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Consults from anywhere in India

One raised number
is not a verdict.

Unani care for women aged 13 to 39 — for the years before a pregnancy and the long, under-attended years after one. We start with what your prolactin report actually means, then treat the person around the number.

13–39Years we care for
40 minFirst consultation
VideoAll India + NRI
Serum prolactin ng/mL · non-pregnant

Move the dial to your report value.

0 50 100+ 25 75
18ng/mL
Within the usual range

Most non-pregnant women sit under 25 ng/mL. A value here usually points the consultation elsewhere — cycle history, thyroid, weight, sleep, stress.

Guidance only, not a diagnosis. A single high reading is often stress, a recent meal, breast examination, or medicines you are already taking. Repeat testing and clinical assessment decide everything.

Presenting
concern
What brought you here

The problems we treat

Everything the cycle touches — before and after a baby.

Pick the side of the story you are living right now. Each concern below is one we see weekly, and each one changes what we ask you in the consultation.

Cycle

Irregular or absent periods

Cycles shorter than 21 days, longer than 45, or gone for three months without a pregnancy.

Tests we usually want: prolactin · TSH · FSH/LH · pelvic ultrasound
Prolactin

High prolactin & milky discharge

Galactorrhea when you are not feeding, often with skipped periods and low interest in intimacy.

Tests: repeat prolactin · macroprolactin · MRI pituitary if very high
Ovary

PCOS

Acne along the jaw, hair on the chin, weight that will not move, and a scan that mentions "multiple follicles".

Tests: fasting insulin · HbA1c · testosterone · lipid profile
Thyroid

Thyroid and prolactin together

An underactive thyroid pushes prolactin up. Treating one without checking the other wastes months.

Tests: TSH · free T4 · anti-TPO
Fertility

Trouble conceiving

Twelve months of trying under 35, six months over 35 — and no answer yet from either partner's tests.

Both partners assessed · AMH · follicular study · semen analysis
Loss

Repeated early miscarriage

Two or more losses before 12 weeks. Prolactin, thyroid, sugar and clotting all deserve a look.

Tests: TSH · prolactin · HbA1c · APLA panel
Pain

Severe period pain

Pain that stops you working or studying, pain during intimacy, or bowel pain that peaks with periods.

Referral for endometriosis assessment where indicated
Nutrition

Anaemia and low body weight

Very common and very treatable — and both can stop ovulation on their own.

Tests: haemoglobin · ferritin · vitamin B12 · vitamin D
Prep

Planning a pregnancy

Three to six months of preparation before you start trying: cycle, weight, iron, folate, sugar, medicines.

Pre-conception package · folic acid from 3 months prior
!

Please do not book online for these — go to a hospital today

Heavy bleeding soaking a pad every hour, fever above 38°C after delivery, severe headache with blurred vision or new visual field loss, chest pain or breathlessness, a seizure, calf pain and swelling, or thoughts of harming yourself or your baby. Telemedicine is the wrong tool for these.

Examination
& history
The context around the number

Indian context

Nine reasons this looks different here.

Hormones are not only made in glands. They are made in night shifts, long commutes, joint-family kitchens, exam seasons and the air outside the window. Our history-taking is built around the life Indian women actually live.

Night shifts and 1 a.m. screens

Prolactin peaks in sleep. IT, BPO, nursing and hospital rosters flip that rhythm, and a phone at midnight keeps it flipped. Sleep timing is the first thing we fix, before any medicine.

Vitamin D deficiency in a sunny country

Indoor work, full-cover clothing, sunscreen, high melanin and haze over most cities. Deficiency rates in urban Indian women run very high, and it shows up in cycles and mood.

Medicines that quietly raise prolactin

Domperidone taken for acidity or to push milk, metoclopramide, several antipsychotics and antidepressants, and some blood pressure tablets. We ask for your full strip list, not a summary.

Iron loss meeting a low-iron plate

Heavy periods on a largely vegetarian diet, with tea or coffee drunk right after meals blocking the little iron there is. Anaemia alone can stall ovulation.

Refined carbohydrate load

Rice, roti, biscuits with chai, and very little protein. Insulin resistance follows, and PCOS follows insulin. We rebuild the plate rather than delete it.

Air, plastic and pesticide exposure

PM2.5 through winter, food reheated in plastic, phthalates in fairness creams and hair products. Endocrine disruptors are a real background load in Indian cities.

Fasting and festival cycles

Ramzan, Navratri, Karva Chauth, weekly vrat. Fasting is not the problem; unplanned fasting with anaemia, low protein or thyroid medicine timing is. We plan around your calendar.

Stress that has nowhere to go

Board exams at 17, marriage pressure at 24, "good news?" at 26, a newborn and no help at 29. Chronic stress raises prolactin and cortisol together. Naming it is part of the treatment.

Heat, dehydration and long commutes

Two hours on a bus in 42°C, water avoided because there is no clean toilet at work. It affects blood pressure, urinary infections and pregnancy outcomes more than most patients expect.

Delayed help-seeking

Most women we meet have carried the problem for two to four years, usually because the first person they told said it would settle after marriage, or after a baby. It rarely does.

Prescription What we dispense

The formulation

Safoof-e-I'tidāl — a powder, not a promise.

