International Journal of Trend in Scientific Research and Development (IJTSRD) Volume 6 Issue 2, January-February 2022 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
Efficacy of Homoeopathy in PCOS: An Evidence Based Case Study Dr. Poonam Meghani Lecturer, Department of Obstetrics and Gynaecology, Rajkot Homoeopathic Medical College, Parul University, Rajkot, Gujarat, India
ABSTRACT Polycystic ovarian syndrome (PCOS) is an endocrine disorder that affects approximately 5% of all women which are very commonly found in day-to-day (routine) practice. When it comes to alternative systems or complementary treatments for PCOS, Homeopathy offers the best alternative. This is because Homeopathy focuses on treating and curing the root cause of the problem. The Homeopathic philosophy of disease is not based on the external causes of diseases. Homeopathy believes that the human body has been perfectly enabled by nature to keep itself disease free. Homeopathic medicines are very safe to use among women of all age groups, and these can treat ovarian cysts very gently without any side effects. Treatment of Ovarian cyst with homeopathic medicine is a holistic approach that treats the main cause behind the problem. Homeopathic medicine for ovarian cysts can help in dissolving the cysts already present and can also reduce/remove the tendency to develop new cysts. KEYWORDS: Ovarian Cyst, Hormonal And Psychological Changes, Holistic Approach, Menstrual Disturbance
How to cite this paper: Dr. Poonam Meghani "Efficacy of Homoeopathy in PCOS: An Evidence Based Case Study" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456IJTSRD49103 6470, Volume-6 | Issue-2, February 2022, pp.54-59, URL: www.ijtsrd.com/papers/ijtsrd49103.pdf Copyright © 2022 by author(s) and International Journal of Trend in Scientific Research and Development Journal. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (http://creativecommons.org/licenses/by/4.0)
INTRODUCTION Poly Cystic Ovarian Syndrome or PCOS is a common hormonal system disorder occurring in women of reproductive age. It is also called PCOD. Another name for the disorder is Stein-Leventhal syndrome. This name comes from the two American gynaecologists Irvin F Stein and Michael L Leventhal, who first described this condition way back in 1935. PCOS is a heterogeneous endocrine disorder that affects about 1 in 15 women worldwide. The prevalence of PCOS in the Indian subcontinent Asian women was 52%. Prevalence of PCOS in Indian adolescents is 9.13%. Polycystic morphology is seen on ultrasound in approximately 22% of women. DEFINITION:PCOS is the acronym for Polycystic Ovarian Syndrome. Ovarian cysts are collection of fluid, surrounded by a very thin wall, within an ovary. SIZE AND SHAPE:Any ovarian follicle that is larger than about two centimeters is termed an ovarian cyst. An ovarian cyst can be as small as a pea, or larger than an orange.
CAUSES AND TYPES OF CYSTS:A. Functional Ovarian Cysts Functional cysts are the most common and harmless ovarian cysts that tend to disappear on their own within two to three menstrual cycles. Functional cysts are linked to the menstrual cycle. Functional cysts are further divided into two types – follicular cyst and corpus luteum cyst. 1. Follicular Cyst: In a menstruating female, every month a follicle in the ovary matures, and it contains an egg. This follicle ruptures to release the egg (a process known as ovulation). If for any reason the follicle does not rupture and release the egg, then it swells up into a fluid-filled follicular cyst. 2. Corpus Luteum Cyst: During the menstrual cycle, the ovum (egg) is released from the follicle during ovulation. The follicle then gets converted to a mass known as ‘corpus luteum’ that secretes the hormone progesterone. If the ovum gets fertilized with sperm (that is, a pregnancy occurs), then the corpus luteum keeps secreting progesterone to maintain the pregnancy in
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the early stages. If pregnancy doesn’t happen, then this corpus luteum stops secreting progesterone and disappears. In some cases, the corpus luteum doesn’t disappear even in the absence of a pregnancy. It then gets filled with fluid or blood and persists in the ovary in the form of a corpus luteum cyst. B. Dermoid Cyst:A dermoid cyst is a benign cyst that contains some tissues like hair, skin, fat, teeth, thyroid tissue, nails, bone, etc. These cysts are also known as ovarian teratomas. These cysts are seen in women during the reproductive years. Women usually below the age of 30 years tend to develop these cysts. Although not a serious problem, dermoid cysts cause a problem if they rupture. They can then cause infection or ovarian torsion, both of which require medical attention. C. Others :Endometriotic Cysts also called Chocolate cyst Ovarian Serous Cystadenoma Ovarian Mucinous Cystadenoma Ovarian Cystic Adenofibroma Heamorrhagic Cyst Parovarian Cysts CLINICAL FEATURES:Pain in pelvis, abdomen, lower back Uterine Bleeding Irregular periods General Symptoms like Malaise, Fatigue, Lethargy, etc. Gastrointestinal symptoms like Difficulty