Proper gynaec evaluation is required. Also ask her to follow HAIP DIET which will help in addressing the root cause

Do a proper consultation and then do adviced investigations for the treatment

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Noted, plz share USG reports and plan in person

First get hormone panel tests done all along with USG per abdomen. You can try giving her kanyalohadi vati-2-0-2,shatavari churna-2-0-2 and m2 tone syrup-10ml for 15 days. For more information please consult.

Hlo sir, as per complaint shared by you. This can not be neglected. Please share the complete history because permanent solution needs proper management. Plz DM for history, this could be serious

Prolonged Bleeding pv after every menses as chief complain from 5 yrs it's not a normal issue by my side . Please make sure her to visit a Gyne clinic from suffering past 5 yrs . As per your question you didn't tell other associated symptoms by which I can assess and recommend to you for most preferable tests to diagnose. But don't worry , when you visit a clinic. Atleast done test of CBC , USG pelvic , Urine RM , Hormonal assay . Because in the case of bleeding it have many causes likely AUB, DUB ( Fibroid)

It can be due to any uterine pathology like Endometrial thickness,uterine fibroids etc,pcod or other reasons..Treatment will be according to the underlying cause

Do test for fibroid, thyroid, pcod.you can start ashoka arisht,strirasayanvati,lajvantipatrangchurn.

Consult ayurveda physician for proper diagnosis and treatment

Based on the history, this condition fits more with menorrhagia rather than epimenorrhea. In menorrhagia, the menstrual cycles remain regular ( between 25-30 days), but the bleeding is excessive or lasts longer than normal. In epimenorrhea, the cycles themselves are too frequent, occurring every 12-15 days, which is not the case here(this is my consideration) •In a normal menstrual cycle, one hormone called estrogen- helps the lining of the uterus grow & become thick.  After the egg is released, another hormone called progesterone helps stabilize this lining & allows it to shed in a regular, controlled way as normal periods.  Sometimes, egg is not released. When this happens, progesterone is not produced& estrogen keeps acting alone.  This causes the uterine lining to become overgrown & weak.  Cause it is weak, ( there is no progesterone to stabilize it) this lining starts breaking down, leading to heavy, prolonged bleeding. Over time, repeated blood loss causes weakness& tiredness •According to Ayurveda, this condition occurs due to excess heat (Pitta) along with disturbance of Apana Vata, which controls menstruation.  Increased Pitta affects the blood & uterus, leading to excessive bleeding, while disturbed Vata causes the flow to become irregular & prolonged. •Basic Investigations Pelvic USG  Thyroid profile  CBC (Helps to rule out PCOS, fibroids, endometriosis, thyroid dysfunction, & to assess hemoglobin status)

Hormonal Imbalance (Most common) • Irregular ovulation • Low progesterone levels Causes prolonged or inter-menstrual bleeding Uterine Fibroids Endometrial Polyps Adenomyosis / Endometriosis Thyroid Disorde Treatment (Depends on Cause) Hormonal cause • Progesterone therapy • Combined oral contraceptive pills • Hormonal IUD (Mirena) Fibroid or Polyp • Medications (temporary relief) • Hysteroscopic removal (minor procedure) Thyroid disorder • Thyroid medication usually corrects bleeding To control heavy bleeding • Tranexamic acid • NSAIDs (as prescribed) For anemia • Iron supplements or injections • Blood transfusion (only in severe cases)

Hello sir .. There are certain CONDITIONS that lead to irregularity in menstrual cycle like endometriosis, menorrhagia, DUB etc.. We can rule it out properly by taking history and radiological examination. You can consult for the detail treatment Thanks

May be infection Take chandraprabha vati and ashokaristam Consult for more