Breathe, Womb and PCOD

By Dr Alphonse BAMS, PGDACT,
Vaidyagrama.Com

In Ayurveda, hormonal imbalance is not seen as just a physical problem. It begins much deeper, in the realm of energy. At the heart of most menstrual and fertility disorders lies a disturbance in Apana Vayu, the downward-moving energy responsible for the healthy functioning of the reproductive organs. When this energy becomes blocked or starts moving in the wrong direction, the entire rhythm of the reproductive system is disturbed. The breath, however, can help bring this vital force back into harmony.

Among the five types of Vata, Apana Vayu governs all downward movements in the body, including menstruation, ovulation, urination, elimination, and childbirth. It resides in the lower abdomen and pelvis, influencing the organs of reproduction and excretion. When Apana Vayu is vitiated, it creates stagnation and obstruction in these regions, leading to irregular periods, infertility, and conditions such as PCOD or PCOS.

​According to Ayurveda, PCOD develops through a combination of imbalances. When Apana Vayu is disturbed, menstrual rhythm and ovarian function become erratic. Increased Kapha dosha contributes to cyst formation, weight gain, and sluggish metabolism. A weakened digestive fire, or Agni, leads to poor hormone metabolism and the buildup of toxins known as ama. This, combined with blockage of the body’s internal channels, causes pelvic stagnation and irregular cycles.

Pranayama, the conscious regulation of breath, directly supports the correction of Apana Vayu. As the breath deepens and slows, the pelvic muscles relax, oxygen flow to the uterus and ovaries improves, and the autonomic nervous system comes into balance. This reduces stress hormones such as cortisol and supports the delicate communication between the hypothalamus, pituitary, and ovarian glands. Over time, digestion improves, metabolism stabilises, and emotional tension melts away. When the breath is calm, Vata becomes balanced, and the reproductive rhythm is naturally restored.

Among the most effective breathing practices for PCOD is Nadi Shuddhi or Anulom Vilom, the alternate nostril breathing technique. Practised daily for about ten to fifteen minutes, it harmonises both sides of the brain, balances Vata, and normalises hormonal activity. Bhramari, or the humming bee breath, uses gentle vibration to relax the mind and nervous system, helping to relieve anxiety, irritability, and premenstrual tension. Cooling techniques such as Sheetali or Sheetkari help to reduce excess heat and Pitta, which are often responsible for acne, anger, and other heat-related menstrual problems.

Simple deep belly breathing, done while sitting or lying down, activates the parasympathetic system, enhances pelvic circulation, and calms both body and mind. Practising it for ten minutes in the morning and again before bedtime can help maintain balance throughout the day. More stimulating practices like Agnisara and Kapalabhati strengthen digestion, improve insulin sensitivity, and reduce abdominal fat — though these should be avoided during pregnancy or heavy bleeding.

Supporting these breathing practices with yoga postures such as Malasana, Baddha Konasana, Supta Baddha Konasana, Vajrasana, Setu Bandhasana, and Marjariasana further enhances circulation and energy flow in the pelvis. Lifestyle adjustments amplify the effects: eating early, favouring warm and nourishing meals, avoiding cold and heavy foods, maintaining a steady sleep rhythm, and practising gentle oil massages with sesame or Bala taila. Ayurvedic herbs like Ashoka, Shatavari, and Kumari, when used under proper guidance, act as rejuvenatives that support hormonal balance and reproductive vitality.

In essence, PCOD is not merely a hormonal disorder but an energetic imbalance rooted in disturbed Apana Vayu. Through mindful and consistent breathing practices, we can restore the natural flow of energy, improve circulation in the pelvis, calm the mind, and harmonise the endocrine system. This path is gentle, holistic, and deeply healing — one that reconnects breath, body, and womb in a rhythm of wellness.

To experience this transformation more personally, you can request a seven-day pranayama plan for PCOD by writing to Dr. Alphonse at [email protected].