in bowel movement due to large cyst causing pressure symptoms Nausea, Flatulence and gaseous distention may also be present in many cases HOMOEOPATHIC VIEW POINT OF OVARIAN CYST:Homoeopathy has a significant role as an alternative treatment in the cases like polycystic ovarian disease where conventional treatment fails to improve or cure the patient. No definite cure is available for PCOS except for the hormonal treatment and alteration of lifestyle in the modern medicine. Homoeopathy focuses on the physical as well as the psychological wellbeing of the patient, well indicated constitutional remedy on the basis of totality of symptoms can work well. The few homoeopathic medicines that would prove beneficial for the treatment of PCOS are:Apis Mellifica- One of the best Homeopathic medicines for the treatment of PCOS with stinging pains When there are stinging pains in
the ovarian region, Apis Mellifica is one of the best Homeopathic medicines for PCOD. The stinging pains are more likely to be accompanied by tenderness over abdomen and uterine region. This medicine is made from the honey bee and its characteristic pains are also like the sting of a honey bee. The patient is unable to tolerate heat and feels worse in summers. The right side is more likely to be affected. There may even be oedematous swellings of various body parts. Pulsatilla – One of the best Homeopathic medicines for PCOD with scanty and late menses When the menses are late or delayed and are scanty, Pulsatilla is one of the best Homeopathic medicines for PCOD. The patient is usually thirstless and takes little water. The general temperament of the patient is mild, gentle and yielding. There are changeable moods in which patient is happy at one moment and the very next moment, she becomes irritable. Pulsatilla is often suited to young girls in whom the problem starts at puberty itself. Sepia – One of the best Homeopathic remedies for PCOS with bearing down pains When the patient has bearing down pains from the back and abdomen, Sepia is one of the best homeopathic remedies for PCOS. There is a feeling of a “ball” like sensation in the inner parts. The pelvic organs seem relaxed. The menses are irregular. In some cases they are too late and scanty while in others they are early and profuse. There may be yellowish or greenish leucorrhea. The mental temperament of the patient is such that she is irritable and indifferent. She cares the least even for her family members. Lachesis – One of the best Homeopathic remedies for PCOD with aversion to tight clothes When there is aversion or intolerance to anything being worn a little tight, Lachesis is one of the best Homeopathic remedies for PCOD. Most of the problems are on the left side only. The menses are too short and flow is feeble. There are pains in the abdomen which are relieved after the flow starts. There is great loquacity in the patient and is often seen jumping from topic to topic. Jealousy is another prominent symptom present in such patients. Graphites- One of the best Homeopathic medicines for PCOS with constipation. When there is constipation along with other symptoms, Graphites is one of the best Homeopathic medicines for PCOS. The patient
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is often of a stout build or is fat. She cannot tolerate cold and is always feeling chilly. The menses are too late and are pale and scanty. There is tearing pain in the stomach region. Hardness may be felt in the ovarian region. Aurum iodatum: Ovarian Cyst, myomata uterus. Induration of ovaries. Strong desire for open air. Extreme thirst. Aurum muriaticum natronatum: Ovaries indurated. Coldness of abdomen. Leucorrhoea, with spasmodic contraction of vagina [9]. Asymptomatic ovarian and uterine tumors. Atonic amenorrhoea, scanty and delaying menses, deficient sexual desire, infertility from ovarian torpor, ovarian dropsy Eupionum: Burning in the right ovary. Gushing leucorrhoea. After menses, yellow leucorrhoea with severe backache. Sacrum painful as if broken. Intense sweat from the slightest exertion Gossypium herbaceum: Intermitent pain in the ovaries. Morning sickness with flow of saliva, before breakfast, with a sensitive uterine region. Suppressed menstruation. Backache, weight & dragging in the pelvis Oleum jecori aselli: Establishes the menstrual flow, and restores it when in abeyance. Abnormal growth of hair on face. Yellow leucorrhoea. Soreness of every parts Oophorinum/ Ovininum: suffering following ovariotomy. Climacteric disturbances generally. Ovarian cysts. Cutaneous disorders and acne rosacea CASE PRSENTATION:A 26 years old student girl reported with the presenting complaints of infrequent menses at exceeding intervals of 45 to 90 days since 2 yrs. Sometime severe cramping pain starts from lower abdomen extending to back and lower extremities when the date of menstrual cycle is approaching. History of presenting complaint:Patient had apparently normal regular menstrual cycles till 3 years back. She had a relationship which was broken 2 years back. She was going through much of stress and she felt helpless at that time.