سفوفِ اعتدال

Safoof-e-I'tidāl

Prolactin balance
powder · Unani

NET 90 g · 30 DOSES

Dispensed after consultation

A single-purpose safoof (fine powder) built around the classical Unani principle of اعتدال — restoring balance rather than forcing a number down. It supports the cycle-regulating and stress-buffering side of care while your treating doctor manages the diagnosis itself.

Dosage form Fine powder (safoof), unflavoured, 3 g level scoop included
Net quantity 90 g jar (30 doses) · 45 g starter (15 doses) · 3 g single-dose sachets, box of 30
Key herbs Sambhalu سنبھالو (Vitex negundo) · Asgand (Withania somnifera) · Tukhm-e-Kasni (Cichorium intybus) · Tukhm-e-Karafs (Apium graveolens) · Darchini (Cinnamomum zeylanicum) · Gul-e-Surkh (Rosa damascena)
Deliberately absent Methi and Shatavari. Both encourage milk production, which is the opposite of what this formulation is for. They appear in our postpartum SKU instead.
How to take One 3 g scoop with 100 ml lukewarm water, 30 minutes after breakfast. Twelve weeks, with a review at week six.
Review point Repeat serum prolactin at week six. If the number and the cycle have not moved, we change the plan — we do not extend it.
Shelf life 24 months · store below 25°C, keep the scoop dry
No added sugar No steroids No heavy-metal bhasmas Batch-tested for lead, mercury, arsenic, cadmium Vegetarian
Who should not take this Anyone who is pregnant or who has just conceived. Anyone under 13. Anyone already on cabergoline or bromocriptine, unless your prescribing doctor has agreed. Anyone with a known pituitary tumour being actively managed. This powder does not replace investigation, imaging or prescribed medicine — it is dispensed alongside them, after a consultation, and never sold as a cure for infertility.
Plan Getting seen

Consultations

Book the right length of appointment.

Every consultation happens over video. Choose a slot, pay online, and you will get a prescription and a written plan in your inbox within four hours of the call.

First consultation

40 min · video

Full history, review of every report you have, and a written twelve-week plan.

₹900incl. GST
Choose a time

Follow-up

20 min · video

Progress review, dose changes, and the next set of tests. Free if within 14 days of your first call.

₹500incl. GST
Choose a time

Report reading

15 min · video

You have the results and no one has explained them. We go through the report line by line.

₹300incl. GST
Choose a time

Adolescent visit

30 min · guardian joins

For ages 13–17, with a parent or guardian on the call and written consent taken beforehand.

₹700incl. GST
Choose a time
When we run clinicsMon–Sat, 10:00–13:00 and 17:00–20:00 IST. A Sunday morning slot is held for working women and for patients calling from the Gulf.
What you get afterwardsA PDF prescription, a plain-language plan, your test list, and a WhatsApp reminder before every review date.
If you need to cancelFree reschedule up to 6 hours before. Full refund if we cancel, or if your case needs an in-person examination we cannot do over video.
Case sheet In your own words

Before your appointment

Tell us the problem exactly as you experience it.

Four short steps, about five minutes. Filling this in before the call means we spend the appointment on answers instead of paperwork. Nothing here is shared with anyone outside the clinic.

1 · About you
2 · Cycle & history
3 · Symptoms & reports
4 · Life & the problem

Your answers are encrypted in transit and kept in your patient record only. We never sell or share patient data.

Follow-up Questions we get daily

Straight answers

Before you book.

My prolactin is 42. Do I have a tumour?

Almost certainly not. Values in the twenties to forties are most often caused by stress at the blood draw, a recent meal, sleep disturbance, an underactive thyroid, or a medicine you are already taking. The right next step is a repeat test taken properly — fasting, rested, mid-morning — along with a thyroid check. Imaging is considered when values stay high without an explanation, or when they are very high, or when there are headaches and visual symptoms.

Can Unani medicine replace cabergoline?

No, and we will not tell you otherwise. Where a pituitary adenoma or a markedly raised prolactin needs a dopamine agonist, that is the treatment, and we will refer you to an endocrinologist. Our formulation is for the large middle group: mildly raised values, irregular cycles, stress and sleep-driven imbalance, and the recovery period after conventional treatment ends.

Will this help me get pregnant?

We do not sell fertility. What we can honestly say is that regular ovulation, corrected iron and thyroid status, controlled blood sugar and better sleep all improve the odds, and that we work on those. Any clinic promising conception from a powder is selling you something.

Is it safe while breastfeeding?

Safoof-e-I'tidāl is not for the breastfeeding period — it works in the opposite direction to what your body is doing. If you are feeding and have a concern, the postpartum consultation and, where appropriate, our lactation-support formulation are the right route.

I am 16. Can I book without telling my parents?

No. For anyone under 18 we need a parent or guardian to consent in writing and to join the call. If home is difficult, tell us in the case sheet and we will suggest a safe way forward, including an adolescent clinic near you.

Do you dispense outside India?

We consult worldwide by video. Medicine shipping is limited to India, plus the UAE, Saudi Arabia, Oman, Qatar and Kuwait where import rules for herbal preparations allow it. Elsewhere we send the prescription and a list of equivalent formulations available locally.

What happens to my reports?

They stay in your patient record, held under the clinic's data policy and India's telemedicine practice guidelines. Only the treating doctor and one clinical coordinator can open them. You can ask for a copy, or for deletion, at any time by writing to us.