and calm. Especially keep your abdomen warm and
avoid the cold
Balance kapha during the proliferative phase by eating nourishing
soups that strengthen the blood and enhance ovulation- include
beetroots, aloe vera, shatavari, nettles and whole grains in your
diet
Balance pitta during the last phase of the cycle by keeping off
foods that might aggravate heat and stress in your body, i.e. coffee,
chocolate, alcohol
Increase your yoga practice, have lots of warm baths and clockwise
abdominal massage and add Ashoka Triphala and Aloe vera in
your regime to keep the pelvic region uncongested.

9. Psychological Factor
Excessive mental, emotional and physical stress can
worsen the symptoms of many chronic disorders,
including infertility
This is due to hormonal changes and other
biochemical responses to stress that can imbalance the
nervous system
Trying to get pregnant can be very stressful
What is important is that getting pregnant can be
facilitated by optimising good health

10. Just Relax!
It is easy to say it but basically just try to relax and let
nature work her course.
Also remember that when we are tense then our
channels and vessels are constricted
If this happens with uterus then the fallopian tubes,
the blood vessels nourishing the uterus can also be
constricted, which is the opposite of what is needed to
conceive

11. Treatment
Rajapravartini vati
Ovaryn
Hyponidd
Sukumara kashaya
Senovila
Saptasara kashaya
Pushpadhanwa rasa

12. Treatment
In case of excess Menstrual bleeding
Gynovedan
Pradarantak ras
Bolabaddha rasa
Raktastambhak