Gradually she had irregular, scanty menses followed by delayed menses. History of past treatment:She consulted to gynecologist and received treatment with temporary results. PERSONAL HISTORY:PHYSICAL GENERALS:Appetite:- 3-4 chapatis/meal. Thirst:- no desire to drink water Desire:- specific craving for salt and also likes pastry & chocolates Aversion:- not specific Urine:- 3-4/0 – D/N Stool:- constipation without urge for evacuation since last 9 months MENTAL GENERALS:She easily gets irritated on little things with dislike to talk with anyone. She doesn’t like to share her problems or talks with anyone. She wants to stay alone especially when sad or upset and during weeping. She can’t tolerate chill. All complaint started after break up. ANALYSIS AD EVALUATION OF SYMPTOMS:From the above case study the symptoms for my totality which I have elicited are (according to kentian method) :A/F disappointment of love Irritable on trifles Taciturn Aversion to company Weeps or broods when alone Thirstless craving for salt and also likes pastry & chocolates Constipation without urge for evacuation since last 9 months Irregular, scanty menses followed by delayed menses Severe cramping pain starts from lower abdomen extending to back and lower extremities
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REPERTORIZATION:-
BEFORE
DURING RX
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AFTER FOLLOW UP:SR. NO. CHANGES IN COMPLAINTS The lady had 60% relief in all her complaints. The pain during menstrual complaints was reduced. Mental complaints had ST 1 slight relief but not appreciable changes. Constipation was not relieved up to the mark. Pain was reduced. Relief in mental complaints up to 50% but still sometimes gets disturbed due to anxiety about the disease nd 2 condition. Menstrual complaints relieved but menses returns sometimes on hearing bad news or from shock All the complaints were relieved about 80%. And pt was 3rd advised to carry out USG abdomen again . From the reports attached above, it was concluded the cyst was 4th resolved and the complaints of patient were also relieved. So she was now advised to stop the medication after this week. CONCLUSION:The conventional mode of treatment usually prescribes oral contraceptives or birth control pills in most cases of ovarian cysts. These pills don’t treat the root cause of ovarian cysts; they mask the symptoms by regularising the menstrual cycle without treating the cysts. They may also suppress ovulation to prevent the formation of more cysts. These pills do not dissolve the existing ovarian cysts, and discontinuing their use can lead to the formation of new cysts. In addition to this, there are some side effects of these pills like nausea, breast
PRESCRIPTION CALCAREA CARB 200 2 doses at interval of every 3 days, S.L. 4pills T.D.S. for 15 days CALC CARB 1M 1 dose S.L. 4pills T.D.S. for 15 days S.L. 4 pills T.D.S. for 15 days. S.L. 4 pills T.D.S. for 7 days and advised to stop the medication.
tenderness, vaginal discharge, decreased libido, mood changes, weight gain, and migraine. Homeopathy is one of the most popular holistic systems of medicine. The selection of homeopathic medicine for ovarian cyst is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not merely removal of external manifestations of the disease but to address its
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underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several remedies are available to treat ovarian disease that can be selected on the basis of cause, sensations and modalities of the complaints.
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